Showing posts with label mental health. Show all posts
Showing posts with label mental health. Show all posts

Sunday, June 23, 2024

Reject the culture of fear

Fear has its place, but we can’t let it dominate our lives.

There Are Better Ways to Keep Our Society Safe Than Creating a Culture of Fear | Epoch Times | Cory Morgan:

June 21, 2024 - "A culture of fear develops when everything is an emergency and danger lurks around every corner. To watch a full newscast these days is to immerse oneself in stories of violence, anarchy, and a plethora of unseen viral and climatic dangers. The trend is harming our collective psyche and will create a generation of introverts afraid to leave the safety of their homes.... We live in one of the safest places on earth during the safest period in human history.... However, you wouldn’t know it to listen to some media outlets, activists, and politicians.... 

"Fear is a strong motivator. It’s hard to raise funds for an environmental cause when telling somebody, 'The earth’s temperature may rise a degree in the next 50 years due to emissions.' When an activist describes a looming 'heat dome' or 'atmospheric river' that may kill seniors in their homes or cause flash flooding putting their children at risk on the way to school, the wallets of donors open.... 

"When a campaigner promises to protect people from a foreign invasion from a distant, hostile land, the votes come their way. A politician campaigning on law and order is motivated to highlight every violent crime while one promising to fight climate change will paint every weather event as extreme. Small protests are described as budding, violent revolutions, and fringe groups on every side of the political spectrum are presented as potential risks to us all. The real risks are minimal, but the political benefits of exaggerating those risks are real.

"Media has always been in the business of reporting the negative. The [phrase] 'if it bleeds, it leads' has been used for over a century. The eyes of readers and viewers are instinctively drawn toward sensational, dangerous, and frightening stories. In today’s hypercompetitive and financially challenged media world, reporters and writers are being trained, even if unconsciously, to find shocking or fearful stories to draw the attention of the public. When clicks and views are so easily measured, it becomes clear that fear provides the low-hanging fruit of garnering traffic.

"Weather reports used to be about as dull and innocuous as it gets.... Now though, ... maps are coloured in deep, dangerous reds implying fiery, perilous heatwaves even when reporting on typical weather conditions.... A short period of temperatures a little above normal in Ontario recently led to ominous fearful reporting for a week. Stories abounded of the hazards for seniors, the risk of fires, and even tied into social justice and wealth inequity, as one media outlet wrote on how renters were at a higher risk of 'heat death' than homeowners. The few days of heat came and went with little consequence. 

"The City of Calgary has declared a state of emergency due to a broken water line, while Niagara declared a state of emergency over an eclipse....

"The COVID-19 pandemic was the granddaddy of fear events. The world wrapped itself into a state of emergency coupled with the most fearful and negative reporting ever seen. With the benefit of hindsight, we can see that while the virus was harmful, the number of people permanently harmed was tiny. The fear caused much more societal damage than COVID itself ever could....

"We should embrace the good things and not allow baseless fear to creep into our lives. Don’t worry about the bird flu and focus on the one man who died of it. Try to remember that 8 billion people didn’t die of it.... Get out and enjoy life and be sure to click on those good news stories now and then. It encourages the writers to stay optimistic. Fear has its place, but we can’t let it dominate our lives. The culture of fear can be avoided if we try."

Read more: https://www.theepochtimes.com/opinion/cory-morgan-there-are-better-ways-to-keep-our-society-safe-than-creating-a-culture-of-fear-5673052

Friday, March 22, 2024

Canada last in international health care survey

In a 2023 survey of patients in 10 wealthy countries, Canada ranked last in access to primary health care. 

Canada ranks last in primary health care access among 10 wealthy countries: report | CP 24 | Canadian Press:

March 21, 2024 - "Canada ranked last in access to primary health care in a survey of 10 high-income countries released by the Canadian Institute for Health Information on Thursday. Eighty-six per cent of Canadians aged 18 and older said they had a doctor or a place they usually go for medical care in the 2023 survey by the Commonwealth Fund. That's down from 93 per cent of those surveyed in 2016 - and means that an estimated four million Canadian adults did not have access to primary care last year, the study said.

"The percentage of people who had access to primary care was lower than in ... Australia, France, Germany, the Netherlands, New Zealand, Sweden, Switzerland, the United Kingdom and the United States. The average among all 10 countries was 93 per cent.... The United States performed only slightly better than Canada, with 87 per cent of American adults saying they had primary care access.

"Canada also ranked last in ability to get a same or next-day appointment to see a doctor or nurse. Only 26 per cent of Canadian adults were able to get medical attention that quickly, down from 46 per cent in 2016. 

"The survey also ... found that 39 per cent of Canadians without primary care had at least one chronic health condition and 29 per cent were taking one or more prescription medications.

"The 2023 Commonwealth Fund [study] also surveyed participants about their mental health. It found the COVID-19 pandemic, together with economic stressors, was taking a toll on Canadians, with 29 per cent of adults reporting depression, anxiety or another mental health condition in 2023.

"The Commonwealth Fund is a U.S.-based non-profit foundation that funds surveys of patients and health-care providers in multiple countries.... Researchers conducted interviews between March and August 2023. In Canada, 4,820 people were interviewed."

Read more: https://www.cp24.com/lifestyle/canada-ranks-last-in-primary-health-care-access-among-10-wealthy-countries-report-1.6817488

Commonwealth Fund survey results: https://www.cihi.ca/sites/default/files/document/how-canada-compares-cmwf-survey-2023-meth-notes-en.pdf

Canada lags behind in terms of access to health care | CP24 | March 21, 2024:

Saturday, February 3, 2024

Parliament not forced by courts to legalize MAiD for mental illness, say law professors

Last year several law professors penned an open letter to the Canadian cabinet, challenging the government narrative that it is forced by court decisions to expand Medical Assistance in Dying [MAiD] to the mentally ill.   

Parliament is not forced by the courts to legalize MAID for mental illness: Law Professors' Letter to Cabinet | University of Toronto Law Library blog | Trudo Lemmens:

February 2, 2023 - "Justice Minister David Lametti announced today the introduction of a bill which would delay by one year, until March 2024, the scheduled implementation of MAID for sole reasons of mental illness. Until today, the federal government had repeatedly suggested it was bound by 'the courts' to expand MAID and to make MAID also available for persons whose sole underlying medical condition is mental illness.... With some colleagues of other law faculties, we drafted a letter to Prime Minister Trudeau, Ministers Lametti, Duclos, Qualtrough and Bennett, to challenge this problematic and in our view unfounded rhetoric of  'our hands are tied by the courts'. We urge the government to take the time 'to conduct a serious, inclusive, and evidence-based re-evaluation of the appropriateness of expanding MAiD' and 'to suspend this implementation'.... Here is [an extract from] the letter.... 

"We disagree as law professors that providing access to MAiD for persons whose sole underlying medical condition is mental illness is constitutionally required, and that Carter v Canada AG[1] created or confirmed a constitutional right to suicide, as Minister Lametti has repeatedly stated. Our Supreme Court has never confirmed that there is a broad constitutional right to obtain help with suicide via health-care provider ending-of-life.....

"First, the Supreme Court explicitly stated in Carter, after hearing evidence from allegedly problematic euthanasia cases in Belgium, that 'euthanasia for minors or persons with psychiatric disorders or minor medical conditions' would 'not fall within the parameters suggested in these reasons'.[2] The Court further emphasized that '[t]he scope of [its] declaration is intended to respond to the factual circumstances in this case' and that it made “no pronouncement on other situations where physician-assisted dying may be sought.”[3]....  The trial court in Carter further explicitly stated that it is 'problematic to conflate decision-making by grievously and irremediably ill persons about the timing of their deaths, with decision-making about suicide by persons who are mentally ill or whose thinking processes are affected by substance abuse, trauma or other such factors.'[4]  

"Second, while the Alberta Court of Appeal decision in Canada (A.G.) v E.F.,[5] and the Quebec Superior Court decision in Truchon v Canada AG,[6] interpreted Carter as not excluding (MAiD for) mental illness, they did not rule on the constitutionality of a legislative exemption for mental illness. Moreover, these decisions are not binding in other provinces, and were not appealed to the Supreme Court of Canada or the Quebec Court of Appeal respectively.....  The case can therefore hardly be invoked as a precedent confirming the constitutional need to legalize MAiD for mental illness.

