Blending Psychotherapy and Spirituality

In my last post on meditation, I suggested that there's not a lot of harm that comes from meditation and mindfulness training, so maybe it doesn't need the kind of scientific scrutiny that we might expect from a clinical drug trial. However, in Toward a Psychology of Awakening (2000), Buddhist psychotherapist John Welwood documents three traps: spiritual bypass, narcissism, and desensitising, that arise in part because we've leant too far to either psychology or spirituality instead of using both. He also discusses them in brief in a paper, "Principles of inner work: Psychological and spiritual" (1984).

Both psychotherapy and spirituality are about "developing a new kind of loving relationship with one's experience," and both help us break free from our conditioned reactions. But spirituality doesn't address our early mishaps that affect our perceptions, and psychotherapy doesn't address the need to transcend our personal feelings.

When he first trained as a therapist, Welwood was concerned that psychotherapy has a narrow view of human nature, but then realized how much it can help once we no longer demand answers from it. It can help free people from negative childhood conditioning, particularly from dismissive or engulfing parenting, by working with our needs, scripts (now narratives), fears, self-respect, etc. A lot of us don't learn how to exist in the world well. Welwood claims that part of the problem is the "breakdown of extended families and tight-knit communities" so that children just get influenced by parents or just one parent instead of many people providing a variety of ideas that can help a child figure out where they fit in the group. As far as I understand this point, with only one or two major influences, children might accept lessons without question, then have to "spend a good part of their lives freeing themselves" from this singular impact in order to find their own sense of self. It's somewhat unintuitive, but a larger group influence helps a child find their individual self by differentiating from others more clearly at a younger age. But whether we find it at 5 or 50, it's necessary to have this "stable self-structure" before trying to go further.

But without a spiritual element, we have "too literal-minded and serious … too small a vision of what a human being is." Psychotherapy can focus too much on content and not enough on the human being. It's changing more recently, focusing less on content and more on how we are with our experience. Welwood wants to stop trying to overcome emotional content and instead open up to it. If we can't open up to anger, for example, we end up trying to be nicer (people pleasing) or overmonitoring our behaviour to avoid triggers, which can create more stress. Yet there's even more ground to cover than just this.

The purpose of spiritual practice is "to help liberate us from attachment to an imprisoning self-structure." Specifically, Welwood talks about working with the five poisons (kleshas) of grasping, aggression, ignorance, jealousy, pride, or clinging, aversion, delusion, and comparison. We can also remember it with rhyming couplets: praise, blame, failure, fame, loss, gain, pleasure, pain. Spirituality focuses on noticing that we're clinging or grasping at things and learning to let go of some of what feels necessary to our lives, like being the best at work or never making mistakes, etc. When we glorify the ego in psychotherapy or focus too much on our issues, it impedes our capacity to move beyond ourselves towards a more open awareness. We're terrified of the idea of being egoless, but it can help us cope with life to overcome our identification with whatever we imagine ourselves to be.

Welwood's version of spirituality hinges on meditation. He traces a misunderstanding we have about it to Jung, who saw meditation as a move inward down a road to the unconscious. However, according to Welwood, Buddhist meditation is to develop transparent perception, which doesn't require inward concentration. It's about sharpening awareness to see things as they are through diffuse attention to everything all at once. Being a part of it all, all the time, by noticing thoughts, feelings, sensations from all senses. I think of it using a film analogy: it's the shift from rack focusing (back and forth between foreground and background) to a deep depth of field where everything is in sharp focus at once. It's not trying to get rid of thoughts, to stop them or ignore them, but trying to notice them and let them go. No longer clinging to or believing every thought that pops in our head, "allows us to eat the poisons of confused mind and also transmute them." The goal is a recognition of our "suchness" by staying in the present moment.

I still don't have a regular meditation practice despite immersing myself in a lot of books on the topic, but I do find a change just from noticing things, the thoughts and feelings that come and go, as well as the behaviour of others in my vicinity, and the larger canvas. One Zen primer suggests that curious, non-judgmental, present-moment awareness is most of the task, with meditation actually a much smaller part of the daily practice, and I'm banking on that for the time being.

