Nz Young Among World’s highest users of cannabis-NZ Herald- Sat October 17

This was in the NZ Herald today, note cannabis is known to cause psychotic episodes.

Lancet study includes long list of health risks for the world’s 166 million cannabis smokers.

Young people in New Zealand are among the world’s biggest users of cannabis. Nearly 4 percent of adults globally use the drug, though it raises many health concerns according to a paper published in the Lancet yesterday.

It cited figures from the UN Office on Drugs and Crime, which estimated that in 2006 there were 166 million users of cannabis aged from 15-64 0r 3.9 percent of the world’s population  in this age category. The drug is the most used among young people in rich countries, led by New Zealand, Australia and the US, followed bu Europe, but appears to be becoming popular on a global scale, with use rising in low and middle income countries it said.

The study by Australia professors Wayne Hall and Louisa Degenhardt, is an overview of published research into cannabis use and impacts.

Hall and Degenhardt say that as a problem for public health, cannabis is “probably modest” compared with the burden from alcohol, tobacco and other illegal drugs.Even so, cannabis has a long list of suspected adverse health effects they warn.

They include the risk of dependence, car accidents,impaired breathing, damaged cardiovascular healtg, psychotic episodes and educational failure among teens who smoke the drug regularly. Around 9 percent of people who ever use cannabis become dependent on it, says the paper. By comparison, the risk of addiction for nicotine is 32 percent, 23 percent for heroin, 17 percent for cocaine and 15 percent for alcohol.

   “Acute adverse effects of cannabis use include anxiety and panic in naive( first time) users, and a probable increased risk of accidents if users drive while intoxicated” it says…

…Another area of concern is so-called “skunk”- extremely potent cannabis from plants selected to have higher levels of tetrahydrocannabinol (THC), the drugs active ingredient. Level’s of THC found in seized cannabis have risen in the past two decades, says the study. ” A hugh THC content can increase anxiety, depression and psychotic symptoms if regular users do not titrate(measure out) their dose.

END

On the Lancet site they also have an article on cannabis and Psychosis B ut you have to be registered to see it.

This website – The Medical Journal of Australia– has some interesting information also on cannabis and psychosis:

Cannabis and schizophrenia
  Does cannabis cause schizophrenia? Perhaps the more worrying question is whether cannabis causes chronic psychosis, particularly schizophrenia. The work of Andreasson and others examined this question in a cohort of male Swedish conscripts, followed up through a national psychiatric case register.16 They found that having used cannabis between one and 10 times at conscription increased the relative risk of schizophrenia to 1.3, the risk rising to 6.0 for those who had used cannabis on 50 or more occasions. However, this relative risk was reduced after adjustment for factors which independently contributed to the risk of schizophrenia. While this study provides some of the strongest evidence for a link between cannabis and psychosis, methodological concerns have been raised. These include the temporal gap between self-reported cannabis use at conscription and later schizophrenia, the potential confounding role of other substance use (particularly as amphetamines were a major drug of abuse during the study period), the adequacy of psychological assessment at conscription, and the reliability of self-reported drug use at conscription.3

Nevertheless, the association between cannabis use and schizophrenia is strengthened by studies which demonstrate that cannabis is widely used among people with schizophrenia. A recent study in Newcastle examined substance use in all outpatients with schizophrenia, finding 29.9% of subjects had some use of cannabis in their lifetime, with 7.7% and 28.3% of subjects having lifetime diagnoses of cannabis abuse and dependence, respectively.17 Notably, alcohol was more commonly used than cannabis, while amphetamines were the third most commonly used substance.

Living with Voices-50 Stories of Recovery- new book released-ISBN13 9781906254223

This is a new book released, edited By Marius Romme, Sandra Escher, Jacqui Dillon, Mervyn Morris and Dick Cortens –

It looks like a must read for anyone who hears voices, or works with those who are distressed by them.

