All posts by medical

We have the first genetic evidence of human self-domestication – ZME Science

New research at the University of Barcelona (UB) found the first genetic evidence that humanity has self-domesticated.

The team found a network of genes involved in the evolution of human face structure and prosociality in modern humans which is absent in the Neanderthal genome. This suggests that our ancestors preferred to hang out and mate with friendlier and more cooperative companions over less-cooperative, more aggressive ones. In effect, this amounted to selective pressure for prosocial behavior over time, meaning that we domesticated our own species.

Certain anatomical, cognitive, and behavioral traits of modern humans chief among them docility and a fragile facial structure are hallmarks of the domestication process. This led to the idea of human self-domestication being developed all the way back in the 19th century, the team explains. However, we lacked the tools to confirm that this process took place (i.e. that theres genetic evidence for it).

The study builds on the teams previous research that looked into genetic similarities between humans and domesticated animals. Now, the team went one step further and looked for genetic evidence for self-domestication in neural crest cells. This is a population of cells that have a major role to play in the early development of vertebrate embryos by differentiating into more specialized cells.

A mild deficit of neural crest cells has already been hypothesized to be the factor underlying animal domestication, explains co-author Alejandro Andirk, a Ph.D. student at the Department of Catalan Philology and General Linguistics of the UB.

Could it be that humans got a more prosocial cognition and a retracted face relative to other extinct humans in the course of our evolution as a result of changes affecting neural crest cells?

In order to test their hypothesis, the team focused on Williams syndrome disorder, a human-specific neurodevelopmental disorder caused by a deficit of neural crest cells as the embryo develops. It is characterized by mild to moderate intellectual disability or learning problems, unique personality characteristics, distinctive facial features, and cardiovascular problems.

The researchers used in vitro models of Williams syndrome (stem cells derived from the skin of patients with this syndrome). After poking around, they found that the BAZ1B gene, conveniently located in the region of the genome associated with Williams syndrome, is responsible for controlling the behavior of neural crest cells. If this gene was under-expressed, it led to reduced migration of these cells; higher expression levels led to greater neural crest migration. Then, they compared this gene to its equivalent in samples of archaic (i.e. extinct) and modern (i.e. our ancestors) human genomes.

We wanted to understand if neural crest cell genetic networks were affected in human evolution compared to the Neanderthal genomes, says Cedric Boeckx, ICREA professor at the Department of Catalan Philology and General Linguistics.

Differences in the BAZ1B gene between archaic and modern humans led to a high frequency of mutations in that accumulated over time in modern humans but not in any of the archaic genomes currently available. The team says this points to BAZ1B as being an important reason our face is so different when compared with our extinct relatives, the Neanderthals.

In the big picture, it provides for the first-time experimental validation of the neural crest-based self-domestication hypothesis, Boeckx adds.

The paper Dosage analysis of the 7q11.23 Williams region identifies BAZ1B as a major human gene patterning the modern human face and underlying self-domestication has been published in the journal Science Advances.

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We have the first genetic evidence of human self-domestication - ZME Science

We No Longer Expect Privacy. You Can Change That. – The New York Times

Since the start of the Privacy Project, the most common response I have gotten from readers is a request for some kind of solution. Theyre slightly freaked out and hoping for tips to shore up their digital hygiene or for a guide that might help them navigate the internet without giving away their personal data. For months Ive included a Tip of the Week feature for this very reason, but Ive always felt conflicted about it, because the hard truth is that our data is leaking and trading all the time, in places we might not even know to look. Each privacy tip you follow is undoubtedly helpful (and you should follow them!), but its a bit like a single sandbag in a hurricane: You need to amass so, so many and be extremely vigilant to make a difference.

I have argued previously that the personal-responsibility frame for privacy is unfair. And I believe that the only way to fully transform privacy is if data protection moves from individuals to institutions. But that said, I was moved over the holiday weekend by an argument that gave me a bit of hope that there are small ways we individuals can make a difference.

The idea came from the writer Dave Eggers. In an interview with Voxs Ezra Klein, Eggers who doesnt have Wi-Fi in his home and still uses a flip phone makes the argument that our public demand for more and more information plays a meaningful role in the privacy discussion:

We cant just blame the Big Five [Apple, Google, Facebook, Microsoft and Amazon] and the surveillance they do and the N.S.A., because we are constantly using these tools on each other and thinking its O.K. Whether its getting email receipts, whether its parents surveilling their kids, even at college. Whether its spouses surveilling each other through their smartphones all the spying people do on each other. People surreptitiously taking photos of each other because its so easy now and you always have a high-level camera in your hands. I think that we dont necessarily realize how quickly weve evolved and how quickly we have superseded our idea of our right to privacy by our right to know.

He continues:

Weve evolved to the point where our ideas of privacy have evolved or our value of it is almost completely gone. I think theres a few square feet and our skulls that we still retain. Theres the bathroom, the bedroom after a certain hour and theres the space in our brain. But nowhere else do we expect privacy. And I think thats a radical shift in evolution, and it happened in a few years.

There are bits in the larger conversation that I disagree with Eggers on, mostly because I think it offers too much cover for Big Tech. I think his argument that theres a public market for privacy-invading services and that tech companies are merely responding to it and building products is a backward interpretation. Id argue that its human behavior thats responding to powerful, addictive products and well-crafted marketing campaigns. Regardless, I think theres something poignant about this line: We have superseded our idea of our right to privacy by our right to know.

Writing about technology for roughly a decade, Ive felt this strongly at times. I noticed it first watching Reddit threads after a mass shooting in 2012 inside a movie theater in Aurora, Colo. a kind of online vigilante detective emerged, powered by the idea that almost any piece of information could be found and that, by virtue of being online, we were entitled to it. Since then, the behavior has embedded itself into the dark soul of the internet. The hunt for the Boston bombers, Gamergate, the 4chan culture of doxing some of it is predicated on a behavior to want information that, 15 years ago, we might not have felt entitled to.

