Showing posts with label neuroscience. Show all posts
Showing posts with label neuroscience. Show all posts

Wednesday, November 22, 2023

Undeterred: A Critique of a Book About Life Without Free Will

Introduction

Is it responsible to review a book you haven’t even fully read? Well, here’s a thought experiment: suppose somebody came out with a new book about UFOs and in the introduction mentioned casually, “I never go UFO hunting without dropping acid first.” You’d have a pretty good justification to dismiss the book without even going out and buying it, right? Of course, bothering to review it would seem beside the point … but what if it were an “instant New York Times bestseller”? And what if you had reason to believe that thousands of otherwise appropriately skeptical people might somehow embrace the book? What if your family members decided that the denial of UFOs was a NASA conspiracy, and resolved to start dropping acid regularly? Wouldn’t you want to weigh in?

Something kind of like this happened a dozen years ago with Amy Chua’s irresponsible and stupid book, Battle Hymn of the Tiger Mother. I wrote a blog post criticizing her book without having read it—but I did read the excerpt of it in the New York Times which I felt was enough. If Chua’s own distillation has enough wrong with it to fundamentally undermine her argument, do we need to read the full book? (To make an analogy, if you’re at a restaurant and your appetizer has a cockroach in it, do you need to stay through the entrĂ©e and dessert to conclude the restaurant has a problem?) Bestselling books in this vein have a way of smearing their overall message across the zeitgeist, whether or not people engage with the source material. For example, my wife, who also didn’t read Chua’s book, was somewhat swept up in the chatter around it and started wondering aloud if we needed to start getting all tiger mother on our kids’ asses. At that point I felt the need to stand up and say something.

I’m feeling that again now about Robert Sapolsky’s new “instant bestseller,” Determined: A Science of Life Without Free Will. I read two profiles of Sapolsky, which struck a nerve, and then I waded through enough of his book to take its measure. The book is total drivel, and yet it’s clearly making a splash … almost as though people are taking Sapolsky seriously.

In this post, I will delve into my issues with the book: not just that it’s poorly written and reasoned, but why I disagree with its very ambition. This examination will involve a lot of logic (something Sapolsky occasionally dabbles in between bouts of self indulgent blathering). But first, just as a warm-up and for your amusement, I’ll start with an irresponsible ad hominem attack against him, since this blog prioritizes entertainment over utility.


Irresponsible ad hominem attack

Just look at that picture above, a drawing my daughter did of the photo accompanying the Sapolsky profile in the New York Times. Can’t you just imagine this guy cornering you at a cocktail party and holding forth? I wonder how that beard came to be. It could be he just has a weak chin, which would make his beard a better idea than his new book, but probably the superabundant facial hair is more about the intellectual air he hopes to achieve. I can picture him looking in the mirror thinking, “Would I look more like a guru if I had a big, fluffy grey beard? Or would I just look like Santa? How can I look more like Karl Marx?” Maybe that’s why he also has the really long hair. Now, let me be clear, I think long hair on a dude is totally fine, when he’s young. But an ageing adult needs to have a little decorum. I mean, he’s got fricking ringlets! Doe he use product in his hair? And check out the odd difference in coloration between his beard and his hair … makes me wonder if he actually dyes it. If so, how vain!

Also note his wise, world-weary expression … does he always look like that, or only when he’s posing for a photo that will appear in the New York Times? Of course, it could be the photographer saying, “Okay, that’s good, but could you try to look more contemplative, maybe a little world-weary? Could we get, you know, a little more guru going here?” In that case Sapolsky shouldn’t have gone along with it. He should have just smiled naturally, because he gets to be in the Times and that’s a pretty big deal. But of course he needs to present this persona, so he stares gloomily and intellectually off into the distance, little realizing that he does not, cannot convey an air of gravitas when he’s wearing plastic clogs. With white socks. Sure, I have flip-flops I wear around the house, but for the Times I would dress up a bit, show a little respect. Look, Sapolsky, you might hang around college kids but that doesn’t make you hip or cool. You’re trying to shape widespread public perception of deep philosophical matters … try to be a grown-up, would you please?