"With respect to the Truchon decision, the plaintiffs were not requesting MAiD based on mental illness, and any comments by the trial judge about MAiD for sole reasons of mental illness should be considered obiter dicta.  We note that Minister Lametti’s decision as Attorney General not to appeal Truchon and to simply amend the legislation was unprecedented.

"In the absence of binding precedent, it is premature to argue that the Charter requires access to MAiD for persons whose sole underlying medical condition is mental illness. It is in our view also reckless to suggest that a constitutional right to MAiD should and would be recognized by our Supreme Court when there has been no meaningful review of the evidence suggesting that psychiatrists can predict for whom mental illness will be irremediable, the impact on suicide prevention, the impact on the health care and lived experience of persons experiencing mental illness, and the challenge of balancing access to MAiD with the protection of the life of those who are otherwise not approaching their natural death. In fact, there is for that reason on the contrary a strong argument to be made that the Charter requires adequate and equal protection against premature death of all persons with disabilities....

"For all these reasons, we strongly object to suggestions that MAiD for mental illness needs to be made available as a matter of constitutional right, and support a suspension and review, not just a delay, of further expansion of MAiD."

Read more: https://www.law.utoronto.ca/blog/faculty/letter-federal-cabinet-about-governments-legal-claims-related-maid-mental-illness

-----------------------------------------------------------

  1. Carter v Canada (Attorney General), 2015 SCC 5
  2. Ibid. at para 111.
  3. Ibid. at para 127.
  4. Carter v Canada, 2012 BCSC 886 at para 814
  5. Canada (Attorney General) v EF, 2016 ABCA 155
  6. Truchon c Procureur Général du Canada, 2019 QCCS 3792

Friday, February 3, 2023

Canada delays assisted dying rollout to mentally ill

Justice Minister David Lametti says delay to 2024 is necessary because 'safety of Canadians just comes first' | CBC News - Peter Zimonjic 

February 2, 2023 - "The Liberal government is introducing legislation to delay by one year the expansion of the medically assisted death (MAID) law to cover those suffering solely from a mental illness ... Justice Minister David Lametti said Thursday.... Lametti said the delay will allow ongoing studies of the risks of extending MAID to this group of people to be completed....

"The government passed MAID legislation in 2016. The Superior Court of Quebec struck the law down in 2019 because it was limited to those whose deaths were 'reasonably foreseeable.' Bill C-7, which passed Parliament in March 2021, removed that requirement, in line with the court's ruling. The legislation also temporarily pushed out the expansion of MAID to cases involving only mental illness to March 2023.... 

"Lametti said the extension will also give the Special Joint Committee on Medical Assistance in Dying time to complete its final report on MAID for those suffering solely from mental illness. The committee delivered an interim report in June of last year, which concluded that it was racing against the clock to get its recommendations published in time for the expansion of MAID legislation.

'Although some work is already underway … there is concern that more remains to be done to ensure that all necessary steps have been taken to be ready by the March 2023 deadline,' the interim report said. 

"Mental illness" in the new legislation refers to conditions that are primarily psychiatric, such as depression and personality disorders. It doesn't cover neurocognitive or neurodevelopmental disorders, or related conditions. People with neurodegenerative diseases that lead to dementia can qualify under current rules for MAID, officials said.

"If Bill C-39 is not passed by March 17 of this year, MAID for people solely suffering from mental illness will become law in Canada. The legislation cannot be passed after that date because the two-year time limit will have ended. Lametti said he's confident the legislation will pass in time and has already secured the assistance of the NDP and the Bloc in the House of Commons....

"Conservative MP Michael Cooper called for the expansion of MAID to be scrapped. Later, in the House of Commons, Conservative Leader Pierre Poilievre also condemned the expansion to MAID in 2024."

Read more: https://www.cbc.ca/news/politics/maid-delay-solely-mental-illness-1.6734686

Wednesday, December 14, 2022

Canadian psychiatrists urge delay in offering the mentally ill medical assistance in dying

Citing a need to develop guidelines, standards, and training, psychiatrists are urging the Canadian government to delay the rollout of its Medical Assistance in Dying program to the "incurable" mentally ill, scheduled to begin in March.

Delay assisted dying for people with mental disorders: psychiatrist association | National Post - Camille Bains, Canadian Press: 

December 1, 2022 - "Canada is not ready to expand medical assistance in dying for people with a mental disorder, leaving psychiatrists across the country 'incredibly concerned' about patients needing better access to care, including for addiction services, says a group representing the specialists across the country. The Association of Chairs of Psychiatry in Canada, which includes heads of psychiatry departments at all 17 medical schools, issued a statement Thursday calling for a pause to the change set to be implemented in mid-March.

"Lack of public education on suicide prevention as well as an agreed-upon definition of irremediability, or at what point someone will not be able to recover, are also important, unresolved issues, the statement says.

“'As a collective organization, we recognize that a lot of work is being done in Canada on this issue,' Dr. Valerie Taylor, who heads the group, said in the statement. 'Further time is required to increase awareness of this change and establish guidelines and standards to which clinicians, patients and the public can turn to for more education and information,' said Taylor, who is also chair of the psychiatry department at the University of Calgary.

"A statement from the office of federal Health Minister Jean-Yves Duclos says Canada is committed to implementing MAID for those with a mental disorder by keeping their safety and security at the forefront.... The office did not say whether the implementation expected on March 17 would be delayed.

"Dr. Jitender Sareen, head of the psychiatry department at the University of Manitoba, said many controversial issues were discussed at the group’s annual meeting in October regarding which patients with a mental disorder could be eligible for MAID, seven years after the practice was legalized in Canada for those with a physical ailment. 'If a person wants MAID solely for mental health conditions, we don’t have the clear standards around definitions of who’s eligible. How many assessments and what kinds of assessment would they actually need?' he said. Sareen also called for training for health providers doing the assessments to begin sooner than its expected rollout next fall....

“'We’re in the middle of an opioid epidemic. And we’re in the middle of a mental health pandemic. Post-COVID, wait times for access to treatment are the highest ever,' he said. 'As a group of department heads in the country who are responsible for medical education both for psychiatrists and residents, we’re saying, "Look, let’s put things aside as far as whether we agree with this law change or not.’ We’re just concerned we’re not ready for March.”'....

"The federal parliamentary committee reviewing the law to expand MAID to those with a mental disorder issued an interim report in June and expected to publish a final report in October. However, it has been delayed until February. The final report of an expert panel was released in May with 19 recommendations, including training for doctors and nurse practitioners assessing MAID requests to address topics like the impact of race, socioeconomic status and cultural sensitivity."

Read more: https://nationalpost.com/news/canada/canada-should-pause-maid-for-people-with-mental-disorders-psychiatrists?amp;amp

Monday, December 5, 2022

Veteran who needed stairlift offered death instead

A disabled veteran and former Paralympian was having difficulties in getting help from Veterans Affairs Canada (VA) to to get a wheelchair stairlift. So a resourceful VA staffer offered the veteran assisted suicide instead.

Disabled Canadian Army veteran Paralympian blasts government for offering to EUTHANIZE her when she complained about how long it was taking to install stairlift at her home | Daily Mail - Keith Griffith:

December 3, 2022 - "A disabled veteran in Canada has slammed her govern ment for offering to euthanize her when she grew frustrated at delays in having a wheelchair lift installed in her home. Retired Army Corporal Christine Gauthier, a former Paralympian, testified in Parliament on Thursday that a Veterans Affairs Canada (VAC) caseworker made the assisted suicide offer. 

"After years of frustrating delays in getting the home lift, Gauthier says the caseworker told her: 'Madam, if you are really so desperate, we can give you medical assistance in dying now.' The worker who made the offer hasn't been named, but they are feared to have offered three other veterans who contacted VAC with problems the same 'solution', Global News reported. The scandal emerged a week after Canada's veterans affairs minister confirmed that at least four other veterans were similarly offered access to Canada's Medical Assistance in Dying (MAID) law in response to their troubles....

"Gauthier said that she has been seeking VAC assistance in getting a chairlift for her home since 2017. 'It has isolated me greatly, because I have to crawl down [on] my butt with the wheelchair in front of me to be able to access my house,' she told Global News. She said she was shocked by the offer of suicide from the caseworker, which came in a conversation in 2019. 'I was like, "I can't believe that you will … give me an injection to help me die, but you will not give me the tools I need to help me live,"' she said. 'It was really shocking to hear that kind of comment.' 

