Apr 142017
 

These days the term “evidence-based medicine” is tossed around to the point where it loses any meaning. In conversations about virtually any topic in psychiatry and clinical psychology, the term spills out as a knee-jerk, or more appropriately, mouth-jerk, reaction. The speaker seems to feel that he or she has stated something profound. Meanwhile, those expressing it rarely consider the quality of the evidence that medicine is based on. In areas of medicine where there are hard endpoints such as blood pressure, research by the pharmaceutical industry itself reveals 80% of even top tier lab results are false, and these appear in top medical journal. In psychiatry and clinical psychology, with very soft endpoints such as points on a rating scale, the bias can be far worse. In psychology generally a crisis exists, whereby even top results are not being replicated. In psychiatry, largely due to the capture of the discipline by the pharmaceutical industry, antidepressants results have been presented in a very biased fashion suggesting that they largely suffice for depression and anxiety; forget about psychotherapy. More objective investigations have revealed that the positive impact is far less, such as only 52% of studies showing a benefit. Theory applied to psychiatry and clinical psychology can anticipate and rectify much of the bias that plagues these disciplines, such as showing why combined treatment with medications and psychotherapy is likely to work better, and demonstrating solid mechanisms to diverse psychotherapies, not just a specific type. In the, A Conflicted World: Research Bias chapter of At The Tipping Point: How To Save Us From Self-Destruction, I apply solid theory to demonstrate the extensive bias in psychiatry and clinical psychology, and indicate how we can shift to truly objective evidence based medicine!

Apr 072017
 

Assuming that homoerotic behavior as a dimension characterizes humans and many animal species, there must be an evolutionary based reason for it: Nature does not waste resources, and hence if a template for a behavioral propensity has evolved in numerous species there must be benefits. Research presented in Outing The TRUTH About Sexual Orientation has shown multiple benefits for homoerotic behavior varying over different species including:

-Proceptivity enhancement, meaning that homoerotic stimulation assists the individual in heteroerotic sex.

-Receptivity reduction whereby the stimulated partner wastes sexual energy, leaving more reproductive opportunities for the initiator of this strategy.

-Greater success in defending a nest or territory, necessary for successful rearing of offspring.

-Expression of sexual receptivity in females.

-Dominance assertion involving the communicating of dominant-submissive relationship standing.

-Practice for heterosexual copulation.

-Tension reduction.

-Reconciliation.

-Alliance formation.

Research focusing on primates reveals that alliance formation, tension reduction, and reconciliation stand out for these species, and presumably humans. For example, same-sex contact increases in same-sex settings such as prisons and boarding schools, to foster protective alliances, and also ease tensions and reconcile conflicts. Heteroerotic contact can also provide these benefits, and of course it fosters reproduction.

Mar 292017
 

We love to set up discrete categories to simplify information processing, whereas natural events tend to occur in a continuous fashion as a spectrum. Homosexuality and heterosexuality are yet another installment of our propensity to create discrete entities. Alfred Kinsey way back in the 1950’s accurately described how we set up sexual orientation as discrete entities, whereas it is a spectrum. He placed homosexuality and heterosexuality on opposite poles of the same spectrum, capturing the continuous nature. Unfortunately, this particular arrangement fails to capture the true nature of sexual orientation, because homosexuality and heterosexuality trade off against each other, meaning that bisexuals represented by the mid-section must be less hetero than heterosexuals and less homo than homosexuals, when bisexuals frequently have robust motivations of both forms. What makes sense and is described in the Dimensions Of Sexual Orientation chapter of Outing the TRUTH About Sexual Orientation, is separate homoerotic and heteroerotic dimensions: Bisexuals have robust motivations for both behavioral propensities, “heterosexuals” heteroerotic >> homoerotic motivation, and “homosexuals” homoerotic >> heteroerotic motivation. It makes sense and aligns with how nature favors continuums, but many still prefer to see discrete homosexual and heterosexual categories that really only contribute to the disorientation of sexual orientation!

Mar 222017
 

Can animals be “gay?” It probably would not make for a Disney movie, but indeed numerous species demonstrate homoerotic behavior. Insects, other invertebrates, reptiles, amphibians, fish, birds, land and marine mammals, and primate species clearly engage in homoerotic behavior. A key here is the term “homoerotic behavior,” as opposed to a way of life or identity: These species also engage in heteroerotic behavior with almost no examples of strictly “gay” behavior (really only about 8% of domesticated male sheep). Even animals we consider very masculine, such as male lions, engage in homoerotic behavior; there goes our comfortable stereotypes. Indeed, the more that researchers look with an open mind, the more species they discover that engage in homoerotic behavior! What this means is that templates for homoerotic behavior were well established in the animal kingdom long before humans came along and invented “homosexuality.” Ah, maybe the issue is not homosexuality, but instead homoerotic behavior. See the Animal Homosexuality chapter of Outing The TRUTH About Sexual Orientation to learn more about homoerotic behavior in animals.