With a mix of psychotherapy and spirituality, instead of getting stuck in a problem by dwelling on the content of the experience, or rising above it and the ins and outs of regular life as well, Welwood says we can "stay with our frozen structures and transform them. That is the core of practice, I believe, in both psychotherapy and meditation." Psychotherapy is reflective and spirituality gives us pure presence. Without the mix, we end up stuck in one of three traps.

The first trap, spiritual bypass or "premature transcendence", is from step-skipping: jumping over psychotherapy to immerse in spirituality. When we avoid doing our psychological "work" with any unfinished business, and hope to overcome it all with meditation, it's an attempt to obliterate ourselves, and spirituality just becomes another avoidant defense mechanism. Welwood explains that this originates because, "Many people are introduced to spiritual teachings and practices which come from cultures that assume a person having already passed through the basic developmental stages." But we have to make peace with the "raw and messy side of our humanness" before we can go beyond it. For instance, if we practice detachment by dismissing the need for love, it only drives the need underground where it can act out when we least expect it and grow in intensity. In an interview in 2011, Welwood said this bypassing can develop a compensatory identity that defends against an underlying deficient identity, where we feel like we're not good enough and use our spiritual practice as a defense against our own inner turmoil. He says,

"I've often seen how attempts to be unattached are used in the service of sealing people off from their human and emotional vulnerabilities. In effect, identifying oneself as a spiritual practitioner becomes used as a way of avoiding a depth of personal engagement with others that might stir up old wounds and longing for love. It's painful to see someone maintaining a stance of detachment when underneath they are starving for positive experiences of bonding and connection."

The second trap comes with being enmeshed with psychology without any spiritual elements, and we end up naval-gazing, being overly fascinated with our own personal stuff. Welwood describes it as becoming an "emotional junky who gets hooked on processing personal stuff." When we lose sight of the rest of the universe, we miss how much our identity is created by everything outside ourselves. In Jay Garfield's excellent book, Losing Ourselves, he discusses the importance of putting aside the egocentricity of self-absorbed improvement because we can't actually see ourselves without also noticing the field around us. Garfield explains,

"We are social animals who only become the individuals we do in social contexts that scaffold our flourishing. We can only make sense of our lives and see them as meaningful when we understand our personhood and when we give up the fantasy of independence encoded in the idea of a self."

This idea also runs as a thread in Richard Polt's book on Heidegger, where Polt explains, 

"If our connections to other beings were cut, we would not end up inside our mind - we would end up without a mind at all. The mind is dependent on minding -- caring about other beings, which show up as mattering to us. The less involved we are with who we are, the more we can recognize our deep bond with all sentient beings."

There's nothing inside that we can latch on to that can make sense without also looking outside at the same time.

The final trap is fear-born apathy. Our culture has us too desensitized to our personal and spiritual development. We don't do either well because we hate to look too deeply or feel too strongly. It's scary! We numb ourselves to avoid feeling the full range of pleasures and pains. We avoid what's painful or intense and grasp anything comfortable, familiar, or convenient. This feeds all our addictions and compulsions, which are typically masking our aversions. Nietzsche nailed this idea back in 1872 in Unpublished Writings from the Period of Unfashionable Observations:

“Every moment of life wants to tell us something, but we do not want to hear what it has to say: when we are alone and quiet we are afraid that something will be whispered into our ear–and hence we despise quiet and drug ourselves with sociability [or scrolling or meditation]. The human being evades suffering as best he can, but even more so he evades the meaning of endured suffering; he seeks to forget what lies behind it by constantly setting new goals.”

I'm not just name dropping what I've read lately, but seeing this same perspective in so many places gives it greater weight.

