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the drunkard`s walk:  how randomness rules our lives

7/30/2019

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​The Drunkard's Walk: How Randomness Rules our Lives
Author:  Leonard Mlodinow
ISBN:  978-0-307-27517-2
 
APA Style Citation 
Mlodinow, L (2008).  The Drunkard's Walk: How Randomness Rules our Lives.  New York, NY: Random House.
 
Buy this book 
https://www.amazon.com/dp/B001NXK1XO/ref=dp-kindle-redirect?_encoding=UTF8&btkr=1
 
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Book Description
In the 2018-2019 NBA season, LeBron James had a free throw percentage of 51%, just over his all-time career free throw percentage of 50.4%. Let's propose a scenario in which LeBron James had made the last ten free throws he shot. Many basketball fans would consider this a "streak," attributing this recent run of success to the playoffs, playing against a long-time rival, increased fan support, or LeBron's new off-season training regimen.  Those who believe in this “streak” for whatever reason will be more likely to assume that James will make his next free throw, disregarding the evidence that roughly 50% of the time he will make the shot and 50% he will miss.  The Drunkard's Walkis not about an inebriated stroll through the city, rather it is about how we try to make sense of random events in our lives by adding some meaning and perceived control to these happenings. 
 
The author, Mlodinow recalls a story from famed psychologist Daniel Kahneman.  Kahneman explains that he was working with air force flight instructors trying to demonstrate that reinforcement was a far more effective method of instruction than punishment in terms of the speed of learning.  The instructors disagreed, explaining that when a student completed a great maneuver, the instructor would issue praise, but inevitably at the next lesson, the same maneuver would be less impressive.  Likewise, they argued that if the pilot in training made a horrible move, they would receive some intense negative feedback, and the next time out, their performance was generally better.  After much contemplation, Kahneman realized that this did not challenge the conventional wisdom, instead, the instructors were witnessing regression to the mean.  Most of the students were quite good as pilots, but were still training and would occasionally make a silly mistake and sometimes make a brilliant move; most of the time, however, their flying was slightly above average.  It was not the instructors' positive feedback that was decreasing the quality of the flying, but the brilliant move was likely a fluke as was the mistake, so regardless of the feedback they received, the students flying should return to their typical level of performance on the next flight.
 
Mlodinow also explains that no executive is worth 25 million dollars and that the profits of a company are likely the result of many random market fluctuations and most of a company’s success (or failure) is far outside of the control of the CEO.  Mlodinow uses the example of studios that produce movies.   Heads of the movie houses are just as likely to predict a blockbuster as they are to predict a failure, but we want to believe that they have some internal vision that allows them to “just know” a blockbuster when they see one.  It is far more likely that most film`s success or failure cannot be predicted with any certainty until it is released.
Our need to feel control over our lives and the world around us leads us to the frequent misconception that we have control over circumstances that are independent random events.  If we flip a coin 20 times and it comes up as heads the first 19 times, most people would bet that on the next toss the coin will land as tails. They forget that the 20thtoss is an independent event that is not related to the results of the earlier trials.  Just as each of LeBron James's free throws is an independent entity.  People who win the lottery believe that their selection of specific numbers such as their family`s birthdays were the reason they won, not just a stroke of luck.  Speaking of a stroke of luck, in large state lotteries the person is more likely to die in a car accident driving to buy the lottery ticket than they are to win the jackpot, but still, they persevere in the belief that they somehow influenced the outcome of this random event. 
 
Some events however, we can predict.  For example, we can predict the location of a prize behind one of three curtains (the two other curtains have goats behind them) with a higher than chance likelihood (66%) once one of the curtains has been eliminated. This is the famous Monty Hall Problem.  We can predict the likelihood that a mother carrying fraternal twins will have a 75% chance that one of them is a girl (girl-boy), (boy-boy) (girl-girl), (boy-girl).  Insurance companies can predict the risk of a driver based on their demographics, and the National Highway System can predict the number of accidents that will occur on a given year within a few hundred accidents.  Demographers can produce relatively accurate predictions regarding the number of people who will move into or out of a state in a given year or two. To make these accurate predictions, we must overcome our expectations of past events and focus only on the situation in the present.  Schemas are cognitive models we hold based on previous experiences, which then influence our perception in other situations.  If I believe that men are safer drivers than women because the men in my household received fewer tickets than women or that, even if you present evidence to the contrary, I will have a difficult time accepting this information. Schemas can create selective attention allowing us to only focus on certain aspects of a situation while missing out on other important information.
 
