Older body, youthful mind

For those who are getting old, there are ways to keep youthful mentally.

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Is mental decline in old age inevitable? Are there habits that can help in maintaining mental acuity in later years? The older I get, the more these questions interest me, and so I keep on the lookout for discussions of relevant research that can be put to practical use. I’ve just read Staying Sharp, one of the most useful contributions in this area.

Academics and the life of the mind

I work as a researcher, among academics who depend on their minds to do their work. Most of my colleagues are over 40. Yet, despite mental capacity being crucial to scholarly performance, relatively few pay a lot of attention to nourishing their brain – “nourishing” interpreted in a variety of senses.

Whatever their views about the mind, many scholars behave as if it doesn’t matter all that much how they treat their bodies, because the mind is this separate entity that can be cultivated autonomously. Some damage their brains through excessive alcohol. More common is a neglect of physical exercise, even though there is ample evidence that exercise benefits mental functioning in multiple ways, including reducing anxiety and depression. Poor diet is also common.

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The behaviour of intellectuals who neglect their bodies might be related to a status difference between white and blue-collar workers. To distinguish themselves from manual labourers, intellectuals may avoid physical exertion. Or perhaps the status comes from having sufficient income to afford a nice car and drive to work rather than walking or cycling.

Staying sharp

The book Staying Sharp is written by two US health practitioners who seek to combine ideas from scientific research with holistic approaches. Henry Emmons is a psychiatrist with a background in conventional medicine who now includes natural therapies in his practice; David Alter is a psychologist with a PhD who practises in a centre for holistic health. Their book is subtitled 9 keys for a youthful brain through modern science and ageless wisdom. Their focus is on older people, who they euphemistically refer to as being in the “second half of life,” roughly the 40s and beyond.

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After a few introductory chapters, Staying Sharp has 9 chapters addressing each of the 9 keys in the subtitle. The authors have categorised the vast body of relevant research and practice into a convenient package for the non-specialist reader.

Of the 9 keys, three are more overtly about the body: exercise, sleep and diet. If the brain is thought of as a biological organ, then it makes sense that exercise is beneficial: it stimulates the flow of blood throughout the body, including the brain, providing nourishment and removing waste products. A good diet ensures the nourishment is of the highest quality. Sleep allows the brain to recover from inputs during wakefulness, while also performing functions such as consolidating memories.

Emmons and Alter’s other six keys are about mental orientations: curiosity, flexibility, optimism, empathy, relationships and authenticity. It seems plausible that greater curiosity can aid the mind, because it involves becoming exposed to new ideas, developing new connections and brain cells. Many people remain stuck in the same sets of ideas for years or decades, and this can lead to stagnation. I perceive this in myself in my daily writing. When I’m writing about a topic I’ve written about before, the words flow easily, but if I tackle a new topic, it becomes more of a struggle, which might be a sign of greater effort that mobilises less frequently used brain circuits. It is more comfortable to stick with familiar topics. Tackling new topics, as a result of curiosity, is analogous to exercise that pushes the body a bit beyond its comfort zone.

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Emmons and Alter go well beyond this sort of intuitive assessment. They cite all sorts of scientific studies about curiosity, provide an evolutionary rationale for the advantages of curiosity (but not too much of it), give the case for experiencing boredom (to a certain degree), and provide all sorts of suggestions for fostering curiosity.

For each of the chapters on the 9 keys, Emmons and Alter provide a summary of key concepts, a rationale for the activity, evidence of effectiveness, and practical guidance for engaging in the activity. For example, concerning sleep they report on the prevalence of sleep deprivation in the US, tell about changes in sleep patterns as people get older, describe at some length the benefits of sleep (improved mood, clearing of the mind, repairing the body), give the biological rationale for the importance of sleep (including detoxification), and then pages of details about how to develop habits that promote good sleep.

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Henry Emmons

Of writing for the general reader on the mental side of ageing well, Staying Sharp is the most comprehensive treatment I’ve seen. It draws on a wide range of scientific literature and covers both physical and psychological dimensions. The authors provide detailed practical steps in each area they address.

Out of the vast body of research and writing about the mind and ageing, to highlight 9 areas is a matter of convenience. In practice, all sorts of practices make a difference, but trying to make sense of all the information available is overwhelming. Readers who have been following research in areas covered in Staying Sharp will have their own ideas about priorities. This is only to be expected, because no prescription for productive ageing is ideal for every individual.

