Chapter 11. Emotions, Aggression, and Stress
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Between email and cell phones, many of us feel like we're at work 24/7. The concept of workplace burnout is not that old. NPR's Planet Money team has the story of the man who coined the term. ARI SHAPIRO, HOST: If you're the type of person who checks your work email right before bed and just as you wake up the next day, you might know the word burnout, but you may not know the story behind it. Noel King from NPR's Planet Money podcast tells us about the man who coined the term burnout and then found a sort of solution. NOEL KING, BYLINE: In the early '70s, Herbert Freudenberger had a successful psychology practice on New York's Upper East Side. He was a serious, driven man. He'd survived the Holocaust and moved to the U.S. as a kid. Here's his daughter Lisa Freudenberger. Her dad died in 1999. LISA FREUDENBERGER: His childhood kind of stopped at 7 or 8 because he had then had to grow up pretty quickly and survive in a new country. KING: In the States, he was taken in by an aunt who was cruel to him. She made him sleep in an attic. In his teens, he ran away and lived on the street for a while. Herbert grew up to become someone who was always pushing himself to help more people. That's why in addition to his practice on the Upper East Side, he opened a clinic on the Bowery - New York's Skid Row. He worked with drug addicts. © 2016 npr
Link ID: 22968 - Posted: 12.09.2016
By DAVE PHILIPPS CHARLESTON, S.C. — After three tours in Iraq and Afghanistan, C. J. Hardin wound up hiding from the world in a backwoods cabin in North Carolina. Divorced, alcoholic and at times suicidal, he had tried almost all the accepted treatments for post-traumatic stress disorder: psychotherapy, group therapy and nearly a dozen different medications. “Nothing worked for me, so I put aside the idea that I could get better,” said Mr. Hardin, 37. “I just pretty much became a hermit in my cabin and never went out.” Then, in 2013, he joined a small drug trial testing whether PTSD could be treated with MDMA, the illegal party drug better known as Ecstasy. “It changed my life,” he said in a recent interview in the bright, airy living room of the suburban ranch house here, where he now lives while going to college and working as an airplane mechanic. “It allowed me to see my trauma without fear or hesitation and finally process things and move forward.” Based on promising results like Mr. Hardin’s, the Food and Drug Administration gave permission Tuesday for large-scale, Phase 3 clinical trials of the drug — a final step before the possible approval of Ecstasy as a prescription drug. If successful, the trials could turn an illicit street substance into a potent treatment for PTSD. Through a spokeswoman, the F.D.A. declined to comment, citing regulations that prohibit disclosing information about drugs that are being developed. © 2016 The New York Times Company
By Sarah Kaplan I don't know if the holidays are as emotional for you as they are for me, but I have never been able to get through this season without shedding buckets of tears. Why do we cry in the first place? Does it actually do anything to make us feel better? Here's what science has to say: Girl, we feel you. (Or guy. Guys can cry, too. And psychologists say that emotional control probably isn't good for men. So go ahead and let it out.) Anyway. You shouldn't feel shame about shedding tears of emotion. Weeping is part of what makes you human. Although other animals may yelp or whimper in pain or fear, and many creatures have tear ducts in their eyes to help flush out dirt and irritants, humans are the only species known to cry for emotional reasons. And scientists aren't really sure why. One theory is that tears are a communication tool. Before they learn to speak, babies cry to get attention. They start out with tearless wails, but at around three or four months, they start to weep when upset as well. Evolutionary psychologists have argued that infants' tears are related to the distress vocalizations produced by other young animals: Crying conveys their need for parental care. It's also thought that a baby's crying has evolved to be especially evocative for parents — something few stressed-out, sleep-deprived parents of newborns would disagree with. This theory would explain the loud, chaotic tantrums thrown by children when hurt or distressed. But what about adult emotional tears, which are usually much quieter? In those cases, crying could be a method of “conspecific communication” — a way of alerting sympathetic neighbors that something is wrong, without attracting the attention of a predator. © 1996-2016 The Washington Post
Link ID: 22926 - Posted: 11.29.2016
