Dealing with Life’s Decisions – (2) Innate Resources

 

In the previous article in this two-part series, I explained why, in a broad class of cases, the information we receive is likely to be a very poor guide to the actions we should take. This is the much-delayed part two; delayed mainly because I realized I didn’t have a satisfactory answer to my own question of what a better guide might be. In this post, I’ll put together the elements I now have even if I am sure there is much more to be said.

So what basis may we then have for decision, if science does not afford one and positivism is to be mistrusted? And a linked question: on what basis, descriptively, do we actually make decisions?

To the best of my knowledge, though both have grappled with it, neither science nor philosophy has an answer to this age-old riddle.

Derrida was fond of the claim – somewhat abusively attributed by him to Kierkegaard – that “the moment of decision is madness“. Decisions, claimed Derrida, are characterized by circumstances in which “it is not possible to know what should be done, when knowledge is not conclusive and does not have the vocation to be so” [1]. In this case “the only possible decision passes by way of the folly of the undecidable and of the impossible” [2].

Kierkegaard in reality was talking about the act of faith, characterized by the Christian apostle Paul as “foolishness to the Greeks“, i.e. outside the frame of logical deduction to which Hellenistic philosophy by virtue of its very precepts could lead. [3] Paul’s account of the conversion experience rings phenomenologically true: it is a moment in which a feeling of knowledge renders reason superfluous, one which subjectively appears to take place on another level of consciousness. This describes not only religious experiences, but many key moments in the life of anyone. It therefore seems to be at least descriptively accurate. The decisions one takes in such moments are experienced as beyond doubt, as led by a higher force, as apodictic: and therefore as right even if, paradoxically, they ultimately turned out ‘wrong’. And yet conversion presumably is, in fact, in our normal sense always wrong as it is interpreted to include the act of adhesion to a number of precepts which cannot be completely correct – as Kierkegaard rightly noted.

With the benefit of hindsight I can see many ways in which I might have improved, in my own life, upon decisions which I took under the influence of internal circumstances which might be compared to a conversion experience. They include matters related to relationships and academic choices. And yet although I am capable of imagining or even holding some of those decisions to have been wrong, I am incapable of regretting those same decisions, however unwise a seemingly “neutral” observer might find them to have been. There is therefore, it seems, a state in which certain decisions can be taken which, even if they are arguably unwise or suboptimal, are at least insulated from regret.

If such a sense of certainty can pervade weighty decisions, therefore, it nevertheless seems to be well worth examining them critically. Psychologist Arthur Janov has argued that conversion experiences display a universal psychodynamic pattern of ego collapse, but this is of course entirely separate from the specific meaning attached to these experiences by those who undergo them[4]. It follows that, even if in that moment the subject may indeed have been in contact with “truth” – a possibility which cannot be assumed away – nevertheless it is essentially impossible to interpret this “truth” in a way which is verifiably and intersubjectively correct[5].

De facto, even under less dramatic circumstances a number of people would doubtless cite not only science and values as a guide to decision making, but also hunches/their inner voice and self-observation. This “inner voice” represents a type of knowledge the nature of which bears further consideration, comparable in some regards to Spinoza’s “third type of knowledge” which he called intuitive knowledge [6], as well as to Husserl’s phenomenological epistemology.

Innate somatic intelligence

At one level, it seems to me that we can found the notion of an inner voice biologically. I will take the example of food. It seems (at least to me subjectively) that our body has some sense of the nutrients which it requires at any given moment – an innate, pre-conscious nutritional intelligence – and that when we make decisions related to procuring nutrition, for example when shopping, preparing food or choosing from a menu at a restaurant, this innate intelligence plays a role, together, of course, with many other factors which may be less nutritionally relevant (emotional associations with particular foodstuffs, physiological addictions, what we have been told about food, what our choices communicate …). The reality of such a sense is well illustrated by the phenomenon of cravings during pregnancy  – these appear to be informative of physical needs (although this has not been proven) even if there is unarguably merit to interposing a reflective act between the drive and its gratification, as the linked article suggests. Such an innate intelligence presumably also informs the hunting or foraging impulses of other animals. We, as other primates at least, also have an innate ability to learn from our experience of certain foods which, perhaps largely subconsciously, feeds back into future decision making.

