The Latest Treatment For Depression: Heat Lamps?

 
 
 
 
 

Edwardolive / Getty Images

 
 
 
 
 

The 1927 Nobel Prize in Physiology or Medicine went to an Austrian doctor with an unusual obsession. Julius Wagner-Jauregg had been treating bouts of dementia in people with advanced syphilis by injecting them with blood from a malaria patient. The induced malarial fevers, he reported in 1917, curbed their dementia.

 

For centuries medicine has flirted with the notion that heat – whether produced by fever, heat lamps, or a warm bath – can treat mental illness. Since Wagner-Jauregg’s ethically fraught work, the idea has fallen out of favor, and “fever therapies” have, understandably, failed to catch on.

But the idea has returned in a new clinical trial suggesting that the spa-like experience of lying back while your body is heated for an hour or two acts as a mood enhancer – one that’s powerful enough to rapidly curb symptoms of depression.

“Hyperthermia made people feel immediately happy – excited, happy, energetic,” lead researcher Charles Raison, a professor of psychiatry at the University of Wisconsin-Madison, told BuzzFeed News. “I think it provides an explanation for why sweat lodges evolved so many times across history.”

Some 16 million adults in the U.S. have depression, but antidepressant drugs don’t work for many and come with a variety of side effects. So the hunt for alternatives or complements to drug-based treatments, particularly those that work quickly, is on in earnest.

Earlier this week, for example, a team from Imperial College London reported that psilocybin, the hallucinogenic compound in magic mushrooms, improved the symptoms of 12 people with depression when conventional medicines had failed to work.

The new hyperthermia study included 30 people with mild depression. About half the group went through a body-warming treatment that elevated their body temperature to about 101.3 degrees Fahrenheit for a little over an hour using infrared lights and heating coils placed a few feet away. The other group went through a procedure that was staged to look similar, but didn’t heat their bodies as much.

After that single session, the volunteers returned to the lab for weekly psychiatric evaluations for six weeks. Both groups saw a mild improvement in their depression symptoms. But only those who had the full hyperthermia saw their improved moods last through that period. This group scored at least five points lower than the control group each week on the Hamilton Rating Scale, a questionnaire-based evaluation that reflects the severity of depression symptoms.

“It’s a good proof-of-concept randomized control trial,” Noah Philip, assistant professor of psychiatry and human behavior at Brown University and the Providence VA Medical Center, told BuzzFeed News. The results, he said, “give the green light that we are looking at a relevant mechanism.”

But he cautioned that the trial only included people with mild depression, who may be more likely to respond to the heat treatment than those with a more severe form of the illness. “It’s easier to get there,” he said.

“I think it’s innovative. I think it’s not a crazy idea – it’s not the final word, obviously,” David Avery, professor emeritus at the University of Washington School of Medicine, told BuzzFeed News. “If the data accumulates and it’s approved by the Food and Drug Administration as a medical device,” he added, “I think patients would be willing to try this treatment.”

The study researchers were inspired by reports from oncologists who used intense heat as one of the treatments for their patients’ cancers. Even if their cancer didn’t shrink, the heat treatment improved their moods, those reports found.

Others are investigating why some children with autism seem to show improved social and communication abilities when they have fevers brought on by colds. Research on this so-called “fever effect” is still in its infancy, and scientists don’t know why heat treatments may have such pronounced effects on the brain. But studies in mice and rats may provide some clues.

For example, a team at the University of Colorado at Boulder that is studying rats warmed with heat say they see responses in the serotonin pathways of the brain, similar to those brought on by antidepressant drugs.

“We know there are some thermosensitive pathways that go through the spinal cord and we’re asking in great detail which are those pathways,” Christopher Lowry, an associate professor of integrative physiology at the University of Colorado Boulder who also collaborated on the new study, told BuzzFeed News.

