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Category: Behavior/Psychology Page 22 of 27

Psychological help for fistula patients

By Clara Colombatto

Researchers from the Duke Global Health Institute (DGHI) are launching a study on psychological interventions for women with obstetric fistula in Tanzania this September.

A fistula develops during long obstructed labor: the fetus is stuck in the birth canal and erodes the vaginal tissue. After the traumatic labor experience and loss of the child, women return home and realize they constantly leak urine or feces. Moreover, they suffer from severe pain and are likely to develop urinary tract infections.

Women with obstetric fistula are stigmatized and ostracized by society, and spend years hiding their condition from others.

Aheyu, one of the protagonists in A Walk to Beautiful, a 2007 documentary about a group of Ethiopian women with fistula.

Aheyu, one of the protagonists in A Walk to Beautiful, a 2007 documentary about Ethiopian women with fistula.

Duke researchers conducted a series of interviews from 2010 to 2012 and found that this rejection and self-isolation leads to higher levels of depression, anxiety, and PTSD in women with obstetric fistula, even after a repair surgery.

The work is being led by Melissa Watt, DGHI assistant professor, Kathleen Sikkema, professor of psychology and neuroscience, global health, and psychiatry and behavioral sciences, graduate student Sarah Wilson, and Dr. Gileard Masenga, a surgeon at Kilimanjaro Christian Medical Center.

Wilson is doing a dissertation on the project as a member of the DGHI’s doctoral scholar program.

Based on their empirical observations, Watt and colleagues developed interventions for women receiving fistula repair surgery. The aim is to reduce shame and reframe fistula as a medical condition rather than a personal failure. If successful, the therapy could be a model for treatment of mental health issues related to fistula.

Adapting western psychological therapies in West Africa is a difficult process: “The way we do therapy in the U.S. is very individualistic, emphasizing the idea that your own thoughts are the most important thoughts, versus the thoughts of your parents or your community,” Sarah Wilson says.

But “in Tanzania, identity draws upon family and community,” Watt says. To raise awareness and acceptance of fistula, the team has previously organized workshops.

While the last U.S. hospital treating fistula patients closed its doors in 1895, more than 2 million women live with fistula worldwide as of today. In this sense, “obstetric fistula is a terrible condition and embodiment of disparities in society and health care,” Watt says.

New App May Help Protect Wild Dolphins

By Ashley Yeager

A screenshot from a new app, the Nai'a Guide, which provide info about eco-friendly dolphin-watching tours in Hawai'i. Credit: Demi Fox, Lenfest.

A screenshot from a new app, the Nai’a Guide, which provide info about eco-friendly dolphin-watching tours in Hawai’i. Credit: Demi Fox, Lenfest.

Traveling to Hawai’i sometime soon?

If so, you’re probably excited to experience spinner dolphins in the wild. If not, you can still dream about it. And now, there’s an app for that.

Scientists at Duke’s Marine Lab in Beaufort, N.C. have released the Nai’a Guide — a new iPad app that teaches users about wild Hawai’i spinner dolphins and how to see the animals without harming them. Tourists can use the app to plan an eco-friendly tour to experience the dolphins.

“If we can harness the power presented by mobile technology for conservation and responsible tourism, we have the chance to reach a wide audience and really make a difference for these animals,” says Demi Fox, a postgraduate researcher at the Lenfest Ocean Program who developed the app, along with Duke marine biologist Dave Johnston.

Nai’a is the Hawaiian word for dolphin. The Nai’a Guide explores the biology and ecology of spinner dolphins with photos, videos and sound clips. It also describes sustainable dolphin-based tourism practices outlined NOAA’s Dolphin SMART program.

With the Nai'a Guide, users can learn about spinner dolphins and their habits. Credit: Demi Fox, Lenfest.

With the Nai’a Guide, users can learn about spinner dolphins and their habits. Credit: Demi Fox, Lenfest.

