The social anxiety playbook: Defeat your demons
Some anxiety is natural, but it doesn't have to control your life.
ANDREW HORN: So, you've all had that moment where you're at a bar, you're maybe dancing a little bit, moving around. You see someone looking at you out of the corner of your eye and then your movements become a little more constricted. You become a little more in your head and you're worried about what they might think about you. So that's that external motivation. In any moment you can ask yourself, 'Am I doing this because I want to, or because I think people will like it? Am I doing this because I want to or because I think people will like it?' If we're basing it off of the reality that someone else will like it we'll never really know. We open ourselves up for that social anxiety. The fear of negative judgment, the unknown of external validation. So, we can always ask ourselves, 'What do I want to do right now? What is interesting to me? What would feel good to me?' And act off of that to eliminate social anxiety to bring more confidence into our conversations. So, that's how we find our authentic voice and use it. And your authentic voice is a deep down understanding of who you are, what you care about, and what you believe. And it's only when we have that foundational understanding that we're able to bring confidence into social situations. Because if we're not basing our actions off of this internal understanding, we're constantly looking for external validation, for other people to tell us what is cool, what is acceptable, what is appropriate. And if you look at the actual definition of social anxiety it's literally the fear of negative judgment. So again, it's based in that external validation.
AMY CUDDY: In your sort of day-to-day life when you're not facing one of these big challenges you're naturally expressing who you really are because you're not afraid to tell your friends what you care about or show your family who you really are. When you get into those stressful situations the last thing you're thinking about is, 'I need to make sure that I show them exactly who I am.' And so instead showing them who you are becomes very threatening, and that wall goes up and now you can't access those things. Even if you want to you can't access them because you're into kind of fight or flight mode.
ANNE MARIE ALBANO: The fight or flight response evolved to protect us. So there's two components to it. The oldest being the amygdala, which is deep in the brain in the reptilian part of our brain, signals whether we should fight something, flee something, or freeze. When it goes awry is when it's perceiving immediate danger that really isn't there. Somebody's heart starts to race and they think, 'Oh, my goodness. Is something wrong with me?' That's panic, and that can send somebody into a panic attack, which is the clinical manifestation of the fight or flight response. The other thing with anxiety is again, as we evolved and became thinking human beings and started building communities and cities and civilizations, is our brain evolved and there's the cortex. It's within the cortex that we think. It's within that system that we worry. And so we can worry ourselves into states of anxiety where we are fraught and not knowing what to do and we actually get stuck with anxiety, and so we're tense and irritable and upset. Anxiety is perfectly normal. In any form it's perfectly normal. Having your heart racing because somebody is walking behind you and you don't know who it is, is kind of normal. But if you let that happen to you when you're sitting alone at home and you start having panic, then that gets out of control.
HORN: The American Psychological Review just put out a study a couple of years ago and they found out that 60 percent of all people identify as struggling with shyness or social anxiety. Sixty percent. So if you've struggle with that kind of intimidation, if you've had that self-critical internal dialogue you're in the majority. And so you need to be easy on yourself and say that those feelings are natural and they're ubiquitous. Everyone has those. And so when we have those feelings we should notice that most times when we have that kind of intimidation factor we feel unworthy. We're comparing ourselves to others. We're looking at other people and saying oh wow, they're so much smarter than I am, or oh wow, I'm never going to be that good. And so comparison is the thief of joy. If we're constantly comparing ourselves with other people we're not going to be able to enjoy the process and it's going to be very hard to maintain the effort and energy that it takes to be really good at something. So what's more important, what's more effective to focus our energy on is what we want to be really good at and comparing ourselves with who we were yesterday. If all we do is focus our attention on being better than we were the day before, we can live that process for the rest of our life. Because again, knowing who you are, what you care about and what you want to be is something that you'll keep defining for the rest of your life.