In future studies, Janssen and Raison plan to investigate whether successive heat sessions have a better effect. They also want to try it in people with post-traumatic stress disorder, many of whom also experience depression.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

LINK: Scientists Are Testing Psychedelic Drugs To Treat Depression

 
 
 
 
 
 

 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

LINK: Botox, Cough Syrup, And An Anesthetic Are All Being Tested As Antidepressants

 
 
 
 
 
 

 

 
 
 
 
 
 
 
 

 

How the Hidden Mathematics of Living Cells Could Help Us Decipher the Brain

Given how much they can actually do, computers have a surprisingly simple basis. Indeed, the logic they use has worked so well that we have even started to think of them as analogous to the human brain. Current computers basically use two basic values – 0 (false) and 1 (true) – and apply simple operations like “and”, “or” and “not” to compute with them. These operations can be combined and scaled up to represent virtually any computation.

 

This “binary “or “Boolean” logic was introduced by George Boole in 1854 to describe what he called “the laws of thought.” But the brain is far from a binary logic device. And while programs such as the Human Brain Project seek to model the brain using computers, the notion of what computers are is also constantly changing.

 

So will we ever be able to model something as complex as the human brain using computers? After all, biological systems use symmetry and interaction to do things that even the most powerful computers cannot do – like surviving, adapting and reproducing. This is one reason why binary logic often falls short of describing how living things or human intelligence work. But our new research suggests there are alternatives: by using the mathematics that describe biological networks in the computers of the future, we may be able to make them more complex and similar to living systems like the brain.

 

Living organisms do not live in a world of zeroes and ones. And if binary logic doesn’t naturally describe their activity, what kind of mathematics does? I was involved in an international project which studied whether mathematical structures called “Simple Non-Abelian Groups“ (SNAGs) may describe complex processes in living cells. SNAGs are commonly in mathematics and physics, and are based on the principles of symmetry and interaction. SNAGs offer a potentially powerful alternative to binary logic for computation.

 

Helpful SNAGs

 

There are infinitely many kinds of SNAGs. They were conjured by the brilliant 19th-century French mathematician Évariste Galois, who tragically died aged 20 in a fatal duel over a romantic interest. Indeed, he wrote much of his ground-breaking theory during a feverish night before the duel.

 

The smallest SNAG – A5 – describes the symmetries of two beautiful 3D shapes known since the time of the ancient Greeks: the icosahedron (made of 20 triangles) and the dodecahedron (made of 12 pentagons). SNAGs can be thought of as the “multiplication tables” of how symmetries interact, rather than for how to multiply numbers.

 

 
 

Dodecahedron and Icosahedron (Platonic Solids): 3D shapes with SNAG symmetry

 

 

Unlike the ones and zeros used in binary logic with just two values, the SNAG for each of these shapes have 60 values – or “symmetries.” These symmetries operate like rotations that can be combined. Performing a rotation and following it with a second can have the same effect as another kind of rotation, giving a kind of “multiplication table” for these 60 symmetries. For example, if you rotate the icosahedron (the figure below) five times by 72 degrees clockwise around the axis through its centre and any vertex (corner) it will get back to the starting configuration.

 

The structure of SNAGs is a natural kind of basis for computation that is just as powerful as binary logic, but presents a very different view about which computations are easy. To compute with SNAGs, nature (or humans or future computers) can use sequences of SNAG symmetries combined according to the rules. Patterns of events and interactions determine which symmetries occur in the sequence’s variable positions.

 

Symmetries in nature

 

We have for the first time shown that there are SNAGs hidden in common biological networks. To do this, we analyzed the internal workings of cells (their gene regulation and metabolism) using mathematics, computers and models from systems biology. We found that SNAG symmetries accurately describe potential activities in the genetic regulatory network that controls a cell’s response to certain kinds of stress – such as radiation and DNA damage. This may be hugely important as it means SNAGs can describe cellular processes intimately involved in self-repair, “cell suicide,” and cancer.

 
mathematics-cells-brain-3

Multiphoton fluorescence image of so-called HeLa cells using a laser scanning microscope. Image credit: NIH/Wikimedia Commons.

 
 

The specific SNAG involved in this gene network is A5. The 60 symmetries in this case are the result of particular sequences of manipulations by the cell’s genetic regulatory network to transform ensembles of proteins into other forms. For example, when a set of five concentration levels of proteins is manipulated, it can be transformed to another set. When this is done many times, it can break some of the proteins down, join some together or synthesize new types of proteins. But after a specific number of manipulations the original five concentration levels of proteins will eventually return.

