Monthly Archives: July 2013

A little YouTube fun along the way

CHOCTAW DOC SHOW“THE CHOCTAW DOC SHOW” (7M:21S YOUTUBE VIDEO): http://www.youtube.com/watch?v=mSsHJWvYbLo&feature=youtu.be

WELCOME TO CHOCTAW DOC’S CEREBRATORIUM (VERY SHORT VIDEO): https://www.youtube.com/watch?v=kveW1kW-t2I

ALTERNATIVES & OPTIONS (SHORT VIDEO BY CHOCTAW DOC): https://www.youtube.com/watch?v=9tR6iAHCcrc

“Mein Fuhrer! I can walk!”

At the tail end of Stanley Kubrick’s satirical and brilliant 1964 anti-Cold War movie “Dr. Strangelove” the wheelchair bound German scientist (played by Peter Sellers) manages to stand up and take a step or two forward and then excitedly proclaim, “Mein Fuhrer! I can walk!” (This was reportedly an unscripted improvisation on the part of actor Peter Sellers) People in the throes of extreme excitement, passion or even religious ecstasy sometimes yell out to God, their mate or, in the case of Dr. Strangelove, to his leader (The American President whom he not infrequently calls “Mein Fuhrer” during the course of Kubrick’s cinematic masterpiece).

I suspect Sellers added the dramatic final touch not as an expression of the neurologic malady which landed his character in a wheelchair but, rather, as an upwelling of Dr. Strangelove’s impossible to suppress fascist sentiments and loyalty to Hitler.

In addition, I would offer a slightly different take on Dr. Strangelove’s outburst: I believe it was meant to represent the transcendent march of evil across time. That is, Seller’s was acting out the fact that evil, like death, haunts humankind and is impossible to totally suppress, manage or banish. Of course, we all know that those who do not resist and oppose evil not infrequently find their lives overshadowed by it.

The late writer-director-producer Rod Serling actually captured this theme very adroitly in a 1963 episode of the Twilight Zone titled “He’s Alive” (“He” being Hitler) that focuses on a “bush league Fuhrer” named Peter Vollmer.  

Of course, we all are cognizant of the fact that evil permeates the human experience and has countless modern day incarnations. It is certainly one wheel that gets reinvented without ever showing much wear or loss of perpetrators and victims.  Sometimes, though, the expressions are so continuous across time they appear to come out of some kind of historical-cosmic Xerox® machine. Click these links and reflect for a moment:

 http://weirdthings.com/wp-content/uploads/2012/01/skitched-20120111-150835.jpg

http://theheartthrills.files.wordpress.com/2013/04/north-korean-soldiers-drilling-2.jpg

OK, so evil is perennial. What we can do about it? Laugh at and ponder comic portrayals such as Seller’s, yes, but never make the mistake of viewing evil people as clowns or easy to control (A mistake many German pre-Nazi leaders made with respect to Hitler and his cronies). But above all learn everything we can about the nature of evil and its subtlest expressions and then work to expose and oppose them.

How do you kill 12 million people? Evil then and now: Recognizing & containing it by Choctaw Doc

The Science of Evil: On Empathy and the Origins of Cruelty by Dr. Simon Baron-Cohen

Copyright 2013 by Dr. Anthony G. Payne. All rights reserved.

Sexting, Sex Tapes & Sexual Exhibitionism: Why have so many folks thrown caution to the wind?

VIDEO CAMERA - FREE MSCELL PHONE - Free MSTime flies. If you were around to see the debut of the classic comedy “Animal House” 35 years ago you are likely feeling a tad old. But like so many great movies, Animal House managed to both reflect and illuminate certain aspects of our culture. And in light of today’s headlines one is tempted to think some of our political leaders have been running their lives as though they live in the Delta Tau Chi fraternity house.

Who can forget Dean Vernon Wormer’s pointed comment to Faber College freshman & Delta Tau Chi member Kent Dorfman that “Fat, drunk and stupid is no way to go through life, son”.

Given the middle-aged shenanigans of more than a few prominent politicians just in the past few years one can’t help but picture them standing in front of Dean Wormer and hearing:

“Old, horny and reckless is no way to go through life, son”

What gives with all these indiscretions? And let’s not just focus on big name powerhouse figures.  I mean, why are so many people of all ages, sexes and ethnicities posting sexually explicit photos and videos on the Web? I’m no prude by any means, but there is something deeply weird and unsettling about the seeming endless stream of people photographing and videotaping what they do behind closed doors and sharing it with the world.

Most are hardly adult movie star material and yet seem almost proud of their (ahem) shortcomings and imperfections. And while some might say it’s a good thing to strike a blow against the Madison Avenue world of plastic smiles & plastic bodies, I somehow do not think the antidote is for people to toss modesty to the wind and share themselves “warts and all”.  I’m sure some do what they do because they think highly of their “performance” and “mentally inflate” their assets. I suspect many if not most have become the butt of cruel putdowns and heartless jokes by Web browsers. I’m also sure some come to deeply regret their actions especially when confronted by a child, grandchild or other relative concerning something explicit they posted long ago and had hoped would somehow disappear with the passage of time (Apparently nothing posted on the Web ever does).

No doubt some of these self-styled sex performers suffer from body image & performance misperceptions if not delusions, but beyond this I have to wonder what else bedevils them. I’m not saying they all have personality defects or struggle with emotional or mental problems or sex addiction, but even so I am pretty sure at least a segment of them do what they do as an expression of narcissism, an attachment style disorder or mood disorder.

One expert on relationships and how reckless sexual behavior can endanger and even derail them, Rabbi Shmuel “Shmuley” Boteach, wrote this in a 2011 Examiner article concerning the sexual antics of Anthony Weiner and Bill Clinton:

These are all men who live with an unending craving for love and incessant need for attention, forever proving themselves, and therefore despising their very existence which involves an eternal feeling of inadequacy and unworthiness. Men who hate themselves this much and strive eternally for the validation of others harbor a secret wish that, in way or another, the inner torment will cease. That’s why they play Russian Roulette with their lives. Anything to dull the pain.

I think in some instances it boils down to something much simpler: In psychology it is well established that rewards (pleasure) derived from any activity makes people want more. This cycle of reward-reinforcement becomes a vicious, ever entrenched cycle for some folks. As they feed it over time they begin to feel helpless to resist and it becomes so normative they may not feel it is a problem (That is, until they get caught doing something that offends their mate or violates a local ordinance or state or federal law). Some become alienated from themselves and those who love and care about them.