At the same time, it is hard to believe that if he were left to make all the decisions himself, my son would naturally gravitate towards a healthy diet (unless, perhaps, I were to release him into the wild). Food behavior is learnt socially in our species, presumably a significant evolutionary advantage; although on a simpler level, this is also true of other primates [7].

Unfortunately, explaining how this innate nutritional intelligence works, distinguishing it from other neurophysiological mechanisms, and determining the confidence we can have in it in making nutritional decisions is a serious philosophical and neurobiological problem which we are not even close to understanding. Some philosophers such as Thomas Nagel and Colin McGinn even argue that the mind-body problem, of which this is an instance, is inherently insoluble. Ramping this up to the next level to explain the role of intuition in complex decision making and the faith we should or should not put in it is therefore beyond the reach of any current theory, and quite possibly beyond even the reach of scientific enquiry per se. The most we can do is list instances where it goes wrong or is misleading and develop heuristics designed to avoid giving it excessive weight. This is perfectly valid and useful, and yet here is a core dimension of human existence about which we are struggling to say anything sensible.

Attitude

Faced with this situation, and with no way to resolve it, the philosophical tradition has focused on the question of the right attitude to adopt vis-à-vis our drives and urges. This tradition has tended, until recent times, to place in my view an unwarranted degree of trust in reason, the logos of Hellenistic philosophy, which presents itself as a metaphysical concept the boundaries of which (as with any socially constitutive concept) are inherently contested. The abandonment to reason urged on us by philosophers seems to lack practical value and to be value-laden, as I have previously argued. It inevitably leads to the tendentious classification of desires on a scale of value, with ‘base’ desires conspiring to lead us astray contrasted to lofty desires which lead to transcendence. This imposition of judgment can be labelled as at best arbitrary and necessarily leads to a bifurcated sense of self which is always in a state of internal conflict.

I therefore prefer a system of heuristics on top of intuition to a metaphysical belief that there is something called ‘reason’ which, if only I would listen to it, would direct my steps better than I might do myself; it sounds awfully like the superego. In my view, there is no need to sublimate desire or benefit from doing so; the contrary impression is merely the consequence of a parody of what constitutes human desire which incorporates unnecessary and ill-founded value judgments. However, I would still reason that the attitude to adopt towards desire is a question of both ethics and esthetics (in other words a question of consciousness), largely because these concepts capture a necessarily intersubjective dimension of desire which is missing in the atomistic Freudian account. This merits a discursus.

An important concept in this context is that of epoché or bracketing, popularized by phenomenologists in the tradition of Husserl who argued that the question of the real existence of objects perceived by the mind, which Kant argued was inaccessible to inquiry, could be set aside without losing the possibility of truth and meaning.

Epoché played an important role in the Greco-Roman Skeptical philosophy of Pyrrhonism. Without actually claiming that we do not know anything, Pyrrhonism argues that the preferred attitude to be adopted is the suspension of judgment or the withholding of assent, since only in this way can the seeker achieve the state of ataraxia or tranquillity. This does not imply that we have no rationale to choose one kind of action over another; however, one kind of life or one kind of action cannot be definitively said to be ‘correct’. Instead of a life of inaction, the Skeptic insists (presumably for no compelling reason other than social convenience) that one normally ought to live according to customs, laws, and traditions.

The nature of desire as movement-towards, and therefore presupposing representation of an object, is one which Franz Brentano argued it shares with other psychosomatic phenomena and which distinguishes such phenomena from phenomena in the natural world, a notion referred to as intentionality. Although it is questionable whether consciousness can be fully reduced to intentionality, for present purposes this problem can be set aside since the category of impulses we are concerned with for the purpose of assessing their reliability is certainly intentional. This intentionality may be social in nature, either because it is directed towards another person as such or because it involves the representation of an act or project which would confer more than purely private benefits or inflict more than purely private costs. Because of this fact, it is obvious that ethics and esthetics enter into the question; these are in fact social means – constitutive of intersubjective modes of action – which allow for group intention. To my mind, the possibility of intersubjective intention is fundamental to the nature and experience of desire.