Mar 092017
 

Although seemingly more promising than psychological theories, biologically based ones struggle to explain sexual orientation. While hormones can influence masculine and feminine behavior, they do not show any clear impact on sexual orientation; it is important to appreciate that gender role inversion is not linked to homosexuality. Based on early research, brain structures and namely the hypothalamus, possibly underlie homosexuality, but none has stood up to repeated research. Then there is the possibility of “gay” genes that has also come up empty handed. Biological explanations have been proposed to explain the evolutionary paradox: How could homosexuality not leading to reproduction ever have evolved? These theories often take the perspective that even though the reproductive success of gay men (they do not consider gay females) is diminished, the reproductive success of relatives is enhanced. For example, gay men by being altruistic help relatives succeed. Really? There is absolutely no evidence that gay men are more altruistic than the average person, and we can all think of gay men we know who are as selfish as the rest of us. Another evolutionary perspective is that “gay” genes (recall none identified) assist the man in being a better parent, such as being more nurturing. Beyond diminishing the “masculine” father role, this approach entails gender role inversion found to be false. Biological perspectives then end up no better than psychological ones at explaining homosexuality (see the Biological Theories chapter of Outing The TRUTH About Sexual Orientation), strongly suggesting that we are way off the mark in assuming that homosexuality is a real entity.

Mar 042017
 

Attempts to explain homosexuality from a psychological perspective have primarily consisted of psychoanalytic and social learning. Psychoanalytic theories focus on sex role inversion, whereby a child identifies with the gender role of the other sex parent, and acquires the attraction pattern of that parent: A male identifies with his mother’s gender and develops attraction to males, and a female identifies with her father’s gender and develops attraction to females. A rejecting father and often overly dominant mother were often seen as the cause of sex role inversion for males. One of the fatal flaws of this perspective is that sexual orientation and gender role are not linked despite what people think. In other words, very “macho” men and feminine females often identify with being homosexual. Another flaw is that research supporting these theories was highly biased. Social learning theories argue that characteristics of the social environment form sexual orientation based on reinforcement and punishment effects. Hence, if a male child’s social environment reinforces feminine behavior, then the child will become homosexual. Note the role inversion aspect. None of these psychological theories has proven valid for gender identity or sexual orientation. An interesting path analysis by Bell, Weinberg, and Hammersmith (1981) examined all hypothesized paths based on psychological theories to homosexuality, and found essentially zero support for these theories! A more detailed look at these theories and the path analysis can be found in the Psychological Theories chapter of Outing The TRUTH About Sexual Orientation.

Feb 252017
 

Discrimination and persecution of non-heterosexual individuals is an ongoing issue, and several countries still prescribe the death penalty for homosexuality. Why though?

We have a tendency very embedded in our psyche, derived from our evolution in hunting-gathering groups, to distinguish in-group from out-group members. Hence, whenever there is any basis for this distinction we define it and typically over-value attributes of the in-group and diminish attributes of the out-group. Applied to sexual orientation, we have socially constructed it into distinct heterosexual and homosexual identities, thereby fueling in-group/out-group distinctions. Given how the majority of people identify with the sexual orientation identity of heterosexuality, and homosexuality is perceived as lesser than because it does not lead to reproduction, it is inevitable that discrimination will transpire towards non-heterosexuals.

Now those who are paying attention will note that I said, “we have socially constructed” sexual orientation identities. Throughout recorded time sexual orientation has been understood in various ways, and only more recently as distinct identities. Even sexology researchers buy into this social construction and never really look at what is actually going on. In Outing The TRUTH About Sexual Orientation, I demonstrate how we all have homoerotic and heteroerotic motivations organized as separate dimensions, each person having a given level of motivation on both dimensions. What this means is that we are all bisexual at the core, and there is no actual homosexual and heterosexual identities, at least not from a scientific perspective. Now if we all have homoerotic and heteroerotic motivations varying in strength, it follows that it is ludicrous to create in-group and out-group distinctions. Discrimination and persecution applied to sexual orientation should then vanish, and rightfully so. But that sensible reality will eliminate all the drama we also seem to love, so many prefer to live in a delusional world regarding sexual orientation. Sad but seemingly true.