Designed by Fox and developed by an online company called Kleverbeast, the Nai’a Guide also connects tourists with sustainable tour operators so everyone can make more responsible decisions when going to see spinners.

“The principles advocated within the Naia Guide could also be useful for dolphin-based tourism in other places, and with other species. Many of these best practices are generalizable,” Johnston says.

He and other scientists are concerned about human interaction with wild dolphins and other species worldwide. In Hawai’i, the main concern is that spinner dolphins rest during the day in the same shallow bays that people use for snorkeling, kayaking and swimming. Many tourists misinterpret the dolphins’ close proximity and curiosity for playfulness and try to swim with and even ride the animals while they are sleeping.

Intense and consistent human interactions could affect the dolphins’ health over time, Johnston says. The negative effects may also threaten the animals, a resource the state uses to draw tourists to the islands. As a result, he and colleagues at Murdoch University’s Cetacean Research Unit have been tracking spinner populations and monitoring their interaction with people in the Hawai’i island bays.

Researchers study dolphins in boats and high on the cliffs of Hawai'i Island, which is covered in the new app. Credit: Demi Fox, Lenfest.

Researchers study dolphins in boats and high on the cliffs of Hawai’i Island, which is covered in the new app. Credit: Demi Fox, Lenfest.

Scientists “can do all the science in the world, but until we share our findings broadly and in an accessible way, we will not effect serious change,” Fox says. She included the team’s research in the app so users can better understand researchers’ concerns about human-dolphin interactions and can make more informed decisions when choosing a dolphin tour.

“My hope is that the app will serve as an ecological conscience,” she says.

The app, available in Apple’s iTunes Store, can also be found on Twitter @NaiaGuide and on its website, http://www.naiaguide.org.

Early Primate Leaping Set Stage for Human Airtime

By Ashley Yeager

From primate ancestors that leaped like a dwarf lemur is where we got our ability to jump, a new study suggests. Photo courtesy of Mireya Mayor.

Primate ancestors that leaped like a dwarf lemur may be where we got our ability to jump, a new study suggests. (Photo courtesy of Mireya Mayor and Shaquille O’Neal).

Over a puddle, up to the basket, off the high dive — we all take leaps from time to time.

Now, new research suggests that this acrobatic lifestyle began far back in our evolution, when the earliest primates were first emerging on Earth.

“What this study suggests to us is that a very unusual and impressively acrobatic lifestyle jumping through the trees set us on the road to evolving many of features we recognize today in primates, including humans,” says Duke evolutionary anthropologist Doug Boyer.

Boyer and colleagues measured the ankle bones of 73 living and 38 extinct species of primates and found that throughout primate evolution, even our earliest ancestors were developing the bone structure to support long jumps. The results appear July 3 in PLoS ONE.

From the data, the scientists concluded that the ankle mechanics for better leaping in primates began to evolve around 55-60 million years ago. Boyer says natural selection seemed to favor a lifestyle of increasingly acrobatic locomotion in trees, including leaping long distances rapidly between branches.

Scientists had previously noticed that exceptional leapers had unusually elongated ankles. Boyer’s study, however, is the first to simultaneously test for effects of both body mass and behavior on ankle-bone elongation.

The team found a trade-off between body mass and ankle elongation. At larger body masses, ankles were proportionally shorter regardless of behavior. Yet, among animals of similar body size, the leapers had proportionally longer ankles, Boyer says. This was true among even fairly large primates, a contradiction to scientists’ earlier view that there was no behavioral benefit of ankle elongation for bigger animals.

The study is also the first to look at incremental evolutionary changes leading from our earliest primate ancestors to all the modern living forms. Whether leaping was an important behavior for the earliest primates has been controversial.

From their fossil data, Boyer and colleagues could see that early primates were not specialized leapers. “For the most part many of them were generalists, clamoring around on trees, jumping around now and then, but possibly preferring to scamper rather than make huge leaps,” he says.

The ankle bone serves a fulcrum to launch leapers' into the air. The longer the lever, the better the jump, in most cases. Credit: Doug Boyer, Duke.