It might appear that individual and group intention would be prone, even frequently, to conflict, and that there is a trade-off between them which poses itself in win-lose terms. Do we not, indeed, speak of antisocial desires and of social tyranny? While certainly a part of the felt experience of desire, however, there is more to it than this: the participation in shared desires also expands the individual’s range of possibilities and constitutes a source of gratification which is unavailable to her as a purely atomistic actor.

The question of the right attitude to adopt to desire depends at least in part on the confidence we can have in its subjective manifestation. Given the phenomenon of neurosis, that is, of displaced desire, it would seem that this may sometimes require considerable powers of introspection. This statement would appear also to hold good in respect of intersubjective intention. If food cravings are problematic enough to interpret, sexual desires, consumerist impulses and other displaced manifestations of the will to power are surely even more at risk of being tainted and subverted. Is this distinction phenomenologically available to the mind? That is, is there some qualitative characteristic of mental representations of desire which allows the subject to determine their authenticity, their freedom from involuntary subversion?

Probably all I can say at this point is that it seems to me that there is. Not that I am entirely comfortable with a binary disposition of desires between authentic and inauthentic, nor indeed that even authenticity is sufficient to ground action, but nevertheless, all this being said, certain desires just ‘feel’ different from others, just carry within them more of a sense of growth and expansion which gives them greater appeal and authority.

So I think that this distinction can be made phenomenologically, but also that abandon and detachment can coexist. Readers will recall my earlier criticism of Buddhism on the grounds that it seems to preach an unwillingness to actually live life with full commitment. Nevertheless, the attitude of detachment is objectively a part of Dasein and required for its metaphysical consistency. Any identification with a project of ones life, or with ones sensory experiences, is necessarily a confusion since all of these things are perceived or shaped by ‘something’ which cannot be reduced to them, of a form of thought which precedes mind and possesses a potentiality which vastly exceeds its lived experience. It is the adoption of the perspective of this ‘something’ (for which of course a variety of names have been proposed, but I prefer not to employ them for fear of being misunderstood) which constitutes detachment in the sense of apprehending the finitude of ones temporal existence as an artefact of historicity and its subdimensionality relative to the perspective sub specie aeternas. In other words, there is a dimension to which even philosophy can painlessly accede, because it is required strictly by logic, but which cannot be reduced to individual experience and nevertheless is immanently present to being. This seems to me to be what Heidegger is saying in Being and Time: that the dichotomy between contemplation and celebration can actually be overcome, must, in fact, in the logic of things be overcome.

The attitude to be brought to desire is therefore both the serenity of ataraxia and the ecstasy of abandon, the Apollonian and the Dionysian, stillness and dance, the esthetic and the ethical, the perspective of being and the perspective of time; both, simultaneously.

To view this as an inadequate basis for decision is the result of a rationalist bent which I believe it is easy to show reduces to the absurd. The argument is on the following lines, but I will just sketch it out. Taking decisions is just a part of living life. In order to assess the quality of these decisions, it is necessary to determine their effect on the individual’s life. This is their sole yardstick, but it is inaccessible to anything other than the subjective experience itself of being. There is, in essence, no counterfactual and no possibility of error which we could speak about in intersubjectively meaningful terms. Given this, the only pain which is real and actually borne as a result of decisions is the pain of regret, a pain conditioned on having in fact taken a decision other than the one which one ‘knew’ at the time, or should have known, was the ‘right’ one to take. It follows that a strategy which insulates against regret is the best strategy available; there is nothing better, and certainly nothing better about which we can meaningfully talk.

Now, I may seem to contradict myself since the whole premise of my blog is that there are behaviors we are likely to engage in because of our biological nature which we would be better off avoiding. But this formulation, although clear and easy to understand, contains a subtle error : it is not our biological nature which prompts suboptimal decisions, but the way in which the available options are framed by social institutions. The error comes from the institutions, and not from our nature. When I insist that we need a better understanding of our biological nature, what I mean is merely that we need to adopt a standpoint which allows us better to detach ourselves from social institutions, to see their contingency, to reform them so that the act of making right decisions will require less of a superhuman effort than it does now, perhaps to see or consider options we otherwise would not, and to understand why our spirit suffers in the world as it is, that is, to attain to wisdom. This is an agenda of growth and it is part of life; it is not a precondition of being able to live or to live meaningfully.