"Gauthier was injured in an Army training accident in 1989, suffering permanent damage to her knees and her spine. She competed in the 2016 Paralympic Games and Prince Harry's 2016 Invictus Games as a canoeist, power-lifter, and indoor rower. 

"Gauthier's testimony, and reports of other similar cases, have drawn public outcry, and [Prime Minister Justin] Trudeau vowed to make changes. 'I have said repeatedly that this is absolutely unacceptable, and as soon as we heard about this we took action,' Trudeau said in Vancouver on Friday. 'We are following up with investigations and we are changing protocols to ensure what should seem obvious to all of us: that it is not the place of Veterans Affairs Canada, who are there to support those people who stepped up to serve their country, to offer them medical assistance in dying,' he said.

"Medically assisted suicide was first legalized in Canada for terminally ill patients in 2016, but last year, the law expanded to offer euthanasia to patients whose natural death is not believed to be imminent. Now, people with long-term disabilities can also receive medical assistance in dying. Last year more than 10,000 people in Canada died by euthanasia. Starting next year, a new law will allow people suffering from mental illness, which had not previously be[en] a qualifying condition, to receive medically assisted suicide.... 

"One doctor told DailyMail.com that he is worried about the expansion, as it will turn suicide into a standard treatment for mental health conditions with little oversight or guidelines. Dr Trudo Lemmens, University of Toronto professor of health law and policy, told DailyMail.com that the system might create an 'obligation to introduce [suicide] as a part of' mental health treatment. 'Imagine that being applied in the context of mental health. You have a person suffering severe depression, seeks help from a therapist and is offered the solution of dying,' he continued.

"He fears that vulnerable patients who aren't in the right state of mind could be convinced suicide is a reasonable option. Dr Lemmens called the entire system a 'perverted concept of autonomy'. There are already signs the system is failing some Canadians, with reports of people receiving approval for assisted suicides for diabetes or homelessness."

Read more: https://www.dailymail.co.uk/news/article-11497589/Paraplegic-Canadian-veteran-says-government-caseworker-offered-euthanasia.html 

Saturday, December 3, 2022

Bill C-7 expands medically assisted dying

As more Canadians opt for medical assistance in dying (MAiD), Canada's Bill C-7 expands the criteria so that more can qualify. Provincial government could save as much as $150 billion.

'Canada is very ill-prepared for the future': Medical Assistance in Dying for people with mental illnesses has left experts worried | Yahoo News Canada - Abhya Adlakha:

December 2, 2022 - "Medical assistance in dying (MAiD) was legalized in Canada in 2016. In light of the Carter decision, the Supreme Court of Canada (SCC) struck down the sections in the Criminal Code that prohibited assisting a person to die..... However, after the Truncheon case challenged the constitutionality of death being 'reasonably foreseeable” ... Bill C-7 [was passed] in March 2021. 

"The Bill ... expands who can ask for assisted death.... Before, only those whose death was naturally foreseeable — called 'Track One' patients — qualified for medically assisted death.... The new law allows patients whose death is not reasonably foreseeable to qualify for MAiD — 'Track Two' patients — given that the new safeguards in place are met. For instance, track two patients require a minimum 90-day assessment period. The second biggest change introduced by Bill C-7 is that people suffering solely from grievous and irremediable mental illnesses also qualify for MAiD now. The law comes into effect on Mar. 14, 2023. The recent rise in cases of vulnerable people seeking MAiD in Canada in the last few months has left experts worried as they think the expanded legislation will only make matters worse.

"According to Dr. Kerry Bowman, a Canadian bioethicist and conservationist, the Tier Two applications are surfacing much deeper ethical questions than previously asked. 'Some of the factors that are now driving requests for medical assistance in dying are not medical—they're social, cultural, and political factors,' Bowman said. 'I don't mean to sound smug, but I saw this coming; it's getting very complicated. And once a government takes the position that some lives may not be worth living, it's a very hard position to hold in terms of justice.' Dr. Sonu Gaind, Chief of Psychiatry at Humber River Hospital and a member of the World Psychiatric Association, agrees.... 'I'm not a conscientious objector of MAiD, but I actually personally feel that the expansion is irresponsible,' Gaind said. 'Part of the reason I'm concerned about this is that what MAiD initially came in for, it's now drastically changing to become something else — and most people are unaware of that.'

"In April, the case of a 51-year-old was reported by CTV News — she had opted for medical euthanasia because her housing benefits didn't allow her to get better housing which didn't aggravate her crippling allergies to chemicals. Another disabled woman applied for MAiD because she couldn't 'afford to live'. A few months ago, another woman experiencing long-COVID symptoms for two years applied for medical euthanasia because her illness didn't qualify for the Ontario Disability Benefit Program (ODSP). She stated publicly that MAiD was exclusively 'a financial consideration' for her — she couldn't afford to live without support....

La Maison Simons ad "All is Beauty" - Nov. 22, 2022

"The expert panel on MAiD and mental illness submitted their final report on May 13, 2022 and a list of 19 recommendations were made.... For starters, it was recommended by the board that establishing incurability and irreversibility should be done on a “case-by-case basis” by looking at the treatment history for each patient.... Dr. Gaind believes that this recommendation is shocking. 'They have essentially said that it’s not possible to define the number of treatments or the length or the type of treatment that someone should have before getting psychiatric euthanasia — there’s lack of standards and a lack of evidence, and this is pretty concerning,' Gaind believes. 'So now you have some doctors who set the bar too low for what’s 'incurable' and some who won’t administer MAiD because they believe something else — what that opens up is assessments that are completely arbitrary based on individual ideology. That's not medicine'....

"Another recommendation by the board states that MAiD assessors should understand that personal suffering is a subjective experience and that it should be assessed on a case-by-case basis. The patient also has the right to autonomy and refuse any interventions they do not wish to receive.... 'What drives the system here is the concept of autonomy, the personal choice of an individual and that’s very good. It’s a wonderful thing, but the downside of it is that now we’ve got people making requests because of poverty, housing, and structural vulnerability,' Dr. [Bowman] says. Dr. Gaind agrees ... and strongly believes that ... the idea of autonomy in such cases is also misleading and deceptive.... 'MAiD is meant for something where there is medical evidence that a condition will not get better — and that is complete deception when making predictions of irremediability for mental illness. Evidence shows that predictions of irremediability cannot be made in cases of mental illness!' Gaind added....

"In a scathing article on Canada’s decision to allow medical euthanasia in The Spectator, Yuan Yi Zhu pointed out Canada’s eye on the savings Bill C-7 would create for the government. According to Zhu, although the Canadian government insisted that assisted suicide is about 'individual autonomy', the country’s Parliamentary Budget Officer published a fiscal report about the costs savings Bill C-7 would create. The report mentioned that Bill C-14 (the original MAiD legislation) would save the provincial governments almost $87 million, while the expanded Bill C-7 would save the governments a further $62 million — a total of $149 million.... 'The system says it’s saving millions of dollars — it doesn’t matter how pure someone’s intent was'....

"With concerns now rising that incurability and irreversibility cannot be predicted with confidence, Dr. Gaind believes that MAiD for mental illness should be off the table. 'To me, the question then becomes when you ask which mistakes do you want to be making? Letting someone live with suffering or letting someone die when they could’ve gotten better? To me, one wrongful death is too many."

Read more: https://ca.news.yahoo.com/medical-assistance-dying-canada-rules-mental-illness-185533347.html

Sunday, August 28, 2022

Canadian civility on its deathbed

Canada’s Inferno of Incivility | Brownstone Institute - Julie Ponesse:

August 15, 2022 - "Years from now, what I will remember most about the pandemic is not a virus but our response to it. We have become an intolerant, contemptful, rude and savage society, more inclined to cut off our relationships at the knees than to massage the joints a little to keep them moving. We threaten instead of persuade, mandate instead of respect, and gaslight, scapegoat, and insult our targets into submission. 

"Seared into my memory are the bold, black letters on the front page of The Toronto Star last August: 'I have no empathy left for the wilfully unvaccinated. Let them die.' These words are, unfortunately, more aligned with today’s rules of behavior than an exception to them. Online and off, we are becoming a crude, insensitive, and morally bankrupt society being slowly engulfed, it seems, by an inferno of incivility.

