by  Conor Hale | Nov 10, 2020 10:00am

MedTech

Nightware’s app uses a proprietary algorithm to generate a personalized sleep profile for each user to detect a nightmare by recording when the biometric data breaks from the norm. (Getty Images)

The FDA has cleared an app for the Apple Watch to help people suffering from nightmares or post-traumatic stress disorder (PTSD) get a better night’s sleep.

Dubbed Nightware, the prescription app monitors the wearer’s heart rate and movement while they sleep—and, if they’re having a nightmare, gently prods them out of the dream without aiming to wake them up completely, using the smartwatch’s vibrations.

The agency designated the app a breakthrough device in May 2019 for its promise to help adults with PTSD, and it has now granted the program a de novo clearance.

A randomized clinical trial showed that the ability to intervene in a nightmare led to improvements in sleep scores after 30 days, when compared to a sham device that provided no vibrations, according to the FDA.

“Sleep is an essential part of a person’s daily routine. However, certain adults who have a nightmare disorder or who experience nightmares from PTSD are not able to get the rest they need,” said Carlos Pena, director of the FDA’s Office of Neurological and Physical Medicine Devices. “Today’s authorization offers a new, low-risk treatment option that uses digital technology in an effort to provide temporary relief from sleep disturbance related to nightmares.” 

RELATED: Withings’ new smartwatch to combine ECG and sleep apnea detection

The program uses a proprietary algorithm to generate a personalized sleep profile for each user to detect when they are having a nightmare by recording when the biometric data breaks from the norm.

Nightware estimates that nearly 5 million people in the U.S. suffer from nightmare disorders related to PTSD. The app is not meant to act as a standalone therapy for PTSD, and it should be used alongside any prescribed medications and other therapies.

NEWS.COM.AU

Sophie Goulopoulos

Trust your gut, as they say!

From about eight weeks old, Angie Kent couldn’t have breast milk. As she grew older, she realised lactose products were “ruining her whole day”, so she listened to her body and made adjustments. 

There are so many lactose-free dairy options out there now. But when Angie Kent was growing up, not so much. There wasn’t even much information about lactose intolerance, which she now realises was the reason she couldn’t take breast milk after about the age of eight weeks and why, after noticing how eating regular dairy products brought on discomfort and pain, she made a “conscious effort” to research her symptoms and seek medical advice.

Body+Soul: You’ve spoken often about your journey with being a coeliac, but not of your lactose intolerance – why is that? 

Angie Kent: Coeliac disease can be a life-threatening disease for many people and I felt it was important to bring attention to how serious this intolerance is. By comparison, for most people, lactose intolerance symptoms can often be managed.

How does drinking/eating lactose make you feel? What are the major symptoms for you? 

Eating and drinking lactose gives me overall discomfort. I feel as if my digestive issues have the power to ruin my whole day. I don’t feel my best, and I don’t feel like I can be relaxed or active due to my physical pain from bloating, toilet troubles, and skin breakouts.

When did you first learn of your intolerance, and how did you get diagnosed? 

I was a colicky baby and was not able to have breast milk from eight weeks old. As a child, there wasn’t much education around being lactose intolerant and as I got older I could no longer deal with the pain and needed to do something about it.

I started noticing a pattern after eating dairy and experiencing consistent symptoms, so I made a conscious effort to listen to my body, researched my symptoms, and learnt more about lactose intolerance, and then sought medical professional advice.

How did avoiding lactose affect your social life/general diet/ability to eat what you wanted/mood? 

I find catering to my dietary restrictions these days is much easier with the increased number of alternative milk and lactose-free options, as well as the amazing vegan products that are now on the market.

Being lactose intolerant has just made me more conscious of what I am putting in my body, but I don’t feel like I have to make major sacrifices in my life.

How has knowing about your intolerance improved or changed your general wellbeing? 

My overall well-being improved when I got a handle on my symptoms and felt more myself again. I certainly know when something my body doesn’t agree with has snuck into my food, because all hell breaks loose with all different types of symptoms. I’m a sensitive soul.

What is the worst thing possible for you to eat/drink for your lactose intolerance? 

I don’t consume any dairy milk, yoghurts or creams because of my intolerances but I am a sucker for cheeses! With so many lactose-free dairy products out there, I can now enjoy lactose-free cheese without all the stress on my body physically and mentally. If you’re feeding your gut something it can’t process or handle, your mental health suffers too. It’s important to know your gut is your second brain. Why do you think people say ‘trust your gut’ so often?!