Attaining a conscious perspective on the part of the individual will often not make additional social options available; the same menu of choices will be there. This is why taking a decision which is at variance with that which one would take if fully reconciled to ones biological nature is not wrong. It is because one cannot be fully reconciled to ones biological nature in isolation from ones peers. The range of decisions available even to a Buddha is a small subset of what would be the decision space of an enlightened humanity. Because I cannot take decisions for all of us, my decisions will never have the quality of plenitude which, if I criticize the decision framework I have outlined for being insufficient, I would be implicitly berating them for not having. It is simply the wrong yardstick.

If we manage to live without regrets from this point forward, we will have attained to the highest trajectory available to us within what remains of our lifetime given where we stand now. It seems to me that this should be our highest aspiration.
*****

Notes

[1] “Quand il n’est pas possible de savoir ce qu’il faut faire, quand le savoir n’est pas déterminant et n’a pas à l’être

[2] “La seule décision possible passe par la folie de l’indécidable et de l’impossible“.

[3] First letter of Paul to the Corinthians. On this paragraph see Bennington (2011), “A Moment of Madness: Derrida’s Kierkegaard”, in Oxford Literary Review, Volume 33, Number 1, July 2011, Pages 103-127.

[4] http://cigognenews.blogspot.be/2010/11/conversion-experience.html

[5] Janov speaks of the conversion experience as if it is necessary a solitary one. It seems to me likely that in so doing he significantly underestimates the importance of community – that is, of the tribal impulse – in religious conversion.

[6] Ethics, Part II, proposition 40

[7] Whiten, A. (2000), Primate Culture and Social Learning. Cognitive Science, 24: 477–508

John Sarno’s work on the etiology and treatment of psychosomatic disorders

I have been troubled all my adult life by disorders termed, which generally meant dismissed as, psychosomatic. These are disorders for which no physical etiology can be found, although they may have observable physical manifestations. From a psychological point of view, they have also recently been classified as somatoform disorders. As such, I was very interested to discover recently John Sarno‘s work on the subject.

Sarno’s basic premise is that just as emotional conflict can give rise to neuroses, so it also can give rise to pain and other physical conditions. This linkage may be direct, with Sarno positing that localized pain is a result of ischemia ordered by the central nervous system. Such emotional conflicts may also, via mechanisms which are presumably diverse, but which Sarno does not elucidate, result in afflictions to which non-psychological factors also contribute, whether in terms of their etiology or their clinical development. A key feature of Sarno’s posited diagnosis of tension myositis syndrome (TMS) is the variability in its lifetime expression. As such, it is an umbrella diagnosis or metadiagnosis for a variety of syndromes which have in common a non-progressive character. For a fuller discussion, read his 2006 book The Divided Mind.

I suffered in my early teens from clinical depression and situational urinary incontinence. By my mid-teens, this was replaced by muscular fasciculations, which I was convinced for a long time had to be a manifestation of a degenerative condition. Muscular function remained mechanically and electrically normal however, and much later this was officially classified as “benign fasciculation syndrome” (although it has receded, I am not fully free of it to this day). I went on at college to develop chronic fatigue syndrome, which at one point resulted in my being almost unable to walk. I also suffered at that time from migraines and back pain, and peri-orbital migraine was a regular occurrence for many years afterwards. During all this time, there have been no notable biochemical abnormalities observed.

Now I have not been monitoring bodily symptoms against my emotional state for many years and so I cannot provide a full account; it has changed immensely for the better, but I have still had my share of annoying things, in particular abdominal pains, and six or seven years ago Achilles tendinitis. Around May last year I developed plantar fasciitis on the left foot; it took a year to heel but then almost immediately the right foot developed the same symptoms. It has been quite debilitating as strenuous effort has tended to worsen it. All this led me to seek effective relief from the pain in various ways, a subject to which I will return.

Sarno’s notion, therefore, is very appealing. Indeed, given the importance of physical complaints, so called “hysterical conversion“, in the early development of psychoanalysis, it is not quite clear why attention has mostly been subsequently restricted to behavioral neuroses, especially outside of the Reichian tradition. Even if the mechanisms remain obscure, it is attractive to view psychosomatic disorders as somatic forms or expressions of neurosis.