"Our own prime minister fuels the flames, modeling the very sort of hate speech his Bill C-36 is supposed to extinguish. He masterfully turned what should have been a campaign killer into a successful campaign promise — don’t think you are getting on a 'plane' or 'train' next to the vaccinated (i.e., the pure, acceptable citizens). Instead of electing someone who might have led us up and out of this swamp of incivility, we wanted a leader who would vindicate our rage and whose indefensible malevolence could be a model for our own....

"Maybe I should have seen it coming. Maybe I should have tried harder to prevent our nosedive into incivility. I didn’t. I thought we had learned the lessons of hate and intolerance, bigotry and dehumanization. I was wrong. Instead, I am left wondering, when did we become so publicly and unapologetically savage under the guise of well-signaled virtue?

"When I was a high school student, about to set off to study art in Italy, I was urged to wear a Canadian flag, the emblem of a people whose politeness was so legendary we were mocked for our tendency to apologize for the presence of our foot when someone else stepped on our toe.

"In May of 2022, Robin Sears wrote an article for The Toronto Star called 'Where did Canada’s famed civility go?' Referencing Hugh Segal’s 2000 book In Defence of Civility, Sears wrote, 'We had yet to fall to today’s depths, where a would-be prime minister once thought it was acceptable to attack a former Liberal party leader as the father of a policy ‘tar baby.’ (Pierre Poilievre was forced to apologize.)'

"Google blames the death of civility on Trump’s 2016 presidential win, but even if he did coarsen political discourse, we didn’t have to get in the ring with him as Bill Maher did when he went on his HBO show to defend and repeat a previous “joke” that Trump was the product of sex between his mother and an orangutan.

"Perhaps we should blame the decline of civility in Canada on its collapse in Russia, or on the long-term failure of Israel and its neighbors to broker enduring peace? Or perhaps on the tenuous relationship between anglophone and francophone Canadians? Maybe it’s due to the loss of civics education? Maybe a muddled and motley collection of all these things.

"Online communication certainly hasn’t helped. Jordan Peterson recently wrote that Twitter is turning us all insane. No doubt. It’s the catchy, acerbic barb that rises above the more civil discourse and is rewarded by retweets and, ideally, virality. The more efficiently we can criticize and inject our ideological venom into the virtual world, the faster our social currency rises. As Mark Twain wrote, the critic 'deposits his egg in somebody else’s dung, otherwise he could not hatch it.'

"We have learned to write first and think later (or maybe not at all). Online anonymity is changing us, and it’s saddling us with a social and moral debt we may not be able to pay. We no longer have to confront our victims, sit with them in the hurt of our words, and defend our views in the public square. We strike and then we run away. Maybe nothing. Maybe words are just words, a little harmless, hyperbolic theater.

"Maybe it’s a good sign, namely that we feel more comfortable than ever to express ourselves, to lay bare the darkest parts of our soul. Maybe it’s a way to work out our inchoate reactions as stepping stones to a more articulate understanding of what we are really worried about.

"Maybe it’s a quick and ready way to unite over a common struggle. Drawing from the well of terms already accepted by the dominant group helps to create a feeling of solidarity. Professor of Modern English Language, Ronald Carter wrote that verbal play brings people together around a set of collective cultural reference points creating a kind of lexical 'social glue.' It helps us to feel less isolated, more connected, more engaged with others.

"But this, I think, takes our charity too far. Words have immense power. As Ursula K. Le Guin wrote, 'Words are events, they do things, change things. They transform both speaker and hearer; they feed energy back and forth and amplify it.' Words place parameters around our ideas and frame how we perceive the world. They build our beliefs, they drive our behavior, they weave the fabric of our lived experience. The philosopher of language Ludwig Wittgenstein put it well: the limits of our language are the limits of our world.

"When we allow terms like 'Covidiot' into our ordinary communication, we don’t just mark our opposition to the subject’s views. We are saying that the person is 'so mentally deficient as to be incapable of reasoning. As the Greek idiotes suggests, to call someone an “idiot' is not just to denigrate their intelligence; it is to put them on the periphery of the community of citizens, or perhaps even outside of it. It is to imply that one’s opponent is not just wrong but irrational, inhuman and worthy of cyber (or even real) extermination.

"Our incivility is, to a degree, understandable when you consider how much there is to fear these days. We fear the loss of employment and relationships. We fear being found out for being on the wrong side of the right issue. We fear becoming conspicuous and, at the same time, insignificant. We fear being abandoned by the human race as it barrels ahead towards an uncertain future. Fear is the most primitive and earliest human emotion. It is particularly unresponsive to reason and therefore tends to charge ahead of our capacity to regulate our emotions, to reflect on our reasoning, and to be civil. 

"And, as Martha Nussbaum explains, fear has the capacity to infect every other emotion. Shame is fueled by fear that the shamed one will undermine what keeps us safe, anger can lead to unreflective scapegoating that is fed by fear, and disgust is an aversion to the terrifying possibility that we may become brutes (literally). Fear manifests itself through other emotions because we are impotent to manage it any other way.

"But the cost of our poorly managed fear is the disintegration of the bonds that hold us together. In a democracy, we don’t have the threat of an autocrat or a dictator to control our actions. We are constrained by the rule of law and by our willingness to be cooperative. We understand that democracy is fragile and that it needs civic cohesion to work. In the words of writer Peter Wehner, 'When civility is stripped away, everything in life becomes a battlefield, an arena for conflict, an excuse for invective. Families, communities, our conversations and our institutions break apart when basic civility is absent.'

"When we become uncivil, we lose our political footing, we lose what transformed us from animals into citizens, what took us out of the state of nature and put us into society together. Incivility, from the Latin incivilis, literally means 'not of a citizen.'

"As an ethicist and student of history, I think a lot about what I do and why, and why others do what they do. I try to keep biases front and center, knowing many are to a degree unavoidable, I read voraciously, and I try to listen as much as I talk. But I feel the seeds of incivility growing even in me. 

"The outcome of the 2021 federal election made me nothing short of nauseous and I find it increasingly difficult to relate to those Canadians who support our government’s draconian measures. These feelings are hard to reconcile with the desire to be reasonable and reflective and tolerant, but I still think there are things we can do to nurture civility in our current culture:

"Fine-tune your radar. The cold and unwelcome but also freeing fact is that the potential for civil discourse isn’t distributed evenly across the population. Not everyone is primed for it. Those who have fully embraced incivility have become savages and you can’t reason with a savage. There is a spectrum of civility and some are simply closer to the vile end than others.

"Also, civilizing is a process and civility is always, at best, precarious. Norbert Elias wrote a beautiful book on civility in 1939 but that was followed by years of war, ethnic cleansing, and genocide. Creating a culture of openness and tolerance and curiosity and respect is a long-term project that will serve democracy well, but it doesn’t happen overnight and even once it does happen, we have to take great care to nurture it. If we want the benefits of civility, we must keep the devil on our shoulder where we can see him. We must build civility from the ground up, from the inside out.

"Keep your eye on the prize. What is your goal when you enter into conversation with someone? Are you aiming to win, to exact revenge, or are you genuinely interested in the pursuit of truth? In his impressive 1866 guide to the art of conversation, Arthur Martine wrote, 'In disputes upon moral or scientific points, let your aim be to come at truth, not to conquer your opponent. So you never shall be at a loss in losing the argument, and gaining a new discovery.'

"It takes humility and confidence to admit that we might have something to learn from another person. But we can approach conversation with the goal of learning, not converting. We don’t always need to be a Covid evangelist to have meaningful conversation about today’s challenges. We can respond rather than react. We can be both critical and charitable. We can push pause on a conversation while we gather more information and reflect. We can walk the path of truth together.

"Break up the masses. We all know how efficiently the masses can engulf you, and so the pressure to conform is strong, but the cost of conformity is higher than we might think. 'When you adopt the standards and the values of someone else,' wrote Eleanor Roosevelt, 'you surrender your own integrity [and] become, to the extent of your surrender, less of a human being.' Those who complied with the mandates over the last two years, but who did so against their better judgment, are starting to see the costs of their compliance. It is easy to feel protected by the size and the anonymity offered by the masses. But in the words of Ralph Waldo Emerson:

"Leave this hypocritical prating about the masses. Masses are rude, lame, unmade, pernicious in their demands and influence, and need not be flattered but to be schooled. I wish not to concede anything to them, but to tame, drill, divide, and break them up, and draw individuals out of them…. Masses! The calamity is the masses.”