A new analysis of the hearing voices experience outside the illness model, resulted in accepting and making sense of voices. This study of 50 stories forms the evidence for this successful new approach to working with voice hearers.

This book demonstrates that it is entirely possible to overcome problems with hearing voices and to take back control of one’s life. It shows a path to recovery by addressing the main problems voice hearers describe – the threats, the feelings of powerlessness, the anxiety of being mad – and helps them to find their way back to their emotions and spirituality and to realising their dreams. This book also holds true for those who have been given a diagnosis of schizophrenia.

At the heart of this book are the stories of fifty people who have recovered from the distress of hearing voices. They have overcome the disabling social and psychiatric attitudes towards voice hearing and have also fought with themselves to accept and make sense of the voices. They have changed their relationship with their voices in order to reclaim their lives.

All the people in this book describe their recovery; how they now accept their voices as personal, and how they have learnt to cope with them and have changed their relationship with them. They have discovered that their voices are not a sign of madness but a reaction to problems in their lives that they couldn’t cope with, and they have found that there is a relationship between the voices and their life history, that the voices talk about problems that they haven’t dealt with – and that they therefore make sense.

Our own Debra Lampshire well known in New Zealand for her work with those that heaer voices, has her story within its pages.

If you want to order the book it is available online here from their publisher PCC books 

IF anyone has read it, I would love to hear your comments.

ELYN SAKS WINS MCARTHUR GRANT- Los Angeles Times

Another inspiring story. Another highly intelligent genius among us! See the full article on the LOS ANGELES TIMES

Artist Mark Bradford, USC’s Elyn Saks win MacArthur grants

They are among 24 who will each receive $500,000 in the next five years. Bradford specializes in collages with found objects. Saks’ schizophrenia has informed her advocacy for the mentally ill.

A Los Angeles artist who specializes in incorporating found objects into his pieces and a USC law professor whose own battle with schizophrenia has informed her advocacy for those suffering from mental illness are among the 24 winners of this year’s “genius” grants from the MacArthur Foundation.

Mark Bradford, Elyn Saks and 22 other winners will each receive $500,000 over the next five years to spend any way they please…

Saks, 53, suffered from schizophrenia all her life, but kept it hidden while excelling in her academic studies, receiving a philosophy degree from Oxford University and a law degree from Yale University before joining the faculty at USC. She is also an adjunct professor of psychiatry at UC San Diego, where she does research about society’s rejection of the mentally ill and how high-functioning schizophrenics cope.

Saks came out of the mental health closet with her 2007 memoir, “The Center Cannot Hold: My Journey Through Madness.” The book described the night terrors she had suffered throughout her life, her earlier beliefs that she had mentally caused the deaths of thousands of people, and the often-inhumane treatment she had received at mental health facilities.

Saks said in an interview Monday that she would use at least some of the prize money to extend her memoir by interviewing other people with schizophrenia who are doing well.

“When I’m traveling, people always say, ‘You’re unique.’ Well, I’m really not,” she said. “I would just like to tell other people’s stories as well to further give people hope and understanding. . . . Some of their stories are just so inspirational.”

The awards have been given for nearly three decades by the John D. and Catherine T. MacArthur Foundation “to celebrate and support exceptional men and women of all ages and in all fields who dream, explore, take risks, invent, and build in new and unexpected ways in the interest of shaping a better future for us all.”

It is pleasing to see more and more people standing up to change the perceptions abound on hearing voices.

 

Carl Jungs “RED BOOK” soon to be published

There is a fascinating article  here in the New York Times.  It talks about a famous”THE RED BOOK” written by Carl Jung, that has been held in storage by his family and never been published is soon to be released.

