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How extreme isolation warps the mind

2014-05-14 12:05:09

Michael Bond

When people are isolated from human contact, their mind can do some truly

bizarre things, says Michael Bond. Why does this happen?

Sarah Shourd s mind began to slip after about two months into her

incarceration. She heard phantom footsteps and flashing lights, and spent most

of her day crouched on all fours, listening through a gap in the door.

That summer, the 32-year-old had been hiking with two friends in the mountains

of Iraqi Kurdistan when they were arrested by Iranian troops after straying

onto the border with Iran. Accused of spying, they were kept in solitary

confinement in Evin prison in Tehran, each in their own tiny cell. She endured

almost 10,000 hours with little human contact before she was freed. One of the

most disturbing effects was the hallucinations.

In the periphery of my vision, I began to see flashing lights, only to jerk my

head around to find that nothing was there, she wrote in the New York Times in

2011. At one point, I heard someone screaming, and it wasn t until I felt the

hands of one of the friendlier guards on my face, trying to revive me, that I

realised the screams were my own.

We all want to be alone from time to time, to escape the demands of our

colleagues or the hassle of crowds. But not alone alone. For most people,

prolonged social isolation is all bad, particularly mentally. We know this not

only from reports by people like Shourd who have experienced it first-hand, but

also from psychological experiments on the effects of isolation and sensory

deprivation, some of which had to be called off due to the extreme and bizarre

reactions of those involved. Why does the mind unravel so spectacularly when we

re truly on our own, and is there any way to stop it?

Inside prison walls, solitude can play disturbing tricks on the mind (Flickr/

Cyri)

We ve known for a while that isolation is physically bad for us. Chronically

lonely people have higher blood pressure, are more vulnerable to infection, and

are also more likely to develop Alzheimer s disease and dementia. Loneliness

also interferes with a whole range of everyday functioning, such as sleep

patterns, attention and logical and verbal reasoning. The mechanisms behind

these effects are still unclear, though what is known is that social isolation

unleashes an extreme immune response a cascade of stress hormones and

inflammation. This may have been appropriate in our early ancestors, when being

isolated from the group carried big physical risks, but for us the outcome is

mostly harmful.

Yet some of the most profound effects of loneliness are on the mind. For

starters, isolation messes with our sense of time. One of the strangest effects

is the time-shifting reported by those who have spent long periods living

underground without daylight. In 1961, French geologist Michel Siffre led a

two-week expedition to study an underground glacier beneath the French Alps and

ended up staying two months, fascinated by how the darkness affected human

biology. He decided to abandon his watch and live like an animal . While

conducting tests with his team on the surface, they discovered it took him five

minutes to count to what he thought was 120 seconds.

A similar pattern of slowing time was reported by Maurizio Montalbini, a

sociologist and caving enthusiast. In 1993, Montalbini spent 366 days in an

underground cavern near Pesaro in Italy that had been designed with Nasa to

simulate space missions, breaking his own world record for time spent

underground. When he emerged, he was convinced only 219 days had passed. His

sleep-wake cycles had almost doubled in length. Since then, researchers have

found that in darkness most people eventually adjust to a 48-hour cycle: 36

hours of activity followed by 12 hours of sleep. The reasons are still unclear.

After emerging from a nine week stint in underground darkness, Michel Siffre

needed to wear a blindfold to protect his eyes (Getty Images)

As well as their time-shifts, Siffre and Montalbini reported periods of mental

instability too. But these experiences were nothing compared with the extreme

reactions seen in notorious sensory deprivation experiments in the mid-20th

Century.

In the 1950s and 1960s, China was rumoured to be using solitary confinement to

brainwash American prisoners captured during the Korean War, and the US and

Canadian governments were all too keen to try it out. Their defence departments

funded a series of research programmes that might be considered ethically

dubious today.

The most extensive took place at McGill University Medical Center in Montreal,

led by the psychologist Donald Hebb. The McGill researchers invited paid

volunteers mainly college students to spend days or weeks by themselves in

sound-proof cubicles, deprived of meaningful human contact. Their aim was to

reduce perceptual stimulation to a minimum, to see how their subjects would

behave when almost nothing was happening. They minimised what they could feel,

see, hear and touch, fitting them with translucent visors, cotton gloves and

cardboard cuffs extending beyond the fingertips. As Scientific American

magazine reported at the time, they had them lie on U-shaped foam pillows to

restrict noise, and set up a continuous hum of air-conditioning units to mask

small sounds.

After only a few hours, the students became acutely restless. They started to

crave stimulation, talking, singing or reciting poetry to themselves to break

the monotony. Later, many of them became anxious or highly emotional. Their

mental performance suffered too, struggling with arithmetic and word

association tests.