What non-dairy and dairy alternatives are you able to eat with your lactose intolerance? 

So many dairy products have lactose free options nowadays that I don’t necessarily have to seek dairy alternatives, my favourite brand is Liddells. But knowing that most coffee shops always have a range of reliable dairy-free alternatives always makes things really easy for me.

What does your average day on a plate look like now? 

I am mainly veggie-based so I will make myself a smoothie in the morning with my herbs, supplements powders, dairy-free yoghurt, bananas, blueberries, and almond milk.

For lunch I try to have a salad with lots of greens and maybe some kind of seafood. Dinner I love to make myself a veggie dish or fish curry! The options are endless.

For snacks, I can now snack on some lactose-free cheese singles, avocado, and tomato with rice crackers. I am mad about it! Plus lots and lots of herbal teas.

Melinda

Her perspective and brutal honesty can help us live our best lives.

Melinda

It’s really important to be self-aware; and it can also be fun to get to know yourself better. The following questions can help you with this: 1. If you could change one aspect of your life or personality, what would it be? 2. Are you ‘your own person’ or are you defined, and pushed around, […]

Questions for Knowing Yourself Better — Coaching Skills International

DEAS.TED.COM

Oct 20, 2020 / Dolly Chugh

This post is part of TED’s “How to Be a Better Human” series, each of which contains a piece of helpful advice from people in the TED community; browse through all the posts here.

Meetings can crush your soul. 

My personal experience — and the prevailing wisdom of management and psychology research — is that meetings default to patterns like these:

• Whoever speaks first is likely to set the direction of the conversation.

• The higher-power, more extroverted, majority-demographic people are more likely to take up disproportionate airtime, receive credit, be given the benefit of the doubt and interrupt others.

• The larger the group, the less meaningful the conversation — and the less likely we are to break out into more meaningful, smaller group discussions because doing so is time- and space-consuming in the physical world.

• Key information is less likely to be shared when it is already known by others; lesser-known but important information tends to not be shared broadly.

• Whatever we did in the last meeting, we are likely to do again in the next meeting.

The result is predictable: A sub-optimal, sub-inclusive meeting.

I believe we can do better.

Whether you are running the meeting or just participating in it, there are ways to make it better and more inclusive. And, believe it or not, in some ways that’s easier to do on virtual platforms.  So while many of us are stuck on our screens, let’s make the most of it and use some of the unique features offered by virtual platforms for better inclusion.

Here are 15 ways to make your virtual meetings better and more inclusive:

1. Have a facilitator

Too many in-person meetings flounder because there is no one at the wheel. The result is airtime hogging and groupthink, which are inclusion crushers. In virtual platforms, there is a clearly designated host.

Use this clarity as a nudge towards having a clearly designated facilitator who will balance airtime and bring out a range of perspectives.

2. Bring in more perspectives

Speaking of more perspectives, why talk about customers, when you can have an actual customer zoom in to your meeting? Why guess what employees in the field would think, when you can have actual field employees share their thoughts?

Take advantage of the virtual format to break out of the homogeneous networks that define our workplaces, levels on the org chart, communities, and social circles so that you can hear a broader array of perspectives.

3. Put names with faces

In many online platforms, such as Zoom, each participant’s name is visible. This creates a better opportunity to learn people’s names if you are meeting people for the first time (or like me, can’t remember names of people you have met in the past). You can also grab a screenshot which you can use as a reference for future interactions.

4. Clarify nicknames and preferred names

Platforms like Zoom allow the participant to edit their name as it appears on screen. Rather than always trying to guess which Rajiv goes by Raj and which goes by Rajiv, it will be visible to all.

We can then take ownership for referring to people as they wish, not in whatever way is most convenient or memorable for us (which will inevitably favor the majority group).

5. Learn how to pronounce people’s names

Have everyone share the phonetic spelling / pronunciation of their name in the chat box. For example, I might type in “Dolly = dah-LEE which rhymes with golly + Chugh = ‘u’ sounds like oo in ‘good’ and ‘gh’ is a hard g.”

Each participant should do this, not just those with “hard” names. Taking shared ownership of learning how to say people’s names is one step towards reversing the heartbreaking benefits which diversity and inclusion researcher Sonia K. Kang and her coauthors find for anglicizing one’s name (and “whitening” one’s resume) in the workplace.

And, speaking for my embarrassed self, I am less likely to avoid interacting with someone — which is the opposite of inclusive — when I have confidence that I am saying their name correctly.