Once we can identify the difference between random events and those that we can predict with some accuracy, we can stop developing algorithms for a drunkard's walk in which the drunk will eventually go somewhere, but there is no discernable pattern to his random ambling.  Despite our inclinations to make meaning out of clouds and to think that a Volkswagen is smiling at us because of the orientation of the grill and headlights, we should let those things beyond our control be just that and seek to control what we can, namely things like studying to improve one's psychology grade in which great strides can be made with the proper efforts.
 
 
Other Related Resources
Scientific America: How Randomness Rules our World, and How Why We Cannot See It
https://www.scientificamerican.com/article/how-randomness-rules-our-world/
 
New York Post: "The Drunkard's Walk"
https://nypost.com/2008/05/18/the-drunkards-walk/
 
The Monty Hall Problem
https://www.montyhallproblem.com
 
Mathhacks:  Simple explanations of some of the statistical examples from Drunkard's Walk
https://medium.com/i-math/the-drunkards-walk-explained-48a0205d304
 
Examples of people trying to plot the Drunkard's Walk using an algorithm
https://www.google.com/search?sa=X&q=drunkard+walk+algorithm&tbm=isch&source=univ&safe=active&ved=2ahUKEwiBlcORpv_hAhUFdJoKHY6rB9sQsAR6BAgJEAE&biw=1252&bih=814#imgrc=BOlvmEepa5hGQM:
 
Microsoft Research Talk with Author
https://www.youtube.com/watch?v=KRLwyq5dK48
 
Psychological Figures and Concepts
Aristotle
Charles Darwin
Rene Descartes
Francis Galton
William James
Daniel Kahneman
David Rosenhan
B.F. Skinner
Amos Tversky
 
amygdala
availability heuristic
behavioral modification
cerebral cortex
confirmation bias
conjunction fallacy
correlation coefficient
fMRI
gambler's fallacy
game theory
hindsight bias
inter-rater reliability
intuition
Monty Hall problem
normal distribution
outliers
paranoid delusion
perceptual sets
random sampling
regression towards the mean
representativeness heuristic
Rorschach inkblot
schema
schizophrenia
split-brain
standard deviation
statistical significance
stereotype
variance
 
 
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Shrinks: The Untold Story of Psychiatry

7/8/2019

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Shrinks: The Untold Story of Psychiatry
Authors:  Jeffrey A. Lieberman and Ogi Ogas
ISBN-10: 031627898X
ISBN-13: 978-0316278980

APA Style Citation
Lieberman, J. A. (2015).  Shrinks: The untold story of psychiatry. New York, NY: Little, Brown and Company.
 
Buy This Book
https://www.amazon.com/Shrinks-Untold-Psychiatry-Jeffrey-Lieberman/dp/031627898
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Book Description
 
Psychiatry was coined in 1808 by German physician Johann Christian Reil and means “medical treatment of the soul.” Despite its origin over 100 years ago, major discoveries have only recently happened in the last few decades. The author of Shrinks: The Untold Story of Psychiatry is Jeffrey A. Lieberman, MD, the Lawrence C. Kolb Professor and Chairman, Department of Psychiatry, Columbia University College of Physicians and Surgeons; Director, New York State Psychiatric Institute; and Psychiatrist-in-Chief, Columbia University Medical Center of the New York-Presbyterian Hospital. He was a member of the DSM-5 oversight committee and president of the American Psychiatric Association (APA) during the publication of the DSM-5. Dr. Lieberman believes he became the president of the APA at a historical turning point in the profession, when psychiatry finally assumed its rightful place in the medical community. New research, technologies, and insights have allowed the field to come out of the shadows of its dark history. He believes to move forward the field needs to own up to its history of mistakes and how they overcame their problematic past. He shares this controversial history in three main sections: the story of diagnosis, the story of treatment, and psychiatry reborn.
 