 Here are interesting tidbits from the 10 page article:

 

” What happened next to Carl Jung has become, among Jungians and other scholars, the topic of enduring legend and controversy. It has been characterized variously as a creative illness, a descent into the underworld, a bout with insanity, a narcissistic self-deification, a transcendence, a midlife breakdown and an inner disturbance mirroring the upheaval of World War I. Whatever the case, in 1913, Jung, who was then 38, got lost in the soup of his own psyche. He was haunted by troubling visions and heard inner voices. Grappling with the horror of some of what he saw, he worried in moments that he was, in his own words, “menaced by a psychosis” or “doing a schizophrenia.”He later would compare this period of his life — this “confrontation with the unconscious,” as he called it — to a mescaline experiment. He described his visions as coming in an “incessant stream.” He likened them to rocks falling on his head, to thunderstorms, to molten lava. “I often had to cling to the table,” he recalled, “so as not to fall apart.”

Had he been a psychiatric patient, Jung might well have been told he had a nervous disorder and encouraged to ignore the circus going on in his head. But as a psychiatrist, and one with a decidedly maverick streak, he tried instead to tear down the wall between his rational self and his psyche. For about six years, Jung worked to prevent his conscious mind from blocking out what his unconscious mind wanted to show him. Between appointments with patients, after dinner with his wife and children, whenever there was a spare hour or two, Jung sat in a book-lined office on the second floor of his home and actually induced hallucinations — what he called “active imaginations.” “In order to grasp the fantasies which were stirring in me ‘underground,’ ” Jung wrote later in his book “Memories, Dreams, Reflections,” “I knew that I had to let myself plummet down into them.” He found himself in a liminal place, as full of creative abundance as it was of potential ruin, believing it to be the same borderlands traveled by both lunatics and great artists.

Jung recorded it all. First taking notes in a series of small, black journals, he then expounded upon and analyzed his fantasies, writing in a regal, prophetic tone in the big red-leather book. The book detailed an unabashedly psychedelic voyage through his own mind, a vaguely Homeric progression of encounters with strange people taking place in a curious, shifting dreamscape. Writing in German, he filled 205 oversize pages with elaborate calligraphy and with richly hued, staggeringly detailed paintings.

What he wrote did not belong to his previous canon of dispassionate, academic essays on psychiatry. Nor was it a straightforward diary. It did not mention his wife, or his children, or his colleagues, nor for that matter did it use any psychiatric language at all. Instead, the book was a kind of phantasmagoric morality play, driven by Jung’s own wish not just to chart a course out of the mangrove swamp of his inner world but also to take some of its riches with him. It was this last part — the idea that a person might move beneficially between the poles of the rational and irrational, the light and the dark, the conscious and the unconscious — that provided the germ for his later work and for what analytical psychology would become.

The book tells the story of Jung trying to face down his own demons as they emerged from the shadows. The results are humiliating, sometimes unsavory. In it, Jung travels the land of the dead, falls in love with a woman he later realizes is his sister, gets squeezed by a giant serpent and, in one terrifying moment, eats the liver of a little child. (“I swallow with desperate efforts — it is impossible — once again and once again — I almost faint — it is done.”) At one point, even the devil criticizes Jung as hateful.

He worked on his red book — and he called it just that, the Red Book — on and off for about 16 years, long after his personal crisis had passed, but he never managed to finish it. He actively fretted over it, wondering whether to have it published and face ridicule from his scientifically oriented peers or to put it in a drawer and forget it. Regarding the significance of what the book contained, however, Jung was unequivocal. “All my works, all my creative activity,” he would recall later, “has come from those initial fantasies and dreams.”

Jung evidently kept the Red Book locked in a cupboard in his house in the Zurich suburb of Küsnacht. When he died in 1961, he left no specific instructions about what to do with it. His son, Franz, an architect and the third of Jung’s five children, took over running the house and chose to leave the book, with its strange musings and elaborate paintings, where it was. Later, in 1984, the family transferred it to the bank, where since then it has fulminated as both an asset and a liability…

…Carl Jung’s secret Red Book — scanned, translated and footnoted — will be in stores early next month, published by W. W. Norton and billed as the “most influential unpublished work in the history of psychology.”  

