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Neurotechnology today: What’s real, what’s coming
A balanced discussion of the realities, the mythologies, and the concerns surrounding cutting-edge brain research.
- A new film, I AM HUMAN, takes a comprehensive look at the realities of neurotechnology today.
- The film follows three patients for whom experimental treatment may be the best option.
- Experts weigh in on the difficulties and the promise of neurotech.
We hear a lot these days about a coming convergence between man and machine. Nowhere are more promises being made than in the area of the brain. From Elon Musk's brain interface to the promise of enhanced minds to home-brewed brain "stimulators," neurotechnology seems poised to carry us across a threshold into a new and glorious world. Or a new and terrifying one. There's robust debate over the potential impact, dangers, and value of such disruptive technology, as there should be. The problem is that we're not so good at thoughtful, reasonable debate.
We don't often write on Big Think about individual movies, but there's a new one, I AM HUMAN, directed and produced by Taryn Southern and Elena Gaby. It provides an unusually intelligent, wide-ranging, and balanced overview of where the research stands, and it's a compelling and thought-provoking experience. This being an area of such keen interest to Big Think readers, we recommend being on the lookout for this film.
Bill, Anne, and Stephen
One of the great hopes for brain research, of course, is that we'll discover the mechanisms behind brain disorders and learn how they can be cured. The World Health Organization has estimated that about 1 in 6 people have a brain disorder of some sort — that's a billion-plus people. As our visionaries fuel our imaginations regarding the eventual possibilities, it's easy to forget there are people here and now for whom the restorative potential of brain technology is no sci-fi daydream — it's a source of hope that their health can be restored. As doctors and technicians embark on this journey, they're accompanied by people you'd never imagine meeting at the cutting edge. People for whom such wildly experimental therapies are their best, and maybe only, hope.
I AM HUMAN introduces us to three such people. It's in following them through their procedures that we see the latest technologies being explored. Our emotional investment in this brave trio viscerally reminds us of the stakes involved.
- Bill recalls, "I was riding a bicycle in a charity event. It was raining really badly and I was following a mail truck. And then all of a sudden, it stopped and I didn't." A tetraplegic, Bill has no feeling below his mid-chest and longs to be able to one day regain enough movement simply to feed himself without assistance.
- Anne has Parkinson's disease. "I'm not really sure what's happening in my brain. Anxiety. Insomnia. Paralysis," says Anne. In addition to her fear of becoming nothing but a burden to her family as her symptoms worsen, "One of the Parkinson's symptoms I was always afraid of was that you couldn't smile and when you smiled you had a stony expression," she says. "It's hard to connect with people. I'm just way too exhausted and way too disorganized mentally to be with people the way I used to."
- Stephen was born with a condition he knew nothing about until his world world turned white: " When I lost my vision, the whole world collapsed." He lives alone, aided by his sister, with whom he's close, helping him get through life. "I just miss being independent."
The challenge of the human brain
Connective ports provide access to electrodes implanted in Bill's brain.
Image source: Luca del Puppo
None of the many experts interviewed in I AM HUMAN believe that a fundamental understanding is imminent of that three-pound object that has so much to do with who we are. Southern tells Big Think that, "The one consistent thing I've learned about a lot of neuroscientists is they have a very sober and humble view of just how complex and difficult of a problem they are tackling."
The current estimate is that the brain contains 100 billions neurons. As neuroscientist Miguel Nicolelis notes, "100 billion was the old estimate of the number of galaxies in the universe." And even that number doesn't convey the true mathematical complexity involved. David Eagleman, also a neuroscientist, says that each of those neurons "is as complicated as the city of Los Angeles. It's connecting to 10,000 of its neighbors — so you have, you know, 500 trillion connections" to identify if you're trying to understand the human brain. Computer scientist Ramez Naam says it simply: "The brain is the most complicated object we've ever encountered in nature."