CUDDY: When people self-affirm it is the simplest exercise. It really is one, what are your core values? Two, why do they matter to you? Three, write about a time when you expressed this. When people do that it dramatically lowers their stress and anxiety, self-reported stress and anxiety. It lowers their neuroendocrine measures of stress and anxiety, like cortisol and epinephrine, and it allows them to perform much better in a stressful task. So somebody might self-affirm and write about why family matters to them and then they go take a really hard math test. Not only are they less stressed out, they actually do better on the math test. Now, what's funny about it is it's not somebody saying to him or herself I'm a math genius. I'm a real Einstein. It has nothing to do with math. The self-affirmation can have nothing to do with math. Why does it work? It works because when we are reminded of who we really are, it's okay to not be perfect. So you can go into that stressful situation and know that no matter what happens you are leaving it as yourself. So, I think it's a pretty wonderful little intervention.
HORN: So I learned this from my friend Andrew who's a hypnotherapist here in New York City. He works with a lot of the Fortune 500 brands, quickest growing startups. And basically what he talks about with some of these leaders is helps them to identify where they have anxiety in their leadership roles and helps them to overcome that and really achieve peak performance. And so when I first met him I said, 'Okay, so how would you use hypnosis to alleviate something like social anxiety?' And so what he would tell me is he'd say, 'Okay, so what I want you to do is think about a social situation where you might have some anxiety.' And I'd say okay, 'I'm going into a big tech conference with a bunch of really influential people and I might be nervous,' and he'd say 'Articulate the undesired state of being. What is that?' And so I'd say, 'I'm worried that I won't have anything to say. I'm worried that they won't think that I'm high up enough to actually care about what I'm going to say. I'm not going to add value.' He'd say, 'Great. Just by actually articulating the undesired state you are naming it and you're taming it. You're going to be more aware when those undesired states manifest and that's the first step.' And so he said step two is that you have to articulate the desired state of being. And our brains are really good at telling us what is going to go wrong in social situations because it wants to keep us safe. It wants people to like us and this traces all the way back to caveman days when we were much more tribal. And if we were ostracized by the group we were going to get kicked out of the group and then it was a literal death sentence. And so our brain is still responding with that type of intensity to social ostracization. And so, articulate the desired state of being. So, I want you to tell yourself three ways that you would like to feel in this social situation. For me, coming into that conference I'd say, 'You know what? I want to be authentic, curious and present.' And so now I've given myself three desired states of being and I can even take the first letter of each of those desired states of being – authenticity, curiosity, presence – ACP. So anytime any of those fears or anxieties actually pop up I can just revert right back to ACP and those are intrinsic motivators, ways that I want to feel. And I can say if I wanted to be authentic, if I wanted to be curious or present what would I do right now. And now I'm grounded in the present moment, in those desired ways of being. I'm in the present moment. I'm back towards accomplishing and creating presence in conversation.
- Anxiety is normal, but there are situations where your body's fight or flight response can make social interactions overwhelming. Learning to quiet the fear of negative judgment can help you build confidence to better navigate those environments.
- One of the first steps, according to Tribute co-founder and CEO Andrew Horn, is to find your authentic voice. By doing things because you actually want to and not for the sake of others, you close the door to social anxiety.
- In this video, Horn and other experts including Social Psychologist Amy Cuddy, and Columbia University's Clinic for Anxiety and Related Disorders Director, Anne Marie Albano, discuss the evolutionary basis for anxiety and share tips for overcoming it through self-affirmation and other proven techniques.
- 3 Techniques for Overcoming Anxiety - Big Think ›
- Overcome anxiety: Articulate your rationale by journaling to lessen ... ›
- Social anxiety: How to manage shyness and be more confident - Big ... ›
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Northwell Health is using insights from website traffic to forecast COVID-19 hospitalizations two weeks in the future.
- The machine-learning algorithm works by analyzing the online behavior of visitors to the Northwell Health website and comparing that data to future COVID-19 hospitalizations.