The ankle bone serves a fulcrum to launch leapers’ into the air. The longer the lever, the better the jump, in most cases. Credit: Doug Boyer, Duke.

This particular conclusion was not new. But the researchers’ approach — looking at incremental evolution — allowed them to see more of a change. “The earliest primates were already better leapers than their ancestors, and the data show their descendents became even better yet,” he explains.

The measurements also suggest that initial elongation of the bones for specialized leaping evolved two independent times in primates – once in lemur ancestors and once in the ancestor of tarsiers, monkeys, apes and other anthropoids like us.

The study didn’t directly address human leaping, and it doesn’t mean humans with longer ankles are better leapers. But, Boyer notes, it’s not out of the range of possibility.

Citation: “Evolution and allometry of calcaneal elongation in living and extinct primates.” Boyer, D. et al. July 3, 2013. PLoS ONE. doi: 10.1371/journal.pone.0067792

Documenting Medicine to Understand Patients

Guest post by Clara Colombatto, T’15

The daily life of a doctor is filled with reports, numbers, and forms. Opportunities to sit down with patients and listen to their stories are rare. Yet, “most of the information practitioners need to care for patients is contained in their stories,” says Dr. John Moses, a Duke pediatrician who founded the Documenting Medicine program two years ago.

medical bracelets

A still from Dr. Tera Cushman’s “How to See the Forest

Mike and Patsy holding hands

Mike and Patsy from “I Will Go With You,” by Dr. Lisa Jones.

The innovative idea that he had with photographer Liisa Ogburn, an instructor at the Center for Documentary Studies, was to encourage medical residents to document their experiences and gain insight into patients’ stories to become better doctors.  Eleven Duke resident physicians, one physician and one physician assistant gathered on June 5 to share documentary projects they completed this year.

“The best attending physicians are both vast repositories of data and good storytellers – people who can bring the numbers and the patient into focus at the same time” says anesthesiologist Tera Cushman, one of the filmmakers. In her documentary How to See the Forest and the Trees, she presents both readings of medical records and interviews of patients Annie and Olivia.

Works produced in Documenting Medicine are objective reports of current issues in healthcare, but also powerful learning tools: residents enhance their understanding of patients to represent their perspective in the best way possible.

In Spectrum, Dr. Kathleen Dunlap interviews the parents of her patient Isaac, and discovers the deep changes and contrasting emotions beyond a simple and almost mechanical diagnosis of autism.

Dr. Lisa Jones tells us a patient’s journey after her time at the hospital in I Will Go with You: Patsy’s Mission to Educate Others about Colorectal Cancer Screening.

These stories also reveal aspects of patients’ lives that are crucial in recovery beyond treatments and prescriptions: in Welcome to Crazy Camp by Dr. Stephanie Collier, Tom, a patient at Duke Hospital, tells us about the importance of patients’ sincere care and profound respect for each other in a psychiatric clinic. The most supportive and understanding friend for him was a young friend who  “made a whole lot of sense except for this one little part of her life where she thought the government had placed something in her brain that was trying to control her.”

Documenting Medicine is now accepting applications for the coming year, and is open to medical residents, but also to anyone working in healthcare who wishes to tell a medical story.

Grey Seal's Travels Hint at Animal's Unknown Habits

By Ashley Yeager

This juvenile male grey seal swam up onto a North Carolina beach recently, surprising locals. Image courtesy of: StarNews Online.

This juvenile male grey seal swam up onto a North Carolina beach recently, surprising locals. Image courtesy of: StarNews Online.

On May 23, visitors to Carolina Beach met an unexpected guest — a male grey seal.

The 300-plus-pound juvenile was somewhat of a surprise to North Carolinians, since his typical habitat ranges from the coastal waters of Canada and extend south to about New Jersey. It is the first time a grey seal has been seen as far south as the Carolinas.

But the seal’s southern swim wasn’t too surprising to Duke marine biologist Dave Johnston.