One more heads-up

Full disclosure: I hold free will to be a capacity people should cherish, and to deny or even doubt its existence is to threaten our ability to seize it. That is to say, anybody’s effort to discredit the existence of free will invokes my ire on principle. (As I describe here, I frequently bring unnecessary physical suffering upon myself simply to prove, to myself, that I have free will.) So to be perfectly candid, Sapolsky’s very intent (combined with his douche-y beard, vainglorious long hair, and Stanford pedigree) made we want to hate him right off. Nevertheless, as somebody truly interested in this topic (having read a number of books on existential philosophy), I was willing to read what Sapolsky has to say, even after reading the profile of him in the New York Times and a critique of his book in the New Yorker, both of which only deepened my sense that he’s a tool.

Alas, his book is really popular around here so I couldn’t get it from the library. (There are 35 holds ahead of me.) I don’t like to buy a book unless I’m pretty convinced it’ll be good. Sometimes all this takes is a paragraph ... if the opening to a book is good enough, I will take a gamble on that alone. If a book doesn’t start off great, but I still think it may have promise, I’ll read a few of the free sample pages Amazon serves up. In the case of Determined, Amazon was unusually generous, and for the first time ever I found myself longing for the end of the free pages. The excerpt of this poorly written, poorly reasoned tract just went on and on, until—32 excruciating pages in—Amazon finally cut me off. Now, based on the two profiles and the pages I’ve read, I’m prepared to say I’ve revised my initial opinion (that Sarposky is a tool) to more precisely and accurately state that I find him a self-indulgent, glib, preening old fool whose brazen dismissal of a vast body of thought going back hundreds of years is the height of arrogance. There’s no point trying to pretend this blog post is an exploration … it’s a take-down.

(Note that I’m not being ageist here. I wrote “preening old fool” because it’s sad how foolish Sapolsky still is despite the many years he’s had available to him to have gained wisdom … years that he has apparently squandered.)

Thirty-two excruciating pages

Right off the bat, I have an issue with the title: Determined: A Science of Life Without Free Will. What’s with “a science”? Science isn’t supposed to be a realm where everybody gets to have his own version, his own private belief system. It’s about building consensus, and improving our understanding in this way. A scientist investigates, builds a hypothesis, proves it in the lab, and then other scientists attempt to recreate the experiment and either confirm or deny the findings. That’s why the normal phrase is “the science of,” not “a science of.” Contrast this to Robert Pirsig’s Zen and the Art of Motorcycle Maintenance: An Inquiry into Values. “An inquiry” makes more sense: you would never have “the inquiry” since the number of inquiries into a realm as general and squishy as “values” is infinite. But science is supposed to be the leading edge of the best effort of scientists to build a common, tangible understanding of how the world works, based on experiments that produce data, which describe and predict behaviors and other demonstrable phenomena. The phrase “a science” suggests that Sapolsky doesn’t fully support the collaborative mission that science is supposed to have.

Rather than illustrating any specific line of scientific examination, Sapolsky seems to use his reputation and authority as a biologist and neuroscientist as a flag that he waves. His grand assertions really beg the question. For example: “Once you work with the notion that every aspect of behavior has deterministic, prior causes, you observe a behavior and can answer why it occurred: as just noted, because of the action of neurons in this or that part of your brain in the preceding second.” Here he includes a footnote directing the reader to an introduction to neuroscience that he includes as an appendix (which presumably we’ll ignore other than as a rubber stamp of his authority, or else it wouldn’t be an appendix) and to another book he wrote on neuroscience that he warns us is “agonizingly long.” It’s as though he’s saying, “Yeah, there’s all this science behind understanding behavior but it’s really complicated, so just take my word for it.”

But even beyond how complex this science might be, let’s back up a second: he’s asserting that we can explain any behavior in terms of deterministic, prior causes having to do with brain neurons in the preceding second. Seriously? We could actually catalog and describe all these neural events leading to the behavior? How could we possibly chase them all down? But it gets worse: he goes on to say that those neurons were activated in the minutes before the behavior, and that the behavior was also influenced by hormones from hours to days before that, and that the function of those neurons was influenced by experience and environment in the preceding months to years, and by the person’s development in the womb and what his or her pregnant mother was going through, and further by culture that has evolved over decades, even centuries. So really, there’s no way we’re actually “answering why the behavior occurred,” because who has data going back that far? It’s only a theoretical explanation.