To paraphrase a biblical observation concerning unrepentant sinning, their “conscience becomes seared”.

Oh, Choctaw Doc, you’re just conjecturing and in-a-way judging these people without any real evidence. Judging, no. Concerned about, yes. I could dredge up studies to buttress the mental health aspects of this “let it all hang out” social phenomenon, but prefer instead to share real life examples of what sometimes lies beneath the surface in some instances.

I interact with many licensed mental health professionals who occasionally share specific cases that they have found especially troublesome or unnerving (They do not, of course, mention names or details that might reveal their patient’s identities). Here are but a few:

A woman in her 50s sought help with mood swings and eating binges. As her female psychologist dug into her life story, she was told about more than 3 decades of “sexual abandon”. Specifically, her husband had convinced her to “spice up their sex life” first by filming their bedroom life and posting these clips to various websites and, when the thrill wore off of this, pressured her into having sex with other men while he filmed this (“Cuckold lifestyle”). She felt “dirty”, “nasty”, “used” and was “plagued by endless intrusive mental images of degrading sex”. The funny (pathetic) thing was that her husband sent her to therapy because he felt “she has problems, but I don’t”. Yeah.

A young woman in her 20s sought help with depression and insomnia. One of the things her therapist discovered was that this lady was racked with guilt and shame over explicit photos and videos her boyfriend had posted on a very popular porn site. The boyfriend had long since taken a stage left and found a new victim…eh..girlfriend..and left this young woman to live with the torment “giving in” had spawned in her heart and soul.

Now these are just a few examples of the “real world” consequences of “airing one’s peccadilloes”. Many pastoral counselors, priests and rabbis feel the immediate and downstream spiritual damage is even greater and have plenty of their own horror stories that attest to this.

For those who are involved in the sorts of things I’ve shared in this article and have no shame, guilt or concerns, there is no way to convince you that your chickens may come home to roost down the line. Where there is no insight, there can be no realization anything is wrong or could go wrong.

For those who are or have been caught up in these activities and feel shame and regret and/or are experiencing compulsive-additive behavior, my advice is to get thee to a licensed, competent mental health professional who is experienced in helping people with these issues.

And finally, for those of you who are tempted to “play with fire” or who are already doing so but aren’t sure why and don’t feel you need professional evaluation, at least take a few free on-line psych & personality tests to see if you are depressed or have some other issue or tendency such as:

What is your attachment style?  This interactive survey takes about 5 minutes to complete. The questionnaire is designed to measure your ‘attachment style’–the way you relate to others in the context of intimate relationships. When completed, the site will reveal your attachment style, and provide a brief summary of what is known about your attachment style on the basis of contemporary scientific research.

Attachment in Past and Present Relationships

Depression Screening Test by Ivan Goldberg, MD – -brief 18-question online automated quiz to help you determine if you may need to see a mental health professional for diagnosis
and treatment of depression

Cybersex Addiction Test

Internet Addiction Test

Partners of Internet Addicts Test

Sexual Addiction Screening Test (Women)

Sexual Addiction Screening Test (Men)

And here are some books and articles that I believe will prove helpful:

Alienation: Pervasive and insidious

Problems relating well to God & your fellow man? Your attachment style may be a major contributor

The dog you feed the most will dominate your life

Pornified: How Pornography Is Transforming Our Lives, Our Relationships, and Our Families by Pamela Paul

Pornland: How Porn Has Hijacked Our Sexuality by Dr. Gail Dines

The Broken American Male: And How to Fix Him by Rabbi Shmuley Boteach

Renewal: A Guide to the Values-Filled Life by Rabbi Shmuley Boteach

Marriage Builders® (Lots of free help on this website)

For those who have a problem or suspect they do, here are a few reputable sources of help:

If you live in southern California one highly regarded clinic that specializes in treating additions of all kinds including sexual is the Alternative Options Counseling Center. Call 562-921-5701 or 714-995-0359 (Outpatient primarily but “partial hospitalization” available for some patients)

Salvation Army (Residential) Rehab Centers (nationwide)

 A simple Google search will likely turn up at least a few qualified therapists and programs in your particular neck-of-the-woods.

 © 2013 by Dr. Anthony G. Payne. All rights reserved.

State sanctioned executions: What’s wrong with “Hang ’em high!”?

Prisoner Holding Cigarette Between BarsHardly a month passes without one US state or another putting a convicted murderer, rapist or what-have-you to death (It’s 7-26-2013 and Reuters just ran an on-line article titled “Alabama executes man advocates said was mentally ill” at http://reut.rs/13h21aj). While I understand where folks who view this as closure for the victim’s family or “just deserts” are coming from, I quite honestly detest the idea of the state possessing the power to terminate a life under any circumstances. History clearly shows how easy it is for governments to slip into abusing this sort of thing in the name of national security, the war on this or that real or imagined nemesis, or what-have-you. To my way of thinking no modern state should ever have the power to take from any citizen that which it can’t later restore.  I actually took this conviction and planted it squarely in a literary brainchild of mine that incorporates satire and humor to convey certain realities & truths.  You’ll find it on page 1 of my “FUP Manifesto” at http://www.scribd.com/doc/115383259/The-Fook-U-Party-Viva-La-Revolution.

Or if you are too busy, lazy, drunk or stubborn to click the link and find it, here is the salient entry:

Party Prime Directive: The (Seig!) State should never be able to take from anyone that which it can’t later restore if required or compelled, for whatever reason.

If you think this “excessively liberal”, imagine yourself awaiting execution in one hour’s time.   Or what if your daughter, son, nephew, niece or other blood relative were to be executed shortly? 

 

Is bias, corruption & hypocrisy now normative in science & medicine?

Signature:1aa0edd3f00ecb0adc8aa215f572f8061f81f2bd7ee14d34f53c48d50acdcb69SKEWED: BIAS, CORRUPTION & HYPOCRISY IN CONTEMPORARY SCIENCE & MEDICINE by Choctaw Doc

 HARM: A compendium of statistics & information  (Harm done by conventional health care v. AltMed practices & supplements)      Web address: http://bit.ly/N5xk3t 

NEJM editor: “No longer possible to believe much of clinical research published”

NEJM editor: “No longer possible to believe much of clinical research published”

The article below is reprinted in its entirety with permission of its author, Carolyn “The Ethical Nag” Thomas.  The original article can be readily accessed by clicking this link: http://ethicalnag.org/2009/11/09/nejm-editor/ 

 

NEJM editor: “No longer possible to believe much of clinical research published”

NEJM posterHarvard Medical School’s Dr. Marcia Angell is the author of The Truth About the Drug Companies: How They Deceive Us and What to Do About It. But more to the point, she’s also the former Editor-in-Chief at the New England Journal of Medicine, arguably one of the most respected medical journals on earth. But after reading her article in the New York Review of Books called Drug Companies & Doctors: A Story of Corruption, one wonders if any medical journal on earth is worth anybody’s respect anymore.