"Choose your words carefully: Words can undermine our moral treatment of others, but they can also elevate it. So which words should we choose?

  • "Words of respect: When George Washington was a teenager, he penned 110 rules of civility and wrote, 'Every action done in company ought to be with some sign of respect, to those that are present.' Words of respect can be as simple as 'I’m interested,' 'I’m listening,' 'I don’t understand your view, but I would like to hear you explain it in your own words.'
  • "Words of curiosity: 'Be curious. Not judgmental.' So goes the line attributed to Walt Whitman. Curiosity is rare these days in part, I think, because it takes a lot of effort. It requires attention and empathy and genuine interest and mental endurance. And, of course, only non-rhetorical questions are truly curious. 'What do you think?' 'Why do you think it?'
  • "Words of commitment: One of the biggest obstacles to productive conversation is the fear that we will be abandoned. We fear that the other will turn their back, walk out, and say 'We don’t talk about that.' Instead, we can say 'I’m in this conversation with you, let’s talk,' and then show you mean it by sticking around.

"I know what you’re thinking. Is she really so naive as to think that it’s possible to approach conversation with civility and survive? Can you really play by the rules and win a debate with someone who has no interest in your rules? No. But you won’t beat them any other way either. What you will have is a hurtful, pointless tussle of words, not a real conversation. To converse is to 'keep company with,' to discuss is to “examine by argument.” To do these things, you need an able and willing participant, skills that are in short supply these days but ones we can nurture with those closest to us and with a little effort in the tiny decisions we make every day.

"There are many who will disdain what I have written here since it threatens the collective thought process that sees itself as being in no need of, and being threatened by, individual critical thought. Talk of civility and respect, pulling individuals out of the masses, pursuing truth together. All of that threatens the conformity…ahem, I mean the cooperation that defines 21st century Canadian culture.

"But there it is. Civility is not conformity. It is not agreement per se, but rather how we handle our disagreements. A society made up of identical citizens speaking and thinking in perfect unison, perfectly purged of moral tension, is in no need of civility.

"If you know that no one disagrees with you, you have no reason to tolerate them. The virtues of tolerance and respect and understanding — those we must nurture if we are to have a flourishing, healthy democracy — consist in how we handle our differences, not in how we eliminate them.

"We stand at a precipice where we face the danger of losing our humanity forever. What can we do about it? What will we do about it? What will it take to turn us around? What are you going to do today, as soon as you finish reading these last few words, to rescue us from our inferno of incivility?"

Read more: https://brownstone.org/articles/canadas-inferno-of-incivility/

This work is licensed under a Creative Commons Attribution 4.0 International License

Tuesday, June 21, 2022

Lockdowns led to a global mental health crisis in children, says World Health Organization report

Covid lockdowns have caused a 'global mental health crisis' in children due to 'deep impact of school closures', WHO admits | MailOnline - Joe Davies: 

June 20, 2022 - "Covid lockdowns have created a 'global crisis for mental health', the World Health Organization has admitted. An international report by the UN agency found two years of restrictions have led to 'significant mental health consequences', especially for young people. The WHO now estimates more than a billion people around the world are living with a mental health disorder as a result, a quarter more than pre-Covid. It said there had been an even bigger rise among children, 'potentially reflecting the deep impact of school closures'....

"The WHO World Mental Health Report was published on June 16 by the WHO's mental health and substance division.... It said more than one billion people are now living with a mental health condition, after increasing by more than 25 per cent dung the first year of the pandemic. The most common types include anxiety, depression and developmental disorders like autism. But children were worst affected by restrictions, officials said, with rates of bullying and abuse at home increasing and a lack of social interaction causing isolation during school closures. 

"The report said: 'Restrictions imposed during the Covid pandemic for example had significant mental health consequences for many, including stress, anxiety or depression stemming from social isolation, disconnectedness and uncertainty about the future.' It added: 'Globally there was also a greater change in prevalence among younger age groups than older ones, potentially reflecting the deep impact of school closures and social restrictions on youth mental health.... For some children and adolescents, being made to stay at home is likely to have increased the risk of family stress or abuse, which are known risk factors for mental health problems.' 

"The WHO's mental health and substance division is responsible for helping prevent mental, neurological and substance use disorders and was not in charge of the WHO's Covid response. It was signed off by Dr Tedros Adhanom Ghebreyesus, director general of the WHO, who faced heavy criticism for his handling of the pandemic, which was deemed to be very 'China-centric', heaping praise on China's communist party for its response to the Covid outbreak.... But he has since been censored by Chinese state media for criticising the country's current zero Covid policy in May this year.... 

"Before the pandemic, the WHO estimated as many as one in seven (14 per cent) of children had a mental health disorder. The report did not estimate the current rate but said the 25 per cent increase in disorders across the world was even higher in children. It said: 'Extended school and university closures interrupted routines and social connections, meaning that young people missed out on learning and experiences expected for healthy development.... Disruption and isolation can fuel feelings of anxiety, uncertainty and loneliness, and can lead to affective and behavioural problems.' 

"Boris Johnson closed England's 24,000 schools for the first time in March 2020, with some children returning briefly from June that year. Classes were then shut again in January 2021 at the start of the Alpha wave before reopening on March 1. Overall, schools in England were shut for longer than in any other European country. Several studies since then have shown young people's mental health deteriorated while learning at home. A study led by University College London researchers showed nearly five times as many children died of suicide compared to the virus during the first year of lockdowns....

"[The WHO report] comes after a new book claimed ministers ignored warnings that continued school closures would cause an upswing in mental health problems for children. The book, written by the founders of the UsForThem campaign, revealed Anne Longfield, then Children’s Commissioner, spent ‘weeks and weeks’ arguing that children should return to school.... Ms Longfield told the authors it was ‘absolutely unnecessary’ to keep schools closed until the last weeks of the summer term in 2020. She said: ‘It added a huge additional detriment to those children and was completely irresponsible and virtually criminal for those children.’"

Read more: https://www.dailymail.co.uk/news/article-10933827/Covid-lockdowns-caused-global-crisis-mental-health-children-school-closures.html

Download Report: https://www.who.int/publications/i/item/9789240049338

Sunday, December 12, 2021

How stress shuts down reasoning

Dr. David Potter, Stress and Coping Skills, 2013. CC BY-SA 4.0, Wikimedia Commons.

Neural circuits responsible for conscious self-control are highly vulnerable to even mild stress. When they shut down, primal impulses go unchecked and mental paralysis sets in | Scientific American - Amy Arnsten, Carolyn M. Mazure, & Rajita Sinha:

April 2012 - "For decades scientists thought they understood what happens in the brain during testing or a battlefront firefight. In recent years a different line of research has put the physiology of stress in an entirely new perspective. The response to stress is not just a primal reaction affecting parts of the brain that are common to a wide array of species ranging from salamanders to humans. Stress, in fact, can cripple our most advanced mental faculties....

"Older textbooks explained that the hypothalamus, an evolutionarily ancient structure lodged at the base of the brain, reacts to stress by triggering the secretion of a wave of hormones from the pituitary and adrenal glands, which makes the heart race, elevates blood pressure and diminishes appetite. Now research reveals an unexpected role for the prefrontal cortex, the area immediately behind the forehead that serves as the control center that mediates our highest cognitive abilities — among them concentration, planning, decision making, insight, judgment and the ability to retrieve memories.... The new research demonstrates that acute, uncontrollable stress sets off a series of chemical events that weaken the influence of the prefrontal cortex while strengthening the dominance of older parts of the brain. In essence, it transfers high-level control over thought and emotion from the prefrontal cortex to the hypothalamus and other earlier evolved structures....

"The prefrontal cortex is so sensitive to stress because of its special status within the hierarchy of brain structures. It is the most highly evolved brain region, bigger proportionally in humans than in other primates, and makes up a full third of the human cortex. It matures more slowly than any other brain area and reaches full maturity only after the teen years have passed. The prefrontal area houses the neural circuitry for abstract thought and allows us to concentrate and stay on task, while storing information in the mental sketch pad of working memory.... As a mental-control unit, the prefrontal area also inhibits inappropriate thoughts and actions.