In terms of tying a behavior to past events, neurological and circumstantial, I can suggest a simple scenario that defies the idea. Have you ever been on the fence about an action you had to take, and decided to flip a coin in order to decide? I think plenty of people do this, from time to time. Our willingness to base an action on the outcome of a flipped coin flies in the face of determinism. We have decided in advance to act based on the random outcome of this coin-flip, thus the behavior that follows this flip cannot be predetermined because until that coin is flipped, there is/are no predictive, deterministic preceding event(s). Since the result of the coin flip is random, one can’t go back and trace the resulting behavior to anything except the decision of the coin-flipper to base his or her next decision on heads vs. tails. How is that not freedom?

Sapolksy doesn’t seem to begin with data and use it to lead us towards a conclusion; rather, he starts with an attractive notion to get our buy-in, so that perhaps so we’ll go easy on him when he builds his case. At the end of his first chapter he asks us to imagine a college graduation ceremony with all the happy students and their proud families milling about, and then draws our attention to a (hypothetical) garbage collector in the back. He asks us to consider the background of this garbage collector compared to that of the graduates. He declares, “Trade every factor over which they had no control, and you will switch who would be in the graduation robe and who would be hauling garbage cans. This is what I mean by determinism.”

What a smarmy, smurfy load of shit. Yeah, being born to college graduates in a wholesome community surely helps a person’s educational prospects, but it doesn’t determine how far they get. It just changes the odds a bit. Both my parents went to Berkeley; my dad earned a Ph.D.; one of my brothers—though lucky enough to grow up in one of the best school districts in the nation—dropped out of high school. Meanwhile, the rapper Lil Wayne (as he describes in this interview) was raised in a school district so dangerous that his mom, upon seeing him packing a gun in his backpack before heading to class, implored him to drop out, which he then did. And yet, Lil Wayne (despite the distraction of a platinum-selling music career) earned his GED and later enrolled at the University of Houston. So there are two counterexamples, right off the top of my head. Sapolsky’s little anecdote doesn’t effectively convey the gist of determinism. It’s sentimental, simplistic, and twee.

This backwards-looking attempt at establishing causality breaks down so easily upon close inspection. How is it not free will that my brother Geoff moved to the Netherlands? Is it fair to say that, having been born to the parents that he was, with the genes that he had, developing as a fetus in the natal environment that he did, growing up in the community that he did, and attending the college that he did, there was no other possible outcome than relocating to Europe? What about his identical twin brother, who—despite having the same parents, the same genes, the same fetal environment, the same community, the same friends, and the same (initial) college—stayed on this continent? Shouldn’t these two have been deterministically pushed into the same inevitable decision about where to put down roots?

But let’s assume that a person’s behavior could be tied to a pattern of neuron activity and historical factors. How would the scientist determine, much less prove, causality that is so airtight as to deny the possibility of free will? The perfect test would be if the scientist could then use his understanding of the precise mechanism of that behavior to make predictions about future behaviors as well. If we’re confident we understand exactly why that man pulled that trigger, shouldn’t we know his next move?

The last time I checked, biologists haven’t proven to be great prognosticators of human behavior. (Business people have done okay here, in terms of understanding basic principles such as are used in advertising, but they don’t pretend to be scientists.) Doesn’t it seem like Sapolsky is overestimating what science can do for his thesis? To put it another way, if Sapolsky really thinks there is a solid scientific basis to his refutation of free will, why shouldn’t his scientific findings be subject to peer review instead of just published to a lay audience as a general interest book?