Nancy Shute Getting the flu while pregnant doesn't appear to increase the child's risk of being diagnosed with autism later on, a study finds, and neither does getting a flu shot while pregnant. The study, published Tuesday in JAMA Pediatrics, tries to tease apart subtle questions of risk and risk avoidance. Some smaller, earlier studies have found an association between serious viral infections in pregnancy or maternal fever in pregnancy and increased autism risk. This much larger study finds no such ties, though the authors note that it shouldn't be the last word on the topic. This study examined the health records of 196,929 children who were born at Kaiser Permanente facilities in Northern California between 2000 and 2010. They found that 3,101 children, or 1.6 percent, had been diagnosed with autism through June 2015. The researchers then looked at the mothers' health records to see if they had been diagnosed with flu while pregnant and whether they'd gotten a flu shot. Less than 1 percent of women had the flu; about 23 percent got a flu shot while pregnant, a number that rose from 6 percent in 2000 to 58 percent in 2010. They found no correlation overall between having the flu while pregnant and increased autism risk in children. © 2016 npr
Rachel Ehrenberg Living on the bottom rungs of the social ladder may be enough to make you sick. A new study manipulating the pecking order of monkeys finds that low social status kicks the immune system into high gear, leading to unwanted inflammation akin to that in people with chronic diseases. The new study, in the Nov. 25 Science, gets at an age-old question that’s been tough to study experimentally: Does social status alone change biology in a way that can make a person more healthy or more vulnerable to disease? “We’ve known for years that human health and longevity are linked to socioeconomic status,” says Steve Cole, an expert in human social genomics at UCLA. This link often persists regardless of factors such as access to decent health care or clean water, but it’s hard to design studies to get at mechanism or causation, he says. “This study is very nice to see and it’s very consistent with other lines of research.” To tease out the influence of rank on health, scientists turned to another highly social animal: the rhesus monkey. Evolutionary biologist Jenny Tung of Duke University and colleagues worked with 45 female monkeys at the Yerkes National Primate Research Center field station near Lawrenceville, Ga. The researchers arranged the monkeys into groups of five, adding monkeys one at a time, which reliably resulted in the oldest member dominating and the newest member having the lowest rank. These groups were maintained for a year during which the researchers noted behaviors and took blood samples to assess changes in cellular and gene activity associated with the monkeys’ social status. |© Society for Science & the Public 2000 - 2016.
Ian Sample Science editor Scientists have raised hopes for a radical new therapy for phobias and post-traumatic stress disorder (PTSD) with a procedure that can dampen down fears linked to painful memories. The advance holds particular promise for patients because in early tests, researchers found they could reduce anxieties triggered by specific memories without asking people to think about them consciously. That could make it more appealing than exposure therapy, which aims to help patients overcome their phobias by making them confront their fears in a safe environment, for example by encouraging them to handle spiders or snakes in the clinic. The new technique, called fMRI decoded neurofeedback (DecNef), was developed by scientists at the ATR Computational Neuroscience Lab in Japan. Mitsuo Kawato, who worked with researchers in the UK and the US on the latest study, said he wanted to find an alternative to exposure therapy, which has a 40% drop-out rate among PTSD patients. “We always thought this was ambitious, but it worked the way we hoped it would,” said Ben Seymour, a clinical neuroscientist and member of the team at Cambridge University. “We don’t completely erase the fear memory, but it is substantially reduced.” The procedure uses a computer algorithm to analyse a patient’s brain activity in real time and pinpoint moments when their fears can be overwritten by giving them a reward. In the latest study, the reward was a small amount of money. © 2016 Guardian News and Media Limited
By Daniel Barron Neurobiology was the first class I shuffled into as a dopey freshman undergraduate student. Dr. Brown’s class began at 8AM. I wore that bowling jacket I bought from the Orem Deseret Industries, Utah’s version of Goodwill. I’d spent much of my childhood in lower-middle class neighborhoods of small towns: Middle and Junior High School in the Texas Hill Country; High School in rural Utah. In High School, I would jog through the countryside—down by the River Bottom’s road—and rehearse conversations and ideas that troubled me. I hadn’t learned the language of social justice or of science. I felt uneasy with many of the ideas I’d been taught but lacked the vocabulary to pinpoint why. Dr. Brown’s first lecture covered visual perception, ocular dominance columns, and the idea that brain structure and function were intertwined. To use my parlance at that age, this was a Revelation. The lecture outlined a completely novel way of thinking: the notion that between my ears, behind my forehead and nose was a collection of cells—of neurons, an organ—responsible for how I saw and perceived the world. I was young, I was a drug-free virgin, and this was without question the greatest catharsis I had ever experienced. Here wasn’t simply a foundation for my behavior, but for others’ as well. My theological leanings faded as I began to learn why I was Me. In response, I worked my ass off. © 2016 Scientific American,