“It is simply no longer possible to believe much of the clinical research that is published, or to rely on the judgment of trusted physicians or authoritative medical guidelines. I take no pleasure in this conclusion, which I reached slowly and reluctantly over my two decades as an editor of The New England Journal of Medicine.”

Dr. Angell cites the case of Dr. Joseph L. Biederman, professor of psychiatry at Harvard Medical School and chief of pediatric psychopharmacology at Harvard’s Massachusetts General Hospital. She explains:

“Thanks largely to him, children as young as two years old are now being diagnosed with bipolar disorder and treated with a cocktail of powerful drugs, many of which were not approved by the Food and Drug Administration (FDA) for that purpose, and none of which were approved for children below ten years of age.”

Biederman’s own studies of the drugs he advocates to treat childhood bipolar disorder were, as The New York Times summarized the opinions of its expert sources, “so small and loosely designed that they were largely inconclusive.”

In June 2009, an American senate investigation revealed that drug companies, including those that make drugs he advocates for childhood bipolar disorder, had paid Biederman $1.6 million in “consulting” and “speaking” fees between 2000 and 2007.

“Two of Biederman’s colleagues received similar amounts. After the revelation, the president of the Massachusetts General Hospital and the chairman of its physician organization sent a letter to the hospital’s physicians expressing not shock over the enormity of the conflicts of interest, but sympathy for the beneficiaries: “We know this is an incredibly painful time for these doctors and their families, and our hearts go out to them.”

Biederman’s failure to disclose his Big Pharma payments to his employers ar Harvard (as is required for all Harvard employees) has been under investigation* for the past two years by Harvard Medical School, in as journalist Alison Bass describes this: “what must be the longest investigation in that school’s history”).

Dr. Angell’s article contains bombshell after bombshell, all gleaned during her tenure as NEJM editor. For example, on the subject of doctors who are bought and paid for by Big Pharma, she writes:

“No one knows the total amount provided by drug companies to physicians, but I estimate from the annual reports of the top 9 U.S.-based drug companies that it comes to tens of billions of dollars a year in North America alone.By such means, the pharmaceutical industry has gained enormous control over how doctors evaluate and use its own products. Its extensive ties to physicians, particularly senior faculty at prestigious medical schools, affect the results of research, the way medicine is practiced, and even the definition of what constitutes a disease.”

Revelations like this from medical profession insiders cast serious doubt on more than what’s printed on the pages of these medical journals.

Your physician reads these journals, treatment decisions are changed, care is affected, drugs are prescribed – all based on Big Pharma-funded medical ghostwriter-prepared journal articles from physicians who fraudulently claim to be the study authors. Then you walk out of your doctor’s office with a prescription for a drug that may or may not kill you, based on treatment protocols written by doctors like Biederman who are on the take from Big Pharma.

A very recent example of the sad reality over at the once-prestigious New England Journal of Medicine is their decision to publish a drug company-funded review article. This review attempts to discredit emerging research suggesting that many years of using Merck’s Fosamax or Procter & Gamble’s Actonel (both osteoporosis drugs in a class called bisphosphonates) could actually result in more leg bone fractures.

Not surprisingly, drug manufacturers of bisphosphonates are fighting back ferociously against this emerging (independent) research.  A Merck-funded review paper published in the NEJM on March 24, 2010 concludes:

“The occurrence of fracture of the subtrochantericor diaphyseal femur was very rare, even among women who had been treated with bisphosphonates for as long as 10 years.”

Sounds promising for Big Pharma. But if you look very, very closely, the article’s fine print confesses:

“The study was underpowered for definitive conclusions.”

You might justifiably ask yourself why a medical journal would stoop to publishing a meaningless scientific paper that the paper’s own authors admit lacks any conclusion. Even more troubling than a journal article that was itself bought and paid for by Merck, is the conflict of interest disclosure list at the bottom of this NEJM article.  It reads like a Who’s Who of Big Pharma.

Of the 12 study authors listed in the NEJM article, at least three are full-time employees of Merck or Novartis. Each one of the other nine admit owning equity interests in or receiving cash, travel expenses, or “consulting and lecture fees” from companies including Merck, Novartis, Amgen, Roche Nycomed, Procter & Gamble, AstraZeneca, GlaxoSmithKline, Medtronics, Nastech, Nestle, Fonterra Brands, OnoPharma, Osteologix, Pfizer, Eli Lilly, Sanofi-Aventis, Tethys, Unilever,Unipath, Inverness Medical, Ortho Clinical Diagnostics, OSIProsidion, or Takeda.

Why is the New England Journal of Medicine or any other credible medical journal accepting for publication articles submitted by paid employees of pharmaceutical companies?

As a cardiac patient, I’m gobsmacked by what appears to be this systemic corruption of not only medical journals who continue to publish what they clearly know is tainted research linked to drug marketing, but of the very doctors whom patients trust to look out for us. Since my heart attack in 2008, I take a fistful of cardiac meds every day, and I have no clue which of them were prescribed for me based on flawed research or tainted medical journal articles funded by the very companies that make my drugs.

And worse, neither do my doctors.

Happily, there are other decent physicians out there who, like Dr. Angell, are just as outraged as she is. Her targets are not just guilty of unethical conflict of interest – they are criminals who should be charged with endangering our health while padding their wallets.

Read Dr. Angell’s article from the New York Review of Books, called Drug Companies & Doctors: A Story of Corruption.

* NEWS UPDATE:  “Massachusetts General Hospital Discloses Sanctions against Three Psychiatrists for Violating Ethics Guidelines”, July 1, 2011:   The Boston Business Journal said today that three psychiatrists have been sanctioned for failing to adequately report seven-figure payments they received from drug companies.

