Category Archives: Problem Practices

Communication behavior or analysis that is often counter-productive

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Reconsidering the Havana Syndrome

It can be tricky to tie common physical complaints like fatigue and headaches to a single outside cause. 

Last week the CIA again registered doubts that foreign governments have been attacking American embassy workers with some sort of sonic weapon.  Over the years official views have ranged from certainty that foreign agents were involved to more skepticism.

A little background:  In early 2017 Ambassador Jeffrey DeLaurentis held a classified briefing raising the possibility that American staffers at the Havana embassy were being targeted by a sonic device outside the embassy grounds. Many had real but vague symptoms. Soon after, he took the precaution of asking embassy personnel to sleep in the middle of their rooms and away from windows. Six months later he would order the evacuation of nonessential staff and their families.

Tear gas, rubber bullets and stun guns all leave marks of their effects on flesh or the psyche. But individuals traumatized by sound will exhibit less external evidence that they have been attacked. Yet, as any viewer of science fiction films can attest, it seems plausible that exposure to high frequency energy could inhibit a person’s cognitive capacities. Most disturbing of all, the research done on a selection of Americans and Canadians in Havana suggested at least some damage to the bones of the middle ear and the inner-ear canals that help an individual keep their balance. Several years ago, Michael Hoffer, an otolaryngologist at the University of Miami, found these nearly immobilizing effects in 50 embassy staffers. A clear sign that something nefarious was going on?  Perhaps, but it is also true that the middle and inner ears of most adults show wear and tear with age. We are rarely kind to our hearing receptors, doing little to protect them.

What initially gave the syndrome some credibility was a history of past Soviet use of high frequency sonic waves to try an eavesdrop on embassy officials. The idea was to use a tool somewhere near the building that could yield up private conversations, all without notice. This was back in the 1970s.

Even so, the recent CIA conclusion is a caution. As skeptics have pointed out, radio and powerful sonic waves all pose challenges if used as weapons. One convincing problem is that ultra-high frequency sound waves that we cannot hear but might affect someone’s vestibular system will not easily penetrate buildings or dense materials. Low frequency sound waves are a partial exception, which is why you can sometimes hear the thumping bass of a boom box or car stereo even inside a building. But higher auditory frequencies originally considered prime candidates for sonic mischief do not carry well through hard surfaces. That’s not true with radio waves, which might be a reason for concern. For example, standing near a broadcast antenna for a period of time is not wise. It exposes a person to a lot of electromagnetic energy if they are nearby. But a beam of radio waves would likely give away their presence via likely other electronic equipment within the embassy: a red flag not found in the reports of the residents.

There are at least two additional reasons to have doubts about the theory of a foreign attack. One is the surprising fact that local varieties of crickets are very loud. Some residents in Cuba say their 6000 Hz pitch can literally drive you crazy. Imagine doubling the loudness of the cicadas and crickets we heard last August in parts of the northeast. These sound can induce real fatigue in a place like Havana, where people naturally spend more time outside.

Somatic Contagion? 

Then there is an additional but important point that is raised carefully, since it can seem like a dismissal of the victim’s complaints. There is the real social phenomenon of a “collective psychogenic disorder,” where symptoms of one individual begin to trigger perceptions of the same problem in others. This theory of ‘somatic contagion’ applies when a persistent symptom that is mentioned by one individual triggers some of the same sensations in others. It is one reason there are a lot of uninfected people seek COVID-19 tests, because they are more conscious of the widespread discussion of its many flu-like symptoms. In fact, most seeking COVID tests are negative for the virus. They have simply linked high public awareness of its symptoms with the effects of their winter allergies or other common respiratory irritations.

I suspect that the likelihood of a collective psychogenic origin is one reason recent government efforts have turned to developing a formal diagnostic rubric for the syndrome.  It might standardize what is now still a somewhat impressionistic set of symptoms. As some researchers have pointed out, many routine medical anomalies are likely to produce symptoms that can look like those of the Havana syndrome: namely, fatigue, headaches, and nausea.