“It is the nuclear reactor for all his works,” Shamdasani said, noting that Jung’s more well-known concepts — including his belief that humanity shares a pool of ancient wisdom that he called the collective unconscious and the thought that personalities have both male and female components (animus and anima) — have their roots in the Red Book. Creating the book also led Jung to reformulate how he worked with clients, as evidenced by an entry Shamdasani found in a self-published book written by a former client, in which she recalls Jung’s advice for processing what went on in the deeper and sometimes frightening parts of her mind.

“I should advise you to put it all down as beautifully as you can — in some beautifully bound book,” Jung instructed. “It will seem as if you were making the visions banal — but then you need to do that — then you are freed from the power of them. . . . Then when these things are in some precious book you can go to the book & turn over the pages & for you it will be your church — your cathedral — the silent places of your spirit where you will find renewal. If anyone tells you that it is morbid or neurotic and you listen to them — then you will lose your soul — for in that book is your soul.”

…lastly on page 10

ABOUT HALFWAY THROUGH the Red Book — after he has traversed a desert, scrambled up mountains, carried God on his back, committed murder, visited hell; and after he has had long and inconclusive talks with his guru, Philemon, a man with bullhorns and a long beard who flaps around on kingfisher wings — Jung is feeling understandably tired and insane. This is when his soul, a female figure who surfaces periodically throughout the book, shows up again. She tells him not to fear madness but to accept it, even to tap into it as a source of creativity. “If you want to find paths, you should also not spurn madness, since it makes up such a great part of your nature.” 

Fascinating stuff. Looking forward to hearing more about it.

Metro Magazines article on Paul Ellis

The latest Metro magazine September 2009- on sale at present, has an interesting interview with Paul Ellis called “the Night I Killed My Father.” by Donna Chisholm. It talks of his “descent into madness”,  the killing of his father, and his treatment at the Mason Clinic in Auckland. It is a surprisingly honest story. A 7 page feature and well worth the read. 

He does believe that his heavy cannabis use was an attributing factor to his condition.

” At 27, after 10 years of heavy cannabis use, Ellis had his first psychotic episode… ” You don’t just wake up one day and you’re fully blown mad. You become mad, slowly. “I had reached the point where I had pretty much burnt myself out. I’d just finished a relationship so I was going to work and coming home and spending time by myself. I ended up not really having anyone to talk to and it became a  pretty lonely existence. “I had physical symptoms. I was sick, I had diarrhoea. I don’t know if my body was saying “i’ve had enough.” That kind of lifestyle is pretty unhealthy no matter how you look at it. Any addiction that starts to take over your life, starts pretty much to drag it down.”

“I started to notice  most things in my life- relationships with people, my work, my family- all started to become neglected, apart from my addiction. Ans I think that is how addictions go; it takes over. I spent more time by myself with my drugs. I started to notice something wasn’t right with me. There was a change in my thinking. I started to fall into Paranoia.”

[ The Hearing Voices Networks reasearch also shows that stress, trauma, and a lack of general health, or physical neglect such as drug abuse are often present when a person starts hearing voices.]

There  are interview segments with Dr Sandra Simpson from the Mason Clinic talking about his treatment and treatment at the clinic in general. Which highlights the fact that the actual ratio of those with mental illness that commit murder is small.

“Of about 70-80 homicides in New Zealand each year, an average of four are “associated” with mental illness, and only one or two of those are, like Paul Ellis found not guilty by reasons of insanity…”

[ that is a percentage of only 2-3% ]

” The most common misconception about mentally ill killers, says Simpson is that people believe that there is some kind of hair trigger and it’s impossible to predict when they might do something dangerous.” the pattern of risk is usually very readily understood and if you take care and time they can be readily managed. Such people then are at vastly lower risk of reoffending than someone who has done the same thing and is not mentally ill. As a population they are much less risky because the causes of their offending are understandable treatable and monitorable.