Drs. Joseph Biederman, Thomas Spencer and Timothy Wilens disclosed the disciplinary actions against them in a note to colleagues. According to a copy of the note made public upon request by the hospital, the three doctors:

• must refrain from “all industry-sponsored outside activities” for one year

• for two years after the ban ends, must obtain permission from Mass. General and Harvard Medical School before engaging in any industry-sponsored, paid outside activities and then must report back afterward

• must undergo certain training

• face delays before being considered for “promotion or advancement.”

The three doctors have been under the political microscope since June 2008 when Senator Charles Grassley, R-Iowa, began investigating conflicts of interest involving clinicians. Biederman and Wilens have since admitted to accepting $1.6 million from drug companies whose drugs they were promoting; Spencer took $1 million.

Senator Grassley said, according to an online version of the Congressional record:

“These three Harvard doctors are some of the top psychiatrists in the country, and their research is some of the most important in the field. They have also taken millions of dollars from the drug companies.”

See also: 

 

SUPPLEMENTAL READING

 SKEWED: BIAS, CORRUPTION & HYPOCRISY IN CONTEMPORARY SCIENCE & MEDICINE by Choctaw Doc

 HARM: A compendium of statistics & information  (Harm done by conventional health care v. AltMed practices & supplements)      Web address: http://bit.ly/N5xk3t 

 

The Paula Deen train derails yet again (A Southerner shares his thoughts)

Train 2 - free morguefileNo doubt you’ve come across more than a few TV segments or Web items or both on the many eye-opening episodes from Paula Deen’s past involving racially insensitive words and deeds  (The latest being a just released NY Times story at http://nyti.ms/12mBZaO). What I found troublesome in all this was the argument (rationalization) she offered a while back to the effect that the South she grew up in was in some ways a bastion of antebellum bigotry and thus by extension it is almost expected that folks who grew up in it would harbor such notions. Oh, don’t get me wrong, I’m sure this is true. In fact, I know this is true because I grew up in the South (Texas and Louisiana) during the very time Deen did. I am Southern born & bred and have ancestors on both sides of my family that go back to before the Revolutionary war in South Carolina, Georgia and Mississippi. My great, great grandparents and their offspring lived as citizens of the C.S.A. and some actually fought under the stars & bars as Confederate soldiers. However, my Euro-American father and American Indian (Choctaw) mother never used racist terms or tolerated racist jokes nor even once used the N-word. Not once. And while I heard this pejorative word tossed about by other Southerners as both a put-down of African Americans and as a way to defuse their own fears of (I gather) being upstaged by them, I wanted no part of it. So it follows that a Southerner can grow up around racist words & thinking and yet not wind up perpetuating them in word or deed. This lends me to be wholly unsympathetic to Deen’s attributing what she said and did in the past to exposure to what amounted to “acceptable bigotry”.

At this moment many of my fellow Southerners are rallying to Deen’s side and marshaling all kinds of arguments to excuse her past “sins” and in-a-way redeem her person and legacy.   From what I see they are well meaning people, not hood wearing types or sympathetic to these living anachronisms, though most seem unaware that forgiving Deen’s actions is one thing but trying to rationalize them is quite another.

But let me add this: Attacks on the person who is Paula Deen should not be sanctioned or perpetuated. Attack bad ideas and actions, not the person in the sense of interpreting their motivations or what they feel (None of us can pull this off when it comes to our own being much less anyone else, as most of this takes place at a nonconscious level and is not accessible to conscious processes in our brains).

Let us reject racist ideas and actions and any rationalizations meant to excuse them, but not act as if this reveals what is in the hearts of those who toss them about and by virtue of thus defines their character or very soul (Unless the doer flat out says that their actions stem from heartfelt beliefs and convictions and actually does reflect their soul of souls. Then we should pity them and pray they wise up).

Choctaw Doc

Copyright 2013 by Dr. Anthony G. Payne. All rights reserved.

   

 

Neither a “Roman at the games” nor a supporter of those who play at this be

ROMAN HELMET - FREE MSWhere you have competition, you have losers and those who seem to revel in their loss. Pretty much everyone reading this knows how the Romans flocked to the Amphitheatrum Flavium better known as the Coliseum (starting around 80 CE) and were thrilled to see gladiatorial contest losers being dispatched and were reportedly especially happy when enemies of the state were served up to the Angel of Death in the goriest way possible. Today this competitive impulse is vented and satisfied in sports stadiums and contests of every description. And….on TV and in movies, in science and medicine, in academia, and in pretty much every endeavor or undertaking you can name. It is almost as if the road up is paved with the wounded, fallen, and discarded.

I personally think we all get more mileage out of cooperation than competition, which is actually a cardinal expression of our social nature. But we still compete. In academia, the term “publish or perish” wasn’t coined as a joke but as a reflection of the cutthroat competition that researchers, scholars and professors keenly feel. Today it is almost commonplace to read about retracted papers whose underlying studies include fraudulent or plagiarized data or information, which I suspect arises when researchers and others feel the only way to “stay afloat” is to take “shortcuts to glory” (Something that when exposed oftentimes sinks the very careers the perpetrators hoped to sustain and grow). The website “Retraction Watch” is actually devoted to airing these kinds of failings from the world of published research.

What concerns me isn’t that people make bad choices, we all do at one time or another after all, but rather that some folks seem to revel in seeing the “perpetrators” thrust into the spotlight and made to endure a seeming unending barrage of shame and denunciation. Some even anticipate bad times for not only people who wonder off the straight & narrow, but for those who are unconventional or are doing things that could be perceived or interpreted as crossing some real or imagined legal or regulatory line by the powers-that-be. Some seem to salivate at the very prospect that an ill wind will blast those they disagree with or oppose into obscurity…or worse.

Those who take this particular low road are IMO the modern day equivalent of those Romans who clamored for the destruction of those who had violated Imperial law.

So why do people, especially cultured, educated souls, seem to thrill in what amounts to an exercise in cruelty? Has their sense of competitiveness and the need to be right taken on a pathological dimension? Do they find that the only way they can feel better is by stepping on and then over the careers and lives of those they feel duty bound to hurl stones at? Do they have little or no empathy, at least for those they disagree with or oppose? Is it intolerance or ignorance at work…or both? Maybe it is all of this and more, at least in some instances. Let me share what I think motivates at least some of these “professional stone throwers”.