None of this is to suggest that there are no sonic canons used against others. Sound is weaponized in a variety of ways. For more discussion of this point see Chapter 9 of The Sonic Imperative: Sound in the Age of Screens, available in hard copy, or a free download at this site.

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Fantasy and Denial: Our Public Health Challenges

Routine protocols for dealing with fast-spreading viral diseases have been reimagined as partisan ploys designed to destroy personal freedom.

In the last year my colleagues who specialize in health communication have had to face a landscape of public opinion fissures beyond what most could have imagined. Health communication explores how we can acquire information that will allow us to make better personal choices. One of the triggers for this area of study was the realization decades ago that it was costing much more to treat seriously ill smokers than to educate them about the risks. Public health practitioners realized that they needed the help of people trained in the arts of shaping public opinion.

Many who do this kind of research could be forgiven for thinking that the route to control of a treatable malady is a straight path involving the conversion of the best expert advice into coherent messages, producing high levels of compliance. But no. By nature, humans are fantasists more than critical thinkers. If vaccine resistance has taken many of us by surprise, it is perhaps because we thought we understood the power of credible medical advice. But ask members of our species about material causes for a particular result, and some will manage to weave together alternate narratives that have no bases in fact.

There is irony in living in an information-rich age that also supports bubbles of completely looney “truths.” We never need to look far. Many of us have seen folks look a reporter in the eye an assert that the seditious acts of January 6 against certifying a new Democratic president were the work of the Democratic Party. Where do you start with these people?

The eradication of polio is a representative case. In the mid-1950s, Americans anxiously lined up their children for the first vaccine against the highly infectious disease that left thousands of children paralyzed. As medical historian David Oshinsky has noted,

“If you had to pick a moment as the high point of respect for scientific discovery, it would have been then, After World War II, you had antibiotics rolling off the production line for the first time. People believed infectious disease was [being] conquered. And then this amazing vaccine is announced. People couldn’t get it fast enough.”

By early 1960, polio in the U.S. had been all but eliminated.

But this is not 1954. The pandemic has turned into an unforeseen world-wide experiment in how to manage the rapid transmission of a deadly virus while fighting off the dross of misleading messages. As it has turned out, and in spite of advances in immunology, helpful advice would have to outpace the lightning dissemination of misinformation, frequently with fantasies that a Hollywood screenwriter would have thought too outrageous. Perhaps eight to ten percent of the population is untethered to the ground, expressing phantom fears and wanting unobtainable guarantees of perfect safety.

Although many of us may owe our lives to the COVID vaccines that became available last March, widely expressed doubts about the helpfulness of masks, social distancing, and vaccines were triggered by this countermovement. It has expanded beyond the small core of anti-vaxxers and conspiracy-paranoids that have always been around. If we want to know how misguided public attitudes can be, we need look no further than many narratives that have turned treatment into a government plot. Routine protocols for dealing with fast-spreading viral diseases have been reimagined as partisan ploys designed to destroy freedom of action.

Thousands are going from hospital ICUs to their graves with the belief that COVID was a governmental plot

As this is written, only 48 percent of the residents of Alabama have gotten two doses of a COVID vaccine, with the predictable result of abnormally high per-capita death rates. Indeed, using the New York Times’ database derived from the CDC and other sources, some states like Idaho may not even know how many citizens have received vaccines. And the inequities of care within a single state can be vast. In Texas, 82 percent of the residents of Webb County are vaccinated, but only 21 percent in Gaines County.

Core public health best practices for the control of the spread of disease have been known for decades, granting some variations for local factors like weather, the mobility of the population, and the variability of medical care. Even so, it is settled science that immunization and wearing facemasks can reduce the spread of infectious disease in Burlington Vermont as well as Miami. But against the uniformity of guidelines lies the darker immutability of human conduct. Again, our dilemma is that prior beliefs and fantasies are difficult to dislodge even with sound evidence. Overlay this resistance to new fantasies that political treatments are surreptitious tools of thought control, and suddenly medical staffs have been forced to deal with wild speculation as well as disease. Indeed, a small percentage—but maybe thousands–are going from hospital ICUs to their graves with the belief that COVID was a governmental plot.