Welwood offers a solution in three simple principles to remember from ancient China: earth, heaven, man. He reframes it bodily as feet, head, and torso. Our feet stand on the ground, rooted, to remind us that we are part of the world. Our psychology doesn't need to be fixed, but can be pruned and fertilized like a tree by repairing any damage to develop a workable sense of self. He references several methodologies (Jungian, Focusing, Gestalt…) but primarily those that get out of the head and into the felt sense of things to reach the emotional core of issues. At the other end, our head is oriented to the sky, the spiritual, and we need to extricate ourselves from roots that are circling back to the self. Like a plant that's root-bound, ther's no room for further growth. This is done by letting go of attachment to our idea of who we are to "just let ourselves be, without holding onto some structure, some agenda, some goal or purpose." We're terrified of uncertainty, but we can get comfortable with emptiness to see gaps in conversation like rest bars in a piece of music and await the next refrain with curiosity instead of an agenda. We can also psychologically let go of old conditioned patterns by noticing the judgment involved when we're grasping, defensive, resistant, or judgmentally comparing ourselves to others. Just noticing how often we're in that place is a big first step.

Finally, Welwood points out that, unlike most animals, humans move around with our torso exposed, our vulnerable belly and heart, without shells or quills or claws to protect it. Our self is entirely relational, and we're made to be emotionally affected by each other. But that's terrifying! So we build some "character armor". We have to cut through the armor to let others in and appreciate them as they are. Welwood describes the armor like a saloon door; our task is "oiling the door so that it can open in both directions without getting stuck". Psychology can help here, but it's mainly a spiritual letting go and opening space for others to reach us. Fortunately, "letting go also means developing a greater sense of humor which arises from being able to step out of being stuck in a structure," and compassion comes from involvement in the world and having the possibility of transcending limitations. With training, instead of guarding against others, we can let others touch us more deeply, less wary of their emotional expression, 

"For pain and neurosis also contain their own colors and energies which wake us up. This dance of phenomena, this play of the mind, has its own kind of beauty. … I can begin to appreciate someone's character armor, how it served to protect him, and what a skillful creation it is in its own way."

It starts with noticing the inner and outer world in the present moment without judgment. That sounds like a life's work right there! Welwood, and so many others, make it seem that meditation is the one task that helps us find and maintain that present moment perspective, so it's understandable that people dive right in before developing a stable sense of self. But we have to find ourselves before we can lose ourselves.

The image that stayed with me from Welwood's work is being a big tent at a festival. The life inside it is the life inside us always at play, but we're also the container that protects that life from the elements with wide open sides that enable an ongoing interplay with the world. We're tied to the earth, but constantly expanding in all directions. It gives me the same feeling as when neuroscientist Louis Cozolino suggested that the space between each of us is like a synaptic gap between neurons. The entire world is a place for communication and connection if we're receptive to it.

Yup, Still Writing About It

Covid is still here and still killing more people than car crashes. The highest vehicle fatality rate in Canada in the past decade was in 2023, with 1,964 deaths with over 8,000 serious injuries. For Covid, counting less than the last year (about 11 months) and only from participating provinces, we've had 2,248 deaths and over 33,000 serious illnesses that required hospitalization. So, more. 

In some places, it's way more right now!

California is experiencing a surge, and Honduras is experiencing such a spike in illnesses that they're mandating face masks again in hospitals, airports, shopping centres, schools, public transport, and other enclosed or crowded paces. A recent study suggests that LongCovid may be far more common than currently estimated at about one in ten people, with non-human primates studied reaching 90% of the population with bio-markers: 

"Even if you started off lean and healthy, this study shows it won't protect you from some of the worst consequences of Covid."

I compare Covid rates to car crashes because we still, pretty much all of us, take precautions whenever we get in our car, and most of it don't even think about it any more. Some precautions are imposed on us, like I had to ditch my car because apparently the MTO would take it off the road for rust that could enable exhaust to get inside the vehicle. Air bags and driving laws are imposed on us. But we willingly strap ourselves in our cars, for most of us, even when no cops are around. I do it automatically before I start the car. It became second nature.

On that Sexual Assault Case

I listened to a CBC call-in show about the London sexual assault trial of five former Hockey Canada players. All the callers were either on one side or another. I think there's a middle path. 