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We No Longer Expect Privacy. You Can Change That. - The New York Times

Taking The Pedal Off The Metal – Energy Institute at Haas

A new paper shows that people drive less and slow down when gasoline prices rise.

I drive an electric vehicle. So I am, of course, better than you and now get to say all sorts of snarky things about you gas guzzling large vehicle enthusiasts. So here we go. We energy economists spend most of our time complaining about the absence of a carbon tax and the rest of our time quantifying aspects of human behavior. Some of the most interesting questions are in the transportation sector, which is the main source of greenhouse gas emissions in California. More driving plus heavier, less fuel efficient and more quickly driven cars lead to more gas consumption, local and global pollution. More driving and bigger cars also lead to more congestion.

In the US we have tried to put downward pressure on gasoline consumption by regulating the fuel economy of the fleet. More efficient vehicles are of course more efficient, but also decrease the cost per mile driven, which provides an incentive to drive more. This is called the rebound effect. If you face a lower price of gasoline (either implicitly through more fuel efficiency or explicitly through lower prices at the pump), how does your behavior change? Do you drive more? If so, how much? Do you drive faster, which burns more fuel per mile driven?

While most of us were passed out in a tryptophan or soy induced daze on our couch, Energy Institute alum (and now fancy MIT Sloan Professor) Chris Knittel and his coauthor Shinsuke Tanaka released a really interesting and pleasantly short new working paper providing some interesting new answers. They start with a jealousy-inducing new dataset from Japan, which via a mobile phone app collected detailed micro-level information on gasoline consumption, vehicle distance traveled, and gasoline prices paid for each fill up for over 90,000 drivers for 10 years!!!! This is next-level stuff. For comparison, most of the papers so far use monthly consumption data aggregated to the US state level, which does not allow you to study the finer aspects of consumer behavior. Specifically, they shine some light on three aspects of behavior.

The results are the best kind: interesting and policy relevant. First off, they find that drivers are much more price responsive than the majority of the existing literature finds. This is relevant, as government agencies use these numbers to project energy consumption at the national level. Is the difference small? No! An order of magnitude (that is 10x for you non-nerds) smaller. They estimate that a 10% increase in gas prices leads to a 3.7% decrease in gas consumption, when most of the literature suggests a 0.3% decrease. Wow.

Second, they decompose this response and show a significantly larger response of Vehicle Miles Travelled (VMT) to changes in gas prices than the remainder of the literature. Of the 3.7% price response, 3% can be attributed to decreases in VMT. The remaining 0.7% are attributed to changes in driving behavior. This could either be driving your car more slowly and getting better fuel economy, or increasing fuel saving maintenance such as properly inflating your tires. Why is this so cool? Nobody has been able to estimate this parameter before. This is nerd speak for we have actually measured a hypothesized type of behavioral response in the wild! When astronomers discover a black hole, the world gets excited! This is our version of actually seeing a black hole. Bam.

Third, they examine whether changes in prices a long time ago versus more recently have differential behavioral effects. Do we learn over time and form habits as we drive through life? The answer is no. There is no evidence of this. Drivers seem to react to the most recent fluctuations in prices.

Finally, and this is really cool, they show that humans are strange creatures. When we teach intermediate economics, we generally argue that price responses are symmetric. This means if price goes up by one percent and you consume 3 fewer marshmallows, we would assume that if price dropped by one percent, you would eat 3 more marshmallows. This paper shows that the consumers in the sample do not exhibit this symmetry. The price response is twice as high when prices go up compared to when they go down. I guess we are a tank is half empty type of society.

There are a bunch of caveats. This paper deals with very short run fluctuations in gas prices and hence characterizes very short responses of drivers. Also, this is Japanese drivers over the past decade who self-selected into signing up for the app. The road network, public transportation infrastructure and vehicle and gas pricing are very different from what they are in the US. But beyond the caveats, what the authors suggest is that gas taxes alone may have a transitory effect on driving behavior and may need to be supplemented by fuel efficiency standards and other policies such as feebate policies (which I am a HUGE fan of). However, I am somewhat skeptical of that interpretation as gas taxes are permanent price changes, which consumers react to differently than to short run price fluctuations.

Overall, this is a major step forward in what we know about consumers response to short run gas price fluctuations in Japan! I am hoping that someone will replicate this study in the US, Europe and possibly a lower income country to see whether these responses are similar.

Keep up with Energy Institute blogs, research, and events on Twitter @energyathaas.

Suggested citation: Auffhammer, Maximilian. Taking The Pedal Off The Metal Energy Institute Blog, UC Berkeley, December 2, 2019, https://energyathaas.wordpress.com/2019/12/02/taking-the-pedal-off-the-metal/

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Taking The Pedal Off The Metal - Energy Institute at Haas

UX and DevOps: "Every app you uninstalled probably had UX failures" – JAXenter

JAXenter:Hi Debbie, thanks for taking the time to answer some questions for JAXenter. UX isnt a topic that comes up that frequently in discussions about DevOps, and yet, like you say in the description of your DevOpsCon Munich talk: Your customer only sees your UX, not 1,000 developers or whether you were agile. Do you think that the importance of UX has been severely underestimated in DevOps setups?

Every website you stopped going to, every company you cancelled, and every app you uninstalled probably had UX failures that made you feel done with them.

Debbie:Hi, Chris. Thanks for asking! Before I answer that, I should mention that I see the definitions of DevOps changing a bit. My focus is where DevOps goals include customer satisfaction, increasing your ability to build the right product, faster fixes (though Id say fewer fixes if we want to reduce defects), improving efficiency, and improving product quality.

