Depressed children respond differently to rewards than other kids
sciencebulletin.org
sciencebulletin.org
Speaking from personal experience, if a 3 or 4 year old is displaying symptoms of depression, there's shit happening at home and the parents are neck-deep in denial about their role and pigs will fly before they get help for their kid.
The folks doing this research know more than you do about the causes of their depression; and they know more than you do about the difficulties in addressing any causes. But unlike you, instead of implying that they're foolish for trying to make the world better, they're just trying to make the world better.
Most victories are long, hard slogs. I respect people who undertake those slogs, knowing that victory is not assured. I have no respect for those who throw rocks at them.
That isn't always true. Some people are depressed without an external cause.
It's easier if there is an external cause: Fix the cause, fix the depression.
"Rather, depression has many possible causes, including faulty mood regulation by the brain, genetic vulnerability, stressful life events, medications, and medical problems."[0](https://www.health.harvard.edu/mind-and-mood/what-causes-dep...)
As for expecting parents to notice; a trained psychiatric professional cannot diagnose depression by regular life observation alone. They rely on self reporting, or suicide attempts. Anything less than that is extremely hard to pick up on.
Depression definitely can be caused by abuse. In fact if you're being abused you are probably also depressed.
Depression and other mental illnesses are also often caused by things that can't be externally influenced at all.
Casually linking poor parenting with mental illness enforces a stigma that discourages people from seeking treatment for themselves or for their children.
Imagine if the child is sick (eg in pneumonia) it wouldn't dismiss the illness if I explained how the child got sick because their parents left them outside freezing.
It's not dismissing, it's analyzing the root cause, to try and help the child. If something causes illness (mental and/or physical), we should take care of both the illness and the cause.
In the case of depression, finding a true unique cause is still open for debate/research, but it shoudn't prevent us from helping someone who's depressed.
(Disclaimer: this happened to me. I have confirmed ADHD and maybe aspergers too, but my parents were so offended when schools asked them to take me to a doctor that only now in my adulthood I am being treated properly)
I really wish I was diagnosed earlier, but what can you do? It breaks my heart to think of any kid going through the same thing and it just being dismissed, but what are they supposed to do? If you're going to get a proper diagnosis you need a referral to see a psychiatrist. If you're a bit iffy and the doctor doesn't think a referral is in order you're likely to wind up with a number of wrong diagnoses. I don't think at that age I was even capable of explaining all my symptoms thoroughly enough for even a psychiatrist to figure out the whole picture.
This is why physical diagnoses needs to step up to the plate. There needs to be a blood test, or something like it, rather than having to rely on baffled parents, or patients who might not even realize certain symptoms are even worth bringing up at all.
> There needs to be a blood test, or something like it, rather than having to rely on baffled parents, or patients who might not even realize certain symptoms are even worth bringing up at all.
And that's relying on the parents to even be looking for issues in their offspring. If they're narcissistic, the child could go undiagnosed.
You can't expect even the most seasoned psychiatric worker to be able to diagnose depression from sight. Currently self-reporting is the only way to diagnose. Observation simply doesn't work.
There was a great doco on the BBC (http://www.bbc.co.uk/programmes/b00fm5ql) where they had a house full of people with various different mental illnesses, and trained psychiatric professionals watching on CCTV. Over the course of the show, not one of them made a correct diagnosis by observing behaviour. So how can parents be expected to pick up the signs?
Oftentimes, but definitely not always, it's surprising to me how easy it is to detect cases of childhood abuse, autism, bipolar disorder, and narcissistic personality disorder, based on very limited interaction.
Obviously one is never sure, but very often the symptoms are 'textbook' enough that at the very least an informed guess can be made.
I'm willing to say I'm entirely wrong about this though. It's just been my experience so far.
Giving unsolicited diagnoses puts you at risk of being accused of being a 'gaslighter', etc. In many cases it's like if you see a really skinny person and are convinced they are anorexic... Some people are just skinny, just like many people put on weight alarmingly easy.
And then there's malingering psychosis -- there's a horror film. I'm pretty sure I knew someone like this, but I could never say anything (I suspected they had BPD and were feigning psychosis.)
There's a big taboo concerning depression. It isn't regarded as a disease, in social life those who are negative tend to get avoided.
