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A STATE OF MIND - Technology, Change, and Wellbeing

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At some time(s) all of us will lose control; feel anxiety, anger, exposure, vulnerability, threatened, stress, depression, uncertainty, be forgetful, or be of ‘two minds’ and so on. Our behaviors will most likely be modulated, and even strange in some way for some period. But all this is normal and a key component of our physiology of survival, and it is generally transient lasting minutes, hours, or at worst a day or two. When such conditions last for many day or weeks or become episodic, we label them mental illness.

The treatment of mental illness sufferers throughout history has not been a happy story spanning; the possession by spirits and demons, to incarceration, and institutionalization to become objects of fun, entertainment, derision, neglect, and disrespect. In the developed world a deal of progress and enlightenment (in terms of base understanding and treatment) has now been established, but there are still marked differences between the older and younger generations, sub-cultures, religions, and belief systems.

The medical profession has come a long way, and their understanding and science are still advancing, but expertise is in chronically short supply. And so there is a universal plight shared between physical and mental health with a gross shortage of skilled practitioners and physical facilities. In reality, this shortfall cannot be overcome by traditional health models - there are simply insufficient people available to be trained and qualified into all the health professions. Our only hope then; is to turn to new technologies with a progressive migration of patients from a ‘Do It all For Me’ (DIFM) to a ‘Do It For Yourself’ (DIY)_culture and expectation.

This DIFM to DIY transition is getting well established for the physical health sector, but it is still in its infancy for mental patients. Both sectors suffer the irrational/uneducated/unthinking/virulent detractors, but the reality is - we have a very limited number of choices - and we can only move within the framework of the possible. But: it is worth noting that the mental health sector is far more of a ‘minefield’ than the physical precursors. And so we should advance and experiment with great care and be sure to involve patients as a member of the team as opposed to being mere subjects and pseudo ‘lab rats’.

“tread softly, lest you step upon my dreams”

Published in: Healthcare
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A STATE OF MIND - Technology, Change, and Wellbeing