Heavy cannabis use is thought to trigger schizophrenia in 5% of the predisposed individuals, says the director general of Mental Health, Dr David Chaplow a former head of the Mason Clinic. The number of schizophrenics who kill is very very tiny.”

It is important that we address the fact that often hearing voices can become so distressful and disorientating that it can sometimes have such consequences. However as pointed out in these figures from the article, it is not very often that it does. The media often portrays “schizophrenics” as crazed killers, so it is good to see a balanced article on a man who did kill, that shows this is not the norm for those that suffer distress from psychosis.

Hearing voices? You’re not alone -ABC NEWs

Thu Aug 27, 2009 7:49am.

http://www.abc.net.au/news/stories/2009/08/27/2668099.htm

 New support groups are offering help for people who suffer from auditory hallucinations . Hearing Voices network launched in Victoria (AM) Mental health researchers estimate that about 4 per cent of people experience auditory hallucinations, where they hear voices. In Australia, the problem has typically been treated with medication. But a network of self-help groups that has been successful overseas is now gradually being rolled out around the country.

 Janet Karagounis started hearing the voices of her imaginary friends when she was 8, but by her late 20s the voices were more sinister and she ended up in a psychiatric unit. “Basically I had aliens, I had government conspiracies, every couple of years I basically was put in a psychiatric unit and I was first diagnosed chronic schizophrenic,” she said. “That wrote me off so to speak. I had no hope, no future, no chance of working. And yeah, now my life is glowing.” Ms Karagounis credits a Hearing Voices group for turning her life around and she’s now a group facilitator. “When I discovered that actual past events in your life and trauma are associated with hearing voices, once I made that connection, everything started to become clearer,” she said.

 “You discovered whether your voices were male or female. They asked you questions about your voices. They made you feel like a person. And the other people, every time someone would come, you would see people nodding and that acknowledgement gave you power and gave you power over your voices.”

Hearing Voices groups are being set up in Western Australia and New South Wales and a Tasmanian network has just received funding. The Voices Vic network is being rolled out in Melbourne and the regions by community service organisation the Prahran Mission. It is working with mental health services, community groups, voice hearers and carers and is being funded mainly by philanthropic trusts. Indigo Daya is the project manager. She says that although the latest research suggests about 4 per cent of people hear voices, less than a quarter of them are actually diagnosed with schizophrenia. But hearing voices can still be a distressing experience and that’s what the groups help people handle. “We are not interested in getting rid of people’s voices, which is a key difference for us,” she said. “Our approach is to say that hearing voices can be a very normal human experience. What is not so great is the distress that can be associated with it. So we are interested in working with the distress. “What we do is teach people to listen, but listen selectively. To recognise that they have just as much power as the voices, and in fact more. And to set boundaries.

Hearing Voices Network Wellington Support Group Starts

We are pleased to say that a Hearing Voices Network Support group is starting in Wellington

The first meeting is the be held on 17 September at 5 Hobart Street Miramar time : 1.30pm

They plan to run  it once a month and depending on the amount of interest the venue may change. So If you are interested in attending please contact: Lize Della Ruelle on: 021 049 0887  or Des on 02171568 so they have an idea of numbers and can also let you know all the details.

WORLD HEARING VOICES DAY

World Hearing Voices Day is rolling around once again.

The Hearing Voices Network are celebrating World Hearing Voices Day, with a social afternoon of  fun, activities and entertainment. Come along and make some new friends and catch up with some old ones. Help us to celebrate the diversity that makes voice hearers so unique.

  • Learn what we are doing for voice hearers in New Zealand
  • Toi Ora performing Arts troupe will entertain us
  • Fun activities  planned for everyone
  • Bring a plate to share a yummy afternoon tea.
  • We will have an open mike, for poems, songs, stories you may like to  share. “Dazzle us with your brilliance.”
  • Bring  your friends and family.