The gist of the case: Back in June 2018, a woman known as "E.M." was drinking at a bar where the hockey team was celebrating a big win. She consented to go back to a hotel room with one of the team members. A little later, he texted others to come up for a three-some, and up to ten guys were in the room at one point. Allegedly, five of the guys, all between 18 and 20, either had sex with her or had sexually assaulted her. Afterwards she called a friend, crying, saying she was upset at herself for what had happened. All men were acquitted because E.M.'s testimony wasn't seen as credible. A possible reason for this is that she filed a civil suit in 2020, and, if any of her testimony was different between then and now, that brings her credibility into question. Typically a criminal case is filed before a civil case, and she had started a criminal case soon after the event, but that was put on pause, at which time she moved to a civil case. That civil case was settled out of court for an undisclosed sum. 

First of all, how many of us describe an event exactly the same way after five years? Our brain changes our memories slightly whenever we re-remember an event. It's a very high bar to meet to have explain every detail exactly the same way. 

Mentalizing, Mindfulness, and the Drive for Evidence

 In reading about attachment theory, David Wallin's description of Peter Fonagy's work was intriguing, so I went down that rabbit hole. 

Fonagy developed Mentalization-Based Treatment (MBT) to improve emotional regulation, as distinct from Jon Kabat-Zinn's Mindfulness-Based Stress Reduction (MBSR). Fonagy sees our mental development as relational, but in order to have empathy for others, we need awareness of our own feelings, which can be helped with mindfulness work. However, in looking at the evidence of efficacy of these separate modalities, I question the attempt, since Freud, to make psychology into a natural science. Each of the various ways to help are useful, but there's an element of the unknowable in the way when we treat them scientifically.

According to Wallin, Fonagy's focus was on developing the understanding of the mental states of others, which he calls mentalizing, to let us understand the depths of ourselves and others. For instance, it can help heal old wounds if we understand that dad's rejection of us might be due to his depression and not our behaviour as a child. Other people's reactions to us aren't just caused by us, but there are always multiple factors at play affecting how people behave. It seems very similar to Theory of Mind. He met Bowby in the 1980s, and studied adults' behaviour relative to their own descriptions of childhood attachment, and found, when comparing severely deprived to well-connected adults, that a weak attachment was correlated with a weak "reflective functioning" (the ability to understand behaviours in terms of their thoughts, feelings, and mental states). From this, he says psychotherapy should be the "effort to restore or kindle patients' capacity to mentalize," to simultaneously feel our feelings and reflect on their meaning. To help people develop mentalizing requires a relationship that mirrors and guides emotional responses.

Vaccinate Against Variant Soup

Some weird new federal SARS-CoV-2 vaccine guidance - in layman's terms.

Variant soup ingredients from April 2025

But first, remember that, when it comes to vaccinations, Covid is like the flu, not like measles or polio. It's not one and done because the virus mutates so easily and quickly. Every few months we permit new variants to add to the mix by letting them spread and mutate, and only sometimes does anyone important mention the variety of variants out there. (By contrast, for rates of illness and death, Covid is a lot like measles and polio in the unvaccinated death and disability rate. It's a serious disease!) 

Like the flu, we need regular access to vaccinations. If people ask how many Covid shots you've had, ask them how many flu shots they've had. It's the same silly question.

If you've never been vaccinated for it, get two shots this year.

If you have been getting shots, the guidelines say you should get one a year if you're pregnant, over 65, in congregated living, a health care worker, part of a listed racialized group, or have an underlying medical condition that's associated with more severe infection, which includes diabetes and cancer and other medical conditions, but also obesity, and disabilities like ADHD, and mental health disorders like depression (but not anxiety).

Luckily, you don't have to prove you have an underlying condition because anyone may (is allowed to) get one shot. They'll come out with a new shot this fall, but who knows when that will be!

The vaccination is protective for less than six months, so you might want two shots a year. But good luck with that! 

According to their collective wisdom, you should get two shots if you're over 80, in congregated living, or moderately to severely immunocompromised due to an underlying condition. I don't think claiming severe ADHD will work, but no harm trying! You may get two shots if you're 65 to 79. 