As for rewards like presents, I simply don't get the whole theatre behind it. It is just trading, often nowhere near original, and I too often don't know what on earth to buy for someone, ending up with cheesy things. You ask something, and you either get exactly what you want (no surprise), you get something you don't want and did not ask for (negative surprise) or you get something you did not ask for and do want (positive surprise). Now, how to make someone positively surprised if they already feel they got pretty much everything? If the only things they do want are rather expensive? If they don't need yet another cheap thing such as perfume while they already have their own expensive perfume brand which bottle is not even half empty? My point is that it can be extremely difficult to satisfy someone's needs. Not merely mine; the ones of all my peers. Now consider I was like this as a child as well (probably why I am like this now).
Perhaps therein lies the difference. The non depressed are happy to receive a gift, never mind that it is merely a custom whereas the depressed see through the custom. One could argue the latter is smarter, but is that true from a biological PoV?
I find the idea that depressed people have a gift at seeing through fakery as troubling. It is a correlation and causation thing. If I was depressed everything seemed shit, even the stuff that wasn't fake, so of course it might look enlightened in certain situations. I think a lot of those studies are flawed pop-psychology type stuff that I wouldn't put much value in.
Specifically, is it saying Pr(Dislikes Rewards | Depressed) is high, or is it saying Pr(Depressed | Dislikes Rewards) is high, or both?
It's an 84 person study, done using EEG (a very rough measure of electrical activity in the brain), claiming a result largely related neurotransmitter release (ie not the sort of thing EEGs are usually used to measure). You should take their claims with a huge helping of salt.
The second probability depends on the relative sizes of all four quadrants and your definition of "high". The truth of statement one does imply that it's higher, but how much higher is not discussed.
P(B|A)>P(B) <=> P(A|B)>P(A)
Did they even account for the kids figuring out that whether they win or lose is completely random and there's no skill or pattern involved? You know, like "what's even the point of trying if it's all random anyway"? Maybe that's why some kids weren't thrilled to get a point, because there was literally no effort required to get it, pure chance.
I don't know what the "scientists" expected, but I don't know a single person who goes into euphoria after they win a coin flip. Geez, they might all be at risk of clinical depression!!!!!!!
Also did you check lately, maybe you're clinically depressed considering your lack of enthusiasm of the evalution method. /s
Why would the OP try to reproduce something he/she doesn't consider scientific?
I'm baffled that there is always a response to any scientific research along the lines of "Well, these scientists didn't take <obvious confounding factor> into account! They need to compensate for <list of random attributes I just thought up>."
To be clear, I doubt GP has accurately identified a confounder here; the comparison is between children diagnosed with depression and those not so diagnosed, performing the same task, so it's not as though differential response on the task is being used to identify depression. But the larger point that a result need not be taken on faith remains valid, as does the general advisability of knowing what you're talking about before you do so - which GP regrettably seems here to have overlooked.
Much more complex than what you're insinuating
Sounds the same to me as what OP suggested. Even as a child (as early as I remember) I hated praise and rewards when I didn't feel I had deserved it by my own efforts. Guessing random events is not among things I consider conscious effort. Furthermore, children background could have impact too: the one from poorer family would be happier to receive a small gift versus the one from rich family that already has a room full of all the toys he could want.
You can throw your own emotional spin on this phenomenon if you like, but the scientist's job was to investigate whether there is a phenomenon of this sort, and they did just that.
That they're receptive to BS tests and more easily manipulated ?
> What's interesting is that there is a differentiation between the two, not which is the 'right' way to behave.
Interesting ? Of course there's a differentiation between the two, human brains don't operate the same.
But my point was with the common popular notion of claiming someone as depressed as something being notoriously bad with them and "not normal". What if the 'depressive realism' (as mentioned in this thread) is actually a feature that humans should develop to more rationally meet their choices in life? Now that's a question I find more interesting.
My guess is that the depressed/bored children will now respond a little bit better to this experiment. It's just a guess -- but I think depressed/bored kids would tend to avoid spending time being bored in a little lab room.
I think a depressed person would be more likely to ignore all your doors, or open a few without caring one way or the other. But I'm not a psychiatrist.
This is not as well understood as we think. I would suggest doing that experiment with both types of people, though.
One or two signals is not a pattern, but it can mean to start looking for one.
I'm not clever enough to know exactly how this could introduce a bias into this particular experiment (that is, how such an operation would affect the response of depressed children), but I suppose it could.
Frankly speaking I feel like the general premise is probably true, though the how on it is still unclear. I know extremely low self-esteeem and disbelief in adulation/rewards was pretty common for me when I was much deeper into depression. Even now I tend to be pretty dismissive of acknowledgements and rewards.
P(problem|symptom) = P(symptom|problem) x P(problem) / P(symptom)
We only know P(symptom|problem) based on this research...
I hope the money invested in this research ends up enabling something that can help these poor kids. This is a real problem in our society.