Date: 12th September 2009 Time: 1.00pm

 Where: Grey Lynn Library Hall,

474 Great North Rd, Grey Lynn, Auckland

 ENTRY IS FREE.

 Contact us at hearingvoices@woosh.co.nz  or tel: 0272650266 for more details

The Third Man Factor- By John Geiger

There is a great write up about this book in the Sunday Star Times Today – the Focus section. I also found it online at this site here

Book cover
Book cover

Here it is

MYSTERY OF THE THIRD MAN
Liz Porter
 

June 28, 2009

WHEN John Geiger read Sir Ernest Shackleton’s memoir of his 1914-1917 Antarctic expedition, he was transfixed by the legendary polar explorer’s tale of his battle for survival after the team’s ship, Endurance, became trapped in ice.

In the final weeks of the expedition, Shackleton and two companions had made a heroic, last-ditch attempt to reach a British whaling station, so they could get help to the other members of the expedition who were sick, exhausted and waiting 1100 kilometres away at Elephant Island. Filthy, ragged, dehydrated and ill-equipped, the trio trekked 38 kilometres across glaciers and icy mountain ranges on the island of South Georgia, reaching the British settlement 36 hours later.

The Toronto-based writer was in awe of Shackleton’s powers of physical endurance. But it was the metaphysical aspect of the story that stayed with him — the “unseen presence” that, according to the explorer, had accompanied the three men on the last harrowing stage of their journey.

“It seemed to me often that we were four not three,” Shackleton wrote in his memoir, South. Later, in his public lectures about the expedition, he referred to this presence as his “divine companion”.

Geiger, 49, is chairman of the Royal Canadian Geographical Society’s expeditions committee, a fellow of the Royal Geographical Society and a member of the legendary New York-based Explorers Club. Five years ago, when he first opened the Shackleton memoir, the four non-fiction books on his CV included two about failed polar expeditions. But Geiger had never heard of the phenomenon that Shackleton described. “It seemed like an odd admission to appear in this heroic survival story,” he says. Wondering if other explorers might have had similar experiences, he started looking for examples.

He says the “miracle of Google” provided a cluster of leads on the phenomenon that 1975 Mount Everest climber Doug Scott described as “the third man syndrome: imagining there is someone else walking beside you, a comforting presence telling you what to do next”.

Geiger discovered aviator Charles Lindbergh’s account of on-board “phantoms” during his 1927 attempt to make the first solo non-stop trans-Atlantic flight from New York to Paris. As the pilot struggled to stay awake during the 33-hour flight, he felt that his companions were friendly and helpful. “(They were) conversing and advising on my flight … reassuring me,” he wrote about them later.

Geiger started to think he might have another book on his hands. “There was something interesting going on. Not just a fluke hallucination. I soon reached a dozen (cases). Then 25. And in the end I had 100-plus.

“I felt it was important that people understand just how common this experience is. It’s not highly unusual and freakish. It’s an experience that people have in all sorts of environments and conditions — and that lends it a lot of power.”

Meantime, the writer had discovered that the syndrome was endemic among climbers, from Peter Hillary, to Lincoln Hall and Reinhold Messner. But discussion of it had remained secret climbers’ business — quarantined to the kind of books and magazines mostly read by other climbers.

Geiger emphasises that he is laying no claims to discovering the “third man factor”. British neurologist MacDonald Critchley, for example, had alluded to the concept in his 1955 essay The Idea of a Presence, which drew on the scientist’s 1943 study of 279 shipwrecked sailors and airmen. It included statements from a pilot and his observer who had both kept imagining a third person adrift with them in their rubber dinghy in the North Atlantic.

“But nobody in the scientific realm was pursuing (the idea),” says Geiger. “And nobody in the popular realm was attempting to pull it together and tell the story of what I think is a very important survival mechanism.”