This is where UX best overlaps DevOps goals, and why I named my presentations and workshops DevOps ICU (ICU is the hospital intensive care unit taking care of the most serious patients). Ill be renaming it Dev && UX for 2020. So people dont assume its a DevOps presentation!:)

JAXenter:Why do you think this is the case?

Debbie:From my experiences and what Ive heard from others, Engineering, DevOps, and other related teams are often siloed from UX. There might be a gatekeeper, or the teams sometimes silo themselves because they dont have a good understanding of what each team does, and collaboration went badly. Combine that with a general misunderstanding of UX, as well as Agile materials and coaches excluding us (again, due to lack of understanding), and you end up with companies trying to build better products but without changing their processes or bringing in the UX experts who would get it done.

JAXenter:What are the benefits of making UX a more prominent consideration in the development cycle?

Debbie:There are three main beneficiaries of correctly integrating UX into dev cycles. The first are our potential and real customers. Dont wait until they are complaining, angry, or dumping you for the competition for you to put in more effort to create something that better fits their needs. It rarely gets fixed later, and by then, we may have lost customers or found our product is harder to sell.

The ROI is measurable, and businesses love that!

The second beneficiary is all of Engineering. They will save time, money, and sanity when UX pros are able to research, architect, design, test, and iterate on concepts before Engineering writes a line of code. This should drastically cut down on surprise changes of mind that waste time now, and it should cut down on fixing it later when we learn after expensive dev cycles that we need to build something better for customers.

The third beneficiary is the business. People who are watching budgets and measuring ROI are often hesitant to add UX to the process. Without understanding what UX does, how, or why, they see them as an expensive line item we can cut or skimp on. Once they get UX, its clearer how some time and money spent up front will save way more time and money during engineering and then after release. Youll even spend less on customer support when products better match peoples needs, are easy to learn, and easy to use. The ROI is measurable, and businesses love that!

JAXenter:Are there any examples that stand out to you of how a big project was ultimately let down by the UX? Why was it so problematic?

There are many examples of products that were let down by excluding, circumventing, overruling, or skimping on UX.

Debbie:There are many examples of products that were let down by excluding, circumventing, overruling, or skimping on UX. The easiest example would be every time you uninstalled an app because it was garbage or not what you needed. That company failed you. Did they even research with people like you to learn who you are and what you need? Or did some stakeholder just announce this is what were building, and theyll figure it out? Every website you stopped going to, every company you cancelled, and every app you uninstalled probably had UX failures that made you feel done with them. And this can all be avoided by hiring at least one expert per project.

For more famous examples, people can research what happened when Skype and Snapchat separately made big UX changes that customers hated. Read all the bad press, see how the stock price dropped, check out the angry Twitterstorms, and read about how it alienated customers. Consider what that cost those companies to build and then have to undo or rebuild. Its painful!

JAXenter:Youve previously written about how its important not just to consider one end user, and how user testing should be integrated into the UX process. What would you say is your dream scenario for UX in software development setups?

Testing is the QA of UX.We dont write code and then decide its probably good enough to release.

Debbie:The dream scenario for UX testing would be to have the time and budget to run multiple rounds of testing with real and/or archetypal users. Sometimes we dont have real customers yet because this product is new. But if UX research does a great job helping us focus on where the sweet spots of our target customers are, we build for them and we test with them. Many projects can work with realistic UX prototypes, saving Engineering from having to build our prototypes. We can then give real people some real tasks, and see where there are flaws.

Testing is the QA of UX.We dont skimp on testing our code. We dont write code and then decide its probably good enough to release, so lets skip QA. UX testing is hugely important and can often be done fairly quickly.

Ultimately, the dream scenario for CX and UX is to be better understood in all areas of companies. Were not the people who sketch screens. Were not artsy fartsy hipsters. The core of UX lives in cognitive psychology, far from anything artistic. We must be able to understand and predict human behavior. We must be problem finders and problem solvers. We must be able to predict and mitigate business risks. Great UX meets and exceeds the metrics and goals the business has set out, but UX rarely gets the credit.

Its time to finally understand what UX is, who does it, how and why, and how it can be Agile, Lean, and collaborative.

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UX and DevOps: "Every app you uninstalled probably had UX failures" - JAXenter

Meet the magicians making Washington, DC the Magic Capital of America – DC Theatre Scene

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As the Washington DC area continues to grow as a cultural center for performing arts, one mysterious industry has begun to appear within the District. Seemingly out of nowhere, but really, with a calculated and careful practice, a group of magicians and mentalists have settled into the city and made the magical arts an avenue for entertainment, education and wonder.

Brian Curry

Brian Curry wears an easy smile every time hes talking to you. Theres a natural charm and friendliness, as if hes welcoming you into his home. That feeling seeps through over the phone as we chat, and even through our email communications.

In person, that charm is even more prominent. As Curry performs a trick where he takes an audience members drivers license, the audience member is smiling even before the reveal. The appearance of Currys license, in place of her own, (thought to be held safely under the palm of her hand) is met with an incredulous burst of laughter.

While Vegas may have flashy productions and big-name performers like Penn and Teller, Criss Angel and David Copperfield, Washington, D.C. has seen a growing number in of magicians find a home and a growing audience over the last five years.

Weve had magic show after magic show appear and stick around, which is really rare, Curry says. DC has more resident shows than most other cities in the whole country and theyve been coming really hard and fast.

On Yelp, the number of listed magicians in DC is in the high 30s. These include performers that have a theatrical location to perform in, as well as individuals who perform for events or parties. For New York City, that number is only slightly higher. Based on these numbers, Curry and others have begun to refer to Washington, D.C. as the Magic Capital of the U.S.