"The neurological executive center functions through an extensive internal network of connections among the triangular-shaped neurons called pyramidal cells. These neurons also send out connections to more distant reaches of the brain that control our emotions, desires and habits.... Keeping this network firing as it should can be a fragile process — and when stress hits, even small changes in the neurochemical environment can instantly weaken network connections. In response to stress, our brain floods with arousal chemicals such as norepinephrine and dopamine, which are released by neurons in the brain stem that send projections throughout the brain. Elevated levels of these signaling chemicals in the prefrontal cortex shut off neuron firing, in part by weakening the connection points, or synapses, between neurons temporarily. Network activity diminishes, as does the ability to regulate behavior. These effects only worsen as the adrenal glands near the kidneys, on command from the hypothalamus, spritz the stress hormone cortisol into the bloodstream, sending it to the brain....

"Our research clarifying how easily the prefrontal cortex can be shut down started about 20 years ago. Studies in animals by one of us (Arnsten), along with the late Patricia Goldman-Rakic of Yale University, were among the first to illustrate how neurochemical changes during stress can rapidly switch off prefrontal function. The work showed that neurons in the prefrontal cortex disconnect and stop firing after being exposed to a flood of neurotransmitters or stress hormones. In contrast, areas deep within the brain take a stronger hold over our behavior. Dopamine arrives at a series of deep-brain structures, collectively called the basal ganglia, that regulate cravings and habitual emotional and motor responses. The basal ganglia hold sway not only when we ride a bicycle without falling but also when we indulge in addictive habits....

"After dopamine and norepinephrine switch off circuits in the prefrontal area required for higher cognition, enzymes normally chew up the neurotransmitters so that the shutdown does not persist. In this way, we can return to our baseline when stress abates. Certain forms of a gene can weaken these enzymes, making people more vulnerable to stress and, in some cases, mental illness. Similarly, environmental factors can increase vulnerability; for example, lead poisoning can mimic aspects of the stress response and erode cognition.

"Still other research focuses on what happens when the assault on the prefrontal cortex lasts for days or weeks. Chronic stress appears to expand the intricate web of connections among neurons in our lower emotional centers, whereas the areas engaged during flexible, sustained reasoning — anything from the philosophy of Immanuel Kant to calculus — start to shrivel. Under these conditions, the branching, signal-receiving dendrites in the primal amygdala enlarge, and those in the prefrontal cortex shrink. John Morrison of the Mount Sinai School of Medicine and his colleagues have shown that prefrontal dendrites can regrow if the stress disappears, but this ability to rebound may vanish if the stress is especially severe.... This chain of molecular events makes us more vulnerable to subsequent stress and most likely contributes to depression, addiction and anxiety disorders, including post-traumatic stress....

"One question that still perplexes researchers is why the brain has built-in mechanisms to weaken its highest cognitive functions. We still do not know for sure, but the triggering of these primal reactions may perhaps have saved human lives when a predatory wild animal was lurking in the bushes.... Absent our slow, deliberate higher-brain networks, primitive brain pathways can stop us on a dime or ready us to flee. These mechanisms may serve a similar function when we face danger in the modern world — say, when a reckless driver cuts us off and we need to slam on the brakes. If we remain in this state, though, prefrontal function weakens, a devastating handicap in circumstances where we need to engage in complex decision making about a loved one’s serious medical condition or organize an important project on a tight deadline."

Read more: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4774859/

Saturday, December 11, 2021

Covid19 a 'pandemic of fear' (in Canada, too)

COVID-19 a Pandemic of Fear ‘Manufactured’ by Authorities: Yale Epidemiologist | Epoch Times -Isabel Van Brusen & Jan Jekielek: 

December 6, 2021 - "The COVID-19 pandemic has been one of fear, manufactured by individuals who were in the nominal positions of authority as the virus began to spread across the globe last year, according to Yale epidemiologist Dr. Harvey Risch. In an appearance on Epoch TV’s American Thought Leaders program, Risch, an epidemiology professor at the Yale School of Public Health and Yale School of Medicine’s Department of Epidemiology and Public Health, argued ... what has characterized the ... pandemic has been a 'degree of fear and people’s response to the fear.'

'''Overall, I’d say that we’ve had a pandemic of fear. And fear has affected almost everybody, whereas the infection has affected relatively few,' said Risch. 'By and large, it’s been a very selected pandemic, and predictable. It was very distinguished between young versus old, healthy versus chronic disease people. So we quickly learned who was at risk for the pandemic and who wasn’t. However, the fear was manufactured for everybody. And that’s what’s characterized the whole pandemic is that degree of fear and people’s response to the fear.'

"Risch has authored more than 300 original peer-reviewed publications and was formerly a member of the board of editors for the American Journal of Epidemiology. 

"The epidemiology professor suggested that individuals who held the nominal positions of authority during the onset of the pandemic in March 2020 initially spread a much worse picture of the 'dire nature' of the virus than was warranted. That included the message that everybody was at risk, anybody could die from contracting the virus, and everybody needed to stay in their homes to protect themselves.... 'People were quite afraid of that message, as anybody would be … with the government, with authorities, with scientists, scientific people, with medical people in authority in the public health institutions, all saying the same message starting in about February, March of last year'.... 

"Risch said that the types of messages issued by authorities led to widespread heightened anxiety levels. 'All of our anxiety levels were raised, and we all made decisions to curtail, to various degrees, our exposures to other people, some more than others, but I think everybody had levels of anxiety that really affected how they carry out their life at that time,' he said."

Watch the full interview with Yale epidemiologist Dr. Harvey Risch": https://www.theepochtimes.com/mkt_morningbrief/covid-19-a-pandemic-of-fear-manufactured-by-authorities-yale-epidemiologist_4106244.html


Military leaders saw pandemic as unique opportunity to test propaganda techniques on Canadians, Forces report says | Ottawa Citizen - David Pugliese:

September 27, 2021 - "Canadian military leaders saw the pandemic as a unique opportunity to test out propaganda techniques on an unsuspecting public, a newly released Canadian Forces report concludes. 

"The federal government never asked for the so-called information operations campaign, nor did cabinet authorize the initiative developed during the COVID-19 pandemic by the Canadian Joint Operations Command, then headed by Lt.-Gen. Mike Rouleau. But military commanders believed they didn’t need to get approval from higher authorities to develop and proceed with their plan, retired Maj.-Gen. Daniel Gosselin, who was brought in to investigate the scheme, concluded in his report.

"The propaganda plan was developed and put in place in April 2020.... A copy of the Dec. 2, 2020, Gosselin investigation, as well as other related documents, was obtained by this newspaper using the Access to Information law.

"The plan devised by the Canadian Joint Operations Command, also known as CJOC, relied on propaganda techniques similar to those employed during the Afghanistan war. The campaign called for 'shaping' and 'exploiting' information. CJOC claimed the information operations scheme was needed to head off civil disobedience by Canadians during the coronavirus pandemic and to bolster government messages about the pandemic.

"A separate initiative, not linked to the CJOC plan, but overseen by Canadian Forces intelligence officers, culled information from public social media accounts in Ontario.... Senior military officers claimed that information was needed to ensure the success of Operation Laser, the Canadian Forces mission to help out in long-term care homes hit by COVID-19 and to aid in the distribution of vaccines in some northern communities."

Read more: https://ottawacitizen.com/news/national/defence-watch/military-leaders-saw-pandemic-as-unique-opportunity-to-test-propaganda-techniques-on-canadians-forces-report-says

Sunday, October 17, 2021

Mental disorders rose globally during lockdowns

Covid Anxiety Is a Health Problem Too | Wall Street Journal - Dr. Marc Siegel:

October 15, 2021 - "In New York City, I often see people walking down the sidewalk, masks hanging low over their chins, looking fearful and dodging one another. The health benefit from these wary rituals is minimal to nonexistent, and they illustrate the toll that fear of Covid-19 has taken on mental health.

"A new global study published in the Lancet examines 48 data sources in an attempt to quantify that toll. The authors report a world-wide increase of more than 129 million cases of major depression and anxiety disorders compared with pre-pandemic figures. They attribute this to the 'combined effects of the spread of the virus, lockdowns, stay-at-home orders, decreased public transport, school and business closures, and decreased social interactions, among other factors.'

"The rise in mental-health problems was correlated with both infection rates and restrictions on personal behavior: 'We estimated that the locations hit hardest by the pandemic in 2020, as measured with decreased human mobility and daily SARS-CoV-2 infection rate, had the greatest increases in prevalence of major depressive disorder and anxiety disorders'....