“Things have been weird with seals for the last ten years or so. We’ve been seeing more harp, hooded and grey seals much farther south, usually the males,” he says.

To track seals’ travel patterns, Johnston and his colleagues have started attaching cell-phone enabled GPS tags to the animals in the Cape Cod region. They tagged their first grey seal, Bronx, last summer and from his transmissions alone have learned where the creatures like to hang out, how deep they can dive and just how far they can swim.

Bronx has covered the equivalent of the land area of Massachusetts and Connecticut combined during his swims. He’s explored below the ocean depths nearly 900 feet — a little more than a tenth of a mile, and he’s even made an international trip, crossing into Canadian waters.

But Bronx swims mostly in the waters near Cape Cod and Nantucket Islands, Johnston says.

Grey seals like Bronx have had a rough history in the region. In the 1800s, humans hunted and killed the entire population living in the Gulf of Maine. For a long time, there were few or no sightings of the animals. But since 1972, grey seals have been protected under the Marine Mammal Protection Act and are now returning in larger numbers to the shores of what was once their native habitat.

This map shows where a GPS tagged seal, Bronx, has swum since last summer. Image courtesy of Dave Johnston, Duke.

This map shows where a GPS tagged seal, Bronx, has swum since last summer. Image courtesy of Dave Johnston, Duke.

Some Cape Cod locals aren’t too happy about that. The seals come ashore in large groups, disrupting beach access in certain areas, and they leave behind their waste. They get caught up with fishermen’s gear and try to steal their catch, and the seals aren’t the friendliest marine mammals.

“People like dolphins. They tend not to like seals as much,” Johnston says, explaining that grey seals are smart, excellent predators and can be aggressive towards humans. “They can be loud and obnoxious, and they will bite,” he says.

That’s a challenge for both the seals and residents of the Cape Cod.

Part of the tagging effort is to increase people’s understanding of how grey seals interact with the ocean environment surrounding Cape Cod, and it could possibly explain why some of the animals are swimming as far south as the Carolinas.

The team is heading to the Cape Cod in early June to attach tags to seven more grey seals. The goal is ultimately to use the tracking data to improve the relationship between humans and seals there, Johnston says.

Hope for Understanding Ourselves Goes to the Dogs

By Ashley Yeager

Brian Hare and Evan MacLean, co-directors of Duke's Canine Cognition Center, play with Lilu, a labradoodle. Credit: Ashley Yeager, Duke.

Brian Hare and Evan MacLean, co-directors of Duke’s Canine Cognition Center, play with Lilu, a labradoodle. Credit: Ashley Yeager, Duke.

Lilu, a beautiful brown poodle-labradoodle mix, couldn’t sit still. Scents of pizza and peanut butter dog treats and the sights of new people easily distracted her.

The ADD behavior could be one trait that made her fail out of service-dog training.

“Six out of every ten dogs wash out of service training. But it’s hard right now for scientists to understand why,” said Duke evolutionary anthropologist Evan MacLean, co-director of the university’s Canine Cognition Center.

He, along with biological anthropologist Brian Hare and geneticist Misha Angrist spoke about ‘Genes, Brains and Games’ in man’s best friend as part of the Science and Society Journal Club on April 26.

MacLean and Hare explained that dogs have taken on many jobs in human society, acting as everything from pets, to our eyes and ears to being like coal-mine canaries searching for hidden bombs and missing people.

“Dog vocations require different sets of cognitive skills,” MacLean said. He studies military dogs, looking for traits that make them more suited for service tasks than pets like Lilu.

MacLean would ultimately like to identify the genetic components that underlie the characteristics suited for each type of job that a dog might do.

Scientists are interested in correlating dogs’ cognitive traits to their associated genes because the animals are “the most exquisite example of artificial selection,” Angrist said.

In Portuguese water dogs, for example, just six substitutions in individual DNA bases of the dogs explain variations in body size. In humans, nearly every gene could factor into height. It’s the same challenge that makes understanding human cognition and intelligence difficult at the genetic level.