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David Alter

Reservations

Staying Sharp is oriented to affluent people and to life in the US. For those living in poverty or in a different culture, some of the keys would be different. To stay sharp, sometimes the first priority is to stay alive.

The book is written for individuals, even though some of the recommendations are about building connections with others. Individualism is higher in the US than anywhere else, and is probably greater among those who are well off. As a result, Staying Sharp has little about collective solutions for ageing well. For example, towns can be designed so that exercise by walking and cycling is part of daily life, and workplaces can be designed to foster greater optimism and stronger relationships. These involve social change, will be resisted by groups with vested interests, and are unlikely to make a big difference in the short term.

It’s possible to imagine a future in which the insights from Staying Sharp, and the experiences and studies on which it is based, are used to build communities that encourage mind-strengthening throughout life. Until then, a possible substitute is to devote efforts towards moving towards such a future. The efforts will help others and, by following Emmons and Alter’s advice, can contribute to staying sharp throughout one’s own life.

Read the book and visit the Staying Sharp website, https://stayingsharp.aarp.org

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Brian Martin
bmartin@uow.edu.au

Thanks to Paula Arvela, Anu Bissoonauth-Bedford and Jody Watts for helpful comments.

Preventing catastrophe

Floods, fires, hurricanes, earthquakes, tsunamis: can the worst consequences be prevented?

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Wollongong, 1998. Photo: John Larkin

On 17 August 1998, there was sudden downpour in Wollongong, with over 300mm of rain in a few hours. There was flash flooding; coal wash from a colliery swept through suburbs.

Some homeowners were insured; others were not. There was uproar over whether the damage was caused by storm or flood, because some companies covered only storm damage. After being shamed in the local media, some companies paid up – but not all.

The controversy over insurance coverage overshadowed a bigger issue. Should something be done to prevent damage and loss of life from such heavy rain? Wollongong is built on the edge of the ocean, in a narrow strip next to a steep rise called the Illawarra escarpment, and rain runs in torrents down the incline to the sea.

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View of Wollongong from the Illawarra escarpment

When houses are built at higher elevations, displacing the tree cover, there is more runoff to the areas below, creating a greater risk of inundation. Perhaps the local government should impose stricter controls over development, or homeowners at higher elevations should pay a premium land tax to compensate for contributing to increased risk of damage to other properties.

The bigger picture

The Wollongong storm story is a small example of a much bigger problem: what should be done about so-called natural disasters? In 2011, a huge earthquake off the coast of Japan created a tsunami that killed over 15,000 people and damaged nuclear power plants. Japan sits on or near a major fault line for earthquakes.

If you want to learn more about the history of fires, floods, earthquakes and tsunamis, then check out the engaging book The Cure for Catastrophe: How We Can Stop Manufacturing Natural Disasters. The author, Robert Muir-Wood, has decades of experience in investigating disasters, often visiting sites immediately afterwards, observing destruction of buildings and noticing which construction types survived, assessing responsibility for the human deaths and casualties and seeing what reduce the impact of natural forces.

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obert Muir-Wood

Much of the book is historical, telling about many of the most prominent disasters, such as the 1755 Lisbon earthquake. In earlier centuries, before the theory of plate tectonics, Aristotle was the authority, and he believed earthquakes were due to great underground hollows that opened and swallowed up buildings and people. In popular understandings, in Europe at least, disasters were seen as divine retribution. However, the Lisbon earthquake did not fit the pattern, as the city was one of the most religious at the time.

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An artist’s portrayal of the Lisbon earthquake

Gradually, more empirical approaches gained support. However, the scientific study of disasters faced several obstacles. One was vested interests. After the 1906 San Francisco earthquake and fire, local merchants excised mention of earthquake and opposed funding studies of earthquake hazards, because acknowledging the risk might discourage commercial development. The disaster was named a fire and regulations were set up so buildings could withstand fire, but they remained susceptible to collapse due to fierce shaking.

Unnatural disasters

Muir-Wood says that natural disasters are not purely “natural” but always involve a social dimension. Indeed, most of the damage from disasters, physical and human, is due to human choices. Today, there is sufficient knowledge to know what to do to minimise death and damage, but often insufficient political and social will.