Link ID: 22873 - Posted: 11.16.2016
Tom Siegfried SAN DIEGO — Babies as young as 5 months old possess networks of brain cell activity that react to facial emotions, especially fear, a new study finds. “Networks for recognizing facial expressions are in place shortly after birth,” Catherine Stamoulis of Harvard Medical School said November 13 during a news conference at the annual meeting of the Society for Neuroscience. “This work … is the first evidence that networks that are involved in a function that is critical to survival, such as the recognition of facial expressions, come online very early in life.” Stamoulis and colleagues at Harvard and Boston Children’s Hospital analyzed a database of brain electrical activity collected from 58 infants as they aged from 5 months to 3 years. Brain activity was measured as the infants viewed pictures of female faces expressing happiness, anger or fear. Computer models of the brain activity showed that networks responding to fear were activated much more dramatically than those for happy or angry faces, even in the youngest infants. As babies grew older, their brain networks responding to facial emotions became less complex as redundant nerve cell connections were pruned. But the fear network remained more complex than the others, and response to fearful faces remained elevated over time. Understanding the brain circuitry involved in responding to emotional facial expressions could have implications for research on developmental disorders, Stamoulis said. |© Society for Science & the Public 2000 - 2016.
By LISA FELDMAN BARRETT Bitterness. Hostility. Rage. The varieties of anger are endless. Some are mild, such as grumpiness, and others are powerful, such as wrath. Different angers vary not only in their intensity but also in their purpose. It’s normal to feel exasperated with your screaming infant and scornful of a political opponent, but scorn toward your baby would be bizarre. Anger is a large, diverse population of experiences and behaviors, as psychologists like myself who study emotion repeatedly discover. You can shout in anger, weep in anger, even smile in anger. You can throw a tantrum in anger with your heart pounding, or calmly plot your revenge. No single state of the face, body or brain defines anger. Variation is the norm. The Russian language has two distinct concepts within what Americans call “anger” — one that’s directed at a person, called “serditsia,” and another that’s felt for more abstract reasons such as the political situation, known as “zlitsia.” The ancient Greeks distinguished quick bursts of temper from long-lasting wrath. German has three distinct angers, Mandarin has five and biblical Hebrew has seven. In the past few weeks, many varieties of anger have been on vivid display. For starters, we now have an iconic angry man as the president-elect. Donald J. Trump is aggressive as he insists there’s something wrong with the country, and offensive when he’s provoked. He employs anger effectively to maintain his power and status. His anger is seen by his fans as strength and by his detractors as bombast. We’ve also seen Hillary Clinton’s more restrained anger, which she has directed against the divisiveness she perceived during the campaign. To her proponents, Mrs. Clinton’s anger fueled her resolve to push back against Mr. Trump’s most egregious statements. To her detractors, her anger made her a shrew. © 2016 The New York Times Company
Very stressful events affect the brains of girls and boys in different ways, a Stanford University study suggests. A part of the brain linked to emotions and empathy, called the insula, was found to be particularly small in girls who had suffered trauma. But in traumatised boys, the insula was larger than usual. This could explain why girls are more likely than boys to develop post-traumatic stress disorder (PTSD), the researchers said. Their findings suggest that boys and girls could display contrasting symptoms after a particularly distressing or frightening event, and should be treated differently as a result. The research team, from Stanford University School of Medicine, said girls who develop PTSD may actually be suffering from a faster than normal ageing of one part of the insula - an area of the brain which processes feelings and pain. Image copyright Science Photo Library Image caption The insula, also known as the insular cortex, is linked to the body's experience of pain or emotional experiences of fear The insula, or insular cortex, is a diverse and complex area, located deep within the brain which has many connections. As well as processing emotions, it plays an important role in detecting cues from other parts of the body. The researchers scanned the brains of 59 children aged nine to 17 for their study, published in Depression and Anxiety. © 2016 BBC.