Of course, defining cognition and intelligence at the conceptual level isn’t so clear cut either. “It’s so hard for people, journalists and the general public, to understand multiple intelligences,” Hare said.

He explained that at a basic level, cognition is the ability to make inferences, and that when we think of intelligence we think of IQ and standardized tests. These tests, however, measure only one type of intelligence. They don’t measure the ability to empathize, to verbalize a new idea or to put two completely separate ideas together to form a new one, which are other, important facets of intelligence, or really multiple intelligences.

At the Canine Cognition Center, and through the citizen science website Dognition, Hare and MacLean use standardized tests to study the variation in dogs’ intelligence. The tests, unlike the SAT or ACT, “cast a wide net across skills sets dogs could use for different vocations,” Hare said.

Dogs like Lilu, he added, are “really the hope of the world” for understanding cognition.

The Phishing Market Beyond the Internet

By Ashley Mooney

Most people have heard of phishing scams on Internet, in which a person is tricked into giving up their money or identity by a clever ruse.

Temptations like this are found throughout all of capitalist society, says George Akerlof, 2001 Nobel Laureate in Economic Sciences. He discussed ideas from his upcoming book, “Phishing for Phools” wth a Duke audience on April 25 to kick off “Decision Making Across the Disciplines,” a two-day symposium sponsored by the Duke Center for Interdisciplinary Decision Sciences.

Akerloff studies connections between individual’s decision biases and larger economic phenomena.

George_Akerlof

George Akerlof won the Nobel Prize in Economic Sciences in 2001 for his research on economic decision making. (Image courtesy of Wikimedia Commons)

“Standard economics assumes that the people are smart, they may not know everything but they can be smart,” he said. “But there may be only one way in which you can be smart, but there are many, many ways in which you can be stupid.”

Akerlof, who is also Koshland Professor of Economics at the University of California, Berkeley, developed his idea of phishing for phools from his paper, “The Market for ‘Lemons,’” which secured his Nobel nod.

“A fool with an f is a stupid or silly person, but it’s perfectly possible to make an error when… making a perfectly intelligent decision,” he said. “Somebody who makes a mistake is a phool with a ph.”

Although markets have the ability to maximize wealth, Akerlof said it is a double-edged sword.

“Free markets open us up to be phools. They open us up to those who seek to influence us to do what they want, but it’s not necessarily good for our sake,” he said. “We live in a world where some 5 billion adults can phish us for being a phool.  We’ve intentionally opened ourselves up to such exploitation because of obvious advantages, but then we must also think about the other side.”

Markets, Akerlof noted, aim for three weak spots: emotional weaknesses, cognitive weaknesses and ignorance due to blocked channels of information.

Phish

Phishing is common on the internet, but occurs throughout the market. (Image courtesy of Wikimedia Commons)

When people are aware of phishing, it has relatively little effect. But when one doesn’t know about a phish, it can have a major impact. He proposed that obesity, product misinformation and the recent economic recession were all caused by phishing for phools.

“In the United States, the goal of almost every businessman is to get you to spend your money,” he said. “Life in capitalist economy is a continual temptation.”

Akerlof said according to economics textbooks, people decide on their demand by budgeting spending and then choosing the things that will maximize their happiness. But most people, he added, are not honest with themselves and as a consequence do not engage in rational budgeting.

“A very significant fraction of consumers are worried about how they’re going to make ends meet,” Akerlof said. “Almost 50 percent of people probably could not come up with $2,000 in a month for unforeseen situations.”

The only way to prevent phishing is to know about it, and to make informed decisions with that knowledge.

“Phishing for phools… creates bad equilibrium, especially if we don’t know about phishing for phools, we think that markets are totally benign,” Akerlof said.

UPDATE – June 28, 2013

The Economics Department has posted a YouTube video of Ackerlof’s entire talk.