- The tool, which uses anonymized data, has so far predicted hospitalizations with an accuracy rate of 80 percent.
- Machine-learning tools are helping health-care professionals worldwide better constrain and treat COVID-19.
The value of forecasting<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTA0Njk2OC9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYyMzM2NDQzOH0.rid9regiDaKczCCKBsu7wrHkNQ64Vz_XcOEZIzAhzgM/img.jpg?width=980" id="2bb93" class="rm-shortcode" data-rm-shortcode-id="31345afbdf2bd408fd3e9f31520c445a" data-rm-shortcode-name="rebelmouse-image" data-width="1546" data-height="1056" />
Northwell emergency departments use the dashboard to monitor in real time.
Credit: Northwell Health<p>One unique benefit of forecasting COVID-19 hospitalizations is that it allows health systems to better prepare, manage and allocate resources. For example, if the tool forecasted a surge in COVID-19 hospitalizations in two weeks, Northwell Health could begin:</p><ul><li>Making space for an influx of patients</li><li>Moving personal protective equipment to where it's most needed</li><li>Strategically allocating staff during the predicted surge</li><li>Increasing the number of tests offered to asymptomatic patients</li></ul><p>The health-care field is increasingly using machine learning. It's already helping doctors develop <a href="https://care.diabetesjournals.org/content/early/2020/06/09/dc19-1870" target="_blank">personalized care plans for diabetes patients</a>, improving cancer screening techniques, and enabling mental health professionals to better predict which patients are at <a href="https://healthitanalytics.com/news/ehr-data-fuels-accurate-predictive-analytics-for-suicide-risk" target="_blank" rel="noopener noreferrer">elevated risk of suicide</a>, to name a few applications.</p><p>Health systems around the world have already begun exploring how <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315944/" target="_blank" rel="noopener noreferrer">machine learning can help battle the pandemic</a>, including better COVID-19 screening, diagnosis, contact tracing, and drug and vaccine development.</p><p>Cruzen said these kinds of tools represent a shift in how health systems can tackle a wide variety of problems.</p><p>"Health care has always used the past to predict the future, but not in this mathematical way," Cruzen said. "I think [Northwell Health's new predictive tool] really is a great first example of how we should be attacking a lot of things as we go forward."</p>
Making machine-learning tools openly accessible<p>Northwell Health has made its predictive tool <a href="https://github.com/northwell-health/covid-web-data-predictor" target="_blank">available for free</a> to any health system that wishes to utilize it.</p><p>"COVID is everybody's problem, and I think developing tools that can be used to help others is sort of why people go into health care," Dr. Cruzen said. "It was really consistent with our mission."</p><p>Open collaboration is something the world's governments and health systems should be striving for during the pandemic, said Michael Dowling, Northwell Health's president and CEO.</p><p>"Whenever you develop anything and somebody else gets it, they improve it and they continue to make it better," Dowling said. "As a country, we lack data. I believe very, very strongly that we should have been and should be now working with other countries, including China, including the European Union, including England and others to figure out how to develop a health surveillance system so you can anticipate way in advance when these things are going to occur."</p><p>In all, Northwell Health has treated more than 112,000 COVID patients. During the pandemic, Dowling said he's seen an outpouring of goodwill, collaboration, and sacrifice from the community and the tens of thousands of staff who work across Northwell.</p><p>"COVID has changed our perspective on everything—and not just those of us in health care, because it has disrupted everybody's life," Dowling said. "It has demonstrated the value of community, how we help one another."</p>
A new study proposes mysterious axions may be found in X-rays coming from a cluster of neutron stars.
Are Axions Dark Matter?<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="5e35ce24a5b17102bfce5ae6aecc7c14"><iframe type="lazy-iframe" data-runner-src="https://www.youtube.com/embed/e7yXqF32Yvw?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span>
New research suggests you can't fake your emotional state to improve your work life — you have to feel it.