Geoff Brumfiel Scientists have pinpointed the ticklish bit of a rat's brain. The results, published in the journal Science, are another step toward understanding the origins of ticklishness, and its purpose in social animals. Although virtually every human being on the planet has been tickled, scientists really don't understand why people are ticklish. The idea that a certain kind of touching could easily lead to laughter is confusing to a neuroscientist, says Shimpei Ishiyama, a postdoc at the Berstein Center for Computational Nueroscience in Berlin, Germany. "Just a physical touch inducing such an emotional output — this is very mysterious," Ishiyama says. "This is weird." To try and get a handle on how tickling works, Ishiyama studied rats, who seem to enjoy being tickled, according to previous research. He inserted electrodes into the rats' brains, in a region called their somatosensory cortex. When rats enjoy tickling they emit high-pitched "laughter" that can't normally be heard by humans, the scientists found. In this video, the researchers transposed the audio of the squeaks to a lower frequency you can hear. That's a part of the brain that processes touch, and when Ishiyama tickled the rats, it caused neurons in that region to fire. The rats also seemed to giggle hysterically, emitting rapid-fire, ultrasonic squeaks. Earlier research has shown rats naturally emit those squeaks during frisky social interaction, such as when they are playing with other rats. © 2016 npr
By LESLEY ALDERMAN Take a deep breath, expanding your belly. Pause. Exhale slowly to the count of five. Repeat four times. Congratulations. You’ve just calmed your nervous system. Controlled breathing, like what you just practiced, has been shown to reduce stress, increase alertness and boost your immune system. For centuries yogis have used breath control, or pranayama, to promote concentration and improve vitality. Buddha advocated breath-meditation as a way to reach enlightenment. Science is just beginning to provide evidence that the benefits of this ancient practice are real. Studies have found, for example, that breathing practices can help reduce symptoms associated with anxiety, insomnia, post-traumatic stress disorder, depression and attention deficit disorder. “Breathing is massively practical,” says Belisa Vranich, a psychologist and author of the book “Breathe,” to be published in December. “It’s meditation for people who can’t meditate.” How controlled breathing may promote healing remains a source of scientific study. One theory is that controlled breathing can change the response of the body’s autonomic nervous system, which controls unconscious processes such as heart rate and digestion as well as the body’s stress response, says Dr. Richard Brown, an associate clinical professor of psychiatry at Columbia University and co-author of “The Healing Power of the Breath.” Consciously changing the way you breathe appears to send a signal to the brain to adjust the parasympathetic branch of the nervous system, which can slow heart rate and digestion and promote feelings of calm as well as the sympathetic system, which controls the release of stress hormones like cortisol. © 2016 The New York Times Company
Link ID: 22849 - Posted: 11.09.2016
By Esther Crawley We know almost nothing about chronic fatigue syndrome (CFS), also known as myalgic encephalomyelitis (ME). And yet it causes misery and suffering for hundreds of thousands of people, including many children. One in a hundred teenagers in the UK miss a day a week or more of school because of it, and 2 per cent are probably missing out on the normal stuff that teenagers do. Those I see in my clinic are sick with disabling fatigue, memory and concentration problems, and terrible pain. On average, they miss a year of school, on top of which mothers give up work and siblings suffer. Yet progress on this illness is being hampered by controversy, with some people disputing both its cause and treatment. Some still dismiss it as a non-illness; others decry attempts to treat it with psychological therapy. The result is that few patients are offered treatment and there is almost no research on the condition. This illness is more common than leukaemia and more disabling than childhood arthritis, but few specialists treat it. How have we arrived at a position where the biggest reason for teenagers to miss school long-term is rarely studied and society allows so few to receive treatment? Part of the difficulty is that CFS/ME is not a single illness. Both children and adults have different clusters of symptoms that may represent different illnesses with different biology, requiring different treatments. This may explain why treatments only work for some – and is a problem for those trying to develop them and for people who don’t get better. © Copyright Reed Business Information Ltd.