It is my contention that the mechanism (if you will) at work in those who either predict doom for their real or perceived nemeses (“worthy targets”) or who work towards this end, is the same one that animates the cruel actions of terrorists who behead their helpless victims. In 2005 I touched on this in an analytic article I titled “Terrorist beheadings and other forms of inflicted, violent death: Are victims aware of what is happening around them after their heart and lungs have stopped working?” (which you can access at http://bit.ly/142hi4Y)

 It will take only a few salient lines to spell out my spin on this: 

…there is an element of “enlightened self interest” in our curiosity and even fascination with dying and death. When we ask “What did that poor soul experience?”, we are in some way seeking in the death of others some idea of what we might sense or think or visualize as we go through our own final, irreversible “systems failure”.

So there you have it. As I see it some, perhaps many “stone hurlers” – I refer specifically to those who engage in ad hominem attacks on people or classes or groups of people instead of challenging faulty or flawed ideas, or who make suppositions with regard to what underlies poor or bad choices as though they are privy to seeing into their being (quite a feat when you consider most mental processes beneath consciousness and are not accessible to us) – do so (in part) to both existentially anticipate and experience the suffering they predict or facilitate for those they oppose. Of course, if their target winds up in hot water, rehab, prison or the cemetery, there is the ego-gratification of being able to say (either bluntly or ever so diplomatically) “See, I told you so”. By virtue of this they feel justified in the rightness of their particular stone hurling activities and encouraged to continue doing so. Society is not better for it, for successful cruelty has a way of attracting imitators and supporters and then of being further reinforced until it becomes “a self-evident truth”.

How should we deal with stone hurling and other forms of depersonalizing cruelty? The faulty thinking, choices and ideas that underlie such actions should be brought to light, dissected and challenged. But under no circumstance should this include attacks on the character or worth of people who have “played a Roman at the games” or supported those who do so. And, last but not least, we should strive mightily to meet and supplant heartless, cynical or even cruel actions on the part of others with exceeding kindness, cooperation, forgiveness and mercy whenever possible.   

Choctaw Doc

© 2013 by Dr. Anthony G. Payne. All rights reserved.

 

Recommended Supplemental Reading

The Science of Evil: On Empathy and the Origins of Cruelty by Dr. Simon Baron-Cohen

The Self Beyond Itself: An Alternative History of Ethics, the New Brain Sciences, and the Myth of Free Will by Heidi M. Ravven, Ph.D.

The Self Illusion: How the Social Brain Creates Identity by Bruce Hood, Ph.D.

The Illusion of Conscious Will by Dr. Daniel M. Wegner  

  

The dog you feed the most will dominate your life

AGNES OF GOD - AMAZONIn 1985 the Broadway hit “Agnes of God” was released as a movie directed by Normal Jewison. Marshall Fine tendered this review on Amazon.com:

This Broadway hit gets a solid film treatment by director Norman Jewison, but that can’t make up for the weaknesses of the script (which were as true onstage as they are here). Jane Fonda plays a chain-smoking shrink sent to a convent to do a psychological evaluation of a novice (Meg Tilly) who gave birth to a baby and then killed it in her little room. Was it a virgin birth? A miracle? And what of the bloody stigmata that seem to spontaneously appear on her hands? Fonda also finds herself clashing with the Mother Superior (Anne Bancroft) over the line between faith and science. But writer John Pielmeier can’t flesh this out beyond an idea; in the end, the solution is a disappointingly earthbound one that even the strong acting in this film can’t elevate.

OK, so the film isn’t flawless and has garnered more than its fair share of “1 or 2 thumbs down”. With this said, I like this flick. Why so? In-a-word it lays in the fact Agnes the novice nun somehow manages to interact with the world thorough a lens of innocence. That is, the unjaded aspects of her being for the most part dominate her day-to-day existence and how she perceives life and those around her.

Hollywood nonsense, you say? I might have agreed with you if this were early 1999. But not afterwards. What changed for me? I spent more than four years in Japan living and teaching classes of Japanese young people from pre-school through doctoral level plus many corporate classes filled with adult working professionals. What I discovered was that virtually all the young folks were, well, in some ways “Agnes of God” like. Mind you, I was aware that there were exceptions and many expats I shared sake and chat with were quick to point out their bad experiences with pretty jaded Japanese characters. But on-the-whole even they agreed most Japanese people they had encountered while teaching and in society at-large exhibited less of the cynicism and sheer nastiness that appeared commonplace back in the US and the West in general (Some of these expats came from the UK, New Zealand and Australia).

My then girlfriend and later (2001) wife thought I was seeing her people through rose colored glasses. This changed once we moved from Japan to southern California in early 2003. Having left being the corporate world in Japan (18 years work for a major multinational corporation in Tokyo), she pursued her long held dream of becoming a marriage and family therapist. This journey took her through the MS in Counseling program at Cal State Fullerton (she graduated with honors) and internships at a number of places including the Salvation Army residential program in Anaheim. While doing an internship at MiraCosta College in Oceanside, she happened to counsel a number of Japanese students who had come to the US in order to obtain specific educational credentials in an English language environment. What she discovered — and made a point of mentioning to me — is that her Japanese charges were very “unjaded” compared to the American students she counseled. Maybe my glasses were not so rose-colored after all.

At the very least, there seems to be at least a modicum of real world evidence that my original observation was spot on: The Japanese were and are on-a-whole less jaded (“more innocent”) than Americans.

Were Americans less jaded in the past? It seemed that way to me when I was a youngster. TV and movies in the late 1950s into the 1960s tended to reflect a certain un-worldliness (Less cynical, less nasty). This began to go out the window with the advance of the sexual revolution, Vietnam and all that entailed, and the general rejection of authority and conventional ways among many young folks of that era (including moi).

Can we ever recapture what we lost short of embarking on a 2nd childhood (individually and collectively)? Is the genie out of the bottle for good? Is there any way to truly be “as wise as serpents and as gentle as doves” (Rabbi Yehoshua’s admonition). Good questions, I think. We American Indians (Choctaws) have a saying that goes like this: “The dog you feed the most becomes biggest”. By this token if we as Americans feed ourselves on jaded & cynical things such as pornography, greed, pride, and other vices then the dogs that will steer our sled (lives) will be these vices. On the other hand, if we feed virtues and starve vices, well, we just might find ourselves less jaded and “wicked”. And while we may not become a nation of “Agnes of God” characters or even Japanese-like, we could inch a little closer to it.

Choctaw Doc

Copyright 2013 by Dr. Anthony G. Payne. All rights reserved.

How do you kill 12 million people? Evil then and now: Recognizing & containing it

Color photo from TIME, Inc.