Actually, from what I can tell, Sapolsky didn’t even do much of his own research for this book; it’s more of a survey of the existing stuff. Well … some of it. Which brings us to an overarching failure of logic in Sapolsky’s approach. He declares in his first chapter that to accomplish his goal of convincing the reader there is no free will, he’ll “look at the way smart, nuanced thinkers argue for free will, from the perspectives of philosophy, legal thought, psychology, and neuroscience. I’ll be trying to present their views to the best of my ability, and to then explain why I think they are all mistaken.” Um ... what? He’s going to discredit everyone who disagrees with him? Sure, his book is 528 pages long, but how is he going to evaluate even a moderately representative sample of the existing literature across these four gigantic fields? To be more honest he’d have to write, “I’m going to look at the way a VANISHINGLY SMALL PROPORTION of smart, nuanced (BUT NOT TOO SMART OR NUANCED SINCE I’VE CHOSEN TO INCLUDE ONLY THE ONES I THINK ARE WRONG) thinkers to explain why I think THIS TINY SAMPLING of them are all mistaken.” His approach only makes sense if he could refute all the great thinkers who’ve studied this question, which is of course impossible: it’s like proving a negative.

So, he digs himself in pretty deep with his stated intention to base his argument on a glancing review of these four realms while pretending that’s sufficient. Then, although he acknowledges that individual scientific studies can’t disprove free will, he goes on to say, “But—and this is the incredibly important point—put all the scientific results together, from all the relevant scientific disciplines, and there’s no room for free will” (italics his). Is he really purporting to have done this? He sure hasn’t presented the findings of such a comprehensive effort, which is no surprise because it would be simply impossible. ALL? ALL SCIENTIFIC RESULTS? There’s no way. Again, what he’s really asserting is more hypothetical; it’s like he’s saying, “I’ll bet if you looked at all the scientific results you’d find they’d collectively deny free will. In fact I’m sure of it. Just take my word for it.”

If it seems like I’m accusing Sapolsky of essentially cherry-picking his evidence: yes, I am. Consider that, as he willingly admits (in both profiles I’ve read of him), he has denied the existence of free will since he was thirteen years old: that is, since before he was educated and before his brain had even fully formed. So although he’s using biology and neurology to bolster his decades-old belief, he’s not doing so in the responsible manner of a scientist exploring the matter—he began his research with his mind already made up. It looks to me like a classic example of confirmation bias.

After his first chapter, which defines a lot of terms and explains his approach, Sapolsky’s book gets increasingly boring and pointless. He starts his second chapter with an exposition of one of the methodological approaches scientists have taken, through various studies, to evaluate the existence of free will. After a brief outline of this approach, Sapolsky concludes, “I think that at the end of the day, these studies are irrelevant.” Why, then, does he spend the next ten pages (well, at least ten—at this point the Amazon sample mercifully ran out) describing one such study in excruciating detail? How does simply knocking down other people’s work support his own improbable conclusion? (It’s like two economists discrediting a typewriter keyboard layout by basing their findings on a single previous study conducted about it, as I describe here.) I’m aghast at what passes for scholarship, and that this book is popular. Perhaps it’s just like the Tiger Mother book … it’ll be something to talk about at cocktail parties for a while because it’s timely, and then it will sink out of sight forever.

Beyond his poor execution

As described above, one of Sapolsky’s stated goals is “to convince you that there is no free will.” His second stated goal is “to take seriously all the implications of there being no free will.” With this second goal he seems to focus on whether or not we can hold people morally responsible for their behavior in the absence of free will. He says free-will skeptics (like himself) are “less punitive and more forgiving.” This seems to be at the heart of why, and perhaps how, he was able to publish this book: he’s positioning himself and his mission as a way to be a kinder and more liberal person, and as readers we can (choose to!) join him. Don’t hate the guy who broke into your car, he implies, because it wasn’t really him, he didn’t mean to do it, it was just the desperate position society put him in. So we’re sort of coaxed (or bullied) into accepting Sapolsky’s position so we don’t come off like the heartless old-school moralists who would throw a homeless man in prison for stealing loaf of bread.

The trouble is, such sentimental appeals cannot and should not stand in place of actual intellectual rigor. The New Yorker writer Nikhil Krishnan, in his review of Determined, questions Sapolsky’s assertion that free-will skeptics are less punitive and more forgiving:

But he can’t really have meant that... If free-will skepticism means never having to say you’re sorry, then it also means never being forgiven. Forgiveness is, as much as vengeance, a concept that can be applied only from within the first-person point of view. Sapolsky’s ethic of forgiveness demands that we retain something of our old-fashioned belief in holding one another responsible.