What is deep acting?<img type="lazy-image" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTQ1NDk2OS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYxNTY5MzA0Nn0._s7aP25Es1CInq51pbzGrUj3GtOIRWBHZxCBFnbyXY8/img.jpg?width=1245&coordinates=333%2C-1%2C333%2C-1&height=700" id="ddf09" class="rm-shortcode" data-rm-shortcode-id="9dc42c4d6a8e372ad7b72907b46ecd3f" data-rm-shortcode-name="rebelmouse-image" data-width="1245" data-height="700" />
Arlie Russell Hochschild (pictured) laid out the concept of emotional labor in her 1983 book, "The Managed Heart."
Credit: Wikimedia Commons<p>Deep and surface acting are the principal components of emotional labor, a buzz phrase you have likely seen flitting about the Twittersphere. Today, "<a href="https://www.bbc.co.uk/bbcthree/article/5ea9f140-f722-4214-bb57-8b84f9418a7e" target="_blank">emotional labor</a>" has been adopted by groups as diverse as family counselors, academic feminists, and corporate CEOs, and each has redefined it with a patented spin. But while the phrase has splintered into a smorgasbord of pop-psychological arguments, its initial usage was more specific.</p><p>First coined by sociologist Arlie Russell Hochschild in her 1983 book, "<a href="https://www.ucpress.edu/book/9780520272941/the-managed-heart" target="_blank">The Managed Heart</a>," emotional labor describes the work we do to regulate our emotions on the job. Hochschild's go-to example is the flight attendant, who is tasked with being "nicer than natural" to enhance the customer experience. While at work, flight attendants are expected to smile and be exceedingly helpful even if they are wrestling with personal issues, the passengers are rude, and that one kid just upchucked down the center aisle. Hochschild's counterpart to the flight attendant is the bill collector, who must instead be "nastier than natural."</p><p>Such personas may serve an organization's mission or commercial interests, but if they cause emotional dissonance, they can potentially lead to high emotional costs for the employee—bringing us back to deep and surface acting.</p><p>Deep acting is the process by which people modify their emotions to match their expected role. Deep actors still encounter the negative emotions, but they devise ways to <a href="http://www.selfinjury.bctr.cornell.edu/perch/resources/what-is-emotion-regulationsinfo-brief.pdf" target="_blank">regulate those emotions</a> and return to the desired state. Flight attendants may modify their internal state by talking through harsh emotions (say, with a coworker), focusing on life's benefits (next stop Paris!), physically expressing their desired emotion (smiling and deep breaths), or recontextualizing an inauspicious situation (not the kid's fault he got sick).</p><p>Conversely, surface acting occurs when employees display ersatz emotions to match those expected by their role. These actors are the waiters who smile despite being crushed by the stress of a dinner rush. They are the CEOs who wear a confident swagger despite feelings of inauthenticity. And they are the bouncers who must maintain a steely edge despite humming show tunes in their heart of hearts.</p><p>As we'll see in the research, surface acting can degrade our mental well-being. This deterioration can be especially true of people who must contend with negative emotions or situations inside while displaying an elated mood outside. Hochschild argues such emotional labor can lead to exhaustion and self-estrangement—that is, surface actors erect a bulwark against anger, fear, and stress, but that disconnect estranges them from the emotions that allow them to connect with others and live fulfilling lives.</p>
Don't fake it till you make it<p>Most studies on emotional labor have focused on customer service for the obvious reason that such jobs prescribe emotional states—service with a smile or, if you're in the bouncing business, a scowl. But <a href="https://eller.arizona.edu/people/allison-s-gabriel" target="_blank">Allison Gabriel</a>, associate professor of management and organizations at the University of Arizona's Eller College of Management, wanted to explore how employees used emotional labor strategies in their intra-office interactions and which strategies proved most beneficial.</p><p>"What we wanted to know is whether people choose to engage in emotion regulation when interacting with their co-workers, why they choose to regulate their emotions if there is no formal rule requiring them to do so, and what benefits, if any, they get out of this effort," Gabriel said in <a href="https://www.sciencedaily.com/releases/2020/01/200117162703.htm" target="_blank">a press release</a>.</p><p>Across three studies, she and her colleagues surveyed more than 2,500 full-time employees on their emotional regulation with coworkers. The survey asked participants to agree or disagree with statements such as "I try to experience the emotions that I show to my coworkers" or "I fake a good mood when interacting with my coworkers." Other statements gauged the outcomes of such strategies—for example, "I feel emotionally drained at work." Participants were drawn from industries as varied as education, engineering, and financial services.