If the “third man factor” had been confined to climbers, the writer concedes, he might have been less intrigued by it because a clear and logical explanation for the phenomenon — altitude sickness-induced brain malfunction — seemed so readily at hand. Once he started to discover more examples of “third man syndrome” — at sea-level, in the jungles of New Guinea, in space capsules — he felt he was facing a phenomenon that was both universally appealing and perplexing.

His conviction that the topic merited a book-length study was underlined when he heard examples of the “third man” appearing in urban environments as well as in the wilderness. After a department store collapsed in Seoul, Korea, in 1995, killing more than 300 people, a 19-year-old clerk, Park Seung-hyung, survived for 16 days in an air pocket beneath a crushed lift shaft. When rescued, she reported that a monk had appeared to her several times during her ordeal, giving her an apple and keeping her hope alive.

On September 11, 2001, trader Ron DiFrancesco was the last person out of the south tower of the World Trade Centre before it collapsed. Fighting his way down stairs he felt he was being “guided”, with “an angel” urging him not to recoil from flames in a stairwell, but to run through them. DiFrancesco was a man of deep religious beliefs who explained his experience as “divine intervention”. But religious people are a minority among the many cases that Geiger presents in The Third Man Factor.

The book chronicles the history of the phenomenon, recording early references to it in classical writing, in the Bible, and describing the first modern instance in 1895, when Nova Scotia-born Joshua Slocum’s 12-metre sloop, Spray, was caught in a cataclysmic storm on the first leg of his attempt to become the first person to circumnavigate the world. Ill and delirious, Slocum was visited by a “strange guest” who took the helm for 48 hours as he lay incapacitated on the floor of his cabin.

“Third man” experiences have happened to adventurers who have voluntarily sought adventures that ended in ghastly ordeals, trapped in underwater caves or on snow-topped mountains.

But they have also touched the lives of prisoners, such as Israeli army medical officer Avi Ohri, captured by Egyptian soldiers in 1973. Kept awake for long periods, he endured beatings and mock executions. Sitting alone in his cell, blindfolded and with his arms tied behind his back, he had “visits” from “presences”. One was his wife, then in Geneva. Another was an old friend from medical school.

He spoke to them, urging each visitor to save him. But each time the presence vanished as soon as he heard the approaching steps of his interrogators. Despite this, the visits encouraged him, he said later, and gave him hope that he would soon be released.

The book also surveys the theories advanced to explain the syndrome. The author quotes Dr Griffith Pugh, the physiologist on Sir Edmund Hillary’s 1953 Everest expedition, who dismissed it as a “decay of the brain functions”.

Geiger then points out the many cases where climbers claim that their “third man” helped them compensate for altitude-related impairment. He includes the views of psychologist Woodburn Heron, who explained it as a reaction by the brain in the state of pathological boredom created in isolated and monotonous environments. He cites the “principle of multiple triggers” — the combination of extreme fatigue, pain and deprivation suffered by Antarctic explorers — as a cause.

Geiger refers to the “widow effect”, in which widows and widowers regularly sense the presence of a departed loved one. He also quotes recent research in Switzerland, in which doctors testing a patient with epilepsy found that she reported a sense of “a presence” when they stimulated a particular area of the brain. But in this case there was none of the usual “third man” sense of the presence being helpful. Instead, the feeling was “vaguely creepy”.

To Geiger, the suggestion of a neurological basis to the “third man” raises the notion that the capacity to conjure up a third man might have been a useful evolutionary adaptation. “You can imagine if primitive man had this ability to call upon help it would improve a person’s odds of survival over others who don’t have it.”

Ultimately, the author feels most comfortable describing the “third man factor” as a “coping mechanism”. “It is a way for people who are under great physical and psychological duress to cope with their situation. There is nothing more helpful to people undergoing hardship than a sense that there is another person there, helping them.”

The Third Man Factor is published by Text Publishing along with reviews of the book.

A website for the book itself can be found here which allows you to see excerpts of the book.

It can be purchased in NZ for $40.00