Ah, but I’m delving again into the failure of Sapolsky’s argument (because it’s just so easy!) when I’ve been trying to get into something else: the ramifications of accepting his ideas and putting them into practice.

My biggest issue with Sapolsky’s book is that if we truly embrace his goals of 1) agreeing there is no free will, and 2) living according to this belief, we are denying the possibility of making better choices. And yet isn’t making better choices the noble purpose of some of our most important human behaviors? Think of education, counseling, coaching, even self-reflection. If our every move has already been decided, what’s the point in trying to be better, by trying to choose better?

If we want to advance the argument that humans are slaves to our brain chemistry, it seems like nicotine addiction would be the ideal poster child. This NIH report, describing how nicotine activates reward centers, and how it rewires the brain of the addict, should be right up any neuroscientist’s alley:

Nicotine causes the release of dopamine in the mesolimbic area, the corpus striatum, and the frontal cortex. Of particular importance are the dopaminergic neurons in the ventral tegmental area of the midbrain, and the release of dopamine in the shell of the nucleus accumbens, as this pathway appears to be critical in drug-induced reward… Likewise, nicotine withdrawal is associated with significant increases in intracranial self-stimulation reward threshold, consistent with deficient dopamine release and reduced reward. The decrease in brain reward function experienced during nicotine withdrawal is an essential component of nicotine addiction and a key barrier to abstinence.

The nicotine addict, then, would seem to be a classic case of somebody with no free will. As the same NIH report states, “Approximately 80% of smokers who attempt to quit on their own relapse within the first month of abstinence, and only approximately 3% remain abstinent at six months.” And yet, my brother—who had smoked for over forty years—decided exactly a year ago that he had to quit, and he did. For this to happen, he had to believe that he could … that he could fly in the face of statistics and his own fraught history with tobacco. But in Sapolsky’s view, my brother doesn’t get any credit for his resolve and tenacity—that is, for deciding enough was enough. Are we to believe Sapolsky that for my brother to quit smoking was predetermined somehow, just like taking up the nasty habit in the first place (even though he had the same parents I did, and grew up in the same health-crazed community)? So my brother’s behavior was all preordained, from the forty-year chemical addiction to the bold refusal to put up with even one more day of it? Seriously?

What if Sapolsky’s book had come out a year ago and my brother read it, decided he had no free will, decided to be more compassionate with himself because it wasn’t his fault he was a smoker, that he had no say in the matter, and that his lungs were already doomed based on neurons, environment, and history? Would he have taken that huge step of deciding (or, fine, pretending to decide) to quit?

Sapolsky seems to be trying to couch his worldview in being fairer: in not holding criminals responsible for their crime, and in not praising this or that lucky guy for his achievement. But we don’t need to deny the existence of free will to be more fair. We can acknowledge that a person choosing between hunger and theft was dealt, by society and history, a worse hand than the guy choosing between a savings account and a mutual fund. The world isn’t fair … we get it. But why not focus more on what all of us humans can choose (or seem to choose) to do, like taking better care of our bodies, our minds, our families? Why not behave as though we can improve, even if—worst case and unbeknownst to us—our free will is just a placebo? I mean, who cares … besides the preening, self-aggrandizing academic who needs to publish?

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Tuesday, September 28, 2021

Can COVID Anti-Vaxxers Be Reasoned With?

Introduction

I came across some crudely written graffiti recently, spray-painted on a pillar. It read, “ANTI-VAXXERS PIE.” I was like, huh? Another pillar a quarter mile away had the same thing but the vandal’s skill had improved: it read, “ANTI-VAXXERS DIE.” I guess this made a little more sense, but how persuasive was this presumed to be? (This graffito was itself vandalized before I return to photograph it.)


At the other end of the spectrum is an article I read recently in The Atlantic titled “Stop Death Shaming.” I found this article as annoying as the graffiti. In this post I explain my annoyance, and examine the larger question of how we might persuade holdouts to finally get the COVID vaccine.