Psychology is not the only field with fake treatments, but it does have more illegitimate treatments than any other one. In order to understand the methods for diagnosis and treatment, Dr. Lieberman takes the reader on a journey through the history of diagnosis. The field of psychiatry has been historically split into two camps. There are the neurologists who work with visible damage to the brain, such as dementia, strokes, tumors, Parkinson’s disease, and Alzheimer’s disease. Then there are psychiatrists who work with mysterious conditions, such as psychoses, manias, phobias, melancholia, obsessions, and hysteria. The field has swung from psychodynamic psychiatry that views mental illness as a result of inner psychic processes to biological psychiatry that supports mental illness as an identifiable physical abnormality in the brain. This dichotomy exits to this day, while most psychiatrists have settled on a pluralistic psychology that accepts both views. Next, the reader is taken on a journey through the early asylums, the movement of alienists, Sigmund Freud’s psychoanalysis, the WWII shift in psychoanalysis from Europe to the U.S., the foundation of American psychiatry, and the formation of the term “shrinks.” In the 1960s, American Psychoanalysts took the U.S. by storm and gained power by influencing universities. With this newfound power they wanted to fix the world and got swept up in America’s social activism. The 1970s was faced with the Rosenhan study, homosexuality controversy, and the antipsychiatry movement. The final part of the story takes the reader through the development of the Diagnostic and Statistical Manual of Mental Disorders (DSM) and its modern day influence.
 
Psychiatry is often given a black eye for its early start consisting of the harsh treatment of its patients. The unfortunate lack of adequate budgets and overcrowded facilities led to intolerable conditions in the early asylums. Out of desperation physicians tried techniques that sound barbaric by today’s standards. Dr. Lieberman takes the reader on the story of treatment in the field of psychiatry. The American story starts with Dorthea Dix, pyrotherapy (creating an artificial fever), insulin-shock therapy, transorbital lobotomy, convulsive therapy, and electroconvulsive therapy. Next, came the use of psychiatric drugs to pacify disruptive patients. These included morphine, chloral, and sodium bromide. In the 1950s, the first psychopharmaceutical drug was born to relieve anxiety, known as Miltown. But the beginning of the end of asylums didn’t come until the introduction of Thorazine, the first antipsychotic. Soon after came antidepressants, mood stabilizers, and MAOIs. According to Dr. Lieberman, the three flagship illnesses had a solution that took them from “wholly untreatable” to “largely manageable.” The world of psychiatry was changing.
 
Since the history of diagnosis and treatment, the field of psychiatry has witnessed a rebirth with the study of the brain. Phrenology, the study of bumps on the skull, started in 1809, but it wasn’t until the late 1900s that scientists were able to study the brain inside the skull while their patient was still alive. In the 1980s, brain imaging opened the door in the brain wide open for exploration. The PET scan, which measures the brain’s chemistry and metabolism, was nicknamed the “head-shrinker.” The 1990s became the Decade of the Brain. Eric Kandel was studying memory in the brain and Aaron Beck developed cognitive-behavioral therapy. Thanks to the Human Genome Project and the ROMA technique psychiatrists were able to explore genetics in a way that was never done before. Meanwhile the diagnosis of PTSD was evolving and the DSM was facing revisions in the digital age.  In 2006, the DSM-5 Task Force faced a daunting task of updating the DSM while public complaints were expressed on the Internet. Leaders of previous DSMs began to question the process publically. Shrouded in confidentiality agreements and behind closed doors, the revision process put the APA back in the public spotlight. From 2008 to 2013, the media fueled the fire and kept the DSM in the public eye. The APA appointed an oversight committee that recognized a serious problem and then implemented two post hoc review committees to squelch internal conflict. The DSM-5 was confirmed by vote in 2013 and quickly attacked by the National Institute of Mental Health who proposed they would make their own diagnostic system based on neural definitions of psychopathology. This criticism quickly faded after recognizing the size of the task and since then criticism and news involving the DSM has fallen quiet. 
 