</p><p>The results, <a href="https://psycnet.apa.org/doiLanding?doi=10.1037%2Fapl0000473" target="_blank" rel="noopener noreferrer">published in the Journal of Applied Psychology</a>, revealed four different emotional strategies. "Deep actors" engaged in high levels of deep acting; "low actors" leaned more heavily on surface acting. Meanwhile, "non-actors" engaged in negligible amounts of emotional labor, while "regulators" switched between both. The survey also revealed two drivers for such strategies: prosocial and impression management motives. The former aimed to cultivate positive relationships, the latter to present a positive front.</p><p>The researchers found deep actors were driven by prosocial motives and enjoyed advantages from their strategy of choice. These actors reported lower levels of fatigue, fewer feelings of inauthenticity, improved coworker trust, and advanced progress toward career goals. </p><p>As Gabriel told <a href="https://www.psypost.org/2021/01/new-psychology-research-suggests-deep-acting-can-reduce-fatigue-and-improve-your-work-life-59081" target="_blank" rel="noopener noreferrer">PsyPost in an interview</a>: "So, it's a win-win-win in terms of feeling good, performing well, and having positive coworker interactions."</p><p>Non-actors did not report the emotional exhaustion of their low-actor peers, but they also didn't enjoy the social gains of the deep actors. Finally, the regulators showed that the flip-flopping between surface and deep acting drained emotional reserves and strained office relationships.</p><p>"I think the 'fake it until you make it' idea suggests a survival tactic at work," Gabriel noted. "Maybe plastering on a smile to simply get out of an interaction is easier in the short run, but long term, it will undermine efforts to improve your health and the relationships you have at work. </p><p>"It all boils down to, 'Let's be nice to each other.' Not only will people feel better, but people's performance and social relationships can also improve."</p>
You'll be glad ya' decided to smile<span style="display:block;position:relative;padding-top:56.25%;" class="rm-shortcode" data-rm-shortcode-id="88a0a6a8d1c1abfcf7b1aca8e71247c6"><iframe type="lazy-iframe" data-runner-src="https://www.youtube.com/embed/QOSgpq9EGSw?rel=0" width="100%" height="auto" frameborder="0" scrolling="no" style="position:absolute;top:0;left:0;width:100%;height:100%;"></iframe></span><p>But as with any research that relies on self-reported data, there are confounders here to untangle. Even during anonymous studies, participants may select socially acceptable answers over honest ones. They may further interpret their goal progress and coworker interactions more favorably than is accurate. And certain work conditions may not produce the same effects, such as toxic work environments or those that require employees to project negative emotions.</p><p>There also remains the question of the causal mechanism. If surface acting—or switching between surface and deep acting—is more mentally taxing than genuinely feeling an emotion, then what physiological process causes this fatigue? <a href="https://www.frontiersin.org/articles/10.3389/fnhum.2019.00151/full" target="_blank">One study published in the <em>Frontiers in Human Neuroscience</em></a><em> </em>measured hemoglobin density in participants' brains using an fNIRS while they expressed emotions facially. The researchers found no significant difference in energy consumed in the prefrontal cortex by those asked to deep act or surface act (though, this study too is limited by a lack of real-life task).<br></p><p>With that said, Gabriel's studies reinforce much of the current research on emotional labor. <a href="https://journals.sagepub.com/doi/abs/10.1177/2041386611417746" target="_blank">A 2011 meta-analysis</a> found that "discordant emotional labor states" (read: surface acting) were associated with harmful effects on well-being and performance. The analysis found no such consequences for deep acting. <a href="https://doi.apa.org/doiLanding?doi=10.1037%2Fa0022876" target="_blank" rel="noopener noreferrer">Another meta-analysis</a> found an association between surface acting and impaired well-being, job attitudes, and performance outcomes. Conversely, deep acting was associated with improved emotional performance.</p><p>So, although there's still much to learn on the emotional labor front, it seems Van Dyke's advice to a Leigh was half correct. We should put on a happy face, but it will <a href="https://bigthink.com/design-for-good/everything-you-should-know-about-happiness-in-one-infographic" target="_self">only help if we can feel it</a>.</p>
Scientists used CT scanning and 3D-printing technology to re-create the voice of Nesyamun, an ancient Egyptian priest.