Feb 122017
 

It has been 10 years since I published Vasectomy: The Cruelest Cut Of All, The Modern Medical Nightmare Of Post-Vasectomy Pain Syndrome. Has the problem vanished maybe because urologists and prospective patients actually get it and refrain from performing and accepting the procedure, respectively, or medical advances have occurred that fully correct the problem? Absolutely not! In some locations vasectomy counselling must now precede the procedure by at least a day, but otherwise nothing. I still receive emails from those vasectomized who have developed ongoing pain, asking for my advice. The latest was from a mid-twenties man, who is somewhat in denial attributing it to short-term complications. Adjusting to the reality of life-long chronic pain from a procedure that never had to occur in the first place is very difficult, and even more when you might be facing 60+ years of pain!

 

I find it amazing that such a barbaric procedure continues largely unabated, and how so many men fall victim to it despite the information that is out there in my book and other writings. Unfortunately, the money made from performing vasectomies and vasectomy reversals makes it too appealing to physicians. In addition, given that most men who have the procedure do not develop PVPS, and how it can arise years after being vasectomized, it is easy for physicians to downplay the significance. However, approximately 15% of vasectomized men develop some degree of PVPS, with maybe 5% severe and intractable pain. Based upon how men’s health issues, other than for prostate cancer, seem to rate somewhat below dog and cat health problems, I am not too optimistic that the message will get out. However, there is always hope and once again I call for an end to vasectomy. When this becomes a reality I will actually believe that men’s health issues are truly valued.

Feb 122017
 

The sexual orientation categories of homosexuality and heterosexuality are typically viewed as absolute, although prior to industrialization neither designation was recognized, and sexual orientation was viewed in various other ways. We all see things according to the times we live in, and certainly this is true for sexual orientation. You might ask, why worry about how we view it? Beyond the value of discovering the truth, the way we have framed sexual orientation has created a massively neurotic scenario, and fuels discrimination. Assume that you identify with being heterosexual but have some fantasies of same-sex contact or actually engage in it. Since you are heterosexual how can this be? Are you actually gay? However, since you’re mostly attracted to other-sex individuals you can’t be gay. Take a person who identifies with being homosexual who feels some desire for an other-sex individual they really like and might want to have children with. The same confusing thoughts often follow. Maybe the person in each example is bisexual, but in a world of homosexual and heterosexual categories having both identities is not easy to understand. You see what I mean about neurotic. Then there is discrimination based upon the in-group and out-group distinctions that follow from this dichotomized way of viewing sexual orientation. Perhaps the frustration some feel related to the neurotic way we frame sexual orientation produces anger, worsening discrimination. Bisexual individuals frequently experience more discrimination because they often experience negative reactions from both heterosexuals and homosexuals. Yes, we have created a neurotic scenario and one that generates discrimination, and is simply wrong!

 

In my book Outing The TRUTH About Sexual Orientation I address the problem of how we frame sexual orientation, and propose an alternative. In line with how false the designations of homosexual and heterosexual are, no theory to date has shown how homosexuality could have evolved; many try but they are as full of holes as a spaghetti strainer. A major part of the answer is that we all have homoerotic and heteroerotic capacities representing side-by-side abilities organized dimensionally—From low to high. During our evolution both capacities served a function, and in support of this proposition, homoerotic behavior has been found in countless species of insects, reptiles, amphibians, fish, rodents, mammals, and primates. Indeed, the more that researchers look with open eyes, the more instances of homoerotic behavior they find. For primates, humans included, homoerotic behavior serves the functions of alliance formation, tension reduction, and reconciliation in an evolutionary context, and even today in many instances. Heteroerotic contact can also facilitate these functions in certain instances, and of course other-sex contact fosters reproduction. What this all means practically for us is that if you experience a homoerotic fantasy or engage, it is very natural, simply an expression of your level of homoerotic motivation. Since homoerotic and heteroerotic motivations are separate, homoerotic activity does not impact on your other-sex desires. No neuroticism needed! If you fantasize and/or engage more with other-sex individuals, it simply means that you have a higher heteroerotic motivation than homoerotic motivation.