 

It doesn’t stop at cellular damage control processes. We have also shown mathematically that nearly all biological reaction networks must have numerous embedded SNAG components. However, lab work is still needed to explain how and to what extent cells exploit SNAGs in their activity.

 

Computation with SNAGs has never yet been exploited in conventional computers, but we are hoping to use it. In the future, new kinds of computers and software systems may deploy resources the way some living organisms do, in robust adaptive responses. Driven by interaction with their environment, including human users, they could grow new structures, divide up tasks among different types of computational “cells” such as hardware units or software processes, allow old structures to wither and be reabsorbed if unused.

 

Understanding how living things and brains use interaction-based computations, which are all around us, may radically reshape not only our computers and the internet, but the existing models of the brain and living organisms. SNAG-based computations may finally help us build better and more predictive working models of cells and of the brain. But we have only sighted the first examples, and so have a long way to go. After all, as Shakespeare and this discovery of SNAG-computation in cells remind us: “There are more things in heaven and earth, Horatio, than are dreamt of in your philosophy.”

 

https://theconversation.com/javascripts/lib/content_tracker_hook.js

 

 

The ConversationChrystopher Nehaniv, Professor of Mathematical and Evolutionary Computer Science, University of Hertfordshire

 

This article was originally published on The Conversation. Read the original article.

 

Banner image courtesy of Shutterstock.com.

How One Of The Most Controversial Books Of All Time Was Adapted For the Stage

 
 

The cast of American Psycho, led by Benjamin Walker as Patrick Bateman.

 
 
 

Jeremy Daniel

 
 
 
 
 

American Psycho – about an investment banker who brutally murders people in his spare time – has long been the subject of controversy, not only because of its stomach-turning violence but also due to the misogyny, racism, and homophobia that its antihero, Patrick Bateman, espouses.

 

While plenty of critics have come around to Bret Easton Ellis’s 1991 novel and Mary Harron’s 2000 film adaptation, translating one of the most controversial books of all time for the stage is a whole new complicated notion. But that’s exactly what Roberto Aguirre-Sacasa – whose eclectic writing work includes TV series Glee and Supergirl, recent horror remakes Carrie and The Town That Dreaded Sundown, and the book for the musical Spider-Man: Turn Off the Dark – was tasked with doing for the American Psycho musical.

The show, which opened April 21 at the Gerald Schoenfeld Theatre, is a glorious, bloody spectacle with an ’80s techno score by Duncan Sheik, and as its book writer, Aguirre-Sacasa has adapted the novel with a keen sense of humor and a streamlined story. He recently spoke with BuzzFeed News about how he and the rest of the American Psycho team turned a dark, gruesome satire into a big Broadway musical that actually works.

 
 
 
 
 
 
 
 
 
 
 
 
 
 

1. Own your killer’s appeal.

 
 

1. Own your killer's appeal.

 
 

Patrick in his tanning bed.

 
 
 

Jeremy Daniel

 
 
 
 
 

Patrick Bateman is terrible to women, dismissive of minorities, and ruthless at work – and that’s ignoring the fact that he also tortures and dismembers people. He’s a monster, and yet, in the grand tradition of fictional murderers, he’s also a beloved figure.

 

“He hasn’t become as popular as Jason from Friday the 13th or Freddy from Nightmare on Elm Street, but he is sort of an antihero cult figure,” Aguirre-Sacasa said in a phone interview with BuzzFeed News. That adoration has extended to the musical, which opens with a title card, a somewhat unusual touch that gives the show a more cinematic feel. “Even when the title card fades into view, there’s cheers and whoops,” Aguirre-Sacasa said. “And when Patrick Bateman is first revealed in the iconic tanning bed that was so popular in the movie, again there are cheers and whoops.”

