My blog represents my personal experiences and perspectives. This includes many anecdotes from my medical practice. I have been scrupulous to anonymize these anecdotes and to avoid ever belittling or making fun of patients. (I often make fun of and criticize myself, my colleagues, and the institutions where I have worked.)

Some thoughts about a conversation

A friend asked me why I had bothered to engage at length on social media with a self-identified ‘vaccine skeptic’ who had posted his vigorous opposition to any vaccine mandates, supporting his position with demonstrably incorrect information and references to poorly done (and even retracted) studies. My friend felt that my efforts were destined to fail and therefore pointless. When I asked what he meant by failure, he said “You’ll never convince someone like that they are wrong.”

Morality and apple varieties

I often see or participate in conversations where two or more morally decent individuals,  acting in good faith,  make different decisions or hold different opinions when faced with moral/ethical choices. In his book The Righteous Mind: Why Good People Are Divided By Politics And Religions, Jonathan Haidt offers a useful framework for understanding this. Cogitive psychologists have names this Moral Foundations Theory.

Haidt and colleagues posit that:

Why the left lost the majority in the middle

When people feel threatened, they are less likely to use careful, fact-based, rational thought and decision-making processes and tend to depend more on intuition, gut feelings, and 'vibes' to assess the situation and decide what to do. When one senses danger, prompt and immediate action is called for. This preference under threat for what Kahnemann and Tversky termed System 1 thinking over System 2 thinking has a good evolutionary survival benefit: when an unknown large animal with big teeth and claws suddenly appears, that is a lousy time to sit and think.

We are all conspiracy theorists...

Each of us finds our own personal truth about what the world is like and how it works. All of us then tend to confuse our experience of reality with reality itself. (Sometimes referenced as the map versus the territory.) The narratives we create about our world and then operate from are good enough to have allowed our species to survive, but we all believe things that are comfortable and useful but not true. Extreme versions of this are the outlandish conspiracy theories: flat earth, 9/11 conspiracy, Covid vaccie makes peole magnetic.

In defense of a woman's reproductive freedom

Here is my comment (edited for clarity and to avoid identifying individuals) on a social media platform in response to a post attacking a candidate who supports every woman's right to reproductive freedom. I don't often participate in social media arguments on topics like this as I find it rarely useful. However, this particular post was so replete with inaccuracies, and written with language designed to generate outrage rather than share information or offer a perspective, that I felt obliged to speak up.

What keeps me up at night...

I recently received a newsletter from a Maine elected official posing this question: “What keeps you up at night?”  I understood the question to be asking what Maine issues are most important to me, but knew immediately that what keeps me up at night are not local issues but the over-arching state of United States politics and the alarming possibility that our pluralistic democracy in the US will  be replaced by some form of authoritarian or fascist theocracy.

My selves

After I posted a comment in an online conversation I was told by someone I know well in real life: “That doesn’t sound like the Peter Elias I’ve worked and played with over the years.”  My response was the simple observation that most of us automatically use different ‘voices’ in different settings: we don’t use the same vocabulary or phrasing when addressing a work colleague, a grandparent, a state trooper, or a skiing buddy. Code switching is a current term for this.

Antisemitism is the wrong word

A Semite is any of the peoples who speak or spoke (or descended from people who spoke) a Semitic language. The Semitic languages (note the plural) are a sub-family of the Afro-Asiatic language family that includes Hebrew, Aramaic, Arabic, Amharic.
 
The Semitic peoples, then, include Amharans, Arabs, Akkadians, Canaanites, some Ethiopians, Hebrews, Tigrayans.