"As in previous studies, the mental-health effect was most severe on younger people, likely because their need for social interactions is stronger and their social lives depend more on people outside the household. They are also at considerably less risk of severe disease, so restrictions pose a relatively heavy burden on them primarily for the benefit of their elders.

"From the beginning of the Covid outbreak in China, studies have found a connection between the severity of lockdowns and depression rates.... In most states, the average anxiety and depression scores increased during the late summer, fall and winter of 2020, while lockdowns were still in place. According to the Kaiser Family Foundation, almost a third of adults in the U.S. reported symptoms of anxiety or depressive disorder in late April and early May 2021, triple the number in 2019 before the pandemic started. But in South Dakota, which has had very few restrictions, the numbers were lower, with 24% reporting these symptoms.

"Government overreach in closing schools has caused a great mental health tragedy among our young. The United Nations Educational, Scientific and Cultural Organization has declared the Covid-19 pandemic the most severe disruption to education in history, with 1.6 billon learners in more than 190 countries out of school at some point in 2020.... A University of Washington study published last month by the Journal of the American Medical Association surveyed more than 2,300 American parents and found that remote learning negatively affected mental health and that 'older and Black and Hispanic children as well as those from families with lower income who attend school remotely may experience greater impairment to mental health than their younger, White, and higher income counterparts.'

"Badly conceived methods for stopping infection can be harmful to public health. Lockdowns and business closures were based on a model that ... proved ineffective at containing SARS-CoV-2, ... while causing enormous psychic damage. Even many people who didn’t get sick with Covid-19 will never be the same again."

Read more: https://www.wsj.com/articles/covid-anxiety-health-problem-isloation-school-youth-mental-lockdown-social-distancing-11634324802

Sunday, May 30, 2021

UK, USA face epidemics of depression

COVID-19 Depression – the real pandemic | The Conservative Woman - Kate Dunlop:

May 29, 2021 - "One of the worst outcomes of Covid-19 and the policies used by governments to ‘contain it’ has been the long-term damage inflicted on the public. Much more serious than the disease was the authoritarian intrusion into private lives, the unilateral removal of civil liberties, and the stench of ‘something gone horribly wrong’....   

"Long before Covid, a report from the World Health Organisation identified depression as the leading global cause of disability, affecting more than 300 million people. During enforced lockdowns, those people were cast adrift, often left to their own devices and viewed with casual indifference. They, together with the rest of us, have experienced unprecedented withdrawal of GP services, been denied access to hospital diagnostics and treatment, and been refused specialist support. For some, there may be no way back.   

"Recent [UK] Office for National Statistics (ONS) reports show that around one in five (21 per cent) of adults aged 16 and over experienced moderate to severe depressive symptoms in early 2021. Before Covid, mental health advocates described a 10 per cent rate as alarming. The same report shows that 29 per cent of those aged 16 to 39 were depressed in the same period, more than double the figure before the pandemic (11 per cent). Ten per cent of over-70s experienced some form of depression, also double the number before the pandemic....

"US experience is similarly catastrophic. A study published in September 2020 in the journal JAMA Network Open confirms that the prevalence of depression more than tripled during the pandemic. The statistics are staggering, with four in ten US adults reporting  symptoms of depression, up from one in ten in January to June 2019. The Kaiser Family Foundation (KFF) Health Tracking Poll (July 2020) found that increasing numbers of adults ... say they have difficulty sleeping (36 per cent), with over-eating (32 per cent), increased dependence on drink or drugs (12 per cent), and worsening chronic conditions (12 per cent). The Centers for Disease Control and Prevention (CDC) predict that ongoing public health measures together with job losses will expose ever more people to situations that will inevitably lead to poorer mental health.

"Importantly, the mental health consequences of mass trauma are not evenly distributed. Experiences of sustained stress, low income, and less or no savings are strongly correlated with mental illness.... People who have lost their jobs because of Covid-19 public health restrictions, those who were already unemployed, or under-employed, and those in financially insecure work such as in the ‘gig economy’ are much less resilient.... In early 2021, 40 per cent of unemployed adults in the UK reported some form of depression compared with 19 per cent of those employed or self-employed.

"People with disabilities suffered badly during lockdowns, with 39 per cent describing themselves as having some form of depression.  Clinically extremely vulnerable (CEV) people who were instructed to ‘shield’ were increasingly prone to anxiety and depression while essentially in enforced social isolation. 31 per cent of CEV adults reported depression, compared with 13 per cent of non-disabled people and 20 per cent of non-CEV adults....

"The ‘hidden costs’ of Covid and lockdown are hard to measure but include the end of any vestigial trust in politics, the mainstream media and public health elites; the rise of a more insular and fragmented society; an aversion to policemen acting as agents of the state; an NHS which has failed to provide full medical diagnoses and care; and widespread impoverishment and economic loss."

Read more: https://www.conservativewoman.co.uk/depression-the-real-pandemic/

Tuesday, May 18, 2021

Lockdowns take toll on Canadians' mental health

Losing sight of the COVID-19 finish line: How more lockdowns, cases blur hope | Global News: Rachael D'Amore:

April 24, 2021 - "After more than a year of isolation, distance and uncertainty, Canadians are maxed out. Vaccines are getting into arms ... but for some, that 'light at the end of the tunnel' touted by politicians and public health officials has dimmed recently....  After [Ontario] Premier Doug Ford’s announcement on April 16 ushering in further closures of amenities and activities, including some outdoors, Ontarians reacted online in a wave of sadness and anger. Some people pointed out that, this time, the 'rage and despair' felt more like a collective emotion than ever before.

"Roger McIntyre, a psychiatrist and professor at the University of Toronto, said the collective feeling comes down to one thing: unpredictability. 'Chronic unpredictable stress,' to be exact. 'When you and I are told that the finish line is there, while we’re under chronic stress, it’s difficult but we try to accommodate it. But when you aren’t confident about where the finish line is, that, by definition, is unpredictable,' he said.... 'It’s the unpredictability that’s becoming the straw breaking the camel’s back for many people'....

"Since last year, Canadians have been told to stay apart to stop the spread of the virus, but the ability to be outdoors has generally provided safer alternatives for exercise, recreation and dining, among other things. Those options dwindled in the winter. As the second wave bore down, cold weather and renewed lockdowns forced people to stay at home. Even with summer on the horizon, those options are once again shrinking.

"The second wave of the pandemic intensified feelings of stress and anxiety, causing alarming levels of despair and hopelessness among Canadians, the Canadian Mental Health Association (CMHA) found in December 2020. That trajectory isn’t likely to improve as the country endures the third wave, according to Michael Anhorn, the CEO of the CMHA’s Toronto branch. 'Research has shown a fairly steady decline in mental health since the beginning of the pandemic. The longer it goes on, the more our wellness suffers,' he said.

"During the second wave, 40 per cent of Canadians who participated in a CMHA survey said their mental health has worsened — up from 38 per cent in the first wave. A separate report by HR company Morneau Shepell showed Canadians’ psychological health has steadily declined, hitting a negative score for a 12th consecutive month. That same report said the feeling of isolation is worse now than at any prior point in the pandemic.... Of the Canadians feeling the negative mental health impacts, 45 per cent are women, compared to 34 per cent of men, according to CMHA....

"Canada has maintained it will meet its goal of vaccinating all willing Canadians by September. There has been brighter news in recent days — more doses of Pfizer-BioNTech’s vaccine are coming, eligibility is gradually opening up to all adults in hot-spot areas in Ontario and Canada could see extra shots come from its neighbour the U.S. But recent announcements like Ontario’s — which took away considerably safer activities like camping, tennis and golf — make people think 'the goalposts keep changing,” said McIntyre.... 

"The ultimate goalpost is ending the pandemic. For many Canadians, it’s personal now, McIntyre said, like something as simple as having a normal summer....

"'You have people who will do just fine, they’ll flourish. Then you’ll have this large swath of society who don’t have a mental illness, but they’re not well, they’re tired, fatigued, apathetic. For many of this group, these feelings may be time-limited once our lives get back to normal,' he said. 'But we also know that for a lot of people, this is the first step of going into a depression and that this type of experience can often be a [portent]. We don’t want to catastrophize this because not everyone does, but we also can’t trivialize it.'"