It's also a black box. Alongside each movement we make are lightning-fast instructions exchanged between these many neurons in some internal language we don't speak. Researchers use a range of technologies to eavesdrop on the brain's chatter — as Southern says, "You have methods like EEG, which uses electrical impulses to read brain activity; deep-brain electrodes also use electricity. But then you've got magnetic resonance imaging (MRI) to read blood flow and sound waves through ultrasound. Of course, the non-invasive methods are more palatable. I'm sure that soon in the future, neuroscientists will see all of our methods now as crude."
Just as daunting, when neuroscientists attempt to manipulate individual neurons, the precision required is astounding, with each procedure a white-knuckle procedure. Surgeon Andres Lozano tells the filmmakers, "This is a game where you have to be within one millimeter. That one millimeter means a difference between success and failure."
Or stumbling into another area of the brain. One doctor told the filmmakers of a case in which an interface was implanted into the hypothalamus of a patient weighing 420 pounds "to see if they could regulate hunger or appetite." No dice. On the other hand, "To their surprise, the patient had vivid flashes of memory from 30 years earlier. When they left the stimulator on for a period of time, at a lower current, the patient had huge increases in memory capacity and being able to remember lists of words."
So for all of the fever-dreams of any-time-now cyber-brains, neurotech investor Bryan Johnson offers a reality check: "It's extraordinarily difficult to make breakthroughs in neuroscience. Scientists are tackling these really complicated problems, trying to do things that other people consider to be impossible. And it makes it both an extremely exciting time but also, it's daunting because there is no clear path to success."
Visions of the neurotech future
Anne must remain conscious during her deep brain surgery.
Image source: Joel Froome, ACS
The film presents' a range of advocates' visions of the possibilities should we finally be able to master the workings of the brain.
"We are about to enter into the most consequential revolution in the history of the human race," says Johnson, "where we can take control of our cognitive evolution. If we can make breakthroughs in the brain, we can overcome our biological limitations. We can reject the things that stop us from moving forward. My hope is that we get to a point in tech advancement that we're not limited by our technology, we're empowered by it, so it's a matter of choice of what we want to become."
While Southern says coverage of research is often focused on the enhancement of people to be "smarter, better, faster," she suggests that this may merely be a reflection of "our own sort-of Western bias to favor productivity and efficiency. But perhaps in other Eastern cultures they would orient the use of an interface to induce greater states of calm or create more empathy."
Johnson offers up how this could work: "Imagine I had a tool to interface with my brain where I could walk a mile in someone else's shoes. What if I could feel what it was like to be you? What if I could understand your contextual framework? What if I understand your memories and your emotions? Would that change the way we deal with each other? The way we cooperate, the way we make decisions?" Or, he adds, "Would that change our creative ability?"
Philosophical question arise
Retinal implants such as Stephen's are created in Second Sight's lab in Sylmar, CA.
Image source: Credit: Joel Froome, ACS
Of course, not everyone is embracing neurotechnology. According to a recent Pew study for example, people are more worried than enthusiastic when it comes to brain chip implants designed to boost a person's natural abilities — only 34% would be interested in getting one. (About half are okay with implants' use for therapeutic value.)
It's not just a fear of change — there are genuine philosophical and ethical issues. As Naam says in the film, "As we have this ability to change who we are, change our personality, what's at the core of us? What does that do to our sense of where we belong in the universe?"
Professor of philosophy and law Nita Farahany sums up the question this way: "If we start tinkering with the brain, if we start changing it….What does that mean? Are we about to fundamentally change what it means to be human? And if so, are we okay with that?" Seeing that, "We're at the moment where there are a lot of very rapidly emerging technologies, and brain computer interfaces are starting to become part of mainstream society,"' she warns that we'd better start figuring out where we want all this research to go before it's too late.
Southern tells us, "My biggest concern around the ethics is the lack of basic knowledge that we have as a society about science and tech. Scientists are so great at science, but sometimes lack the time or ability to connect that information to a larger audience. I think information is power, and the first step is education."
As far as the ethics of experimenting on living patients goes, the decisions of Bill, Anne, and Stephen to participate reflect their lack of better options. "People are worried, you know, 'Will I be the same, coming out, as I was going in?'" says Lozano. "There's a tremendous amount of anxiety about whether they are going to change in their outlook, in their personality, in their motivation, in their drive. You know, this is brain surgery. It's invasive. It is a scary thought."