 Stop Death Shaming

What a stupid title, clearly intended to be shocking so as to attract readers, like clickbait. Of course nobody is “death shaming” because the dead can’t feel shame and nobody is so clueless as to scold a corpse. Meanwhile, the article doesn’t actually provide examples of anybody shaming the non-vaccinated. It does go on to reasonably bemoan the lack of constructive dialogue between those who believe in the COVID vaccine and those who don’t. It also usefully recounts a poll that ranked the top reasons anti-vaxxers list for abstaining:

  • Potential side effects (just over half of respondents)
  • Don’t trust the vaccines (nearly 40%)
  • Don’t trust the government (a third)
  • Don’t feel they need it (just under a quarter)
  • Aren’t sure the vaccines are protective (22%)
  • Don’t see COVID-19 as a major threat (17%)

The author concludes that at least these people show “significant willingness to consider vaccination” (though I can’t figure out how she arrives at this conclusion), and describes a dialogue she had with her uncle about why he and his wife aren’t vaccinated. The uncle asks a few questions, puts his willful ignorance on display, mentions the “little bit of research” he’s done, and concludes, “We’re not, you know—we’re still thinking about it.” The writer wraps up this little vignette by saying, “I felt good about our talk.”

You know what? I don’t feel good about their talk. This guy, and anti-vaxxers like him, have had over six months to ponder this decision. When are they going to get around to their “research”? They’re dithering while people are dying, and this Atlantic writer seems to think that’s fine as long as nobody hurts anyone else’s feelings.

But what really irks me the most about the article is that this journalist misses the biggest point of all: she seems to think it’s perfectly acceptable to only ever expect people to act in their own self-interest. Her uncle, and people like him, are failing to understand or admit that this is a matter of public health. In fact, they are failing to realize that there’s even such a thing as the greater good. In short they are thinking selfishly. This is the real crux of the problem.

Really?

Now wait, you might be thinking. If somebody believes the vaccine works, and gets vaccinated because he or she doesn’t want to get COVID, isn’t that also acting in one’s own self interest? Yes, of course. But this is a situation where one’s self interest happens to coincide with that of the rest of the population. This is what makes it so frustrating when selfish people do the wrong thing to the detriment of themselves and everyone else. It’s a lose-lose.

I suppose you might also question whether selfishness is really the core of our dilemma. Given that all these people are fixating on outlandish fictions such as the risks of side effects, a nefarious government, or the idea that the vaccine is somehow unnecessary, isn’t the real problem that they’re all just as dumb as a sack of hammers?

Okay, now that is not constructive, and I don’t believe it’s even true. According to the New York Times, about thirty percent of the adult U.S. population hasn’t had a shot yet. I don’t think 77 million people actually lack the mental capability to understand that the vaccines do work, that there hasn’t been a rash of side effects, that COVID really is highly contagious, and that you can contract and spread it unknowingly. I think the problem is that people are so scared, as they struggle to adapt to this insanely bizarre new reality, that they’re simply not thinking clearly.

Neuroscience and the vaccine holdouts

Perhaps a shallow dip into the literature of social neuroscience can help illustrate what is going on here. According to this article by Dr. David Rock, a cognitive scientist, “Much of our motivation driving social behavior is governed by an overarching organizing principle of minimizing threat and maximizing reward (Gordon, 2000),” and “several domains of social experience draw upon the same brain networks to maximize reward and minimize threat as the brain networks used for primary survival needs (Lieberman and Eisenberger, 2008).”  When humans feel threatened in a social situation, the “resources available for overall executive functions in the prefrontal cortex decrease.… Due to the overly vigilant amygdala, more tuned to threats than rewards, the threat response is often just below the surface and easily triggered.… This discovery that our brain is inherently attuned to threatening stimuli helps explain many disquieting parts of life,” including “why the media focuses on bad news.”

In evaluating how this plays out in social situations, Dr. Rock focuses on “five domains of human social experience: Status, Certainty, Autonomy, Relatedness and Fairness” (which form the handy acronym SCARF).  Understanding how to approach these realms, he contends, is the key to motivating people, particularly when they’re facing the uncomfortable prospect of significant change: “For example, a perceived threat to one’s status activates similar brain networks to a threat to one’s life. In the same way, a perceived increase in fairness activates the same reward circuitry as receiving a monetary reward.”