6. Share pronouns 

Many of us grew up at a time when preferred pronouns were not commonly shared so we have some catching up to do about gender identity. One best practice is to include preferred pronouns with one’s name to guide others.

Again, using the option to edit your name allows for this, or it can also be done in a chat function. So, my name might read “Dolly Chugh, she/her.” Again, it’s ideal if everyone does this, not just a subset of participants.

7. Read the room 

Many platforms offer you a way to take the pulse of the room. Break up groupthink with a poll, which can be anonymous or not. This allows you to read the room and allows participants to take less popular stands without having to verbally navigate through those offering the majority opinion. Sharing the result of a poll can shift the group norm in an instant, by revealing a previously invisible perspective.

8. Elicit more ideas at once 

In a virtual meeting, you can bring out many thoughts simultaneously by asking a question to which people can respond in the chat function. Then, the facilitator can call on people to discuss.

Keep in mind that many people find it difficult to process both auditory and text inputs at the same time, so it’s ideal to allow time for people to type in their responses. Also keep in mind that people using text readers will end up with the chat and the verbal discussion talking over each other, so it’s important to either space things out or know your audience on this one.

9. Make recordings and transcripts available

Consider recording as a way to support those who would benefit from listening at another time or with the option to pause. For example, people with pandemic parenting/caregiving responsibilities — who are disproportionately women — may need to multitask during the meeting.

The recording allows them to listen later and stay in the loop without burdening others. Of course, recording may make some uncomfortable or be problematic for other reasons so feel this out and be sure to have permission before recording.

10. Offer closed captioning 

Some platforms offer automatic closed captioning, which can be useful in a wide variety of circumstances, such as when someone has hearing impairments, when some participants are engaging in a non-native language and when individuals are trying to block out background noise while listening.

This feature may need to be enabled so do some research into what your version of the platform offers. And, it’s rarely fully accurate so realize its limitations and edit afterwards.

11. Pivot in and out of smaller discussions 

Breakout discussions are an excellent way to improve meeting performance and team relations. In the virtual world, it can be done in a click. Randomly assigning groups or pre-assigning diverse groups are both good modalities which can build relationships across all kinds of differences and boundaries.

The key to a good breakout is clear instructions about timing, purpose, and deliverables (if any). No need to endure default big group discussions.

12. Practice reading non-verbals

Use virtual meetings to sharpen your non-verbal reading skills. In virtual meetings, I’ve been stunned to witness what non-verbal researchers have knownall along: Words are just a slice of what we communicate. In the real world, it’s not polite to stare at people while trying to read their non-verbal reactions; in the virtual world, bring it on.

Stay in gallery view to watch the group or pin a particular video to be visible throughout the meeting — I call it “zoom-watching.” Send someone a private chat and watch them read it. Tell a joke and watch how people react. Listen to an argument and watch people cringe. Observe the impact that code-switching demands place on colleagues who hold marginalized identities.

Then, use what you notice to step in as an ally. Important: Be curious, not creepy, in your staring.

13. Assume accessibility is part of your job

I am embarrassed at how new I am to learning about accessibility and accommodations for a wide range of disabilities. I am learning so much from accessibility and inclusion expert Courtney Craven (in this guide and this guide).

I have been reactive in the past, compliantly doing what is suggested in a legal-y sounding email from an office whose job is to ensure accommodations are made, or a student specifically requests, and that’s it. If I get a document saying a student needs extra time on an exam, I grant it, without asking the student what is helpful to their learning outside of the exam, for example.

Honestly, it never crossed my mind to think about it. I want to — and can — do better. Join me in the realization that this is not someone else’s job.

14. Ask about accessibility needs

One thing I am learning is that often people experience backlash and bureaucracy when they try to advocate for their needs in schools and organizations, leading them to silence their needs. That’s what makes my passive and reactive approach the wrong approach.

I am going to be proactively asking my colleagues and students, “Are there ways in which the technology we are using can be made more accessible? Are there practices we are using in our meetings that are not working for you?” My new understanding is that I need to ask everyone this question, not just people who have identified themselves as needing an accommodation.

15. Check in and relaunch

You’ve never had more freedom to say “Let’s have a do-over” than 2020. More than ever, we are all learning as we go. So, proactively ask people what challenges they are having staying engaged, offering input and earning respect in virtual meetings.