Some of the biggest applause comes when Patrick, played by Benjamin Walker in the musical, dons a plastic raincoat and emerges with an ax to dispatch Paul Owen (Drew Moerlein). Not even Sweeney Todd earns that kind of reaction for his righteous kills. Aguirre-Sacasa compared audience response to the kind Spider-Man got in Turn Off the Dark: “The crowd kind of went crazy. They were just waiting for this character to come alive and be alive in front of them.”

Aguirre-Sacasa still had to make sure that Patrick stayed true to his abhorrent nature while making him a charismatic-enough leading man. He resisted the urge to excuse Patrick’s behavior: As in the novel, there is no real explanation as to why Patrick is the way he is, because Aguirre-Sacasa and the creative team for the musical realized it would be a mistake to try to solve that mystery.

Instead, they relied on the humor inherent in the piece and the charm of their leading man. “I don’t know if I consciously wrote to try to make him likable,” Aguirre-Sacasa said. “It was a concern that was mitigated by Christian Bale [in the movie], but I think Ben really mitigates it because he is so in command and he is so charismatic and he is so sexy and he has such a fucking wicked sense of humor that you really find yourself – I don’t know if you find yourself rooting for him, but you do find yourself getting aboard the ride, as gruesome as it is.”

 
 
 
 
 
 
 
 
 
 
 
 
 
 

2. Make sure the satire is razor-sharp.

 
 

2. Make sure the satire is razor-sharp.

 
 

Evelyn (Heléne Yorke) and Courtney (Morgan Weed) celebrate their love of designer labels in song.

 
 
 

Jeremy Daniel

 
 
 
 
 

The first time Aguirre-Sacasa read Ellis’s novel American Psycho, many years before he signed on to adapt it for the stage, he was put off by the same things that have turned others against it: the violence, the hateful language, the nihilism. When he reread the book for a college course, however, he latched on to the “pitch-black humor.” Once he understood it as satire, he came to appreciate the story as a hilarious and pointed critique of contemporary society.

 

“Rather than glorifying Patrick’s actions, it was condemning them as the most extreme version of bad impulses,” Aguirre-Sacasa said. “It was comparing all of what was bad in society – consumerism, racism, all that stuff – kind of taking it to the nth degree to show how dangerously close we are to Patrick Bateman, and what happens when those impulses go unchecked.”

He did his best to capture that tone in the script, which doesn’t shy away from objectionable language that he noted is still shocking 25 years later. It was important that he not sanitize anything, although he admitted that he bristles whenever Patrick says “fag” or “faggot,” which happens, by his recollection, 15 times in the show.

As with the novel and film, there will be audience members who don’t get American Psycho‘s irony: The violence and casual slurs will seem jarring for all the wrong reasons. To some degree, that’s unavoidable. Aguirre-Sacasa made sure his book, like the novel it’s based on, used these confronting elements to make a point about the realities of the world Patrick lives in. How the audience responds, of course, is uncontrollable.

“Sometimes people laugh and sometimes they don’t laugh, but it does unsettle me,” he said. “It feels like that’s part of American Psycho – the language and the misogyny and the homophobia and the racism. That’s just how it is. But yeah, it’s bracing.”

 
 
 
 
 
 
 
 
 
 
 
 
 
 

3. Dissect the source material.

 
 

3. Dissect the source material.

 
 

Patrick and Jean (Jennifer Damiano) spend time with Patrick’s mother (Alice Ripley).

 
 
 

Jeremy Daniel

 
 
 
 
 

When Aguirre-Sacasa was rereading American Psycho, he made note of moments that he thought would work well onstage – and he was particularly interested in scenes and characters that hadn’t made it into the film.

 

“There was a paragraph about Patrick’s mother, and I thought, Oh, that could be interesting,” he said. In the musical, Mrs. Bateman, played by Alice Ripley, gets her own song. “That’s something we didn’t see in the movie, but it might be something that could dimensionalize Patrick a little bit more.”

At the same time, there were aspects of American Psycho that had become iconic thanks to the film adaptation, and Aguirre-Sacasa knew audiences would be expecting them. He didn’t want to eschew those elements completely, so there are scenes in the musical that hew closely to how they looked onscreen. The murder of Paul Owen, for example, should look very familiar to anyone who has seen the movie. Patrick’s morning routine is also very close to the film version and the book version. “Of course I went back to the book and looked up the morning routine and cannibalized it,” Aguirre-Sacasa said.