So what does this have to do with trying to reason with anti-vaxxers? I would argue that just giving them their say, and being a good listener, as the Atlantic writer does, won’t change anything; nor will directly attacking their stated reasons for declining the vaccine (which are really just positions—you could even say excuses—rather than firm beliefs, not that they’re up for discussion). I think you need to cast the entire matter into a new light, that shocks the anti-vaxxer into a reassessing his or her status, certainty, autonomy, relatedness, and fairness.

How to reframe the conversation

So here’s what I propose, should you find yourself in a position to discuss the COVID vaccine with, say, an uncle willing to hear you out. Instead of denying the risk of side effects, assume that they’re real, and focus on the utter selfishness that the anti-vaxxer displays when letting other people assume this risk. “So let me get this straight, Uncle Clyde,” you could say. “You’re so concerned about side effects, and the possible meddling of our untrustworthy government, that you’re going to stand by and let people like me take that risk so you don’t have to? So you’re basically looking out for number one? So if you were on the Titanic, you’d be elbowing women and children out of the way to get to a lifeboat? And in an active shooter situation, you might avail yourself of a human shield?” This argument would certainly light up the status, relatedness, and fairness realms described in the SCARF model. I wouldn’t expect the dialogue to continue much longer from here, but you’ll have presented Uncle Clyde’s amygdala with a new series of threats, and he might just start to reconsider the clever stories he’s been telling himself about vaccination. At some point he might even knuckle down and enlist the support of his neocortex.

As for your utterly selfish cousin Clint, who maintains that he’s robust and healthy and could totally kick COVID’s ass, you could say, “Oh, I see … and the possibility that your immune system is so good you could be infected but asymptomatic doesn’t concern you, because spreading the virus to Grandma isn’t your problem? So, if you were a smoker, you’d be the kind who totally blows smoke in people’s faces, and if they don’t like it fuck ‘em? I guess this is fine, until Grandma dies of COVID and me and the rest of the family blame all you for the rest of our lives.” This seems like a pretty decent appeal to the Status and Relatedness realms.

Let’s move on to our brother Bill who conveniently sits out the fight against the coronavirus by pretending COVID-19 isn’t a major threat. “So Bill … If this were a war that killed 670,000 Americans instead of a disease, and you were young enough to be a soldier, would you enlist, or just hope that the evil dictator running amok calmed down and called back his troops because he changed his mind? Or would you find some excuse, like flat feet or microscopic testicles, to stay home and hide out instead of facing the enemy?” His sense of relatedness, fairness, and status would have to be reevaluated. Is this shaming? Yes, of course it’s shaming! But it’s not death shaming, it’s selfish asshole shaming. Shaming is required here because these anti-vaxxers are shameless.

Now, when it comes to the poll about why people were declining the vaccine, there was of course the elephant in the room that nobody wanted to admit to: the pressure to follow their political party’s lead. This wasn’t mentioned anywhere in the poll results, but as detailed here, vaccination rates track closely to political party. This is primarily a GOP thing, obviously, though I blame the extreme right wing media more than the politicians. After all, as the Times reports, Mitch McConnell is encouraging Americans to get the vaccine, as is Mitt Romney, and even Donald Trump says he’s a “big believer.” The anti-vaccine mania is largely the fault of heartless, soulless, utterly self-serving media shitheads like Tucker Carlson and Sean Hannity who understand that keeping their acolytes’ amygdalae in a state of perpetual frenzy is instrumental in creating the seething, hyperbolic division among Americans that keeps ratings high. I think it’s very telling in this interview that twice Trump brings up the vaccine, and twice Hannity completely changes the subject.