However, I suspect the brain is less involved in mediating this relationship than we think. Sarno claims that the pain is directly generated by the brain as a diversion from unwanted emotions which threaten to break through into consciousness. I fancy this is otherwise: the brain is involved, certainly, in the repression of emotions, and by preventing their expression it prevents their discharge. The bodily symptoms, however, do not necessarily require neurological involvement and may arise on the basis of pure biochemistry. This is illustrated by research on the role of myofibroblasts in the mechanic regulation of connective tissue (see here). To me, the idea that the brain is busy, like some cranky old Wizard of Oz, devising ways to present consciousness with ever-new diversions seems crude, and it is not required to explain Sarno’s clinical outcomes. Variation in the site of pain may have simple biomechanical explanations.

So Sarno’s work is pathbreaking and liberating, definitively contributing to a shift in understanding of psychosomatic disorders, but it nonetheless needs to be taken with the necessary pinch of salt. Sarno offers, in The Divided Mind, no epidemiological data to back up his claim that the syndrome chosen by the brain is a matter of fashion (in a Kuhnian perspective, it is of course much more plausible that it is the diagnosis and corresponding collection of statistics which is driven by fashion, rather than the patient’s symptoms, especially since many of these diagnoses are evidently imprecise). He also offers no evidence to back up the conjecture that local ischemia explains the pain or that this is cerebrally induced (and if so, how). Indeed, the locus of pain is not discussed either, and some statements suggest Sarno does not have a deep understanding of myofascial biochemistry.

Sarno follows the usual path of airbrushing Reich out of the history of psychoanalysis, although it should be obvious that Reich was the first to look at the body and mind as a whole. However, his major error is to follow Freud’s mistrust of the id and misplaced trust in the superego. Freud, as we know, viewed repression as in many ways akin to a virtue upon which civilization depended. Sarno also paints a picture of the “childish, primitive” unconscious as the enemy within, even referring to it, with patent ideological bias, as the “dregs of evolution”, contrasting it to the “ethical and moral” conscious mind, a view hardly conducive to integration and well-being, and one which even Freud would have struggled to maintain (Nietzsche of course having demolished it comprehensively). His negative views of the moral quality of children are particularly depressing in their Calvinist overtones.

Several of Sarno’s statements in relation to brain neurology seem completely wrong: for example he attributes “rational, civilized” behavior to the neocortex, labeling it “that part of the human brain that has been added in the process of evolution”, even though the neocortex developed in the first mammals. The attempted equation between brain structures and Freud’s threefold division of the mind is presented as fact, whereas it is not a notion entertained by any mainstream psychoanalyst or neurologist. Indeed, Sarno oscillates gaily between the unconscious/preconscious/conscious model and the id/ego/superego model as if they were the same thing.

All this aside, this is a book which opened my mind to what now seems like an obvious fact but has long gone unnoticed, namely that the mind does not simply affect the body in vague, unspecified ways but perhaps in very specific ways where a direct link can be drawn between emotional circumstances and pain. It is pretty clear now to me what the circumstances were which led to both episodes of plantar fasciitis, and I am inclined to agree with Sarno that this knowledge is immensely emancipatory.

Important update to our terms and conditions

Recent events have led me to realize certain ingrained patterns in how I relate to important people in my life, and the need to change these.

I have been, in the past, a person with an excessive concern for how other people are feeling, in general and about me. I usually looked for the ways I might be at the origin of their distress and, if I was able to believe I was, how I could put matters right. I needed their affirmation that they still loved me. Seeing human distress, in fact, far from prompting genuine concern and compassion activated a narcissistic script making me see the sufferings of others only in terms of my own. This tendency opened me to manipulation. It comes right from my early childhood and describes my infantile relationship with my mother.

Manipulation, I begin to realize, can take many forms. The word itself sounds very evil. The act, though, is quite conditioned and automatic. People typically manipulate others in order to force them into assuming roles which were absent in their childhood in order to provide themselves with psychic security. Thus, for example, the manipulation practised by a schizoid personality allows them to maintain control and to keep present in a defined role the persons who represent persons absent in their childhood. Such a personality cannot abandon control because to do so would constitute an abandonment of the ego to the flames of its primal dissociation. They will also choose to associate with those who are easiest to manipulate and therefore afford the least risk of destabilising their psychic balance.