Color photo from TIME, Inc.

Dr. Anthony G. PayneMy good friend Jim Haverlock recently asked, “How do you kill 12 million people?” He was,  of course,  referring to the Shoah or Holocaust. He wasn’t asking about the nuts & bolts of pulling off mass executions but, rather, how did so many ordinary and even extraordinary men and women willingly take part in Hitler’s Endlösung (Final Solution). This is a question that has intrigued and haunted me since early boyhood actually. In fact, as part of my quest for answers I read all of Nazi propaganda minister Dr. Paul Joseph Goebbels diaries as a young man plus vol. 1 of “Mein Kampf” (Vol. 2 was unknown when I was a youngster), watched archival film of the Nuremberg & Doctor’s trials, and read just about every substantive book on Hitler, the Nazis and fascism that existed at the time (And everything worth reading on the subject since as well). As anyone reading this who ever took a course in World History knows, both Hitler and Goebbels stressed the use of propaganda and the “big lie” as integral to the creating and sustainment of the Greater Germania they envisioned. And both were extraordinary in their zeal and abilities to forge a monolithic state predicated on a shared national myth, and induce the German people to embrace it via lies, artful use of imagery and symbols, fear, rewards and appeals to entrenched biases that went back not just decades but centuries (Particularly in the case of antisemitism which sadly had its roots in early Christian teachings especially the Hellenized spin on Jesus and his message crafted & promulgated by Saul of Tarsus aka St. Paul. Learn more by reading Paul and Jesus: How the Apostle Transformed Christianity  by scholar & historian Dr. James D. Tabor).

One place to turn for insight is historian Dr. Daniel Goldhagen’s books plus those of psychologist Dr. Philip Zimbardo. They do a smashing good job of laying out the historic, sociological, psychological and economic forces, currents and mechanisms that set the stage for the rise of the Nazis and then sustained them once they were in power.

But, even after you’ve read and mastered these works and others like them you likely find yourself still perplexed by the fact so many people down through the millennia and especially during the heyday of fascism could ignore and in many instances take an active hand in wanton cruelty. After nearly a lifetime of studying human cruelty and complicity in cruelty and evil I know there is no simple answer to “why”. Certainly lack of empathy or reduced or impaired empathy for targets/scapegoats is vital to evil and, yes, lies play a powerful role as well, but there is so much more that works to foster wickedness than lies and people’s failure to detect them or act on them or neglect to search them out and deal with them. However, with this said it certain behooves Americans to be vigilant and to call out wrongs and evil as soon as they come to light.

Things are complicated by the fact that evil and good rely on similar mechanisms and tools to govern (God, too, relies on these – see my op-ed piece on this subject titled “Hitler & HaShem at http://www.healingcare4u.org/hitler-hashem.pdf). Heaven knows our government has used lies of varying magnitude to govern across the years of our country’s existence. Probably Nixon and his “Imperial Presidency” took this to a whole new level and set certain wickedness in motion that has grown in scope to this day. In theory, yes, a super crisis or series of crises could lead to martial law and suspensions of Constitutional guarantees. During the Civil War (or as it is better known where I came from, “The War for Southern Independence”) Abraham Lincoln threw many folks who questioned his administration and policies into jail and kept them there, thanks to his having suspended the writ of habeas corpus. However, people rebelled, the press raised hell and the Supreme Court ultimately undid some of the more egregious acts of hegemony. I think any move to contain social disorder by imposition of a police or ultra-authoritarian state would, at the very least, result in the formation of tens of thousands of militias and resistance groups across the land that would make keeping the lid on the pot problematic if not impossible.

Naturally, best to act now and prevent a quasi-police or full-fledged police state then try to overthrow one that is in-place. Keeping our representatives working and honest is certainly part of that.

While no one has knows the full rhyme and reason behind human evil and its various incarnations, it helps to be aware of and reject ideas, movements, and acts that arise from and feed evil: Among them being intolerance, the marginalization and dehumanization of others especially minorities and other vulnerable groups, and unquestioned belief in authority figures and an unwillingness to call them out when they violate the very civil virtues and Constitutional guarantees they are charged with upholding.

I would add this: Although I’ve been a democratic socialist since 1985 I find some ideas and notions articulated by conservatives and even some right wingers of merit. As a Southerner whose ancestors go back to Revolutionary War times (and beyond) in South Carolina, Georgia and Mississippi, and whose paternal and maternal forbearers lived under the Stars & Bars (Confederacy) and in some instances fought for the C.S.A., I inherited a mix of ideas and notions, some worthy of consideration if not embrace, others that had no substance when they were articulated long ago and never will.  Of those that I deemed worth hanging onto was the longstanding Southern distrust of a powerful central government running everything including many aspects of people’s everyday lives. Although you might think a democratic socialist would welcome an all powerful centralized government, I emphatically do not. History shows all too clearly that the concentration of power in the hands of strongmen leads to abuses and skullduggery of the worst sort. Actually there are at least a few liberal thinkers who would prefer to see a decentralization of power in the US and other countries, and even the break-up of powerhouse countries into small nation-states (Especially those that are unstable or might become so and with this attempt to retain order and stability by imposition of a police or authoritarian state). I’m sure a world comprised of small, less powerful nations, say, the size of Switzerland, would by no means avoid many of the ills that plague major powers today, but I can’t help think they would have less influence and thus less ability to work evil in the world. And for those that do, their neighbors could form temporary confederations and impose various kinds of sanctions or, when regrettably necessary, military containment (Hey, sometimes the only way to stop a thug is send in the police).

But until power shifts from Washington to the states (if it ever does), best to keep an eye on the politicians on Capital Hill and do everything possible to keep our representatives working, honest and limited in the evil they can do. The same applies to the press and other so-called sacred American institutions.

Dr. Anthony G. Payne (waxing philosophic from his porch swing)

RECOMMENDED ADDITIONAL READING

My spiritual watering hole website: http://summerclouds.weebly.com/

Why does God allow evil (Theodicy)? See Are you an atheist, religionist, deist, fideist or ???

CBN video presentation “God & Hitler”: http://www.cbn.com/700club/features/churchhistory/godandhitler/index.aspx

Restoring Abrahamic Faith by Dr. James D. Tabor

The Jesus Dynasty: The Hidden History of Jesus, His Royal Family, and the Birth of Christianity by Dr. James D. Tabor

The Brother of Jesus and the Lost Teachings of Christianity by Rev. Jeffrey J. Bϋtz

How Jesus Became Christian by Barrie Wilson, Ph.D.