There are currently [at least] 6 long running shows, Curry shares. His current show, The Good Liar, runs every Saturday at the Capital Hilton.

In [The Good Liar], I explore how we lie, and how we get lied to, all while performing mind-blowing magic and mind reading.

Rich Bloch

Unlike the often temporary format of theatrical productions, magic performers in DC are finding ways to establish a permanent home residency in a DC venue or institution. Rich Bloch, a magician who has performed worldwide, from Vegas to cruise ships to Broadway, is the resident magician at the O Street Mansion near Dupont Circle. His monthly show is performed before a backdrop of one-of-a-kind collectibles and memorabilia.

The place is a living memorial to imagination. The place is absolutely magic, Bloch says, as he describes the 112-room mansion. Bloch performs 3 shows a month in this venue, while retaining his Delaware-based show at Dickens Parlour Theatre and a specials effect company.

Bloch mentions how DC, as a center for business and political tourism, has provided a fresh alternative to the DC entertainment options. New York is bubbling at all times, with food, entertainment, all that [In DC], you cant go through 300 streets of bars, etc. The opportunity to have performers at various hotels and venues opens up an avenue that had not been fully realized. This type of entertaining gives folks sitting in a hotel an important option.

An interesting feature of Blochs career in the local scene is his dual career as an arbitration lawyer, a story which has been covered by the Washington Post. He successfully balances his dual careers by recognizing how both feed a curiosity for discovery and possibility.

The magic is all about passion and getting the juices flowing. The law tempers passions and magic should be something that inspires them. Bloch describes this feeling in terms of the What if factor. Those two words as the heart of everything that sets humans apart: the ability to make art and architecture and music and imagination: people who sit down to say What if I did this?

Savino Recine

The variety of the type of performance these magicians offer is one of the reasons that the citys moniker as a Magic Capital works. While DC audiences may be fascinated by the illusions and the performances, it cannot be ignored that the city has other reputations, namely that as a foodie city. Savino Recine, the former chef-owner of Primi Piatti and other restaurants, has taken his talents in the restaurant industry and his love of magic to help deliver a unique dinner-and-a-show production.

The $75 per person dinner at the Arts Club of Washington, performed with Savinos business partner and magician David Morey, is a venue that attracts adult audiences looking for a magical dining experience. The two-hour dinner is highlighted by the show, but you can expect table-side talents presented by the magicians in performance.

Recine describes this blend of business acumen as one of the many talents magicians develops while theyre building their skills. When you start to perform regularly and you become a good performer, magic becomes part of your life.

Recine gives off the spirit of a man confident and welcoming in his performance space, charming his guests while engaged in predicting an audience members hope and dreams. He describes himself as a mentalist, a person with the ability to read peoples minds, It gives you an incredible confidence that you can achieve goals in your life that you never thought could be possible.

Have an aspiring magician on your gift list? Brian Curry suggests The Magic Warehouse

Mark Phillips

While each performer showcases a unique set of talents and type of show, the collaboration between this group of magicians is impossible to miss. Mark Phillips and Brian Curry first performed The Magic Duel in 2015.

Today, Phillips performs the duel with Ryan Phillips, in a production that has the two out-magic each other in front of a voting audience.

As for Phillips, the love of magic comes from his interaction with audiences,A friend once remarked that there are two kinds of magic tricks:Challenges, where you tell the audience you are going to do something impossible in advance, and surprises, where the magical ending is a complete shock, Phillips says, The surprises are more fun for me. When an audience suddenly realizes that the impossible has already happened and they are about to see it; that is a really happy moment.

These artists, in choosing DC as home, perform for a very specific crowd. Our show is designed for an adult audience out for an evening of fun and thought-provoking entertainment. We put a lot of work into keeping the shows humor topical, which means it is also political, Phillips says. There are a number of family friendly magic shows in DC, we are not one of them.

Peter Wood

One thing you will notice about Peter Wood, whether hes performing his Collector of the Impossible show or in residence at the International Spy Museum, is you cant stop looking at his hands. That is, of course, where he wants you looking. His hands are in constant motion, and always held above the waist. Its a familiar stance for the city of politicos and professional public speakers.

His production for the Spy Museum focuses on the art of deceit, misdirection, illusion, and sleight of hand used by spies in the field. Its no wonder why magicians may feel at home in a city where citizens cant even trust the hands in front of them, even if Wood doesnt promote the use of magic for nefarious purposes.

The more you perform magic, the more you learn about human behavior, Wood says. Its my job to manipulate minds for entertainment purposes. Believable lies, directing attention, the illusion of choice, exploiting assumptions; these are all in my toolbox, but arent exclusive to magicians. Its frustrating when I see people using these techniques to get what they want in business, politics, or social situations.

The Collector of the Impossible production, since 1994, allows Wood to share objects, skills, and stories that seem to defy explanation. This performance, which he holds for private or public events. focuses less on magical abilities, and more about inviting the audience to interact with these objects.

Michael Jons

While so many of these in-DC magicians perform skilled misdirections and artful displays of physical impossibilities, one of the curious talents these individuals share is their ability to read minds. Michael Jons, a classically trained mind-reader, describes his work in the upcoming Wicked Thoughts as a study into how our personal and group minds are being manipulated, whether it be by politicians, social-media, and propaganda.

Wicked Thoughts is my attempt to tell a story which explores the current state of our culture through interactive theater and stage mentalism, Jons explains. The audience is the main character of the show, and who better than an expert in behavior and persuasion to help make sense of the current state of our mind?

In the end, the work each one of these artists deliver a production that is as much theatrical as it is cerebral, in what is a growing genre for DC.