The doctors involved, says Southern, are "incredibly conscientious about the impact of their work on the world, and those that we worked with on the film have a real drive to help people and improve lives. I don't think many people would argue that restoring function to someone with a disease as a resort of a brain interface is a bad thing. The ethical questions come down the road from there, when adoption becomes more widespread and normalized and people start to seek 'cosmetic' applications of these currently medical devices."
In the end
Southern says she was drawn to this topic as a storyteller. "I see what they're doing, and I think it's just incredible." Her goal in making I AM HUMAN she says, is that, "It's their job to be understated, and my job to hopefully translate the awe and I wonder I feel about what they're doing with the world."
In their experiences creating this film, Southern and Gaby gained a uniquely comprehensive overview of where things stand. We asked Southern what she dreams of humanity gaining from neurotechnology. "I'm really intrigued by the ideas of expanding our sensory abilities and processing. We know that our brains receive data through our given senses — sight, tough, taste, sound, etc. But that data isn't necessarily reflective of reality, and other animals can receive data into their brains differently. For instance, bats have a sense called echolocation that allows them to use sound waves and echoes to determine where they are in space. What if we had that ability? Or what if we could sense electromagnetic waves or ultraviolet light? I'd be pretty excited to see some of these things come to fruition."
Such capabilities could allow us to understand the true nature of physical reality in ways we currently lack the tools to even image. On a more day-to-day level, she adds, "I'd also love to just be able to turn off that pesky and unnecessary fight-or-flight survival response to mundane stress."
The experience has left Southern feeling "Optimistic. Every new technology has been fraught with incredible advantages and drawbacks. I see this being no different. We're just so often uncomfortable with changing the status quo — but ultimately we collectively adopt what is valuable to us. Pessimism around technology," she says, may just reflect issues with our values and systems. "When the foundation of those are broken, it's hard to imagine not building things on top that wreak some degree of havoc. Ultimately, however, having our ability to see and understand the mechanics of our own minds — the creation force of our reality — offers us unparalleled potential beyond our wildest imaginations."
I AM HUMAN will be screened at the Tribeca Film Festival in early May.
Educators and administrators must build new supports for faculty and student success in a world where the classroom might become virtual in the blink of an eye.
- If you or someone you know is attending school remotely, you are more than likely learning through emergency remote instruction, which is not the same as online learning, write Rich DeMillo and Steve Harmon.
- Education institutions must properly define and understand the difference between a course that is designed from inception to be taught in an online format and a course that has been rapidly converted to be offered to remote students.
- In a future involving more online instruction than any of us ever imagined, it will be crucial to meticulously design factors like learner navigation, interactive recordings, feedback loops, exams and office hours in order to maximize learning potential within the virtual environment.
A leading British space scientist thinks there is life under the ice sheets of Europa.
- A British scientist named Professor Monica Grady recently came out in support of extraterrestrial life on Europa.
- Europa, the sixth largest moon in the solar system, may have favorable conditions for life under its miles of ice.
- The moon is one of Jupiter's 79.
Neil deGrasse Tyson wants to go ice fishing on Europa<div class="rm-shortcode" data-media_id="GLGsRX7e" data-player_id="FvQKszTI" data-rm-shortcode-id="f4790eb8f0515e036b24c4195299df28"> <div id="botr_GLGsRX7e_FvQKszTI_div" class="jwplayer-media" data-jwplayer-video-src="https://content.jwplatform.com/players/GLGsRX7e-FvQKszTI.js"> <img src="https://cdn.jwplayer.com/thumbs/GLGsRX7e-1920.jpg" class="jwplayer-media-preview" /> </div> <script src="https://content.jwplatform.com/players/GLGsRX7e-FvQKszTI.js"></script> </div>
Water Vapor Above Europa’s Surface Deteced for First Time<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="9c4abc8473e1b89170cc8941beeb1f2d"><iframe type="lazy-iframe" data-runner-src="https://www.youtube.com/embed/WQ-E1lnSOzc?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span>
Join The Daily Show comedian Jordan Klepper and elite improviser Bob Kulhan live at 1 pm ET on Tuesday, July 14!