Fewer people died in building collapses in the Magnitude 8.8 central Chile earthquake than in the 1,000 times smaller 2009 L’Aquila earthquake in central Italy. After fifty years of investment in world-class schools of engineering, and by strictly enforcing tough building codes, Chile today has some of the safest earthquake-resistant building stock in the world. (p. 172)

In some locations, disasters are frequent enough that people should stay away. It makes no sense to rebuild in a floodplain unless there are ways to prevent flooding. But after a few decades, people forget the previous disaster and profit-seeking developers carry the day.

The Netherlands offers the best example of effective disaster prevention. With much of the land below sea level, the country relies on dykes to prevent inundation. In case the dykes are breached, there are plans for secondary defence of life and property. What is especially significant in the Netherlands is that the potential for disaster had a profound effect on the political system, with all involved in a cooperative effort to protect the country. The potential for disaster in this case generated a special form of political cooperation.

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Flood control in the Netherlands

Muir-Wood describes the rise of insurance systems. Initially, competition between insurance companies was ruinous: some would gain business by offering low premiums and then go bankrupt when a disaster required large payouts. Gradually, insurance companies adopted scientific approaches, calculating premiums in a realistic way. They also led to the emergence of reinsurance, insurance for insurance companies. Reinsurers have a special interest in disaster planning, and can apply pressure to adopt policies that reduce damage in a disaster.

Muir-Wood says that, ultimately, affluence is a cure for catastrophe, because people are willing to pay to reduce risks. Just as important, though, is corruption prevention. In many countries, there are laws governing housing construction to reduce the risk of collapse in an earthquake, but the laws are routinely ignored: bribery enables dangerous construction to continue. In such circumstances, campaigns against corruption have the potential to save many lives.

Construction codes and suitable technologies can greatly reduce vulnerability to disasters. So can warning systems. Yet another vital step is to stop contributing to the likelihood of disasters. The most significant item here is global warming, which is increasing the sea level and the likelihood of damaging storms. There are sophisticated models to calculate the contribution of climate change to natural disasters. Disaster mitigation includes campaigning to reduce the emission of greenhouse gases.

When insurance companies refuse to cover certain hazards, this can have an impact, for example reducing the value of houses in areas subject to flooding. Whether insurance is available, and how much it costs, thus can be a signal about the need for disaster planning.

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The 2010 Haiti earthquake: more than 200,000 people died

Unnatural disasters, take two

Muir-Wood does not address disasters primarily created by technology. A good example is nuclear power. There is no private insurance available for nuclear reactor accidents. In the 1950s, the US government passed the Price-Anderson Act exempting electricity utilities from full and immediate liability for reactor accidents. This served as a financial prop for the nuclear industry: prices would have increased if commercially calculated rates had to be paid to cover the exceedingly rare but exceedingly expensive costs of a major nuclear accident. Some analysts have recommended that nuclear power plants be built underground to reduce the damage from a meltdown accident. This has not been done, indicating that governments are subsidising nuclear power, with people and the environment occasionally paying the price, as at Chernobyl and Fukushima.

Across the world, there is another catastrophe that is unnatural, yet all too familiar: war. Many of the world’s top scientists and engineers toil away to produce deadly weapons, and arms factories pump out everything from small arms to missiles. Although popular concern about nuclear war faded after the 1980s and the end of the cold war, there remain over 10,000 nuclear weapons with the potential to kill hundreds of millions of people. The cure for catastrophe in this case is not more weapons or more treaties, but rather disarmament. The most important tool against war is peace activism, but it receives little funding compared to the war system.

One of the important messages from The Cure for Catastrophe is that most of the consequences of natural disasters are not “natural” but rather depend on human choices, for example about where and how to build housing. The same applies to unnatural hazards of nuclear, chemical, biological and other creations. It is an interesting thought experiment to apply the principles of disaster planning and insurance to the risk of war.

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Bad outcomes were determined, researchers were discovering, not so much by the earthquake or hurricane itself as by the nature of the society affected – its inequalities, poverty, education, and preparedness. Disasters were “manifestations of unresolved development problems,” and the flood or cyclone was a trigger. The problem of disasters would not be solved by focusing on the hazards alone. (p. 212)

Brian Martin
bmartin@uow.edu.au