Feb 102017
 

Warming of the planet from carbon dioxide (CO2) and other so-called greenhouse gases is a problem in contrast to what some still believe, and a problem that will not go away. Much like alcoholism it persists despite denials of its existence. The problem arises from our burning of fossil fuels, such as coal, oil, and gas. Generally speaking, there are three ways of dealing with the problem: First, prepare as best we can for a globally warmed world, second, switch to greener sources of energy, and third, sequester carbon from the atmosphere. In, At The Tipping Point: How to Save Us From Self-Destruction, I cover each of these options in detail. Even ten years ago few spoke openly about relying on the first option, but more and more I hear politicians stating this very option. However, it is very sad when it comes down to just allowing a fully globally warmed world to occur with all the associated costs. Given our technical capabilities, which largely created this problem in the first place, we should be able to solve the problem. Of course, part of the solution involves checking our endless growth economic model with the associated hyper-consumerism, something few seem open to. The second option, switching to greener sources of energy frequently falter because they often run counter to the endless growth economic model. In addition, our energy needs are so great that it will be very difficult, if not impossible, to supply all that we need from green energy.

 

The best option we have is to sequester carbon from the atmosphere, with one possibility consisting of machines that can do this. Unfortunately, when the carbon costs of producing all the associated piping to transfer the carbon underground are considered, this option loses its lustre. However, there is a way that actually has numerous spin-off benefits and will help return the planet to a more natural state: Converting our major annual seed crops to perennials. Annual plants only last a year with their roots dying off, whereas perennials last more than a year, the roots remaining alive. Annual seed crops include wheat, corn, rice, soybean, sunflower, oat, barley, chickpea, common bean, peanut, pearl millet, rape, and sorghum. Perennial fruits include apple, apricot, avocado, banana, blackcurrant, grape, kiwi, pear, pineapple, plum, strawberry, and raspberries. Perennial vegetables include eggplant, broccoli, asparagus, leek, potato, rhubarb, spinach, taro, sweet potato, and watercress. Perennial herbs consist of alfalfa, basil, dill, garlic, ginger, horseradish, lavender, mint, onions, oregano, sage, and thyme. We are then very familiar with perennial crops, and of course there are trees that are perennial.

 

When it comes to annual plants there are several problems. First, because the plant dies off each year they are net releasers of carbon to the atmosphere. Second, given their limited root structure they are very poor at retaining water, and with dwindling fresh water supplies this is a major issue. Third, due to how weak they are we have to add nutrients such as nitrogen that commonly run off with fresh water polluting waterways. Global data for corn, rice, and wheat annual crops indicate that only 18-49% of nitrogen applied as fertilizer is taken up by crops while the rest is lost. Herbicides and pesticides also have to be liberally applied with health costs.

 

Perennials, on the other hand, with their extensive root system are great absorbers of carbon from the atmosphere. The soil carbon sink is the fastest carbon sink, and the only one that can really help get global warming under control quickly. The oceans absorb a great deal of carbon but it is a slow process that is currently destroying coral reefs due to acidification. Rocks can absorb a massive amount of carbon but this process occurs over thousands of years. In addition to the carbon sequestration value of perennials there is water retention: The roots of perennials hold water and release it when needed, thereby minimizing irrigation needs. In addition, perennials retain nutrients eliminating or greatly reducing fertilizer use. Via artificial selection, hybridization, and utilization of genome knowledge, all of our major annual crops can be converted to perennials. Ten of our thirteen most common annual seed crops, such as wheat and rice, have natural perennial relatives, an occurrence that will greatly assist in the conversion. The United Kingdom’s Biotechnology and Biological Services Council has calculated that if we replaced only 2% of annual crops with perennials, we could remove enough carbon from the atmosphere to halt the increase in atmospheric CO2! If we were to replace all farmland with perennials we would sequester about 118 parts per million of CO2, enough to return the world to preindustrial levels! Another option is to replace our agricultural lands and cities with trees, but I doubt that this option will be accepted.

 

So why is replacing our major annual seed crops with perennials, an incredible option, rarely discussed, and why is funding so limited for it? Very good questions. Part of the answer might have to do with the annual seed agriculture industry. Annual seeds have to be planted each year, then there is all that fertilizer, herbicides, pesticides, not to mention expensive irrigation equipment. Perennial agriculture might well seem like a threat to profits, and in our endless economic growth system it’s mostly about products and profits. Instead of making the conversion, which scientists estimate could occur in even twenty years, let’s just prepare as best we can. Really?

 

For more information about converting our major annual seed crops to perennials read the free pdf of the Too Hot to Handle: Global Warming chapter, from my book, At The Tipping Point: How To Save Us From Self-Destruction, available on this blog site.