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Fish v. Drugs for Children And Criminals


Submitted by tonyplant on April 16, 2006 - 13:27.

 Young man, wearing a hoodie, with attitude

When most of us think about Eating Our Way To Happiness we tend to think delicious doesn't exist on the same spectrum as nutritious. There are several T.V. advertising campaigns promising happiness in association with foodstuffs at present. Pop Quiz. Do you think that these foodstuffs are vegetables or confectionery? Nutrient-dense or nutrient-poor? How much truth is there in this advertising?

Does it matter? Well, according to research conducted in prisons, the nutritional profile of what we eat may matter a great deal. Physiologist Bernard Gesch had lead this research in UK prisons and is quoted as claiming that:

Research suggests that we may have seriously under-estimated the importance of nutrition for our social behaviour. Since the 1950s there has been a ten-fold increase in offences. How else can we explain that but by diet? It is not down to genetics. The main change over that period has been in nutrients.

Gesch's trials with supplements in a prison population indicated that inmates responded with a drop by more than a third in their level of antisocial behaviour (as measured by assaults and similar transgressions) relative to their previous records. For some, this raises questions about the link between diet and behaviour, and the link between violence and free will. Gesch was interviewed on the topic for the New York Times [behind a paywall] and argues:

But how do you exercise that free will without using your brain?. And how, exactly, is the brain going to work properly without an adequate nutrient supply?"

Our legal system recognises the influence of some organic brain disorders on our behaviour. More controversially, some argue that impulsive acts of violence are more a failure to rein in one's worst instincts than a choice. However, Gesch does temper enthusiasm for the transformative power of adequate nutrition:

The brain needs to be nourished in two ways. It needs to be educated, and it needs nutrients. Both social and physical factors are important.
Attractive plate of smoked fishHe is not advocating for a Jamie Oliver make-over of prison dinners. He doesn't think that serving fish, nuts, seeds and vegetables to violent criminals would have a sustainable effect, independent of other rehabilitation programmes. But, he does make some interesting arguments for the contribution of nutrition to our emotional state and behaviour.

Is even the implication that we can reduce violent behaviour by changing what people eat sounding dangerously like "The junk food made me do it"? Does the research threaten to exculpate us from responsibility for some of our most egregious actions that would otherwise attract social opprobrium? Is the idea offensive to our moral and political intuitions?

There is controversy about the enforcement of compulsory medication for people with serious mental illness. There are civil liberties arguments about the state's right to demand medication that some believe enforces docility and socially-determined behaviour. There are many complaints about the Nanny State tenor of much of the public health advice. If T.V. threatens us with cognitive dissolution and social failure what might failure to munch our seeds, eat our vegetables and finish up our fish do to us?

 Shop racks of chocolate confectionery

However, I have an uneasy feeling that there is a lot of good research that demonstrates the benefits of a nutrition-rich diet for children. Conversely, there is also the spectre that junk-food medicates children towards emotional and behavioural disorders. I'm part of a society where some child psychiatrists argue that ten percent of children have ADHD of sufficient severity to warrant medication. Other psychiatrists argue that ADHD is over-diagnosed and frequently a social objection to rowdy outbursts and impulsive behaviour.

Cranky kid; speech bubbles saying, WHATEVER, Dont Make Me Scream, and similar sentiments

The controversies will continue. The choice isn't as simple as drugs like Ritalin, Adderall or Concerta versus seeds, fish, a side-order of vegetables and a radical change in what we eat. A lot of us would not make the change, no matter how compelling the research was. Gladwell offers an entertaining illustration of this in his essay, The Trouble With Fries. Researchers developed a low-fat burger that outperformed other burgers in blinded taste tests. So, the taste was fine, but the burgers had a "psychological handicap" that made them a market failure:

People liked AU Lean in blind taste tests because they didn't know it was AU Lean; they were fooled into thinking it was regular ground beef. But nobody was fooled when it came to the McLean Deluxe. It was sold as the healthy choice--and who goes to McDonald's for health food?

Gladwell discusses studies that examine children's expectations of food. Even when children are full, some of them will eat a lot of junk food when it is offered to them, if their access to such food is typically restricted by parents.

Because the children on restricted diets had been told that junk food was bad for them, they clearly thought that it had to taste good. When it comes to junk food, we seem to follow an implicit script that powerfully biases the way we feel about food. We like fries not in spite of the fact that they're unhealthy but because of it.

Gladwell acknowledges that it is counter-intuitive but concludes that the push to more transparent food-labelling is backfiring. We bring our associations and prejudices to the table and various food manufacturers have spent a lot of money to influence those.

[S]ometimes nothing is more deadly for our taste buds than the knowledge that what we are eating is good for us. McDonald's should never have called its new offering the McLean Deluxe, in other words. They should have called it the Burger Supreme or the Monster Burger, and then buried the news about reduced calories and fat in the tiniest type on the remotest corner of their Web site.

The Independent On Sunday styles us as Dependency Britain, and claims that our situation is desperate:

Britain is in the grip of a damaging dependence on anti-depressant drugs such as Prozac, prompting calls from mental health experts for a radical rethink in the treatment of the 3.5 million people affected. The prescription of so-called "happy pills" has risen by more than 120 percent in the past decade amid soaring levels of depression and anxiety.