So despite that most infections come from schools, all those kids spending their days in a school building, from junior kindergarten to university, can get a shot in September, but then are just sitting ducks come February. Make it make sense!

A good N95 is still your best bet to avoid this preventable disease!

The Necessity of Feeling Seen

Attachment theory is part of the vernacular now. Even the Norwegian show Porni mentions it, and the dramatic eldest daughter blames her mom for her “relational damage”! We’ve largely accepted the questionable idea that mom’s attentiveness in childhood creates our attachment patterns for life — the gist of the theory as it’s largely understood, but what’s usefully generalizable from the actual studies? There are many criticisms of the theory, yet some university psych courses applaud it without reservation. I’m dubious about it, but I also don’t want to entirely throw this baby out with the bathwater.

 This is a huge topic, and I’ll hardly do it justice here. There are a few excellent books on it, but part of the problem with how we understand the studies might be that the most nuanced books seem to be the most academically written, and likely the least read. As it morphed into popular consumption it may have strayed further from the original intention. On top of the reading, I went to a couple workshops on attachment to find the magic solution to all our relationship ills, and my big takeaway is this (for free!): if you’re a bit distant, consider being open to getting closer, and if you’re a bit clingy, try to step back a bit. It’s good advice to notice and change patterns that are a problem, absolutely, but I’m not sure it merits the number of workshops, courses, and self-help books that it’s provoked. At worst, some books actually counsel people to avoid any “avoidant or disordered people” as if there’s no saving them from their dastardly origins. Therapeutic discussions of childhood misconnections definitely have helped people better understand themselves, but I think this theory produces such volumes of celebration and condemnation because, in difficult relationships, it feels like the answer, but to parents, it feels like blame.

Attachment Theory Criticisms 

Heidi Keller’s The Myth of Attachment Theory (2022) is an extremely thorough takedown of the theory. If attachment notions make you feel like a crappy parent, this book is vindicating. She explores the offense of putting it all on moms both because of the narrow focus on a single person as well as on singular causation, but her best work is in exploring the creation of a norm of interaction from upper-middle class, western assumptions around what it means to be sensitive to a baby’s needs, an analysis that was made at the time as well: 

Losing Our Democracy in Ontario

For a little while, Trump's mess made me über proud to be Canadian, and even a little bit okay with Ford. But that was short lived! 

If anything, the US disaster has been a distraction for us as the provincial majority government pushed through several anti-democracy policies. They're using Trump's trade war to try to justify these policies, but we all know that's bullshit. 

Bill 33: Supporting Children and Students Act, which passed second reading yesterday. It will give Ford more control over school boards and universities and colleges. It could mandate police presence in schools and mandate university admission policies. From OPSEU President JP Hornick:

"Stripping away access-focused admissions pathways threatens the socio-economic mobility of entire communities. They want to surveil and criinalize our kids from a young age and then make it even harder to access post-secondary education later on in their academic careers. Ontario's future depends on an inclusive education system, not one that intentionally keeps people out. ... It is clearly intended to defund these services in our colleges."

Covid Causes Clots!!

 A headline in the New York Post: "Why so many people are having strokes in their 20s, 30s, and 40s: We've never had patients so young." 

They report that, "Between 2020 and 2022, there was a 14.6% increase of strokes among people aged 18 to 44." Many of whom were "by all common standards, healthy." Their theories about the increase include birth control pills, stress, long working hours, physical inactivity, caffeine especially from energy drinks, and Adderall (although they add that most studies don't show a strong association between Adderall use and strokes). None of these have been shown to have increased that dramatically since 2020, but something else has. I stupidly read the comments on the article, which are all about "the jab" killing us. IT'S NOT THE VACCINE!!

There is, of course, absolutely no mention about an unmitigated brain-invasive virus doing the very type of damage researchers and doctors warned us about years ago. We knew that Covid stays in the body and forms blood clots since at least 2021, and it became widespread in 2022, which is why some wise doctors ask for a D-dimer test after a patient has problems post-Covid infection to check for clotting issues. Here are just a few: 

Protect Your Neurons from Nimbus!