[youtube http://www.youtube.com/watch?v=U85MKnS8i8U?rel=0]

 

Everyone Makes Mistakes

By Pranali Dalvi

Dr. Brian Goldman, Credit: nsb.com

“Every important thing that I have ever learned since the day I was born has come from a mistake,” said Dr. Brian Goldman on April 17 during the Duke Colloquium.

Goldman is a renowned thinker and leader on issues of medical ethics and medical error. He has had great success in two high-adrenaline fields: broadcasting and medicine.

Not only is he a practicing emergency physician at Mount Sinai Hospital in Toronto but he also hosts an award-winning radio show White Coat, Black Art  where he discusses the Canadian healthcare system. His bold TED Talk ‘Doctors Make Mistakes: Can We Talk about That?’ has over 700,000 hits.

Goldman’s life-altering mistake happened during a 2-month elective in neurology at Johns Hopkins. By medical school, he was a veteran insomniac, often waking up early — except for the one morning he was supposed to deliver grand rounds. That morning, he woke up at 10 AM, the exact moment when he was supposed to be presenting rounds in the neurology conference room at the hospital across the street.

“This mistake was a dramatic enough gesture to make me pay attention. I don’t wish a medical error on anybody, and I don’t wish the misfortune that happens to patients and families that are directly involved. But sometimes it’s a moment like that which redirects you and gets you into thinking about what you need to do with the rest of your life,” Goldman said.

The mistake made him reconsider neurology.

Credit: thestudentceo.com

Too often people have one of two worldviews of failure. The first inspires you to do better – if you fall down seven times, get up eight. The other shows success and failure as completely different paths.

“What we need is for health professionals and the public to realize that mistakes are inevitable with humans,” Goldman said.

What does error look like in medicine?

Radiology mistakes including X-ray and CT misinterpretations, miscalculating medication dosages, and hospital-acquired infections due to poor hand washing practices are human errors in medicine. All potentially catastrophic yet hard to detect.

Why do these errors happen?

The vast majority of health professionals are some of the most caring and compassionate individuals. Why do they mess up? Emphasis on quantity over quality, stress, miscommunication and messy handwriting are just a few of the many reasons.

“I spoke to a pharmacist who said that if you simply add 30 seconds of look-up time to every medicine dispensed at the hospital pharmacy, he’d have to hire 2 more full-time pharmacists. If you don’t have that kind of money, this is the sort of institutional cutting of corners that we have to go through to make ends meet,” Goldman said.

Credit: The Adventures of Pam & Frank Blog

Errors also result from the organization of the system. Residents often don’t go home despite 80-hour week regulations. They fear that no one else knows their patient as well as they do. Patient safety is also compromised as you increase the number of handovers due to duty hour regulations.

Goldman insists on the development of technologies to prevent mistakes, reducing responsibilities to allow increased productivity and fostering a loving and respectful environment for doctors to discuss their errors.

How can we aim for success in a field where failure is so effortless?

The Duke Colloquium, the brainchild of Dr. Andrew Hwang, is a university-wide initiative to pull the humanities into the professions. The event bring forward-thinking visiting scholars to Duke’s campus to inspire students, faculty, and the broader Duke community to become more socially conscious professionals.

Student Profile: Arnab Chatterjee

By Nonie Arora

Arnab Chatterjee, Duke Student. Credit: Chrislyn Choo

Freshman Arnab Chatterjee, Credit: Chrislyn Choo

Freshman Arnab Chatterjee spent three days in Abu Dhabi developing solutions to health care problems plaguing the Middle East. He travelled to the Global Issues Network conference, hosted by New York University in Abu Dhabi.

The conference pushes undergraduates to develop sustainable action plans to solve global problems on a regional level in just three days. It has a broad reach, from energy, to health, to waste management. The plans are intended as stepping-stones to bringing positive change to the region.

Chatterjee’s small group focused on mental health, which is often disregarded as a legitimate health concern in the Middle East.

“The ruling bodies of the UAE don’t acknowledge that mental health issues are a real problem, so it often gets swept under the rug,” Chatterjee said.