Vaccination behavior shaped by political party can also slop over into the Democrat camp. This article in the San Francisco Chronicle, discussing various reasons locals gave for avoiding the vaccine, describes one person’s viewpoint: “It was bad enough that she felt nervous about the vaccine’s side effects. But it also felt like former President Donald Trump was mixed up in it all. ‘Trump said, “The vaccine is here because of me.” And I was like, do I really want it if he’s behind it?’ Maggin said. ‘But people feel that people who don’t get vaccinated are Trump supporters!’” The article goes on to ask, “What’s a frightened liberal to do?” I’ll tell you want to do: stop worrying about political parties, stop being bullied by biased blowhards, and think for your damn self! That could do wonders for your sense of autonomy.

I’m almost done, but I want to take a little more time to consider fairness, the F in the SCARF model. I think people often do make fairness a priority; as Dr. Rock points out, it “may be part of the explanation as to why people experience internal rewards for doing volunteer work to improve their community; it is a sense of decreasing the unfairness in the world.” Consider how many people, surely yourself included, blithely exceed the speed limit, but how few would illegally park in a handicapped spot. Freeway accidents are one of the leading causes of accidental death in America, but that risk is abstracted so most of us don’t think much about it. But we can easily imagine a person in a wheelchair being inconvenienced because we wrongly took her spot. What would be more embarrassing to you: being pulled over for speeding, or getting caught parking in a handicapped spot?

So to appeal to the anti-vaxxer’s built-in sense of fairness, it would be useful to stimulate his imagination a little. “So, Uncle Bruce,” you might say, “is this pandemic inconvenient for you? Kind of a pain?” You could draw him out on the indignities of endless Zoom calls, etc. Invite him to share a story about the most awful thing that’s ever happened to him at work. Then say, “Hey Uncle Bruce, do you ever chew out flight attendants when your flight is delayed?” He’d say of course not. Ask if he’s ever stiffed a waiter on his tip. “Hell no!” Uncle Bruce would declare. You then reply, “Of course not, you wouldn’t deliberately cause trouble for a working person, you always show them respect.” Then you go on to say, “You might be aware that ICUs at hospitals across the country are filling up with COVID patients. Did you know many of them are straining under the burden of two to three times the normal number of patients? Did you know almost all of these patients need to be intubated? Do you have a sense of how gnarly a procedure that is? Do you know how hard it is to bring a patient back from that? Did you know doctors are having more patients die than at any other time in their careers, and that many ICU docs have now treated more patients for COVID than for any other malady? Can you imagine how hard it is for them to tell the family members of their patient that he isn’t going to make it? Look, I know you didn’t sign up for boring Zoom calls when you took the job with TechCorp, but these doctors didn’t sign up for  a brutal, endless onslaught of their ICUs being inundated with mostly doomed patients either. I’m sure you’ve read how unvaccinated people like yourself are 29 times more likely to be hospitalized with COVID … I just want to make sure you can kind of imagine how that pans out. Oh, don’t worry, these doctors would never shame anyone, though I talked to one who said he actually wished the fact of his patients’ non-vaccinated condition wasn’t in their charts because that just reminds him how huge a problem this is, and rubs it in how utterly avoidable all this would be if people just accepted the vaccine. And don’t get me wrong, when talking to the non-vaccinated family member of a terminal patient, a doctor would never say anything like, ‘This non-vaccination policy you have … how would you say that’s working out for your family?’ They have much more tact than that, they’re unfailingly polite despite being overworked and losing so many patients. And if you yourself did land in the ICU with COVID, and your doctor was telling me there’s not much more he can do, and I was begging him to do everything he can, he would never say anything like, ‘Would you say your Uncle Bruce did everything he could?’ Because doctors aren’t about shaming anybody. And I’m not either, believe me, I’m not trying to be a dick or anything, and I know you’re afraid of needles. But did you know that when an intubation goes sideways, a mixture of blood and saliva from the COVID patient’s throat can spray all over the doctor? I’m just sayin’. But hey, take your time deciding, it’s all good. It’s totally your choice, a deeply personal matter. And don’t worry, if you do end up dying of COVID, all of us family members who survive because we’re vaccinated will be very gracious at your funeral. Nobody will say, ‘It’s sure a shame about Uncle Bruce, though this could have been avoided if he hadn’t been such a selfish, stubborn old dumbass.’ We would never say that because that would be death shaming.”

More reading on the pandemic

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