The latest Covid variant has the same name as a big looming rain cloud. The more we let Covid spread, the more it will continue to mutate, and this one is even more easily transmissible. 

It's provoking people to mask up in parts of Asia, and governments are encouraging updated vaccinations in parts of Europe, and it's definitely in the states, but they're not doing much to stop it. Will we?? My kids and I still can't get another Covid shot until it's been a year since our last, and we can't access Paxlovid if we need it. But thankfully there are no mask bans being proposed here.

In the states, the FBI is treating Covid as a crime to be investigated instead of a public health matter to be mitigated:

Still Blooming!

Another milestone to reflect on life a bit today: my 60th birthday. It sounds so old, but I biked 60k total on Monday and Tuesday (didn't have time for it in one go), and played pickleball today, and I'm regularly writing 3,000 word essays, so I appear to still be reasonably sound in body and mind.  

I was hoping my crabapple would bloom for my birthday, but everything bloomed early this year. A couple years ago I wrote about some people who randomly walk by, loudly insisting my crabapple is dead. It's still not dead yet! These are the very last of the lilac blooms from my garden. Such a weird year.

New Covid Strain Causing Razor Blade Throat

Several news venues have been reporting on Covid in the last few days. An ABC News headline says: "Why are more than 300 people in the US still dying from Covid every week?" 

The article explains,

"Public health experts told ABC News that although the U.S. is in a much better place than it was a few years ago, Covid is still a threat to high-risk groups. 'The fact that we're still seeing deaths just means it's still circulating, and people are still catching it.' ... The experts said there are a few reasons why people might still be dying from the virus, including low vaccination uptake, waning immunity, and not enough people accessing treatments."

That last sentence is infuriating because vaccines wane in effectiveness after a few months, and vaccinations here are restricted to yearly except for people over 65 and anyone moderately to severely immunocompromised, such as organ transplant recipients, anyone HIV+, and anyone taking immunosuppressants. Furthermore Paxlovid, our only treatment option here, is only available to people over 60 or at high risk of complications from Covid. Otherwise, you're on your own.

On Approaching Death

 CW: As the title suggests, there will be discussion of death and dying and some mention of suicide in this post.

I thought nothing of following up my last post on Irvin Yalom on the meaning of life with Yalom on the meaning of death, until I started writing here. The very reality of being a bit wary of broaching the subject reveals the strength of societal taboos against admitting that we’re all going to die. Until it’s staring us in the face, we delude ourselves into thinking we will get better and better, mentally and physically, despite that our brain starts to shrink in our 30s, and our joints and organs will start to give out not so long after. We work hard to keep death clean and sanitized so the reality doesn’t seep in too much, and we try to do all the right things to keep death at bay: exercise, various special diets, wearing masks to avoid viruses. We can fix some evidence of erosion with meds and surgeries, sometimes miraculously, but some people even hope to keep their brain going long after their body dies.

Dancing with Viruses

There are several measles cases in Waterloo Region. As of last week there were currently over 60 cases in nearby Wellington/Guelph, and over 1,300 in Ontario since October.

Measles is like Covid in that there's an incubation period in which people have no symptoms but are contagious. Viruses are stealthy! For measles, it's 7-12 days from exposure to symptoms like fever or cough, so it's really important to track cases and isolate if potentially exposed. For Covid, it can be 5-7 days before it's picked up by a rapid test, and you can have it and spread it without any symptoms at all. Both cause serious complications, including brain infection, and leads to death in about 1 or 2 in 1,000 people. 

Both can be prevented with an N95.

The biggest difference between these viruses is that getting vaccinated is extremely good protection for measles, but not for Covid. If you got your measles shots, you're very likely completely protected. Unfortunately, vaccination rates are plummeting. We need to have at least 94% of the population vaccinated to create herd immunity and keep measles at bay, and Ontario has been hovering in the 70s since Covid started and anti-vaxx nonsense got a platform. Vaccination against Covid does a lot to keep people out of the hospital, but it doesn't prevent getting and spreading the disease because, like the flu, Covid mutates all the flippin' time. Measles is just measles, but Covid could be delta, or alpha, or one of many omicron variants, or whatever's going on now. It changes so much I stopped keeping track. The more it spreads, the more it mutates, and we're doing nothing to stop the spread. 