Can thinking about the past really help us create a better present and future?
- There are two types of counterfactual thinking: upward and downward.
- Both upward and downward counterfactual thinking can be positive impacts on your current outlook - however, upward counterfactual thinking has been linked with depression.
- While counterfactual thinking is a very normal and natural process, experts suggest the best course is to focus on the present and future and allow counterfactual thinking to act as a motivator when possible.
“Upward” versus “downward” counterfactual thinking<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yMzQ1NDYxOS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY0NDM2MDY2OX0.njWs1qrV1vDBxU1V75tUduUW4TjJvEHglDWsK8ZF2l4/img.jpg?width=1245&coordinates=0%2C556%2C0%2C209&height=700" id="a15fa" class="rm-shortcode" data-rm-shortcode-id="98314d4d2b256ed08f42d369fe4ae080" data-rm-shortcode-name="rebelmouse-image" alt="concept of man thinking about the past one line drawing counterfactual thinking" />
What are upward and downward counterfactual thinking?
Image by one line man on Shutterstock<p><strong>What is upward counterfactual thinking?</strong></p><p>Upward counterfactual thinking happens when we look at a scenario and ask ourselves "what if" in terms of how our life could have turned out better. </p><p>Examples of upward counterfactual thinking are: </p><ul><li><em>"I wish I had taken that other job instead of this one 10 years ago - my life would be so much better if I had." </em></li><li><em>"I wish I would have gotten the part in that high school play, maybe I could have gotten into a theatre school and became an actor…"</em> </li></ul><p>Both of these examples have the ideology that if you had made different choices, your life right now would be improved. </p><p><strong>What is downward counterfactual thinking?</strong></p><p>Downward counterfactual thinking is, naturally, the opposite of upward counterfactual thinking in that we think about how things could have been worse if other decisions had been made. </p><p>Examples of downward counterfactual thinking are: </p><ul><li><em>"I'm so thankful I studied secondary education in university instead of psychology like I had originally planned - I love teaching high school kids and I never would have gotten to do that…" </em></li><li><em>"I'm so happy I left David when I got the chance, I can't imagine still being in an unhappy marriage with someone who doesn't support me…"</em> </li></ul><p>In these examples, we see the idea that if you had made different choices your life would not be as good as it is right now. </p>
How counterfactual thinking can impact your life<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yMzQ1NDYxNy9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYyNjI2MDQxOX0.DIVQ-Yk0d6yE3tc743MH1Fz2pOg1TGHLmhp8dPp9UdY/img.jpg?width=1245&coordinates=0%2C0%2C0%2C0&height=700" id="522d7" class="rm-shortcode" data-rm-shortcode-id="da7df6ad916b043e3610223900d0f8df" data-rm-shortcode-name="rebelmouse-image" alt="man thinking what if written on chalkboard" />
How do upward and downward counterfactual thinking impact your life?