Our primary goal is always to entertain people, Jons says. Its all about sharing a fun, unique experience. If you go to a comedy club, you expect to laugh. Similarly, if you attend any one of these magic shows, you should expect to experience amazement.

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Meet the magicians making Washington, DC the Magic Capital of America - DC Theatre Scene

Tim Robbins and Victor Garber Offer Opposing Portrayals of Real People in ‘Dark Waters’ – /FILM

In any other whistleblower drama, Tim Robbins Tom Terp would be a villain. The supervising partner to Mark Ruffalos corporate environmental defense attorneyRob Bilott in Todd Haynes legal drama Dark Waters (opening wide this weekend), Terp is initially skeptical about Bilotts budding crusade against the big chemical corporation DuPont. Understandably so: One of the biggest clients for the firm where they both work,Taft Law, is DuPont. Both Terp and Bilott are close buds with DuPontsin-house corporate counsel Phil Donnelly (Victor Garber).

But as the film heads into its eye-opening reveal of DuPonts history of chemical cover-ups,Dark Waters pulls the rug from under our expectations of Ruffalo, Robbins, and even Garbers characters.

The story plays out almost note-for-note to our expectations of a David and Goliath whistleblower drama: Mere days after he is promoted to partner, Ruffalos anxious Rob Bilott proposes legal action against DuPont to investigate the potential chemical contamination of a farmers land adjacent to one of the companys West Virginia factories. Tom Terp reluctantly agrees on the condition that the case not take away from Bilotts other work, but as the months stretch into years, Bilott grows slowly obsessed with the case and Terp gets increasingly frustrated with Bilotts agitation of Taft Laws valued relationship with DuPont. But in the powerful scene in which Bilott dumps all his findings in front of the Taft Law partners and reveals the decades of chemical cover-ups by DuPont, Terp does something unexpected: he throws his weight behind Bilott.

Its tough in a culture like that to step outside of that culture, Robbins said in in an interview with /Film on taking on the character of Terp in Dark Waters. How do we remember our moral compass when being guided by that compass will affect our income and our livelihood? What strength does that take? What kind of moral character does that take? Were living in a pretty ruthless economic system that forces us to make moral choice choices that might be compromising to us.

The real-life Terp was one of Bilotts biggest supporters in his18-year legal battle against DuPont. As one of the senior partners, Terp has the closest working relationship with DuPont and its in-house legal counsel Phil Donnelly, while he and Bilott are at first barely friends. But when Bilott turns up irrefutable evidence against DuPont, Terp has a dramatic change of heart embodied in a passionate monologue as the lawyer rallies the other Taft partners to support Bilotts case. It was that unexpected facet of Terp that drew Robbins to the role.

Im not going to do it as a stereotype character if its written that way, Robbins said. I think our job as actors is to find the complexities in human behavior, the dichotomies all good people have, the devil tugging on them. All bad people have an angel tugging at them, and everyone was a beautiful child at one point. And whatever has their lives take them on. Its interesting stories that have interesting complexities in their characters.

Terp may be an unusual character on the big screen, but hes not an unusual character in real life. There are hundreds of Tom Terps of the world, Robbins noted, adding that he hopes that the film will encourage those people who think themselves indebted to corporate culture to do the right thing. I feel like the story can be inspirational to people like that.

But where Robbins is a character who audiences might expect to become the villain of the piece only to become Bilotts greatest ally, Garber plays perhaps the most straightforward villain ofDark Waters. However, theres a complexity to Garbers Phil Donnelly and a purposefulness to casting the affable Emmy-winning actor that keeps the character from becoming too much of a cartoonish bad guy.

Every so-called villain has a story, Garber said. Hes a company man,in thrall to his own conviction. Hes been there this whole time [so he sees no reason] for things to change.

Unlike Rob Bilott and Tom Terp, Phil Ronnelly is a composite of several real people. However, Garber did go back to the source to build his performance, referring to videotaped depositions from DuPont counsels to immerse himself in the role. I think hes a composite of a couple people, Garber said. I saw a deposition [the real DuPont corporate counsel] did was able to piece together a voice and mannerisms and put it together in my subconscious. Its an interesting villain because hes just doing what he was told.

Unlike Tom Terp, the real-life DuPont legal counsel retired without much fanfare still ostensibly the company man that Garber plays. But Garber hopes that Dark Waterswill be a wake-up call not only to the corporate lawyers of the world but to all audiences who see it.

We can see how were affecting the environment every day, Garber said. This is true. Its happening now. We have to be conscious of what chemicals are going into our environment. Its a new world for all the horrors going on, but theres much awareness and people trying to make a difference. I think its definitely happening.

Robbins, who himself is well-known for his environmental activism outside of his acting career, agreed, adding, I have hope that things will change. I know that there are very powerful, powerful people at work to try to discredit to ignore to walk away from environmental protection. I think it would be nice if this film inspired more people to stop giving money to corporations that are poisoning them. That would be a nice first step.

Dark Waters is currently playing in select theaters. It expands to more theaters onDecember 6, 2019.

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Tim Robbins and Victor Garber Offer Opposing Portrayals of Real People in 'Dark Waters' - /FILM

Behavioral Health Market Growth Set to Continue but may slow: Stay Tuned with Emerging Trends & Dynamics – The Market Journal

The Behavioral Health market is expected to see a growth according to latest report released by AMA Research highlighting development scenario with compelling market sizing by revenue and volume (Consumption, Production)* ranging from 2013-2025. The study feature not only specific market forecasts, but also include significant value-added commentary on Market Trends, Technological Trends and Innovations, Regulatory Trends and Policies, Market Maturity Indicators, Market Share Movements, Growth Drivers and Constraints, New Entrants into the Market & Entry/Exit Barriers and Consumer Demographics.