Forged: Writing in the Name of God–Why the Bible’s Authors Are Not Who We Think They Are by Bart D. Ehrman, Ph.D.

Supernormal Stimuli: How Primal Urges Overran Their Evolutionary Purpose by Deirdre Barrett, Ph.D.

The Science of Evil: On Empathy and the Origins of Cruelty by Dr. Simon Baron-Cohen

Copyright 2013 by Dr. Anthony G. Payne. All rights reserved.

Why is America so messed up? Blame the Founding Fathers & Disney!

CONSTITUTION - free MSPETER PAN - FREE MSDo we live in a messed up culture or what? Congress is gridlocked (aka constipated) and Wall Street seems to have terminal IBS (Irritable Bowel Syndrome – alternating constipation & diarrhea). It looks like virtually everything is illegal or soon will be which surely is linked to the phenomenal growth of the prison industry.  And single folks, they flock to on-line dating services where they find legions of married people looking for “afternoon delight” or its equivalent. People in general are now so jaded and fearful that just about anything from a sour look to a bag of skittles and a bottle of iced tea qualifies as a deadly threat.  And the boxers in the ring – that’s you and me folks – are so punch-drunk we longer hear the bell, see the canvas… or even care.  To hear the most vocal among us we are either one step from becoming the Fourth Reich or else on the slippery slope to some form of communalism or communism or some ism no one seems to favor or else believes signals the advent the “End Times”. I’m pretty sure if an extraterrestrial intelligence actually visited this veil of tears it would not conclude we are “Mostly Harmless” and would stick a quarantine beacon in high orbit to warn off other space travelers.

So how did we wind up so utterly messed up? I’m sure you have your own pet theories and suspicions. Me? I think it all started with the Founding Fathers and then Disney. Yep, the Founding Fathers and Disney. You see, those venerable Übermensch who founded our empire..uh…republic, elected to write some nonsense about our being entitled to pursue happiness. The problem is, they didn’t posses a roadmap to happiness or anything like it, nor did they seem to have the remotest idea  what exactly it is or would even look like (Albeit some folks tried heartily to achieve it by abusing every vice known to humankind). But then came Walt Disney and his cadre of mythmakers and propagandists who spoon fed us Baby Boomers (as well as those who had the misfortune of following in our wake) versions of reality in which all wrongs are righted; the Princess, puppet turned human, talking cricket and exceedingly cute fawn and most of her family beat the odds and lived; and the wicked witch and all those like her ultimately get theirs, and everyone somehow lives happily ever after. Now what do you think happens when you fill impressionable kids with notions of being entitled to pursue happiness and then feed them a steady diet of Disney films as though it were some kind of  magical roadmap? Why, hell yeah, you get a bunch of disappointed, anxious, spoiled, conceited neurotics who spin their wheels and fritter their lives away trying to dull the pain of not having a Disney-esque life, family, job, or future. Most wind up chucking their St. Whatever statue out their car, van, truck or armored personnel carrier window, and placing one of St. Al (Al Bundy) or St. Sam (Kinison) in its place.  This pathetic existential state naturally gives rise to a host of evils such as drunkenness, cheating, sexless relationships, career burnout, road rage, shoplifting, hoarding, running over the neighbor’s dog, tossing litter out of vehicle windows, overeating and fudging on income tax returns.  In the end, many find themselves wondering if happiness is something only those in the local cemetery found and this by making a permanent stage left.

Is there hope for this messed up state-of-affairs? There is. Forget the pursuit of happiness and instead pursue loyalty, faithfulness, virtue, and honesty. And toss all those Disney DVDs in the rubbish bin and make a point of exposing your children and/or grandchildren to stories that do not necessarily end with everyone living “happily ever after” but do teach them something about sacrifice, hard work, persistence, set-backs, tolerance, righting wrongs and doing what is good and right, as well as championing justice and equality for all while steadfastly resisting injustice and inequality in whatever guise. At least this way they will not be looking for a Disney world or Disney ending that will never come, though if they hang on and keeping doing what’s right and virtuous they might just get pretty darn close.

Choctaw Doc (Philosophizing from his porch swing)

 Copyright 2013 by Dr. Anthony G. Payne. All rights reserved.  

 

Female sexuality: Just when the waters seemed to have cleared a little

Young Woman with Her Hand on Her Belly and Man Beside Her WritingSigmund Freud once said something to the effect that the one thing that truly eluded him was deciphering female behavior & sexuality (I read all his works by age 12 or so but still wrestle with some aspects of his claims & insights). I must admit that the range of plasticity in women — much culturally & socially influenced if not determined — is daunting (Men, by contrast, often seem like trolley trains on a one-way track). Now comes yet another book that is sure to confound any attempt by anthropologists, psychologists, sociologists and others to solve what Freud could not: http://www.alternet.org/sex-amp-relationships/memoir-female-lust I have come to the tentative conclusion that the best recourse is surrender — as in starting one’s 2nd childhood early and returning to those simplier, less confused days when everything was explained or solved by 30 or 60 minute TV shows & news specials as well as movies & mini-series. Either that or go mad and adopt a “Laugh In” or Timothy Leary spin on reality.

Getting stem cells to target using magnetic means

MAGNET - FREE MShttp://www.sciencedaily.com/releases/2013/07/130716144037.htmSteering Stem Cells With Magnets

http://www.medical-hypotheses.com/article/S0306-9877(04)00010-6/abstract  – My 2003 paper titled “Using immunomagnetic technology and other means to facilitate stem cell homing” (Medical Hypotheses, Elsevier UK)

Abortion: Is there a point at which it becomes a moral or ethical “misstep”?

QUESTION - FREE MICROSOFTIf you belong to a faith tradition or religious perspective that views the fusion of sperm and egg as marking the advent of a human life, you are probably very unlikely to modify your stance. As one who grew up in the Bible belt among Protestant fundamentalists and evangelicals (upwards of 90% of my family), I know where you are coming from. There is black & white, with grey being a species of unacceptable compromise that is akin to bedding down with evil incarnate.

If you happen to belong to the “B & W’ contingent, perhaps you buttress your antiabortion convictions like many aspects of your most cherished religious beliefs with borrowings from the world of science and medicine, however tenuous some of these may be. As you may know or at least have heard, many religious beliefs are not testable and thus lie outside the purview of science. For example, the religious concept that every human has a soul or spirit imputed by the Almighty at conception or thereafter is not something that can be tested and verified or refuted using the tools of science. There is no laboratory assay that will disclose or measure something that is held to have no material substance as we know it and which is not physically manifest in cells or tissues or such.