The story of psychiatry has taken many turns in recent history, but the future has many more hurdles ahead. Once there were no effective diagnostic criteria or treatments, whereas now the social stigma associated with mental illness prevails as the main hurdle ahead. Hollywood has taken on the issue and has start to put a dent in the problem, but there is a ways to go before society accepts mental illness in the same way as physical illness. The future also offers promising areas of research in genetics and diagnostic testing. Thanks to technology, research, and the use of mobile devices more improvements are on the way.  The story of psychiatry is long from coming to a close and it is an exciting time in the field with many advances right around the corner.  
 
Other Related Resources
Colombia University
https://www.columbiapsychiatry.org/profile/jeffrey-lieberman-md
 
Personal Website (Book, Podcasts, Media)
https://www.jeffreyliebermanmd.com/
 
Twitter
https://twitter.com/DrJlieberman?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor
 
New York Times article
https://www.nytimes.com/2015/03/29/books/review/shrinks-by-jeffrey-a-lieberman-with-ogi-ogas.html
 
Editorial
Shrinks: The Untold Story of Psychiatry, by Jeffrey A. Lieberman, M.D. ...
aapdp.org/documents/uploads/pdps.Friedman_Critique_of_Lieberman.pdf
 
Psychological Figures and Concepts 
 
Aaron Beck
Abraham Maslow
Albert Einstein
Alfred Adler
Anna O
Antonio Egas Moniz
B.F. Skinner
Carl Gustav Jung
Charles Darwin
David Rosenhan
Dorthea Dix
Emil Kraepelin
Eric Kandel
Franz Mesmer
G. Stanley Hall
Hermann von Ebbinghaus
Ivan Pavlov
Paul Broca
Philippe Pinel
Sigmund Freud
Walter Freeman
Wilhelm Wundt
William James
 
ADHD
Agoraphobia
Alzheimer’s disease
American Psychiatric Association (APA)
American Psychoanalytic Association (APsaA)
American Psychological Association (APA)
Amygdala
Animal magnetism
Antidepressant
Antipsychotic
Anxiety
Anxiolytics
Apgar score
Archetypes
Asylums
Autism
Autonomic nervous system
Aversion therapy
Barbiturates
Blindsight
Case studies
Castration anxiety
Catharsis
Classification system
Cognitive-behavioral therapy
Cohort
Collective unconscious
Confidentiality
Conversion reaction
Crisis of reliability
CT scan
Deep brain stimulation (DBS)
Defense mechanisms
Deinstitutionalization
Delusions
Dementia
Denial
Dreams
DSM (I-5)
ECT
EEG
Empiricism
Evidence-based psychotherapy
Flashbulb memories
Flat affect
fMRI
Free-association
Freudian slips
Frontal lobe
Gestalt theory
Glutamate
Heritability
Hippocampus
Homosexuality
Hypnosis
Id, ego, superego
Implicit memory
Informed consent
Insanity
Intellectual disability
Interpersonal psychotherapy
Labels
Leucotomy
Lithium
LSD
Malingering
Mania
Meditation
Monozygotic/dizygotic twins
MRI
Narcissistic
Neural network
Neurologists
Neuroplasticity
Neurosis
OCD
Transcranial magnetic stimulation (TMS)
Oedipus/Electra complex
Opiates
Panic disorder
Paranoia
Parkinson’s disease
Penis envy
PET scan
Phenylketonuria (PHU)
Phobias
Phrenology
Prefrontal cortex
Priming
Prozac
Pseudoscientists
Psychiatrist
Psychoanalytic vs Psychodynamic
Psychosexual development
PTSD
Replication
Resistance
Retrograde amnesia
Schizophrenia
Simple reflexes
SSRI
Stigma
Sublimation
Substance abuse
Suicide
Synapses
Transference
Xanax
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    Authors

    Laura Brandt, Nancy Fenton, and Jessica Flitter are AP Psychology instructors. Nancy Fenton teaches at  Adlai E. Stevenson High School in Lincolnshire, Illinois, Laura Brandt teaches at Libertyville High School in Libertyville Illinois and Jessica Flitter teachers at West Bend East High School in West Bend, Wisconsin.
    If you are interested in reviewing a book for the blog or have comments or questions, please e-mail us at either [email protected] or [email protected] or [email protected].

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