Please Vote!!

Let's see if we can avoid our own Timbit Trump tomorrow!! If you're not sure of the best candidate to beat the cons in your riding, check out Smart Voting!  

Prime Minister Carney said of Poilievre yesterday, 

"It's easy to be negative when you've never fixed anything. It's easy to be negative when you've never built anything. It's easy to be negative when you're a career politician who has never accomplished anything." 

Taylor Noakes, agrees that Poilievre has accomplished nothing during his twenty years in Parliament:

"This isn't as much a political party as it is a ChatGPT-based slogan-generating algorithm speaking through the mouth of everyone's least favourite muppet. . . . The Conservatives have essentially made 'Fuck Trudeau' their ideology, and the average Conservative voter has made it their core identity. ... The Conservative Party have placed strict limits on who is allowed to ask him questions, and have further tried to prevent journalists from talking to party supporters and local candidates. ... According to a report by LaPress, Poilievre seems to have the loosest grasp on facts and the truth, as the publication found that he lied, embellished or misled far more than any of the other candidates during last week's debate. ... He has voted against the environment and climate 400 times ... against the Canadian Dental Care Plan, $10 a day daycare, the National School Food Program, the Canada Child Benefit, and raising the federal minimum wage ... against a proposed first-home savings account and a proposal to build four million new homes."

The Rise of Unreason

The Ontario Health Coalition put out a press release a couple weeks ago about the sharp increase in people infected with measles here. There were 816 cases from October 2024 to April, then 155 new cases from April 3-11. Our immunization rates are lower than most of Europe -- only 70% of kids have typical childhood vaccinations. Vaccination rates were reduced dramatically in 2020. "This is a Public Health failure that must be addressed with the utmost urgency." 

David Fisman recently wrote about it: 

Balancing Individual Rights and Community Health Requires Knowledge of History

Ontario is in the midst of a measles outbreak, and our Chief Medical Officer of Health (CMOH) is taking a “you do you” approach. No mandates. No strong guidance. Just a gentle suggestion that people make informed decisions…if they choose to. It’s a startling response given public health’s long history of collective action, and at times, authoritarianism. 

That authoritarianism wasn’t a bug of early public health. It was a feature. Modern public health emphasizes individual rights, but those rights can come into tension with the community’s right to health, especially during outbreaks of communicable diseases. Institutional public health grew out of fear. 

Yalom on Approaching Meaning

About 45 years ago, psychiatrist Irvin Yalom estimated that a good 30-50% of all cases of depression might actually be a crisis of meaninglessness, an existential sickness, and these cases require a different method of treatment. We experience this lack of purpose as boredom, apathy, or emptiness. We are "not told by instinct what one must do, or any longer by tradition what one should do. Nor does one know what one wants to do," so we feel lost and directionless. Instead of addressing meaninglessness as the problem, though, we've been merely addressing the symptoms of it: addictions, compulsions, obsessions, malaise. In today's context, it might suggest that even social media issues could be problems with a lack of meaning. 

The last sentences of his lengthy tome, Existential Psychotherapy, sum up his solution: "The question of meaning in life is, as the Buddha taught, not edifying. One must immerse oneself in the river of life and let the question drift away." How he lands here is an intriguing path through a slew of philosophers and psychiatrists. Even without symptoms of a problem, attention to meaning is necessary as it gives birth to values, which become principles to live by as we place behaviours into our own hierarchy of acceptability. 

"One creates oneself by a series of ongoing decisions. But one cannot make each and every decision de novo throughout one's life; certain superordinate decisions must be made that provide an organizing principle for subsequent decisions." 

Yalom doesn't, however, suggest coming up with a list of values that can become meaningful to us, but that we immerse ourselves in life to become more aware of which values we already have. 