Photo by Brasil Creativo on Shutterstock<p>While many people don't see the point in "what if" scenarios, various studies have found that downward counterfactual thinking can be more associated with psychological health compared with upward counterfactual thinking. Not only that, but research has also shown upward counterfactual thinking can be linked with current and future depression.</p> <p><strong>Downward counterfactual thinking tends to be more associated with psychological health </strong></p><p>According to a <a href="http://journal.sjdm.org/jdm06136.pdf" target="_blank">2000 study</a>, downward counterfactual thinking can be linked with better psychological health compared to upward counterfactual thinking. More importantly, in cases where downward counterfactual thinking did lead to negative feelings, those feelings acted as something of a motivator for people to take productive actions to better their current situation. </p> <p><strong>Upward counterfactual thinking tends to be more associated with depression </strong></p><p><a href="https://www.sciencedirect.com/science/article/abs/pii/S0272735816301714#:~:text=An%20upward%20counterfactual%20(as%20opposed,Markman%20and%20McMullen%2C%202003)." target="_blank">According to a 2017 study</a> that pooled a sample of over 13,000 respondents, thoughts about "better outcomes" and regret (upward counterfactual thinking) were associated with current and future depression. </p> <p><strong>Downward counterfactual thinking can actually improve your relationships and is more often engaged in by women than men.</strong></p><p>In a <a href="https://dspace.sunyconnect.suny.edu/bitstream/handle/1951/67589/Studer_Thesis.pdf?sequence=1&isAllowed=y" target="_blank">2016 research paper submitted</a> to the Department of Psychology at the State University of New York at New Paltz, downward counterfactual thinking in regards to romantic relationships was associated with relatively positive relationship outcomes. Interestingly, women were more likely than men to engage in downward counterfactual thinking about their romantic life. </p> <p><strong>Upward counterfactual thinking can have some benefits in certain scenarios. </strong></p><p>When we look back after a failed test and think "I wish I would have studied more" - this motivates us to study harder the next time a test comes up. In this way, upward counterfactual thinking (or the negative version of "what if") can actually benefit us. </p> <p><strong>This can be difficult, though, because much of the time upward counterfactual thinking is more associated with a pessimistic outlook that can be unmotivating. </strong></p> <p>Thinking in the past tense can be motivational (and even healthy) at times, but the best thing to do is look forward. </p><p>While counterfactual thinking as a whole can be used to motivate us to make better choices or appreciate where we are in life, <a href="https://www.psychologytoday.com/us/blog/darwins-subterranean-world/201809/the-psychology-what-if" target="_blank">this Psychology Today</a> article suggests that we should come up with ways to move on and focus on the present and the future instead of the past. Using counterfactual thinking as a motivational tool can be very helpful if we don't get stuck in the "what if" mindset that tends to pull us out of the present and back into the past, where things will always remain the same. </p>
Despite fact check campaigns, anti-vaccination influence is growing.
- Despite announcing plans to combat disinformation, anti-vax groups continue to gain influence on Facebook.
- An analysis of over 1,300 Facebook pages with 100 million followers shows that anti-vaccination agendas are having a profound impact.
- Only 50 percent of Americans are certain they'll receive an approved COVID-19 vaccine.
Facebook announces plan to 'tackle vaccine misinformation'<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="997c512b8b8afcd4db98fdb7ece75680"><iframe type="lazy-iframe" data-runner-src="https://www.youtube.com/embed/ZTZ3Lq67yiY?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span><p>This trend is having real-world consequences. Only <a href="https://www.sciencemag.org/news/2020/06/just-50-americans-plan-get-covid-19-vaccine-here-s-how-win-over-rest" target="_blank">half of Americans</a> are willing to get a coronavirus vaccine, with a quarter wavering and a quarter against. While we should be confident of efficacy—gossip about a <a href="https://www.webmd.com/lung/news/20200511/covid-19_vaccine_by_fall_possible_but_at_what_cost" target="_blank">vaccine arriving in the Fall</a> is ambitious and potentially unsafe—the idea that a quarter of the country will refuse any vaccine is a potential public health disaster (as if we're not experiencing one now).</p><p>Making matters worse, we can't fight disinformation with data. No matter how many articles <a href="https://bigthink.com/coronavirus/the-plandemic" target="_self">debunk Plandemic</a>, Mikki Willis gains momentum. Do <a href="https://www.facebook.com/mikki.willis/posts/2875973472513592" target="_blank">27,000 doctors</a> really support his efforts to "reform our corrupt global healthcare systems?" There's no way to tell, but that's the thing about Facebook: it doesn't have to be true. Willis's claim, which he made in conjunction with a fundraising effort for the film, has been shared 4.4k times. Convincing his fanbase that perhaps tens of thousands of doctors aren't on board will be a Herculean task. </p><p>Media Matters notes the official-sounding National Vaccine Information Center (NVIC), which, though sounding governmental, opposes every effort to vaccinate children. Beginning in February, the organization's website started publishing a "<a href="https://www.nvic.org/vaccines-and-diseases/Reports/covid-19.aspx" target="_blank">special report</a>" on COVID-19, laying the groundwork for vaccination disinformation. </p><p style="margin-left: 20px;">"The first three installments of the 'special report' adopt right-wing themes unrelated to vaccines, such as the claim that public health orders that promote social distancing result in a 'loss of civil liberties' and subject Americans to 'quarantine shaming.' The fourth installment, published on March 29, includes the first attacks on vaccine development in the series … The fifth installment of the 'special report,' published on April 1, frames the vaccine development efforts of pharmaceutical companies and other entities as a cash grab."</p>
A truck with writing "JESUS IS MY VACCINE" drives by demonstrators rallying outside the Pennsylvania Capitol Building to protest the continued closure of businesses due to the coronavirus pandemic on May 15, 2020 in Harrisburg, Pennsylvania.