Ramin Skibba A large, multi-lab replication study has found no evidence to validate one of psychology’s textbook findings: the idea that people find cartoons funnier if they are surreptitiously induced to smile. But an author of the original report — published nearly three decades ago — says that the new analysis has shortcomings, and may not represent a direct replication of his work. In 1988, Fritz Strack, a psychologist now at the University of Würzburg, Germany, and colleagues found that people who held a pen between their teeth, which induces a smile, rated cartoons as funnier than did those who held a pen between their lips, which induced a pout, or frown1. Strack chose cartoons from Gary Larson's classic 1980s series, The Far Side. Strack’s study has been quoted as a classic demonstration of what’s known as the ‘facial feedback hypothesis’ — the idea that facial expressions can influence a person’s own emotional state. The paper has been cited more than a thousand times, and has been followed by other research into facial feedback. In 2011, for example, researchers reported that injections of Botox, which affects the muscles of facial expression, dampen emotional responses2. But as part of a growing trend to reproduce famous psychology findings, a group of scientists revisited the experiment. They describe the collective results of 17 experiments, with a total of nearly 1,900 participants, in a paper published on 26 October in the journal Perspectives on Psychological Science3. © 2016 Macmillan Publishers Limited,
Link ID: 22831 - Posted: 11.04.2016
By Chelsea Whyte FACING a big problem and finding it hard to decide what to do? A sprinkling of disgust might boost your confidence. Common sense suggests that our confidence in the decisions we make comes down to the quality of the information available – the clearer that information, the more confident we feel. But it seems that the state of our body also guides us. Micah Allen at University College London and his colleagues showed 29 people a screen of dots moving in varied directions. They asked the volunteers which direction most of the spots were moving in, and how confident they were in their decisions. Before each task, the participants briefly saw a picture of a face on the screen. It was either twisted in disgust or had a neutral expression. Although this happened too quickly for the faces to be consciously perceived, the volunteers’ bodies reacted. Seeing disgust, which is a powerful evolutionary sign of danger, boosted the volunteers’ alertness, pushing up their heart rates and dilating their pupils. “When you induce disgust, high confidence becomes lower and low confidence becomes higher“ When shown a neutral face, the volunteers became less confident as the task got more difficult. As the movement of the dots became more varied, they were less sure of the main direction. But when they were shown the disgusted face, they reacted differently. In easy tasks, in which people were previously confident, they became more doubtful of their decisions. In more difficult tasks, their confidence grew. Neither face made any difference to the accuracy of their answers (eLife, doi.org/bsgd). © Copyright Reed Business Information Ltd.
By Brian Owens Cooperation makes it happen. Sailfish that work together in groups to hunt sardines can catch more fish than if they hunt alone, even without a real coordinated strategy. To catch their sardine dinner, a group of sailfish circle a school of sardines – known as a baitball – and break off a small section, driving it to the surface. They then take turns attacking these sardines, slashing at them with their long sword-like bills, which account for a quarter of their total length of up to 3.5 metres. Knocking their prey off-balance makes them easier to grab. These attacks only result in a catch about 25 per cent of the time, but they almost always injure several sardines. As the number of injured fish increases, it becomes ever easier for everyone to snag a meal. “There’s no coordination, no strict turn-taking or specific hunting roles, it’s opportunistic,” says James Herbert-Read, from Uppsala University in Sweden. But Herbert-Reads computer models now show that even this rudimentary form of cooperation is better than going it alone. Sailfish that work in groups capture more sardines than a lone fish would get in the same amount of time. © Copyright Reed Business Information Ltd
By Julie Hecht Come across an image like this, and you’d be a weirdo not to investigate. Meet infrared thermography, a non-invasive way to visualize changes to body surface temperature. Thermographic video cameras not only produce images that would make Andy Warhol proud (or at least sue for infringement), but the tool allows researchers to assess physiological changes—and potentially emotional states—in a wide variety of species like distantly related BFFs Canis familiaris and Homo sapiens. Think about it—physiological changes are part of the emotional response. When you are frightened, blood rushes away from your extremities to get your muscles ready to go, which means your extremities get cooler as your core gets warmer. Infrared thermography, which captures changes to body surface temperature, is going to pick this up. The tip of a scared person’s nose gets cooler (more blue) under an infrared camera, and studies find that when scared or distressed, rat paws and tails appear cooler, as do the outer parts of sheep and rabbit ears. Dog ears recently caught the attention of Stefanie Riemer and colleagues at the Animal Behavior, Cognition and Welfare Research Group (Twitter) at the University of Lincoln, UK. They wanted to know whether dog ears would show differential blood-flow patterns in response to something good as well as something less good. Dogs participated in a separation test where they were briefly alone in a novel environment (which elicits short-term distress) and then reunited with people (typically a positive experience). The separation, the researchers assumed, would be associated with negative emotions and therefore cooling of the ears, while being reunited with people (excellent!) would show an increase in ear temperature. The study appears in the current issue of Physiology & Behavior. © 2016 Scientific American