Understanding this is one thing, and may help to evacuate some of the anger that the person who becomes aware of being manipulated will feel. The manipulator is acting on an automatism, and doing so because the weaknesses in your own personality make that a comfortable strategy to address (or rather paper over) their own unresolved childhood needs. However, being “understanding” is what comes easiest to the masochist. It sounds good, but it will in no way help. Understanding of this kind does not proceed from the heart and compassion and is difficult to separate from the need to feel understood, to be affirmed in ones identity as someone understanding. This reopens the doors to the same strategies as before.

Even if one is alert to manipulation and resisting it, it is hard to resist not only because of the constant temptation to give in to it in order to buttress ones self-image, but also both due to its obstinacy and unconscious nature on the part of the originator and due to the anger it activates in oneself.

Nonetheless, at whatever cost, one must resist manipulation. It is only by resisting it systematically that the light can be focused again and again on the fact of the manipulation and eventually force the manipulator first to see and then to acknowledge what they are doing and to understand its roots. However, even this sounds like a suspect excessive concern for the welfare of the other. The primary reason to resist manipulation is in order to overcome the pattern in oneself which gives rise to its ubiquity.

The mechanism of manipulation relies on values implanted during early childhood in the superego as to what is “good”, “decent”, “clean”, “normal” and so on. So long as one harbors inappropriate ideas as to what is “good”, ideas which it is easy for the manipulator to uncover and decode, one is open to being manipulated. There are almost infinitely many of these. They have originally all served the purpose of coercing the child into behaving in a manner thought by the parent to be fitting, convenient or decorous. Thus: tidiness, not raising ones voice, thinking of others, eating up ones plate, not displaying ones genitals: any standard which one cannot or does not wish to live by in the contemporary world but the absence of which generates childhood guilt, will do. When you feel guilty because your superego condemns your behavior, you feel bad and I am in control. I now pull the levers which will allow me to get you to do what I want.

Guys, I’m done with this. Done with being understanding. If anyone out there needs to be understood (read, has a fragile ego which they need me constantly to reinforce), well sorry, go see a shrink. I’m not in that game. Yes, I understand. However, please appreciate that I do not care.

In my world, I need grown-up people, as partners. That’s why, if you are over 18, then regardless of age, gender or existing allegiances I’m changing the terms and conditions of having any kind of relationship with me unilaterally and with immediate effect.

1. You are required to recognize that you have problems. I have problems, and so do you.

2. You are required to understand that your problems are your problems. I really don’t care about them and I am unwilling to take the slightest responsibility for them. Any attempt to insinuate that I play the slightest role in their ontogenesis or maintenance will result in angry reminders of the above, and I am more determined to resist it than you are able to persevere with it, so better accept this and give up now.

3. You are required to work consciously and in a determined way to overcome your problems. I do it, you gotta do it too.

4. I do not give a damn what relations we have had in the past, or what experiences we have shared. None of this gives you any rights over me. Pay attention to me in the present. If you want me to be seduced, seduce me. If you want me to admire you, be admirable. If you want me to cuddle you and reassure you, show me at least something that impresses me as to your honesty and vulnerability, so that I can relate to our common humanity and this can catalyse my limited supply of compassion.

5. I’m doing whatever I want. What I want is determined and interpreted exclusively by me. In any case, you may have whichever view of it you wish. Interdependencies will be managed on a basis of equal opportunity for you to do the same, however, in application of rule 2 above, your failure to make use of this opportunity is not my problem.

6. We can, I hope, go beyond these rather cold rules together into the heart of what really matters. This is my deepest desire. But only as two adults. I need to trust you, and I am afraid that my trust is very fragile. I need to know I am safe from manipulation. Safe I, of course, am. But I need to know it. These are sacred spaces, to enter with reverence and lightly. Otherwise, the gates are closed. As ever, I sooner die there of emotional starvation than give access to barbarians.

7. Albeit that all of the above is non-negotiable, perhaps, having agreed, you have something to add. If so I’m listening.