Photo by Mark Makela/Getty Images<p>The irony is that NVIC's Facebook page is listed as an "Educational Research Center." Just today the organization posted about the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2831678/" target="_blank">long-disproven link between the measles vaccine and autism</a> (via Robert F. Kennedy's anti-vax organization, Children's Health Defense), <a href="https://www.vice.com/en_ca/article/wxevj5/the-coronavirus-truthers-dont-believe-in-public-health" target="_blank">opportunist Joseph Mercola</a>'s questioning whether the COVID-19 surge in Texas has anything to do with the novel coronavirus, and conspiracy theory-rich GreenMedInfo, whose founder traffics in ridiculous ideas, such as <a href="https://www.facebook.com/watch/?v=1720256541450732" target="_blank">germ theory being false</a>. </p><p>And so here we are: instead of reporting on pressing global issues, Reuters has to <a href="https://www.reuters.com/article/uk-factcheck-metal-strip-medical-masks-5/fact-check-metal-strip-in-medical-masks-is-not-a-5g-antenna-idUSKBN24A2O1?fbclid=IwAR2nqo5OaXP3unV7v3jOhtdGY5JjivJgyBSqrKcW0pcEJfhdGWieDb1K5C8" target="_blank">fact check</a> whether the metal strip in face masks is really a 5G antenna or if Wayfair is <a href="https://www.reuters.com/article/uk-factcheck-wayfair-human-trafficking/fact-check-no-evidence-linking-wayfair-to-human-trafficking-operation-idUSKCN24E2M2" target="_blank">involved in human trafficking</a>. (The woman that posted the "medical doctor" video above is convinced Amazon is involved as well.) No matter how ridiculous these sound—and they should, to any functioning adult—common sense is losing ground: an <a href="https://www.sciencemag.org/news/2020/05/vaccine-opponents-are-gaining-facebook-battle-hearts-and-minds-new-map-shows" target="_blank">analysis</a> of over 1,300 Facebook pages with 100 million followers shows that anti-vax agendas are becoming more influential.</p><p>When the printing press was first invented, <a href="https://apple.news/Agz3WmeyWTEKLg-9yHo2BMA" target="_blank">anyone could hire a printer</a>. The idea of objective news took some time to work out, and it is questionable that it ever did get worked out. But we're in a truly disturbing place when one of the most effective therapeutics ever discovered—the <a href="https://www.tmrjournals.com/tmr/EN/abstract/abstract321.shtml" target="_blank">millennia-old idea</a> of allowing the body to build up immunity by introducing a small dose of an offending agent—is being used as, what? A political tool? An ideological battering ram? An apocalyptic battle song sung by the woke as they laugh at all the silly sheeple? </p><p>It's impossible to tell what the end game is. Being contrarian is now its own currency. Whether or not your agenda accomplishes anything is secondary to just being on the team—a participation trophy for simply showing up. Putting in the intellectual and emotional effort demanded by the complex and nuanced realm of science is proving too much for America to tolerate. When a nation descends into such intolerance, anything becomes possible. </p><p>--</p><p><em>Stay in touch with Derek on <a href="http://www.twitter.com/derekberes" target="_blank">Twitter</a>, <a href="https://www.facebook.com/DerekBeresdotcom" target="_blank">Facebook</a> and <a href="https://derekberes.substack.com/" target="_blank">Substack</a>. His next book is</em> "<em>Hero's Dose: The Case For Psychedelics in Ritual and Therapy."</em></p>
Gender and sexual minority populations are experiencing rising anxiety and depression rates during the pandemic.