Also taken directly from the novel: the specific references to Patrick’s high-class ’80s lifestyle. Of course, much of what was worth bragging about then now gets laughs, like his not-quite-widescreen Toshiba and his Walkman.

Aguirre-Sacasa also made sure to keep in as many references as possible to Patrick’s role model, Donald Trump. “Donald Trump is Patrick Bateman’s hero, and throughout the novel, he talks about Donald Trump. He admires Donald Trump, he wants to be invited to Donald Trump’s Christmas party,” he said. “That plays funny now because Donald Trump is more in the news and more terrifying than he’s ever been.”

 
 
 
 
 
 
 
 
 
 
 
 
 
 

4. Know where to make cuts.

 
 

4. Know where to make cuts.

 
 

Patrick and Tim Price (Theo Stockman) share a cab.

 
 
 

Jeremy Daniel

 
 
 
 
 

There have been countless changes made to Aguirre-Sacasa’s book and the show as a whole since American Psycho had its 2013 run at London’s Almeida Theatre, with former Doctor Who Matt Smith as Patrick Bateman. Throughout previews on Broadway, Aguirre-Sacasa and the rest of the team were working to fine-tune the show for a new audience. There were no major changes, but, as Aguirre-Sacasa put it, “we shaved a little bit off of everything.”

 

In an earlier draft, there were a couple references to the infamous rat scene in the book. (If you’re not familiar with it, do not look it up.) Because it essentially amounted to an inside joke and mostly confused audiences, the lines – along with the live rat cameo – were nixed.

But in many cases, knowing what to cut came from looking at the scenes and the performances that were working. “There is a universe where American Psycho doesn’t have the scene and the song with his mother,” he said, “but you’re not gonna cut Alice Ripley’s one song, so you tighten around it. That’s a lot of the work we did.”

Similarly, the biggest change Aguirre-Sacasa made during previews was amping up the role of Tim Price, Patrick’s best friend, in part because he wanted to see more of Theo Stockman, who plays Tim and whom Aguirre-Sacasa called “one of our best, funniest actors.” “Tim Price used to go missing the first night of Tunnel, and you weren’t sure if Patrick had killed him or not,” he said. “After the first week or second week of previews, we changed it so that Tim Price didn’t leave the show and in fact was threaded through, the way that Patrick’s other friends were.”

 
 
 
 
 
 
 
 
 
 
 
 
 
 

5. Go for the heart.

 
 

5. Go for the heart.

 
 

Jean vies for Patrick’s affection.

 
 
 

Jeremy Daniel

 
 
 
 
 

“All musicals are love stories,” Aguirre-Sacasa posited. American Psycho was never going to be a gushy romance, but the book writer did work to heighten the emotions and deepen some of the relationships from the book in order to make the story more theatrical. The character of Patrick’s secretary Jean, played by Jennifer Damiano in the show, has a more prominent role in the musical than in the book or the film.

 

“We kind of made Jean’s relationship with Patrick more of a throughline, and it really did become a ‘beauty and the beast’ kind of story,” Aguirre-Sacasa said. “Her importance in the musical, because we zeroed in on her, is much larger than it was.”

It was important to the creative team to flesh out all of the side characters, in part to broaden the show beyond Patrick’s perspective. Giving Patrick’s girlfriend Evelyn (Heléne Yorke), his mistress Courtney (Morgan Weed), and his co-worker Luis (Jordan Dean) richer interior lives also played into Aguirre-Sacasa’s “love story” conception.

“Honestly, Evelyn, Courtney, and Luis – because we focused on all of those relationships or unrequited love stories – they’ve become more important than they are in the novel or in the movie,” he said. “That was kind of an early decision and an early organizing principle on how to structure the musical.”

 
 
 
 
 
 
 
 
 
 
 
 
 
 

6. Don’t be afraid to get bloody.

 
 

6. Don't be afraid to get bloody.

 
 

Patrick drops off his blood-drenched shirts at the laundromat.