  1. 1. A STATE OF MIND Prof Peter Cochrane OBE S e n t i e n t S y s t e m s R e s e a r c h petercochrane.com Technology, Rapid Change and Human Wellbeing K e y n o t e / O p e n i n g S c e n e S e t t e r I n n o v a t e S u f f o l k : M e n t a l H e a l t h H a c k a t h o n I W I C A t r i u m : 2 4 - 2 6 M a y 2 0 1 9
  2. 2. Scale: Reality Check One in four of us suffer mental problems/year The BIG ‘X’ I think we can safely assume that we have all felt like this at some time ! Mental Health: comes of age ? It is now in the open and up for discussion and debate Depression Anxiety The BIG 3 Stress Bipolar Schizophrenia
  3. 3. Tr a u m at i c H i s t o r y Mental health mystery - affliction to blessing Evil Holy Devil Spirits Threat Ghosts Crazed Disease Demons Madness Possessed Infectious Supernatural Biological Physiological Causal Cures Treatments Openness Sympathy Awareness Fear Torture Isolation Execution Punishment Incarceration Treatments Cruelty Derision Intolerance Entertainment Experimentation
  4. 4. Tr a u m at i c H i s t o r y Mental health mystery - affliction to blessing Today - Intolerance Rules ?
  5. 5. The Snowflake Generation ? ... today’s young people! They just can't handle adversity They’re have been coddled - protected from reality They don't know what it is like to deal with real world problems They've really have got to toughen up !!! W ho Know s? W e stillhave a realproblem thatneedsaddressing
  6. 6. Mental Illness Causality (1) Correlation does not infer Causation WW1 + WW2 High mortality Industrialisation Limited healthcare Large scale pollution Inadequate sanitation Work and job changes Poor/crowded housing Mass migration to towns Dubious food quality/supply Large families/poor birth control +++++ Industry 1.0 Industry 2.0 Industry 3.0
  7. 7. Social Media and Suicide A very small number of reported and recent cyber bullying cases appear to have ignited a near out of control media and political JDI campaign… …is this ignorance and panic winning over the facts and reality ? Mental Illness Causality (2)
  8. 8. Social Media and Suicide QED (perhaps !) Teen Suicides UK 2017 = 177 2015 = 186 2010 = 110 Mental Illness Causality (3)
  9. 9. Scale: Reality Check One in four of us suffer mental problems/year For the majority: Stress Anxiety Depression For the minority: CPU Sensors Experiences Can start at conception - develops throughout life - anon - we have a lot to discover/learn Complex - multi-variate: complexity; lack of/out of control; limited influence; disempowerment; change; education; work; life; love; family; money; health…
  10. 10. Culpability ? No risk society Intense parenting Social Media Devas Artificial social ideals Over protective culture The eradication of failure Dominance of ‘Do Gooders’ The rise of The Nanny State Every child must get a prize ethos Artificial pressure from teachers/parents You can achieve anything if you want to (Myth)
  11. 11. Culpability ? A faster, more connected, and chaotic world?
  12. 12. Reality Gap ! - Adults tend not want to address health or mental health - Young people do want to discuss, debate, address & fix - Young people want healthy relationships, but may not have seen or experienced one ! Society highlights more bad behavioural examples than good ? The media constantly focuses on the -ve and celebrates fools ! Young people are the victims here and not entirely the cause ?
  13. 13. Opportunity Space Where we/technology might just help Stress Anxiety Depression A dynamic and fast changing landscape that is influenced by life, living, society, work, education, physical fitness/health and a broad spectrum of relationships… >20% of the UK population are suffering >Female than Male reported sufferers
  14. 14. Status Quo of Change/Progress Our species and the ratchet of technology only goes one way Technology begets more technology Allows more people to live & survive Provides revolutionary tools of change Sees us do more & more with less & less More food, clothing, housing, tech, industry Our history is one of exponential capabilities “Stopping, or trying to going back, would see a human tragedy and a massive loss of life” Stress and disempowerment in the making for many; empowerment for most ?
  15. 15. It Was Ever Thus Industry 1.0, 2.0, 3.0, 4.0…. During 1.0, 2.0, it was common (the norm) to inter people considered m a d / c r a z y / m a l e v o l e n t or afford them lesser status- ie village idiot… …we have come a long way but there is such a long way to go… …it is beholden upon all of us to see if we c a n h e l p m a k e a difference!
  16. 16. Reality and Perception “Life has never been so good” OR “The world is going to hell in a hand basket” “More people are alive, living longer, and living good lives than ever before” “There are far more +ve indicators than -ve by a loooong way” Media Politicians Social Nets Employment Rapid Change Lack of Security Societal Tensions Magical Technology ++++ OUCH - why am I hurting?
  17. 17. Why are things apparently getting worse ? Technology - it is always Technology! TV Cable Home PCs Mobile Devices eMail + TXT + IM Computer Games Social Media + Porno Blue(ish) screen light 2/3/4/5G - WiF and Cancer Shorter attention spans Security/Cyber threat Loss of privacy/data Screen addition Cyber bullying Sexting
  18. 18. Why are things apparently getting worse ? Technology - it is always Technology! TV Cable Home PCs Mobile Devices eMail + TXT + IM Computer Games Social Media + Porno Blue(ish) screen light 2/3/4/5G - WiF and Cancer Shorter attention spans Security/Cyber threat Loss of privacy/data Screen addition Cyber bullying Sexting W idely presided over by non-users; the science and tech ignorant; the technophobes, politically and socially active/motivated Is anything getting worse or is the efficiency of reporting getting better ? W e need facts & analysis - not emotion & knee jerk reactions!
  19. 19. What We Know For Sure We are brilliant at the invention of tech and the creation of products, but so poor at preparing people and society… …and the organisation of the transition from one paradigm, to another! Education, training, preparation is all ! Just another exciting day at the office…but don’t worry…THEY are in control…THEY must have a plan ! The dwell time of managers in a specific job is now ~2.5y…. …and burn out is often before their 55th birthday!
  20. 20. What We Know For Sure Thermodynamics dictates that the human brain is insufficient to understand the human brain in any great detail Insufficient Computational Power
  21. 21. What We Know For Sure Without Quantum Computers we will never understand Chemistry, Biology, Life and Human Behaviour beyond a superficial level To be specific: Without QC we will never unravel the full complexity and working of the human brain….and mind…
  22. 22. What We Know For Sure Human intellect amplified by AI may well get us to the next level of understanding pre the availability of Quantum Computing This will be all the more certain if we exploit Small & BIG Data across populations of those suffering Accurate medical records are germane to any prospect of success
  23. 23. Why Turn to Technology ? Surely this is a people problem and nothing to do with tech !
  24. 24. Complexity Beyond Humanity ! Stochastic systems defeat our mathematics and v limited linear thinking…
  25. 25. Why Turn to Technology ? No amount of ££ and people investment will fully address this growing demand …we can’t even produce/afford all the regular doctors and nurses we need for physical health let alone the mental health specialists ! No country, no matter how big, enjoys sufficient capable people to meet the physical or mental c a r e d e m a n d s o f t h e i r population…and there is a finite limit to those they can poach from the poorer nations
  26. 26. Why Turn to Technology ? The student population of our brightest and best falls far short of the numbers required across every sector including: commerce, care gov, industry, services…and mental health!
  27. 27. US Perspective
  28. 28. US - UK Perspective
  29. 29. Global Shortage of Medics
  30. 30. Global Shortage of Medics Em ploying m ore specialists, doctors and nurses is not a viable solution - it isn’t going to happen !
  31. 31. Can Empathic Technology Help ? AI Powered Human Powered IM SMS eMail Voice close Video close Music WWW Movies close Conference ✘ Applications IM SMS eMail Voice Video Music WWW Movies Conference Applications
  32. 32. Why Things Fail Cause of Failures = H + M + H. M H = Human Error M = Machine Fail Note: M = f(H + M + H. M) design Ergo: Mostly non-linear - hard to predict - hard to detect Spoiler Alert !
  33. 33. Solution Space - AI - Apps - Parents - Teachers - Charities - Technology - Support Groups - Society at Large - Social Networks - Health Care System - Mental health professionals
  34. 34. Designing Apps/AI Vital ‘Musts’: - involve and include users - experiment with and test every aspect - embrace emergent behaviours of all H s and M s - share all H and M experiences across all groups and AIs
  35. 35. Already Out There
  36. 36. Already Out There
  37. 37. Due Diligence - Business Models - Available Apps - Effectiveness - Technologies - Techniques - Take Up - Markets - +++ - Needs - Advice - Guidance - Approvals - Competition - Patient Trials - Collaboration - +++ - Status - Needs - Concerns - Assessment - Experiment - Collaborate - Refinement - +++ Commercial Medics Patients A minimal subset of what is required
  38. 38. AI Depression Detection A machine learning algorithm can detect anxiety and depression in the speech patterns of young children, potentially providing a fast and easy way of diagnosing conditions that are difficult to spot and often overlooked in young people Journal of Biomedical and Health Informatics https://ieeexplore.ieee.org/document/8700173
  39. 39. People Behaviours Appears to be impossible to predict…and they soon stray from the designers intent and supplier recommendations
  40. 40. People Behaviours Appears to be impossible…
  41. 41. Last Words “Tread softly, lest you step upon my dreams”
  42. 42. Thank You petercochrane.com Sentient Systems Research

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