Beautifully presented display of carved fruitI have a problem with the way in which prescriptions for anti-depressants are interpreted, however, are we really food-medicating ourself into poor physical, emotional and mental health? Isn't nutritionally-dense food only ever part of a strategy for obtaining and maintaining health in these areas? Is the research relevant for everyone, or just the people who have to accept others' control-like children and criminals? What would really be better for me, right now? Some of the heavily advertised chocolate that the EU wanted to be renamed vegelate because it contains such small amounts of actual chocolate? Or some salmon, followed by a nice fruit platter?

Copyright 2006, Tony Plant Happystance Project

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nutrition | happystance | happiness | gladwell | food | anti-depressants | ADHD


Comments

Shinga (not verified)

April 26, 2006 - 11:33

Good summary in the Guardian of a US study that reports:

Children consume nearly as many calories as are in a packet of crisps with every hour they spend watching television, according to US research.

Watching TV also encourages children to eat more junk foods, particularly soft drinks and takeaway fast food, the researchers found.

Interesting. I like your point about TV and cognitive dissolution in an earlier post. But I always thought some of the 'harm' of TV was the time spent physically inactive. This study suggests that some of the 'harm' may be the subtle mechanism that supports the eating of junk food.

Regards - Shinga



Comments

tonyplant

April 26, 2006 - 14:27

Thanks for the link, Shinga.My favourite line from the piece is the remark, "You eat what you watch". I always think of this as the food industry 'Derren Brown-ing us into a series of beliefs and otherwise inexplicable behaviours>

Best - Tony Happystance



Comments

Mrs Spratt (not verified)

April 24, 2006 - 14:45

I get that you're unhappy about the way that unhappiness and depression are used as if they're synonyms. Presumably that is why you think that the number of prescriptions tells us little about the incidence of clinical depression.

I'm no fan of Gillian McKeith, but the people she works with on You Are What You Eat do seem to improve. Typically, they are extreme examples of people who were food-medicating themselves into poor physical health, lethargy, unhappiness and other negative emotions.

What do you think?


Comments

tonyplant

April 26, 2006 - 11:14

Television does weird things to people. Add in Gillian McKeith's acerbic style and it becomes difficult to discern the difference made by the new food and exercise regime from the Hawthorn and Pygmalion effects of being observed, and of having expectations about what will happen.

The people selected for the programme are extreme. They typically eat fewer than 5 portions of fruit and vegetables per week (few people meet the 5 a day target, but the majority do manage 2-3 a day). Most of them live on takeaways, processed food and vast amounts of confectionery and are extreme in the sheer volume that they consume.

However, there is an uneasy feeling that if a number of parents ever had to do the infamous "week's actual consumption spread out on the table" exercise with their children, they would be horrified. Like the parents in the BBC's Honey, We're Killing The Kids! are usually shocked at the amount of sugar, fat etc. that the children are eating and how little wholefood.

So, asked about their children's food consumption, a number of parents would use conventions to describe it. Normal. What every kid eats. But a visual exercise like the infamous 'week of food' actually converts it into a narrative and makes the story explicit.

Food is important. But so is our environment, sleep and stress. It's back to considering our allostasis again.

Take Care - Tony

Happystance



Comments

tonyplant

April 24, 2006 - 17:14

Hi Mrs Spratt,

This really needs a 2 part answer, so the 2nd will follow.

Anti-depressants have a lot of off-label uses. There are some neurologists and orthopaedists who prescribe a tricyclic antidepressant to patients whom they send to see a physiotherapist: it is something to do with its anti-spasmodic effect on muscle fibres (I think). Some neurologists prescribe tricyclics for the same reason to people with migraine. The dose is comparatively low, but it is still a prescription for an anti-depressant.

Similarly, because it is estimated that somewhere between 90-95% of the body's serotonin resides in the gut, some doctors prescribe the SSRI antidepressants for patients with irritable bowel syndrome. Gershon refers to the gut as the enteric nervous system or even the second brain. A GP might prescribe the SSRI because s/he believes that it is a helpful off-label intervention. Or, it might be prescribed because the GP and patient believe that the gut-symptoms are secondary to depression.

So - not all anti-depressants are prescribed for depression. In which case, we might be wary of using the number of prescriptions issued/filled/whatever to substantiate the claim that we have an epidemic of depression.

Gillian McKeith is a whole, other topic that deserves its own post. I will get to it.

Take Care - Tony Happystance



Comments

Shinga (not verified)

April 24, 2006 - 14:32

Chamberlain discusses perspectives on food in modern society. He emphasises the way in which food is increasingly medicalised and politicised (this link might work for an html version of the full pdf).

Chamberlain claims that a "veneer of choice" is used to justify the ideology of individual responsibility for food choices. I'm not sure that I agree with this as I liked the Gladwell examples that you quoted. Your discussion of explanation and understanding may be of relevance here.

Best - Shinga



Comments

tonyplant

April 24, 2006 - 16:44

Hi Shinga, thanks for the link (which does work).

It's an interesting connection that you made with the issue of the reasons used in explanations. It is interesting to consider that food is constantly pushed in an emotive fashion in various media (chocolate as happiness, the significance of a family meal), yet when nutritionists discuss it, they very often resort to conventions or technical explanations. The media use persuasive narratives and piggy-back off conventions that are out-dated (e.g., chocolate and other confectionery is a treat, whereas it is commonly available to us). Nutritionists use technical explanations and conventions that are interpreted as nagging (e.g., eat your vegetables - they're good for you. I think the paper you linked to mentioned a research participant who identified his father as a vegetable fascist - I think we all know someone like that!).

Tony Happystance



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