Sensory deprivation can cause hallucinations - sometimes starting with

geometric shapes or points of light, and then getting stranger... (Akuei/

Flickr)

But the most alarming effects were the hallucinations. They would start with

points of light, lines or shapes, eventually evolving into bizarre scenes, such

as squirrels marching with sacks over their shoulders or processions of

eyeglasses filing down a street. They had no control over what they saw: one

man saw only dogs; another, babies.

Some of them experienced sound hallucinations as well: a music box or a choir,

for instance. Others imagined sensations of touch: one man had the sense he had

been hit in the arm by pellets fired from guns. Another, reaching out to touch

a doorknob, felt an electric shock.

When they emerged from the experiment they found it hard to shake this altered

sense of reality, convinced that the whole room was in motion, or that objects

were constantly changing shape and size.

The researchers had hoped to observe their subjects over several weeks, but the

trial was cut short because they became too distressed to carry on. Few lasted

beyond two days, and none as long as a week. Afterwards, Hebb wrote in the

journal American Psychologist that the results were very unsettling to us It

is one thing to hear that the Chinese are brainwashing their prisoners on the

other side of the world; it is another to find, in your own laboratory, that

merely taking away the usual sights, sounds, and bodily contacts from a healthy

university student for a few days can shake him, right down to the base.

In 2008, clinical psychologist Ian Robbins recreated Hebb s experiment in

collaboration with the BBC, isolating six volunteers for 48 hours in

sound-proofed rooms in a former nuclear bunker. The results were similar. The

volunteers suffered anxiety, extreme emotions, paranoia and significant

deterioration in their mental functioning. They also hallucinated: a heap of

5,000 empty oyster shells; a snake; zebras; tiny cars; the room taking off;

mosquitoes; fighter planes buzzing around.

A clip from BBC Horizon s Total Isolation experiment read more information

about the programme here.

Why does the perceptually deprived brain play such tricks? Cognitive

psychologists believe that the part of the brain that deals with ongoing tasks,

such as sensory perception, is accustomed to dealing with a large quantity of

information, such as visual, auditory and other environmental cues. But when

there is a dearth of information, says Robbins, the various nerve systems

feeding in to the brain s central processor are still firing off, but in a way

that doesn t make sense. So after a while the brain starts to make sense of

them, to make them into a pattern. It creates whole images out of partial

ones. In other words, it tries to construct a reality from the scant signals

available to it, yet it ends up building a fantasy world.

Such mental failures should perhaps not surprise us. For one thing, we know

that other primates do not fare well in isolation. One of the most graphic

examples is psychologist Harry Harlow s experiments on rhesus macaque monkeys

at the University of Wisconsin-Madison during the 1960s, in which he deprived

them of social contact after birth for months or years. They became, he

observed, enormously disturbed even after 30 days, and after a year were

obliterated socially, incapable of interaction of any kind. (A comparable

social fracturing has been observed in humans: consider the children rescued

from Romanian orphanages in the early 1990s, who after being almost entirely

deprived of close social contact since birth grew up with serious behavioural

and attachment issues.)

We may crave solitude occasionally, but in the long term it's not good for us

physically or mentally (Getty Images)

Secondly, we derive meaning from our emotional states largely through contact

with others. Biologists believe that human emotions evolved because they aided

co-operation among our early ancestors who benefited from living in groups.

Their primary function is social. With no one to mediate our feelings of fear,

anger, anxiety and sadness and help us determine their appropriateness, before

long they deliver us a distorted sense of self, a perceptual fracturing or a

profound irrationality. It seems that left too much to ourselves, the very

system that regulates our social living can overwhelm us.

Take the 25,000 inmates held in super-maximum security prisons in the US

today. Without social interaction, supermax prisoners have no way to test the

appropriateness of their emotions or their fantastical thinking, says Terry

Kupers, a forensic psychiatrist at the Wright Institute in Berkeley,

California, who has interviewed thousands of supermax prisoners. This is one of

the reasons many suffer anxiety, paranoia and obsessive thoughts. Craig Haney,

a psychologist at the University of California, Santa Cruz, and a leading

authority on the mental health of inmates in the US, believes that some of them

purposefully initiate brutal confrontations with prison staff just to reaffirm

their own existence to remember who they are.

Social isolation is not always debilitating, however. Are some better than

others at coping? And can you train yourself to resist the worst effects? Here

scientists have fewer hard answers, but we can at least look to the lessons of

individuals who thrived or floundered under isolation.

When Shourd was imprisoned in Iran, she was arguably among the least-equipped

people to cope, because her incarceration came out of the blue. People in her

circumstances have their world suddenly inverted, and there is nothing in the

manner of their taking no narrative of sacrifice, or enduring for a greater

good to help them derive meaning from it. They must somehow find meaning in

their predicament or mentally detach themselves from their day-to-day

reality, which is a monumental task when alone.