Some of the profiled players in study out of the total coverage list includes:

Acadia Healthcare (United States),CareTech Holdings (United Kingdom),The MENTOR Network (United States),Universal Health Services (United States),Behavioral Health Network (United States),North Range Behavioral Health (United States),Strategic Behavioral Health (United States),Ascension Seton (United States),Pyramid Healthcare (United States),Promises Behavioral Health (United States)

Request a sample report @ https://www.advancemarketanalytics.com/sample-report/111240-global-behavioral-health-market

Behavioral Health Market Definition:

Behavioral health refers to the scientific study of the behaviors, emotions, and biology relating to a mental well-being of a person, their ability of functioning in everyday life and their concept of the self. Behavioral health is a preferred term to the mental health. A person who is struggling with his or her behavioral health may face depression, stress, anxiety, relationship problems, addiction, grief, ADHD or learning disabilities, mood disorders, or other psychological concerns. There are various techniques used in the treatment of an individual in behavioral health. The therapists study the human behavior to change the bad habits with good one. Also, it is performed to find a solution for certain kinds of phobias, stress as well as bipolar disorder among others. According to the World Health Organization, behavioral health is defined as a state of well-being in which every individual realizes his or her own potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to her or his community.

Market Scope Overview:

by Type (Depression, Anxiety, Schizophrenia, Alcohol Use Disorders, Others), Application (Inpatient Hospital Treatment Services, Outpatient Counselling, Emergency Mental Health Services, Home-based Treatment Services, Others)

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Check Inside Story on Trending Factors with Regional Attention: Increasing Preferences of Partial Hospitalization Programs (PHP)

Advent of Online Counselling

Emergence of Behavioral Software

Increasing Number of People Who Are Suffering From Behavioral Health

Growing Accessibility of Therapies for Behavioral HealthDearth of Awareness of Behavioral Health

Lack of Proper Reimbursement

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Country Level Break-up of market Size with Cross Segmentation includes:North America (United States, Canada and Mexico)Europe (Germany, France, United Kingdom, Spain, Italy, Netherlands, Switzerland, Nordic, Others)Asia-Pacific (Japan, China, Australia, India, Taiwan, South Korea, Middle East & Africa, Others)

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Extracts from TOC

1 Study Coverage

Industry Definition

..

2 Executive Summary

Global Behavioral Health Market Size (2014-2025) by Revenue, Production*, Growth rate

Analysis of Competitive Landscape Insights on Market Development Scenario

3 Market Size by Manufacturers [Market Share, Global Rank etc]

4 Global Behavioral Health Production, Consumption by Regions (2014-2025)

5 Market Size by Type

Global Behavioral Health Revenue by Type

Global Behavioral Health Volume by Type

Global Behavioral Health Price by Type

6 Market Size by Application (2014-2025)

Global Behavioral Health Breakdown Data by Revenue, Volume

7 Manufacturers Profiles

8 Value Chain and Sales Channels Analysis

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Behavioral Health Market Growth Set to Continue but may slow: Stay Tuned with Emerging Trends & Dynamics - The Market Journal

State will pay $10M to mental health providers after suit – Associated Press

SANTA FE, N.M. (AP) New Mexico will pay out $10 million to resolve the last remaining lawsuits over a shake-up of its behavioral health system in 2013 under the prior administration of Republican Gov. Susana Martinez.

Disclosed Wednesday by the Human Services Department, the settlement locks in payments to five businesses and turns the page on a bitter confrontation that drove many mental health care providers away or out of business completely.

Martinezs administration froze payments to 15 mental health service providers in 2013 after an audit identified $36 million in Medicaid overpayments. The state attorney general later cleared the providers of any criminal wrongdoing, but 10 filed lawsuits.

Medicaid payments were frozen without any credible allegations of fraud, the settlement states.

Some providers were forced to close their doors and discontinue provision of any behavioral health services, the agreement states. Other providers were forced to discontinue provision of nearly all behavioral health services. Employees of Providers lost their jobs. Individuals needing behavioral health services in New Mexico were unable to obtain such services.

The largest portion of the settlement a 29% share is earmarked for Santa Marta El Mirador of Santa Fe and Alcalde formerly known as Easter Seals El Mirador. The other beneficiaries are Border Area Mental Health Services, Southwest Counseling Center, Southern New Mexico Human Development and Families and Youth Inc.

First-year Democratic Gov. Michelle Lujan Grisham campaigned on rebuilding mental health and substance abuse treatment services in a state with the highest rate of alcohol-related deaths in the nation. Many counties in the sparsely populated state lack licensed providers of mental health services for patients who rely on government assistance, according to a recent study by the U.S. Health and Human Services Departments inspector general.

Patsy Romero, CEO of Santa Marta El Mirador, says her organization employs about 200 people, down from 650 people before the shakeup in 2013. Services were discontinued for children and adolescents with severe emotional issues, including alternative classrooms in Espaola and Taos.

She said it is still unclear whether the organization will restore discontinued behavior health services.

Romero said the settlement represents the money that we spent as an organization over the last six years to defend ourselves and maintain our business.

Excerpt from:
State will pay $10M to mental health providers after suit - Associated Press

Psychological abuse by a male caregiver is a powerful predictor of hypersexuality in juvenile sex offenders – PsyPost

A study of incarcerated juvenile sex offenders suggests that psychological abuse in childhood may have uniquely damaging effects on mental health.

The findings, which appears in the Archives of Sexual Behavior, shed light on the roots of hypersexuality, which has been found to be a predictor of recidivism.

I have been doing research on various aspects of sexual aggression for the last four decades. It is clear that primary prevention is the optimal intervention strategy for reducing sexual violence, explained Raymond A. Knight, the corresponding author of the study and professor emeritus of human relations at Brandeis University.