For religionists who hold that ensoulment (i.e., spirit is imputed) occurs at conception, and (who) refuse to consider even slightly modifying this perspective in light of contrary biblical reasoning, there exists an impasse that cannot be readily breeched (If at all). When enough people embrace such a spin on what constitutes viable human life, their collective influence on the direction state and even federal legislation takes is felt (Some would argue disproportionately so). Of course, the courts have weighed in to keep even majority sentiment from what they conclude impinges on or overrides the Constitutional rights of the minority.

Many scientists regard the convictions of those who hold that viable human life begins at conception or during the very early stages of development as both presumptuous and naive. Many religionists and theologians agree. Among those who happen to hold fast to a belief that a fertilized egg is entitled to full status as a viable human, the use of blastocytes or very early stage embryos constitutes a species of murder. Some even go so far as to decry those who take exception to their faith-based beliefs as being immoral or amoral.

Does the truth lie somewhere between the strictly secular and the sacred? Most of us probably harbor a feeling that somewhere in all this – lurking in the facts of biology and the world of polemics and logic, ethics and religion – there is an answer that will win the day. If this is the case, it is quite obviously going to take time for such a truth to fully emerge.

Many have asked me, “What is your spin on what constitutes viable human life?” Being as I have a foot in both worlds – which is to say religious belief and science – it seems logical to suppose that I would be able to offer up a “faith and science-friendly” opinion as to when viable human life begins. Well, yes, I do have something to offer up for consideration though the only thing I can be 100% certain of is that my opinion will be contested by people on both sides of the “great divide”. With this in mind, here is my spin – informed by biology, of course.

The heart begins beating at three weeks of gestation and the first neural reflex is manifest at eight weeks (and consists of hand withdrawal in response to stimulation of the fetal lip region). During weeks 9-13 the first brain waves appear and are discernible using special medical instrumentation.

Given that death is defined (in part) as a cessation of both heart and brain wave activity, one could argue conversely that to be alive in any meaningful sense beyond mere biological existence (A petri dish bearing a cell culture has biological existence, after all)  begins when both heart and brain are operational – week 9 onwards.

Interestingly, in my own faith tradition which is informed by lines of moral & ethical reasoning in Rabbinic Judaism, the fetus generally becomes a viable human life after day 40 of gestation. In the ancient Jewish context, the fetus is deemed to be little more than water until “quickening” occurs, about 40 days after insemination. “What Do Orthodox Jews Think About Abortion and Why? By Judith Shulevitz – Orthodox Jews on Abortion. If we take week 9 as our bench mark — the heart and brain being recognizably functional – then the fetus would be deemed viable from about day 63 onward.

 Applying this definition of when human life becomes viable, it follows that embryos from conception to week 9 or so are “pre-viable” or “proto-viable.”

Now is this to say that embryos prior to week 9 are “fair game”? Say, that we can create embryos strictly for the purposes of harvesting their tissue and/or stem cells for medical research or other applications? These embryos aren’t viable, so why not? Well this brings us full circle to religious and ethical concerns. Rather than belabor that in this op-ed piece, I would direct readers to an excellent treatment of this subject in this posted article: Jewish Virtual Library – Abortion

OK, so we don’t create embryos to harvest, how about using intentionally aborted fetuses as a source of tissues or embryonic stem cells for research or medical application? As one fellow actually said to me, “Hey, Doc, they are going to die anyway, so why not get some good out of them for sick and ailing people”. To my mind, this comes uncomfortably close to the arguments advanced by physicians and scientists who performed hideous experiments on human subjects in Nazi concentration camps. This very line of reasoning was, in fact, used as a defense by some of the physicians being tried for war crimes in the 1946 “Doctor’s Trail” in Germany). Granted, there is a world of difference between elective abortion and the intentional dispatch of life at the hands of doctors (such as the late Nazi “Angel of Death” Dr. Josef Mengele and his ilk) who abandoned universally acknowledged medical ethics in the service of the state. But even so, harvesting aborted fetuses from any source does strike many folks in America as constituting a form of callous utilitarianism that can’t help but bring to mind some of the most egregious polities and activities in the Nazi bio-state – or perhaps the fear that our country is headed in the direction of making prophecy of the classic sci-fi film “Soylent Green” – or both. And even if the intentional abortion of a fetus before week 9 were universally embraced as morally and ethically acceptable – in no way offensive to humankind or the Almighty – there remains something hauntingly “predatory” about utilizing material from intentionally terminated “pre-viable” human material.

All things considered, it seems unlikely that access to abortion will prove a genie that can be returned to the proverbial bottle (This side of the US becoming an authoritarian or police state run by pro-life factions at all levels, that is – something the majority of Americans would vehemently oppose). And while restrictions on the direction embryonic stem cell research and use takes will likely continue to be a legislative and ethical tug-of-war between various factions, a return to an outright ban on government provided/sanctioned embryonic stem cell lines seems unlikely. This leaves what is being played out now at the political level:  That is, the fact many state legislatures such as my own native state of Texas in 2013 are leaning towards placing considerable restrictions on access to abortion services. This gambit may succeed especially in states dominated by a traditionally conservative majority although I predict any such this legislation will be eventually overturned by the Supreme Court as being unconstitutional.

Perhaps my life-at-9-weeks-on criteria should be thrown into the abortion access deliberations mix. Let’s revisit it:

Given that death is defined (in part) as a cessation of both heart and brain wave activity, one could argue conversely that to be alive in any meaningful sense beyond mere biological existence (A petri dish bearing a cell culture has biological existence, after all)  begins when both heart and brain are operational – week 9 onwards

Of course, I am not actually advocating that my definition (above) be transformed into new legislation or such that is imposed on all women across the land. But for women who come out of conservative faith traditions what I have laid out might help them in deciding at what point-in-time during a fetuses’ development abortion constitutes an ethical or moral misstep. For those who find my approach reasonable, use of a “morning after” pill constitutions no sin nor does an abortion prior to week ten (10) post-conception.

In the final analysis, the whole matter comes down to personal choice informed by the unique constellation of social and life factors & players that characterize each woman’s life.

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© 2013 by Dr. Anthony “Choctaw Doc” Payne. All rights reserved.

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