Hussain Al-Shahristani managed it. He was Saddam Hussein s chief nuclear

adviser before he was tortured and shut away in Abu Ghraib prison near Baghdad

after refusing on moral grounds to cooperate on the development of an atomic

weapon. He kept his sanity during 10 years of solitary confinement by taking

refuge in a world of abstractions, making up mathematical problems which he

then tried to solve. He is now deputy energy minister of Iraq. Edith Bone, a

medical academic and translator, followed a similar strategy during the seven

years she spent imprisoned by the Hungarian communist government after World

War Two, constructing an abacus out of stale bread and counting out an

inventory of her vocabulary in the six languages she spoke fluently.

Some believe a military background may help prevent the worst effects of

isolation (Thinkstock)

Such experiences may be easier to take if you belong to a military

organisation. Keron Fletcher, a consultant psychiatrist who has helped debrief

and treat hostages, says mock detention and interrogation exercises of the kind

he himself underwent while serving with the Royal Air Force are a good

preparation for the shock of capture. They teach you the basics of coping, he

says. Also, you know your buddies will be busting a gut to get you back in one

piece. I think the military are less likely to feel helpless or hopeless.

Hopelessness and helplessness are horrible things to live with and they erode

morale and coping ability.

US senator John McCain is a good example of how a military mindset bestows

psychological advantages. His five-and-a-half years as a prisoner of war in

Vietnam, during which he refused to yield to his interrogators, actually seemed

to strengthen him. Though note what he had to say about the two years he spent

in isolation: It s an awful thing, solitary. It crushes your spirit and

weakens your resistance more effectively than any other form of mistreatment

The onset of despair is immediate, and it is a formidable foe.

Psychologists who study how people cope with isolation have learnt much from

solo explorers and mountaineers. For many adventurers deprived of human company

albeit voluntarily the landscape itself can serve as an effective

surrogate, drawing them out of themselves into the beauty or grandeur of their

surroundings. Norwegian psychologist Gro Sandal at the University of Bergen in

Norway, who has interviewed many adventurers about how they cope in extreme

environments, says that transcending the reality of their situation in this way

is a common coping mechanism. It makes them feel safer. It makes them feel

less alone.

A similar psychological mechanism could explain why shipwrecked mariners

marooned on islands have been known to anthropomorphise inanimate objects, in

some cases creating a cabal of imaginary companions with whom to share the

solitude. It sounds like madness but is likely a foil against it. Take the way

sailor Ellen MacArthur nicknamed her trimaran Mobi , during her

record-breaking solo circumnavigation of the globe in 2005. During the voyage

she signed emails to her support team love e and mobi , and in her published

account uses we rather than I .

Sailors have been known to combat the loneliness of the ocean by

anthropomorphising inanimate objects (Thinkstock)

There is no more poignant illustration of the power of solitude to sink one

person while lifting up another than the stories of Bernard Moitessier and

Donald Crowhurst, two of the competitors in the 1968 Sunday Times Golden Globe

round-the-world yacht race. The trophy, offered to the first sailor to complete

a solo non-stop circumnavigation of the globe, was won in 313 days by Robin

Knox-Johnston, the only one out of nine starters to finish. He seemed to relish

being alone with his boat, but not as much as Moitessier, an ascetic Frenchman

who practised yoga on deck and fed cheese to the shearwater birds that shadowed

him. Moitessier found the experience so fulfilling, and the idea of returning

to civilisation so distasteful, that he abandoned the race despite a good

chance of victory and just kept on sailing, eventually landing in Tahiti after

travelling more than halfway round the world again. I continue non-stop

because I am happy at sea, he declared, and perhaps because I want to save my

soul.

Crowhurst, meanwhile, was in trouble from the start. He left England

ill-prepared and sent fake reports about his supposed progress through the

southern seas while never actually leaving the Atlantic. Drifting aimlessly for

months off the coast of South America, he became increasingly depressed and

lonely, eventually retreating to his cabin and consolidating his fantasies in a

rambling 25,000-word philosophical treatise before jumping overboard. His body

was never found.

What message can we take from these stories of endurance and despair? The

obvious one is that we are, as a rule, considerably diminished when disengaged

from others. Isolation may very often be the sum total of wretchedness , as

the writer Thomas Carlyle put it. However, a more upbeat assessment seems

equally valid: it is possible to connect, to find solace beyond ourselves, even

when we are alone. It helps to be prepared, and to be mentally resilient. But

we shouldn t underestimate the power of our imagination to knock over prison

walls, penetrate icy caves or provide make-believe companions to walk with us.