Consequently, in my laboratory we have been focusing on identifying the developmental antecedents of various risk factors for sexual aggression. Knowledge of such antecedents is essential for designing and implementing prevention strategies.

In the study, the researchers surveyed 307 male juveniles who were about 16 years old on average and had committed at least one serious sexual crime. The participants completed assessments of abuse and other adverse childhood experiences.

The researchers found those who reported higher levels of psychological abuse by a male caregiver tended to also report more problematic and excessive sexual thoughts and behaviors. The same was true of those who reported more severe sexual abuse in childhood.

Psychological abuse, especially in this case of a father toward his son, is a powerful predictor of hypersexuality and indeed in other studies from our laboratory of other prequels to sexual and nonsexual violence. It requires enhanced research scrutiny to unpack the potential causal components it encompasses, Knight told PsyPost.

Like all research, the study includes some limitations.

This is a retrospective, not a prospective study. The youths are reporting recent past experiences and behavior. All the methodological problems with such a research strategy apply, Knight explained.

Nonetheless, we have replicated these findings with an adult sample, indicating their cross-sample consistency. Prospective studies of psychological and sexual abuse aimed at unraveling the essential causal mechanisms involved in each and examining their consequences are essential.

The study, The Relation of Childhood Abuse Experiences to Problematic Sexual Behaviors in Male Youths Who Have Sexually Offended, was authored by Kathryn A. Davis and Raymond A. Knight.

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Psychological abuse by a male caregiver is a powerful predictor of hypersexuality in juvenile sex offenders - PsyPost

Preferred problem solving and decision-making role in fertility treatment among women following an unsuccessful in vitro fertilization cycle – BMC…

This study examined fertility treatment decision-making participation preferences among Chinese women following a recent unsuccessful IVF cycle. Most participants prefer to share decision-making than handing over this task to their doctors or make decisions themselves. In agreement with Deber and colleagues [16] the preference for sharing rather than handing over decision-making tasks was higher for a specific health condition (i.e. fertility treatment) than a general health condition (i.e. mild chest pain). Previous studies have reported that couples experiencing infertility are keen to search for treatment-related information and share this with their healthcare professionals in order to maximizing the chances of successful treatment [4, 32]. As our participants were not completely new to IVF, they were likely to be more knowledgeable about fertility treatment than a dubious chest pain.

Despite the greater power distance between patients and healthcare professionals that characterises Chinese culture compared to Canadian culture [33], we documented a greater preference for Shared roles (and a lower preference for a Passive role) in our Hong Kong sample than in the Canadian study. In fact, no Canadian participants chose Autonomous roles, while a minority of our participants did so. While a direct comparison was not feasible, our participants were in fertility treatment for an average of 4.0years (+/2.5) and had completed at least one IVF cycle, while their Canadian counterparts were in treatment for 2.3years (+/2.6) only. The longer duration of fertility treatment may have led to greater self-efficacy in sharing treatment decision tasks. However, the effect of previous clinical experience (e.g. years of infertility, years of ART) did not result in a significant difference in preferences in the Hong Kong sample, after controlling for other demographic, clinical and well-being factors. Nonetheless, our findings serve to demonstrate the variety of possibilities regarding cultural differences in healthcare decision-making and the multi-factorial nature of patients preferences.

Our findings reveal several demographic and clinical factors related to decision-making participation preferences in the doctor-patient relationship. First, in agreement with previous studies, participants with a religious affiliation tended to be more passive than those without a religious affiliation, possibly due to a greater tendency to trust authorities [34]. Due to the small cell sizes and the lack of existing literature on the effect of different religions on the fertility experience of the Chinese population, by the principle of parsimony, we only dichotomized the sample into those who reported and those who did not report a religious affiliation. However, future research may explore the nuances of the impact of different religions on the experience of fertility treatment among East Asian patients. Passivity in treatment decision-making was also related to the diagnosis of secondary infertility, rather than primary infertility. Participants diagnosed with secondary infertility may have greater difficulties making sense of their current fertility problems as they have previously achieved a clinical pregnancy, irrespective of the outcome (live birth, ectopic pregnancy, or miscarriage). Hence, with greater uncertainty and complications regarding their reproductive potential, they may exhibit a higher tendency to rely on healthcare professionals for treatment decision-making. Likewise, relative to women confronting infertility of mixed causation, women with female factor only infertility tended to be more autonomous in fertility treatment decision-making. This greater autonomy could have been encouraged by the greater certainty of attributing the cause of infertility to oneself, and subsequently greater perceived responsibility for the condition and its treatment.

Nonetheless, in spousal relationships, nearly half of our sample preferred to hand over both PS and DM to their husband. The percentage of participants who preferred to share decision-making tasks dropped from 92% in the doctor-patient relationship to 52% in the spousal relationship. Being autonomous, however, remained a minority choice. The options postulated to be theoretically implausible by Deber and colleagues [16] were rare in the spousal context.

Several factors were related to the tendency to hand over rather than share decision-making tasks in the spousal relationship. Having controlled for the womans age, a higher husbands age was related to a greater tendency to hand over rather than share decision-making tasks. The larger spousal age gap, especially when the husband is the older spouse, may have enlarged the power imbalance between a couple, leading to a greater preponderance of the husbands view as regards infertility and its treatment. This could be particularly pertinent in Chinese culture where the child bears only the paternal family surname and bloodline. Higher anxiety in women was also related to a greater tendency to entrust the decision-making tasks to their husband. Anxiety may have fuelled a womans wish for her husband to shoulder the psychological burdens of decision-making.