Read more: https://globalnews.ca/news/7773180/covid-canada-mental-health-lockdown/

Sunday, April 25, 2021

Questioning the Long Covid narrative

We need to start thinking more critically – and speaking more cautiously – about long Covid | Stat - Adam W. Gaffney: 

March 22, 2021 - "What media stories about long Covid ... describe is frightening. Ed Yong, a writer for The Atlantic, has been particularly influential in sculpting this narrative. In 'Long-Haulers Are Redefining Covid-19,' he describes a mysterious syndrome that strikes even those with mild Covid-19, people who never required hospitalization, oxygen, or ventilators, but who never seem to recover. One such individual, he noted, described some five months of 'extreme fatigue, bulging veins, excessive bruising, an erratic heartbeat, short-term memory loss, gynecological problems, sensitivity to light and sounds, and brain fog.' For some of these people, Yong noted, 'months of illness could turn into years of disability'....

"Almost everyone who dies of Covid-19 develops a condition called acute respiratory distress syndrome (ARDS), a form of pneumonia.... ARDS can have myriad long-term effects, including physical and cognitive impairments, reduced lung function, mental health problems, and poorer quality of life.... Still, even if these ailments are sometimes acknowledged in media reports of long Covid, most narratives evoke something entirely different: a debilitating syndrome seemingly affecting multiple organ systems for months on end – and perhaps indefinitely – but without any specific diagnosis.... It is also notable that reports often suggest that even those with only mild acute symptoms – or no acute symptoms at all – are at risk....  

"Other reports describe something even more frightening. In October, a New York Times article described a dementia-like illness following a mild infection like this: 'It’s becoming known as Covid brain fog: troubling cognitive symptoms that can include memory loss, confusion, difficulty focusing, dizziness and grasping for everyday words.' Another Times story asserted that an entirely resolved mild infection could cause severe psychosis months later, even leading to thoughts of committing murder. 

"Reporting on long Covid needs to be more cautious for several reasons.

"First, consider that at least some people who identify themselves as having long Covid appear never to have been infected with the SARS-CoV-2 virus....Yong ... cites a survey of Covid long-haulers in which some two-thirds of them had negative coronavirus antibody tests – blood tests that reveal prior SARS-CoV-2 infection. Meanwhile, a survey organized by a group of self-identified long Covid patients that recruited participants from online support groups reported in late December 2020 that around two-thirds of those surveyed who had undergone blood testing reported negative results.... But ... study after study has found that antibodies remain positive in a majority of people with confirmed infections for many months. So it’s highly probable that some or many long-haulers who were never diagnosed using PCR testing in the acute phase and who also have negative antibody tests are 'true negatives'....

"[I]f some proportion of long Covid patients were never infected with SARS-COV-2, it shows that it’s possible for anyone to misattribute chronic symptoms to this virus.... But what’s more notable is that the late-December survey also found virtually no difference in the long-haul symptom burden between those with and without antibody evidence of prior SARS-CoV-2 infection (or any positive test), which undercuts the likelihood of a causative role for SARS-CoV-2 as the predominant driver of chronic symptoms in that cohort. After all, the symptoms reported as consistent with long Covid are associated with many conditions.... 

"Add to that the fact that the past year has produced skyrocketing levels of social anguish and mental emotional distress.... [T]here’s no question that mental suffering can produce physical suffering. A New England Journal of Medicine report showed that, across multiple continents, about half of people with depression also had unexplained physical symptoms, which often predominated over their mental ones. Sleeping problems, physical and mental slowing, persistent fatigue, and concentration problems (aka 'brain fog') are among the actual criteria for major depression in the current Diagnostic and Statistical Manual of Mental Disorders (DSM-V).

"The sad truth is that we are living through a time of incredible trauma, sorrow, and hardship. The loved ones of more than 500,000 Americans who have died of Covid-19 are in mourning. Tens of millions have lost their jobs. This has been a period of prolonged social isolation with no obvious parallel in history. We should expect a surge in both mental anguish and physical suffering that, while connected to the once-in-a-century pandemic, will not always be directly connected to SARS-COV-2 itself....

"[T]he suffering described by long Covid patients is debilitating and real ... [and] every such patient deserves careful, empathetic evaluation and appropriate treatment and referrals.... And rigorous research into the long-term effects of Covid-19 must continue. But at the same time we need to start thinking more critically — and speaking a bit more cautiously — about long Covid."

Read more: https://www.statnews.com/2021/03/22/we-need-to-start-thinking-more-critically-speaking-cautiously-long-covid/ 

Adam Gaffney is a pulmonary and critical care physician at the Cambridge Health Alliance in Cambridge, Mass., and an assistant professor in medicine at Harvard Medical School.

Tuesday, March 2, 2021

Pandemic response harms children in many ways

Covid: The devastating toll of the pandemic on children | BBC News - Nick Triggle:

January 30, 2021 - "They are not likely to get seriously ill with Covid and there have been very few deaths. But children are still the victims of the virus - and our response to it.... From increasing rates of mental health problems to concerns about rising levels of abuse and neglect and the potential harm being done to the development of babies, the pandemic is threatening to have a devastating legacy on the nation's young.

"The closure of schools is, of course, damaging to children's education. But schools are not just a place for learning. They are places where kids socialise, develop emotionally and, for some, a refuge from troubled family life. Prof Russell Viner, president of the Royal College of Paediatrics and Child Health, ... told MPs on the Education Select Committee earlier this month: 'When we close schools we close their lives.' He [noted] a range of harms to children across the board from being isolated and lonely to suffering from sleep problems and reduced physical activity - alongside school closures all children's sport is currently banned.... Many experts are baffled by the approach to children's sport given the low risks of transmission outdoors and the clear benefits for emotional and physical wellbeing.... 

"The stress the pandemic has put on families, with rising levels of unemployment and financial insecurity combined with the stay-at-home orders, has put strain on home life up and down the land.... Unsurprisingly, there are clear signs the upheaval in children's lives is having an impact on children's mental health. The Mental Health of Children and Young People in England 2020 report, which is ... the official stocktake of the state of children's well-being ... found overall one in six children aged five to 16 had a probable mental health disorder, up from one in nine three years previously. Older girls had the highest rates.

"Older teenagers and adolescents have been affected too as they have seen their prospects shrink. The Youth Index, published in January by the Prince's Trust in partnership with YouGov, has been tracking the well-being of young people aged 16 to 25 for 12 years. It found more than half of young people were always or often feeling anxious - the highest level ever recorded. Jonathan Townsend, of The Prince's Trust, fears young people are 'losing all hope for their future'.

"At the opposite end of the age spectrum, health visitors, who support parents and babies during the early years, are worried about the impact on newborns. Research shows the first two to three years of a baby's life is the most crucial period of human development.... In some areas, health visitor numbers have dropped by half. This and the social distancing rules mean for a lot of parents the only support they have received has been online.... [T]he absence of baby and parent groups, and the friendships that naturally develop from them, has meant the babies of the pandemic have not benefited from the stimulus of social contact that is vital to their development. Alison Morton, head of the Institute of Health Visiting, says this has been an 'invisible' cost of the pandemic, but one that will have a lasting impact, particularly in the most deprived areas....

"There are around one million children with special educational needs and disabilities - around one in 10 of whom have complex and life-limiting conditions, such as severe cerebral palsy or cystic fibrosis.... Those with the most complex conditions can require care at home from specialist nurses and carers. This has become harder to obtain as staff have been redeployed or charities forced to cut back on their support networks.... Dame Christine Lenehan, director of the Council for Disabled Children, says in some cases children have ended up 'incarcerated' in their homes. 'There are some who have barely had any formal education since lockdown began.' She says even those who are the most independent have struggled, with many schools - she estimates more than half - unable to address the additional learning needs of children with special needs who are learning remotely....

"Between April and September there were 285 reports by councils of child deaths and incidents of serious harm, which includes child sexual exploitation. This was a rise of more than a quarter on the same period the year before. But children's commissioner for England, Anne Longfield, is worried this is just the tip of the iceberg, arguing the lockdowns, closure of schools and stay-at-home orders have led to a generation of vulnerable children becoming "invisible" to social workers. Referrals that would normally come in from a variety of sources, form health visitors to school nurses, dropped last year.... 

"Figures show that before the pandemic there were already more than two million children in England and Wales living in households affected by one of the 'toxic trio' - domestic abuse, parental drug and alcohol dependency or severe mental health issues. The fear is this will have risen significantly."

Read more: https://www.bbc.com/news/health-55863841