WHAT'S THE POINT? IT'S FOR US TO DECIDE

According to Yalom, we've hit this crisis point in meaninglessness because we have the leisure to think and because our work is no longer clearly purposeful, both of which are relatively recent experiences for such a large proportion of civilization. It's no longer just the philosophers of the day asking, What's it all for? What's the point of it all? He takes the existential position that it's up to us to figure it out. 

Orange Monday or MAGA Monday?

Time will tell which name will go down in history books. But April 7, 2025 will be up there with Black Monday (October 19, 1987) and Black Thursday (October 18, 1929).

Trump wants everyone to just calm down, already, in his own ever-weirdly worded way. But he said this just before millions of Americans died of Covid, too. 

So, Tariffs, Amiright?

Round of tariffs for all, except Russia.

I have a friend in the states who isn't worried about any of this stuff. "Big businesses will stop it," she says. She expects 3-6 months of wavering, max, then corporations will push back enough that things will settle down. It's all just posturing. She has a lot of faith in the markets and in this administration's willingness to be pushed. But okay. Maybe.

I suggested the tariff threats have already changed everything, and she was surprised to hear about American products being taken off the shelves or indicated in some way to help us avoid purchasing them, and that travel between our countries is down 70%. We don't want American stuff anymore, and we'll avoid it as much as we can. 

One analogy that rings true: 

"Imagine one of your friends points a loaded handgun at your face, and then immediately goes, 'nah man, just joking lol'. No matter how short a time that was, you're still not gonna ever trust that motherfucker again. It will have permanently altered your relationship. Anyway, tariffs on penguins."

Public Health Needs to be Independent

 David Fisman posted a thread yesterday about problems when big money gets involved in public health.

"During Covid, I experienced firsthand how political pressure twisted science—and nearly destroyed reputations. A short thread on conflict-of-interest theatre, redacted emails, and lessons we still haven’t learned. 

In January 2021, I was publicly accused by Ontario’s Premier of having a conflict of interest due to paid consulting work I did for the Elementary Teachers’ Federation of Ontario (ETFO). The suggestion was that I’d influenced school closure advice. What wasn’t shared? Internal emails—later released via FOI—show this was a manufactured controversy. The allegations didn’t reflect what officials knew privately. And that story deserves to be told. 

On Jan 26, 2021, Heather Watt (Chief of Staff to Health Minister Christine Elliott) drafted messaging about the “conflict.” She sent it to Steini Brown—my dean at the University of Toronto, and chair of the Science Advisory Table—for input. Steini replied carefully. He pushed back, noting: “There’s no direct line between David working for ETFO, us giving you advice to close schools, and you following it.” His reply was initially redacted in FOI responses. Journalist Jack Hauen appealed the redaction—and won. He sent me the full, unredacted email when requesting comment. It showed that the internal view did not support the public claims being made about me. Steini also wrote: “He is merely one of dozens of scientists working on a volunteer basis and does not speak for the group in his work for ETFO.” That’s a very different story than what was spun publicly. 

Disappearance of the Rule of Law

Charlie Angus talked about Canada-US relations on Meidas Touch: "We're thinking, if we go down the road with this regime, we're talking about the disappearance of the rule of law, and that's deeply offensive to us." 

Rule of law goes at least as far back as the Magna Carta over 800 years ago. It means that everyone is under the law, including the king. Even a president! Even in the US they overtly seek "the government of laws and not of men," and make that clear in the 5th and 14th amendments. John Adams feared the "vulgar rich": To ennoble the new regime, the most talented must be made to serve their country, rather than their selfish desires. Adams thought offering fancy titles would satiate their quest for power, taking a page from Rousseau: "the role of illustrious offices and signs of rank in countering the popular passion for material wealth." But that's not enough for this crew. They have no respect for rule of law. 

Human rights will always be pushed by those who hope to exploit a situation or group of people, and we need to be there to push back. Over and over and over again. I used this 5 minute explanation of the history of human rights in my grade 10 civics classes:

The important bit is at the end, that we have to KEEP fighting for our rights. There will always be people trying to amass power and override the law, and we have to be ready for that, en masse, to stop it.