Posts Tagged ‘Sigmund Freud’

Mindsight

December 14, 2013

When I was in high school I wanted to be a psychiatrist. I read Freud and learned about the id, the ego, and the superego. I read Carl Gustav Jung and learned about individuation, extroversion, introversion, and archetypes as well as the collective unconscious. I read Alfred Adler and learned about individual psychology and the inferiority complex. The patients in case histories were identified with mysterious initials. But when I attended psychology and started taking psychology courses I became obsessed with learning how memory works, how we perceive, and how we form concepts and make decisions. So I studied in the area of human experimental psychology and earned a Ph.D. In the working world, I addressed applications and worked in the area of applied experimental and engineering psychology. I became a cognitive psychologist studying cognitive science. Psychology had been divided into half. One half, consisting of what most people think of as psychology, clinical and counseling psychology. And the other half, consisting of people with more of a scientific bent interested in basic and applied psychology. Historically, there has been little interaction between these two halves of the field of psychology.

So when I read Mindsight by Daniel Siegel, M.D, and saw him addressing clinical problems using the language of cognitive science and relating clinical problems to brain structures, I was overwhelmed. Moreover, in his case histories he uses first names, rather than cryptic initials. Daniel Siegel is a clinical professor of psychiatry at the UCLA School of Medicine and co-director of the UCLA Mindfulness Awareness Research Center. Mindsight refers to gaining insights not only in to how our own minds work, but also in the ways the minds of our fellow human beings work. I believe that mindsight is central not only to a healthy memory and our own mental functioning, but also is key to effective relationships. I could go on and further argue that this is important to government policies, but I shall not belabor that here.

I strongly recommend Mindsight to everyone, especially healthymemory blog post readers. I think it would make a great and valuable Christmas Gift.

Obviously mindsight involves mindfulness. Many healthymemory blog posts on mindfulness can be found by entering mindfulness into the healthymemory search block.

© Douglas Griffith and healthymemory.wordpress.com, 2013. Unauthorized use and/or duplication of this material without express and written permission from this blog’s author and/or owner is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given to Douglas Griffith and healthymemory.wordpress.com with appropriate and specific direction to the original content.

Comments on an Article Titled Now is The Time for Young People to Face Alzheimer’s

September 18, 2013

First of all, let me state that I am in strong agreement with the title of the article. The author includes both personal experiences and statistics in the article. It begins with the story of the grandfather who has succumbed to Alzheimer’s and needs to be taken care of by the author and her mother. He requires around-the-clock care. Her grandfather is not alone as are over 5 million Americans suffering with this incurable and life-altering disease. “Symptoms usually develop slowly and get worse over time, becoming severe enough to interfere with daily tasks. Those with Alzheimer’s lose the ability to do things that were once routine. As the disease progresses, patients forget their loved ones’ faces, where they live and much more.

The stress of this disease, though, largely falls on the patient’s caregiver. An elderly adult caring for a loved one with Alzheimer’s has a 60 percent chance of dying before the patient, and this past June, my family saw this firsthand. My grandma Margaret died suddenly of an aneurism after caring for her husband of 60 years. Her death left our family lamenting the stress she lived with in her final years.

Stepping into my grandmother’s shoes has been a difficult experience for my mom and me. Trying to get through normal grief is hard enough, but simultaneously caring for my grandpa challenged us on many emotional levels. Slowly but surely, time eases the pain of grieving a loved one, but there remains a hole in our heart that will never be healed.

As a 19-year-old helping to take care of an 81-year-old with Alzheimer’s, I began to reflect on how this disease will affect future lives. As of now, someone develops Alzheimer’s every 68 seconds. That’s scary enough, but by 2050 people could develop the disease every 33 seconds.

The segment of the population over age 65 is also expected to double by 2030. While the number of older folks increases, the rate of those with Alzheimer’s will also increase. Millennials like myself need to acknowledge the fact that we will become the manifestations of these horrifying statistics. The five million Americans currently with Alzheimer’s are only a third of the 15 million projected to have the disease in 2050. I’m terrified to think what life will look like for the elderly when I turn 65 in 2058, and others in my generation should share that fear.

Young people tend to have an invincibility complex, through which the health issues of the elderly are the farthest thing from their minds. With such a serious health threat to our society, millennials simply cannot afford to only think about me me me. The problem of Alzheimer’s in America grows greater by the year, and we cannot wait until 2050 to start and look for solutions.