In contrast to the shared decision-making model [7], according to which patients enjoy better adjustment with active engagement in the treatment decision-making process, in this study Passive roles in both the doctor-patient and spousal relationships were related to higher marital satisfaction. Our study cannot clarify the direction of causality between marital satisfaction and decision-making participation preferences. However, several explanations are possible. First, entrusting the tasks to a knowledgeable outsider, such as a doctor, may avoid relational conflicts, especially when the couple are divided in their views over infertility and its treatment. Active involvement or even handing over key tasks in treatment decision-making to the husband may foster mutual trust and commitment and enhance relational quality in fertility treatment where husbands are often side-lined [35]. Hence, handing over the decision-making tasks to doctors and husbands may enhance relational quality. On the other hand, higher relational quality may increase the tendency to hand over decision-making tasks to doctors or husbands. Inviting the husband to PS and DM requires pre-established trust that the couple are on the same page and share similar views about treatment.

Our participants had experienced a recent unsuccessful IVF cycle. Relinquishing treatment decision-making to a trusted partner at this emotionally difficult time may reduce the pressure on the woman on the one hand, but is also a precarious move on the other, especially if the husband does not share his wifes views or knowledge about the treatment. Thus, among couples where the wife has chosen to hand over PS and DM, there could be a high level of consensus and pre-established trust in fertility-related issues, which are impetuses for harmonious relationships. Higher marital satisfaction may also reduce the womans distress and enable her to place greater trust in and be more open to suggestions from the healthcare team. Hence, a high level of marital satisfaction could be the antecedent for handing-over decision-making tasks to husbands and doctors, rather than its consequence. Fertility treatment decision-making epitomizes how marital and doctor-patient relationships interact and influence each other. Future studies are encouraged to examine the interactions of these relationships in a contextualized and dynamic manner.

In addition to self-selection bias in recruitment, this cross-sectional study provides only a snapshot of the experience of women in IVF treatment and cannot infer the direction of causality. Decision-making participation preferences could change with increasing knowledge, treatment experience, and relationships with other decision-makers such as doctors and a partner. Future studies should adopt a longitudinal approach to examine changes in participation preferences and clarify the antecedents and consequences of these changes. We also only included women with experience of a recent unsuccessful IVF cycle. Their decision-making participation preferences could be different from women who have not initiated treatment, are in active treatment or who have already terminated treatment. Lastly, this study investigated participation preferences from the vantage point of the women rather than actual participation of the women, their partners and doctors. Future studies should investigate the perspectives of partners and doctors and develop means to improve the congruence of actual and preferred participation of all parties.

Despite the complexity of treatment decisions, our findings highlight that in partnership with doctors, women were keen to find solutions to their fertility problems as well as weighing various treatment options to arrive at a decision they deemed the best for them and their families. Echoing European Society of Human Reproduction and Embryology (ESHRE) guidelines [36] on psychosocial care in fertility treatment, our findings underscore the importance of providing information and decisional support to patients before, during and after a fertility treatment cycle. Not only is factual information about the pros, the cons and what to expect from different treatment and non-treatment options (e.g., adoption) important, decisional support in weighing different factors in relation to the unique situation of the woman and relational dynamics is also vital. The ultimate decision in fertility treatment is usually a trade-off among multiple factors that tend to be rather idiosyncratic and sometimes contradictory, including physical burden, psychological distress, social and familial expectations, desires for a biological child, financial affordability, etc. [5, 37]. A previous German study found that fertility patients were not well equipped to make informed treatment decisions because of their overwhelming desire for a child and insufficient information about the psycho-social-economic costs of treatment [5]. Counsellors should pay particular attention to these tangible and intangible costs and desires, screen for psychological and relational distress using validated measures and offer appropriate emotional and decisional support to couples throughout their treatment journey.

Unlike many other health conditions fertility treatment is marked by its relational nature [19]. Our findings highlight the significance of husbands involvement in decision-making from the viewpoint of their wives, and the associations between participation preferences and marital satisfaction. Chinese couples often face enormous stigma for being childless from both paternal and maternal families [24]. A husbands involvement has been found to be pivotal both for his wifes and his own adjustment [23, 38]. However, most husbands feel alienated in fertility treatment as many procedures and decisions concern their wife only [35]. Men are often involved in a typical IVF cycle at two points only consenting to the treatment and providing a semen sample. Previous studies found that husbands tend to perceive themselves as a stoic emotional rock to support their wife, an agent exercising a rational veto and responsibility, and/ or a biological necessity to provide semen [20, 39, 40]. The supportive role aside, the mere fact of infertility could be emasculating [41]. Guilt is commonly experienced, especially when witnessing the physical and emotional duress experienced by their partner because of their shared desire for a biological child [22], and is particularly salient in cases of male-factor infertility [42]. The prospect of involuntary childlessness is daunting for many men who have long aspired to be a father [43]. Under such threats to virility, the pressure to be strong and masculine escalates, making disclosure of distress and help-seeking even harder [44,45,46]. Hence, patient enablement and counselling in fertility settings should include husbands whenever appropriate and possible. To start with, healthcare professionals should acknowledge the construction of treatment preference as a multi-factorial and dynamic interplay between intuitive and deliberative mental processes of both the woman and her partner. To achieve a couple-oriented approach, healthcare professionals should ensure husbands are offered adequate emotional, informational, and decisional support in fertility treatment. Fertility treatment has long been positioned as a feminine discipline. Nonetheless, future research should examine how much and in what ways husbands expect to be engaged in fertility treatment and its decision-making, as well as their understanding of infertility, desire for fatherhood and experiences in ART (e.g., sperm extraction, sperm donation, etc). The knowledge generated by this study will build the evidence-base for gender-sensitive and couple-oriented psychosocial support.

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Preferred problem solving and decision-making role in fertility treatment among women following an unsuccessful in vitro fertilization cycle - BMC...