- Scientists printed a 3D replica of the vocal tract of Nesyamun, an Egyptian priest whose mummified corpse has been on display in the UK for two centuries.
- With the help of an electronic device, the reproduced voice is able to "speak" a vowel noise.
- The team behind the "Voices of the Past" project suggest reproducing ancient voices could make museum experiences more dynamic.
Howard et al.<p style="margin-left: 20px;">"While this approach has wide implications for heritage management/museum display, its relevance conforms exactly to the ancient Egyptians' fundamental belief that 'to speak the name of the dead is to make them live again'," they wrote in a <a href="https://www.nature.com/articles/s41598-019-56316-y#Fig3" target="_blank">paper</a> published in Nature Scientific Reports. "Given Nesyamun's stated desire to have his voice heard in the afterlife in order to live forever, the fulfilment of his beliefs through the synthesis of his vocal function allows us to make direct contact with ancient Egypt by listening to a sound from a vocal tract that has not been heard for over 3000 years, preserved through mummification and now restored through this new technique."</p>
Connecting modern people with history<p>It's not the first time scientists have "re-created" an ancient human's voice. In 2016, for example, Italian researchers used software to <a href="https://www.smithsonianmag.com/smart-news/hear-recreated-voice-otzi-iceman-180960570/" target="_blank">reconstruct the voice of Ötzi,</a> an iceman who was discovered in 1991 and is thought to have died more than 5,000 years ago. But the "Voices of the Past" project is different, the researchers note, because Nesyamun's mummified corpse is especially well preserved.</p><p style="margin-left: 20px;">"It was particularly suited, given its age and preservation [of its soft tissues], which is unusual," Howard told <em><a href="https://www.livescience.com/amp/ancient-egypt-mummy-voice-reconstructed.html" target="_blank">Live Science</a>.</em></p><p>As to whether Nesyamun's reconstructed voice will ever be able to speak complete sentences, Howard told <em><a href="https://abcnews.go.com/Weird/wireStory/ancient-voice-scientists-recreate-sound-egyptian-mummy-68482015" target="_blank">The Associated Press</a>, </em>that it's "something that is being worked on, so it will be possible one day."</p><p>John Schofield, an archaeologist at the University of York, said that reproducing voices from history can make museum experiences "more multidimensional."</p><p style="margin-left: 20px;">"There is nothing more personal than someone's voice," he told <em>The Associated Press.</em> "So we think that hearing a voice from so long ago will be an unforgettable experience, making heritage places like Karnak, Nesyamun's temple, come alive."</p>
Archaeologists discover a cave painting of a wild pig that is now the world's oldest dated work of representational art.
- Archaeologists find a cave painting of a wild pig that is at least 45,500 years old.
- The painting is the earliest known work of representational art.
- The discovery was made in a remote valley on the Indonesian island of Sulawesi.