While I help with my grandpa’s care, I hope my family’s story will help others reflect on the devastating future of Alzheimer’s. Though the statistics don’t look bright, I remain optimistic my fellow millennials will try and think more about our collective health.”1

What is conspicuously missing from this articles is what millennials can do about Alzheimer’s. And that is what the healthymemory blog is about. See previous healthymemory blog posts, “The Myth of Alzheimer’s”, and “Sigmund Freud and Alzheimer’s Disease.” The individual who discovered Alzheimer’s disease, Alois Alzheimer, had serious doubts as to whether he had discovered a disease. And there are serious doubts as to whether there will be drugs developed that can either cure of provide an immunity to a disease. Current drugs slow the progression, and, in my view, prolong the suffering.

To this point, drugs have been primarily targeting the amyloid plaque and the neurofibrillary tangles that have been found in autopsies done on sufferers of Alzheimer’s. At one time, and this is perhaps still the case, this was regarded as the only definitive diagnosis of the disease. But these same plaques and tangles have been found in autopsies of people who exhibited none of the symptoms of Alzheimer’s . The explanation for this is that these individuals have developed a cognitive reserve that protected them from exhibited the symptoms.

So what should millennials do about Alzheimer’s? The same things that everyone else should do. Maintain physical and dental health and consume a healthy diet. Engage in mental activities that build cognitive reserve. Included here are mnemonic techniques, meditation, and mindfulness. Also use technology to extend your knowledge and to communicate with others. Maintaining and growing social relationships throughout one’s life is important. But “friending” on Facebook should not be regarded as building healthy relationships. And finally, read the healthymemoryblog.

1From the article.

© Douglas Griffith and healthymemory.wordpress.com, 2013. Unauthorized use and/or duplication of this material without express and written permission from this blog’s author and/or owner is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given to Douglas Griffith and healthymemory.wordpress.com with appropriate and specific direction to the original content.

Sigmund Freud and Alzheimer’s Disease

August 31, 2011

No, the psychoanalyst Sigmund Freud did not have Alzheimer’s Disease. And, to the best of my knowledge, he knew of neither Alzheimer’s disease nor its founder, Alois Alzheimer. But according to at least one knowledgeable source1, Freud might have played an inadvertent role in Alzheimer’s being declared a disease. Alois Alzheimer was deeply conflicted about this issue. Clearly his patient was cognitively impaired. But was his patient suffering from a unique disease or was this just another manifestation of the many symptoms of dementia?

Alzheimer was offered a position in the laboratory of Emil Kraepelin. Emil Kraepelin was one of the most prominent psychiatrists of the era as was Sigmund Freud. However, the differed drastically in their approaches to psychiatry. Kraepelin was strongly of the opinion that psychiatry should be physically based just as the other medical specialties. However, at that time, Freud was all the rage with his psychological approach. Kraepelin wanted to move the emphasis in psychiatry back to a physical basis. Terming Alzheimer’s a disease, put it in the same category as tuberculosis and influenza. He was not claiming that mental diseases were necessarily infectious and transferable, but rather that they had a physical basis. As Alzheimer was an employee of Kraepelin, this might have played some role in it being declared a disease.

Some might wonder whether this is an important distinction. It is, as it affects the approaches taken. If it is a distinct disease, then it has a distinct diagnosis, and perhaps a distinct cure or treatment. If it is just another manifestation of dementia, then the question remains as to what is being treated. The best single predictor of whether a person will come down with Alzheimer’s is the person’s age. So Alzheimer’s is a product of aging, although it is not a necessary result of aging, as many age without suffering from the dementia known as Alzheimer’s. But the best predictor is not found in the genetics of an individual, although some people are more susceptible than others, but in age. Whether a person’s cognitive impairment can be diagnosed confidently must await an autopsy and the presence of amyloid plaque and neurofibrillary tangles. But autopsies have been performed on people who had amyloid plaque and neurofibrillary tangles, yet never showed any evidence of cognitive impairment while living. So what is Alzheimer’s? Fortunately we can take actions to reduce the risk of Alzheimer’s. Identifying these actions is one of the principal objectives of the Healthymemory Blog.

1Whitehouse, P.J., & George, D. (2008). The Myth of Alzheimer’s. New York: St. Martin’s Press.