Link ID: 22814 - Posted: 11.01.2016
By STEPH YIN Halloween is here again. That means your co-workers have planted surprise spiders around the office. You’ve been invited to a haunted hayride. Your neighbor’s yard has a full cemetery, rigged with motion detectors and pop-up zombies. Chicken-livered from the start, I have always dreaded this time of year. Haunted houses, ghost tours and horror film fests are not my thing, and why people love having the daylights scared out of them completely escapes me. I decided to try to understand my friends who are on the lookout for thrills this time of year. As it turns out, there are many possible reasons some people like to be scared stiff. Each person’s threshold for experiences that provoke fear is made up of a unique recipe that blends nature and nurture. “The ingredients vary from person to person,” said Frank Farley, a psychologist at Temple University and a former president of the American Psychological Association. Dr. Farley is interested in what draws certain people to extreme behaviors, like driving racecars, climbing Mount Everest and flying hot air balloons across oceans. In the 1980s, he coined the term “Type T” personality to refer to the behavioral profile of thrill-seekers. What makes someone thrill-seeking, he said, comes down to a mix of genes, environment and early development. Spooky Science Stories, Just in Time for Halloween Gather around as the crypt keepers of our Science department share scientific curiosities of things that slither and crawl and fly. David Zald, a neuropsychologist at Vanderbilt University, studies one piece of the equation. His research partly focuses on dopamine, a chemical involved in our brain’s response to reward. In the past, he has found that people who lack what he calls “brakes” on dopamine release tend to pursue thrilling activities. © 2016 The New York Times Company
By Kerry Grens Scientists have observed changes in the human brain as study participants tell lies—specifically, as white lies became outright deception, the amygdalas of the fibbing volunteers became less active. The researchers’ findings, published in Nature Neuroscience yesterday (October 24), offer a possible neural mechanism for a common human failing, that lying can lead to more extensive dishonesty. “The reduction in activity in the amygdala can predict how much people increase dishonesty subsequently,” study coauthor Neil Garrett, a psychologist at University College London, told The Verge. Garrett and colleagues asked 25 volunteers who saw a big image of a jar of pennies to give others (who only saw a small picture of the jar) estimates about the number of pennies. The volunteers were given incentives to lie, and after they had fibbed previously, fMRI data showed reduced activity in the amygdala when people were dishonest again. This brain region is involved in processing emotions. “It’s an intriguing possibility that adaptation of amygdala response might underlie escalation in self-serving dishonesty,” Tom Johnstone, a neuroscientist at the University of Reading who was not involved in the study, told Scientific American, “though the results need to be replicated in a larger sample of participants, in order to examine the involvement of the many other brain regions previously shown to play a role in generating and regulating emotional responses.” © 1986-2016 The Scientist
David Brooks We’ve had a tutorial on worry this year. The election campaign isn’t really about policy proposals, issue solutions or even hope. It’s led by two candidates who arouse gargantuan anxieties, fear and hatred in their opponents. As a result, some mental health therapists are reporting that three-quarters of their patients are mentioning significant election-related anxiety. An American Psychological Association study found that more than half of all Americans are very or somewhat stressed by this race. Of course, there are good and bad forms of anxiety — the kind that warns you about legitimate dangers and the kind that spirals into dark and self-destructive thoughts. In his book “Worrying,” Francis O’Gorman notes how quickly the good kind of anxiety can slide into the dark kind. “Worry is circular,” he writes. It may start with a concrete anxiety: Did I lock the back door? Is this headache a stroke? “And it has a nasty habit of taking off on its own, of getting out of hand, of spawning thoughts that are related to the original worry and which make it worse.” That’s what’s happening this year. Anxiety is coursing through American society. It has become its own destructive character on the national stage. Worry alters the atmosphere of the mind. It shrinks your awareness of the present and your ability to enjoy what’s around you right now. It cycles possible bad futures around in your head and forces you to live in dreadful future scenarios, 90 percent of which will never come true. Pretty soon you are seeing the world through a dirty windshield. Worry dims every sunrise and amplifies mistrust. A mounting tide of anxiety makes people angrier about society and more darkly pessimistic about the possibility of changing it. Spiraling worry is the perverted underside of rationality. This being modern polarized America, worry seems to come in two flavors. © 2016 The New York Times Company