The alternative, of course, is that depression has a secret purpose and our medical interventions are making a bad situation even worse. Like a fever that helps the immune system fight off infection — increased body temperature sends white blood cells into overdrive — depression might be an unpleasant yet adaptive response to affliction.
To watch this megamovie as it should be watched, as a 26-hour (and counting) cycle, and to read McLean’s dissection of its intricacies, is to grasp Mad Men’s triumph: its emotional intelligence—evident not only in its writing and acting but in its exquisite direction, lighting, and photography—overwhelms its mushy ideology and whatever Important Points it wants to make. At its best—and it usually hits that mark—its characters are true to themselves and therefore to their time and place.
The company’s challenge, begun in October 2006, was both geeky and formidable: come up with a recommendation software that could do a better job accurately predicting the movies customers would like than Netflix’s in-house software, Cinematch. To qualify for the prize, entries had to be at least 10 percent better than Cinematch.
The two men share a fervent belief that pulling back the veil on medicine will do more good than harm, even if it means pushing transparency’s limits right up to the edge of lawsuit territory. “What is the alternative to understanding the complexity of the world?” Gawande asks. “It’s denying it. There’s no way that’s a successful strategy.”
Researchers who have taken images of the brain as it processes information related to personal identity have noticed that several areas are particularly active. Called cortical midline structures, they run like an apple core from the frontal lobes near the forehead through the center of the brain. These frontal and midline areas communicate with regions of the brain that process memory and emotion, in the medial temporal lobe, buried deep beneath each ear. And studies strongly suggest that in delusions of identity, these emotion centers are either not well connected to frontal midline areas or not providing good information. Mom looks and sounds exactly like Mom, but the sensation of her presence is lost. She seems somehow unreal.
But I don’t think I’m alone among my cohort in the belief that John Hughes was our Godard, the filmmaker who crystallized our attitudes and anxieties with just the right blend of teasing and sympathy.
There are three key steps to disappearing. First, destroy old information about yourself. Call your video store or electricity company and replace your old, correct phone number with a new, invented one. Introduce spelling mistakes into your utility bills. Create a PO Box for your mail. Don’t use your credit cards and the like.
Then, create bogus information to fool private investigators who might be looking for you. Go to one city and apply for an apartment. Rent a car in another one.
The next, final step is the most important one. Move from point A to point B. Create a dummy company to pay your bills. Only use prepaid mobile phones and change them every month. It is nearly impossible to find out where you are unless you make a mistake.
The organization had taken certain positions, and there were some facts it was more fond of than others. As its figurehead, I was making arguments I didn’t fully buy myself. Further, my boss seemed intent on retraining me according to a certain cognitive style — that of the corporate world, from which he had recently come. This style demanded that I project an image of rationality but not indulge too much in actual reasoning.
I spoke to Keron Fletcher, a former British military psychiatrist who had been on the receiving team for Anderson and many other hostages, and followed them for years afterward. Initially, Fletcher said, everyone experiences the pure elation of being able to see and talk to people again, especially family and friends. They can’t get enough of other people, and talk almost non-stop for hours. They are optimistic and hopeful. But, afterward, normal sleeping and eating patterns prove difficult to reëstablish. Some have lost their sense of time. For weeks, they have trouble managing the sensations and emotional complexities of their freedom.
Every so often, I crawl out from under my mid-twenties rock to see what the young folks are up to. And I can't help but ask adolescent girls all across this great nation: W?T?F?Amen, sister.