The group initially attempted to avoid a direct discussion of mental health by asking patients about irregularities in their sleeping and eating patterns, which can be early indicators of mental health issues.

Chatterjee’s team discovered that diabetes was one of the top contributors to the UAE’s mortality rate, and an issue that the government was very much invested in addressing. Multiple studies have suggested a correlation between an increase in the rate of depression among diabetes patients, and vice versa. Other work has shown that the mortality rates among patients with diabetes and depression are significantly higher than those with just diabetes, Chatterjee said. But in this region, seeking help for a mental illness is highly stigmatized. Addressing depression by targeting diabetic populations and their families alleviated this stigma somewhat.

Near the end of the conference, his team suggested that a clinical research study be conducted by New York University’s  public health institute in the region to address whether patient-family support specialists could be helpful in improving patient outcomes. They planned to screen for depression, but without describing the behavior by name. “People can be offended even by doctors asking questions that imply a patient has depression. It’s a delicate balance between being tactful but remaining effective,” Chatterjee said.

Abu Dhabi Skyline, Credit: Wikimedia CommonsChatterjee and his team presented their plan to health care providers from Cleveland Clinic’s medical center in Abu Dhabi, government officials, and the press in Abu Dhabi. He said it was well received by most, but that the government officials remarked that they would have preferred even less emphasis on mental health issues.

Beyond this specific project, Chatterjee said that attending the conference gave him a great opportunity to build a global network with other undergraduates with diverse interests. He is interested in medicine and research, works as a research assistant in the Nicolelis Primate Laboratory, and will be working as a Howard Hughes Research fellow this summer.

Activist targets inner child not 'target audience'

By Ashley Yeager

A baby albatross carcass full of plastic “food.” Credit: Chris Jordan.

When artist Chris Jordan works on a photograph or film, he doesn’t think about his audience. He said he thinks the phrase “target audience” is a disrespectful, manipulative business concept.

“I want to be as authentic as possible with my work,” Jordan said, explaining that each of his pieces instead taps into that “universality in us that we all carry, a deep appreciation for the abiding beauty of our world and the miracle of our own lives.”

An environmental activist as well as an artist, Jordan is challenging others to target that universality too as they convey messages about the issues that affect the planet.

Jordan spoke March 1 as part of a working group to discuss questions about how environmentalists, neuroscientists and artists can work together to better communicate about issues affecting the planet. The Nicholas School of the Environment and the Duke Institute for Brain Sciences sponsored the discussion.

Duke ecologist Nicole Heller moderated the discussion, opening it with the idea that scientists are frustrated with their inability to communicate with politicians and the public about the environment.

“In the ’70s, yucky or scary images might have worked, but now they don’t. That’s no longer appealing. We need different kinds of imagery to reach across people’s biases,” Heller said. She invited Jordan to speak because of his reputation for being able to move audiences from diverse backgrounds and education levels.

“Second graders are some of the most passionate and responsive to these issues,” Jordan said, adding that perhaps the best thing we can do is to appeal to an individual’s inner child – that curious spirit we have to understand how the world works.

One example of this approach is the film Jordan is working on to explore the mating dance of albatrosses on Midway Atoll in the Pacific Ocean. He’s photographed dead baby albatrosses, whose stomachs are full of plastic trash their parents fed to them because they mistake the plastic for food. The work was to make people aware of the plastic vortex, or Great Pacific Garbage Patch, swirling beyond the horizon and therefore beyond our conscious concern.

Jordan decided to capture the wonder of the albatrosses as they mate, rather than just their rotting carcasses, hoping to feed his audiences — no matter their background — with life, rather than depress them with death.

“Like the albatross, we first-world humans find ourselves lacking the ability to discern anymore what is nourishing from what is toxic to our lives and our spirits. Choked to death on our waste, the mythical albatross calls upon us to recognize that our greatest challenge lies not out there, but in here,” Jordan writes on his Web site.

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