 
 
 

Jeremy Daniel

 
 
 
 
 

Aguirre-Sacasa originally imagined the violence in American Psycho as very theatrical – think red ribbons in lieu of stage blood. The London production was entirely bloodless, with murders implied by things like lighting effects. The writers and producers were concerned that too much blood would turn off audiences, particularly in an in-your-face medium like theater – but going to the opposite extreme turned out to be a mistake.

 

“Critics said, ‘Where’s the blood in American Psycho?’” Aguirre-Sacasa recalled. “We’d been really gun-shy of going there.”

So, when it came time to regroup for the show’s Broadway debut, he said, “at the top of everyone’s list was ‘We must have blood’ and ‘There must be a lot of blood.’” There’s not much in the first act until Patrick kills Paul Owen with an ax, a murder that serves as the act break. With plastic shielding the audience as well as Patrick, blood sprays in all directions. During intermission, stagehands mop the floor and wipe down the walls. And the second act is, in some ways, even more gruesome.

When Aguirre-Sacasa first saw the reconceived – and much messier – version of American Psycho, he was surprised by the violence, but he also realized that the new iteration was the way things always should have been. Avoiding blood entirely was a “fundamental disservice to this text,” he said.

Aguirre-Sacasa called the nightmarish second act “a bloodbath, literally,” which he credits to director Rupert Goold. “Rupert’s decision to include that much blood, and to stage Act 2 that way, as kind of a blood phantasmagoria, was exactly right. Because that’s what the show is, and being timid about that will leave no one satisfied.”

 
 
 
 
 
 
 
 
 
 
 
 
 
 

7. Understand that you’re going to upset people.

 
 

7. Understand that you're going to upset people.

 
 

Patrick at Tunnel.

 
 
 

Jeremy Daniel

 
 
 
 
 

To say that American Psycho is not family-friendly is something of an understatement: This is easily one of the goriest shows to hit Broadway in years. Add to that some deeply un-PC language and heavy sexual content and you have a show that’s not going to appeal to everyone.

 

Early on in the process of developing American Psycho, Aguirre-Sacasa and Duncan Sheik had to come to terms with that. “We realized, ‘OK, this will never be Legally Blonde the musical or Hairspray the musical, so put that completely out of your mind,’” Aguirre-Sacasa said.

It was more important to him and the rest of the team to create a show that honored Ellis’s original vision and the title American Psycho. While a watered-down version might have broadened the show’s appeal, it would have undermined the passion the writers had for the project – not to mention alienating fans of the book and film.

“I didn’t even think, Oh, this needs to be palatable for a mass audience,” Aguirre-Sacasa said. “I’ve never gone into a project thinking that, and I certainly didn’t for American Psycho.”

As expected, the response to American Psycho has been mixed. The show’s reviews run the gamut: The New York Times‘ Ben Brantley wrote, “This psycho is neither scary nor sexy,” while Mark Kennedy at the Associated Press called the show a “darkly wonderful adaptation.” It earned only two Tony Award nominations, for Scenic Design and Lighting Design, but it’s not exactly a surprise that American Psycho has failed to resonate with everyone. And regardless of how long it runs or how many accolades it earns, it has already left an impression on Broadway.

“There is so much great work on Broadway, you really do need to be a loud show to cut through that,” Aguirre-Sacasa said. “And that’s one thing that American Psycho has. It is absolutely loud and bloody and not quite like anything else.”

 
 
 

 

19 Things Club América Fans Know To Be True

Chivas sucks.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Whenever we see a fellow Americanista on the street, we go out of our way to acknowledge them because we’re practically family at that point.

 
 

Whenever we see a fellow Americanista on the street, we go out of our way to acknowledge them because we're practically family at that point.

 
 
 
 
 

Toei Animation

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

We all wore that one hat that was unapologetically América.

 
 

We all wore that one hat that was unapologetically América.

 
 
 
 
 

Via snupps.com

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 
 
 
 
 

Alfredo Estrella / AFP / Getty Images

 
 
 
 
 

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