In fact, Tsedal Neeley, Harvard Business School professor and author of the forthcoming book Remote Work Revolution, has sage advice — she proposes that we “relaunch” our remote teams as a way to help everyone orient to new realities. Think of these 15 tips for more inclusive virtual meetings as one step in that relaunch.

No doubt, much has been lost in this new virtual world — so much. I miss three people telling a funny story in unison. I yearn for accidental eye contact, however awkward it sometimes is. I barely remember what it’s like to see people’s footwear.

Still, much can also be gained in the virtual world. There are ways to foster inclusion in a virtual gathering that are not available in person. Try one or two of these ideas in your next virtual meeting. More inclusive meetings are better meetings.

This piece was originally published in Dolly Chugh’s Dear Good People newsletter, a five-minute monthly read containing timely, evidence-based, actionable advice. Sign up for it here. 

ABOUT THE AUTHOR

Dolly Chugh is a Harvard-educated, award-winning social psychologist at the NYU Stern School of Business, where she is an expert in the unconscious biases and unethical behavior of ordinary, good people.

Suggested Reading

https://www.toptal.com/remote/remote-work-burnout-a-cautionary-tale

IDEAS.TED.COM

Sep 21, 2017 / Celeste Headlee

You don’t. And you’re also steering the focus away from someone who probably just wants to be heard. Here’s how to be a more considerate conversation partner, says radio host and writer Celeste Headlee.

A good friend of mine lost her dad some years back. I found her sitting alone outside our workplace, just staring at the horizon. She was absolutely distraught, and I didn’t know what to say to her. It’s so easy to say the wrong thing to someone who is grieving and vulnerable.

So I started talking about how I grew up without a father. I told her my dad had drowned in a submarine when I was only nine months old and I’d always mourned his loss, even though I’d never known him. I wanted her to realize that she wasn’t alone, that I’d been through something similar and I could understand how she felt.

But after I related this story, my friend snapped, “Okay, Celeste, you win. You never had a dad and I at least got to spend 30 years with mine. You had it worse. I guess I shouldn’t be so upset that my dad just died.”

I was stunned and mortified. “No, no, no,” I said, “that’s not what I’m saying at all. I just meant I know how you feel.”

And she answered, “No, Celeste, you don’t. You have no idea how I feel.”

Often subtle and unconscious, conversational narcissism is the desire to do most of the talking and to turn the focus of the exchange to yourself.

She walked away and I stood there feeling like a jerk. I had wanted to comfort her and, instead, I’d made her feel worse. When she began to share her raw emotions, I felt uncomfortable so I defaulted to a subject with which I was comfortable: myself. She wanted to talk about her father, to tell me about the kind of man he was. She wanted to share her cherished memories. Instead, I asked her to listen to my story.

From that day forward, I started to notice how often I responded to stories of loss and struggle with stories of my own experiences. My son would tell me about clashing with a kid in Boy Scouts, and I would talk about a girl I fell out with in college. When a coworker got laid off, I told her about how much I struggled to find a job after I had been laid off years earlier. But when I began to pay more attention, I realized the effect of sharing my experiences was never as I intended. What all of these people needed was for me to hear them and acknowledge what they were going through. Instead, I forced them to listen to me.

Sociologist Charles Derber describes this tendency as “conversational narcissism.” Often subtle and unconscious, it’s the desire to take over a conversation, to do most of the talking, and to turn the focus of the exchange to yourself. Derber writes that it “is the key manifestation of the dominant attention-getting psychology in America.”

We can craftily disguise our attempts to shift focus — we might start a sentence with a supportive remark and then follow up with a comment about ourselves.

The game of catch is often used as a metaphor for conversation. In an actual game of catch, you’re forced to take turns. But in conversation, we often find ways to resist giving someone else a turn. Sometimes, we use passive means to subtly grab control of the exchange.

This tug-of-war over attention is not always easy to track. We can very craftily disguise our attempts to shift focus. We might start a sentence with a supportive comment, and then follow up with a comment about ourselves. For instance, if a friend tells us they just got a promotion, we might respond by saying, “That’s great! Congratulations. I’m going to ask my boss for a promotion, too. I hope I get it.”

Such a response could be fine, as long as we allow the focus to shift back to the other person again. However, the healthy balance is lost when we repeatedly shine the attention back on ourselves.

While reciprocity is an important part of any meaningful conversation, the truth is shifting the attention to our own experiences is completely natural. Modern humans are hardwired to talk about themselves more than any other topic. One study found that “most social conversation time is devoted to statements about the speaker’s own emotional experiences and/or relationships, or those of third parties not present.”

The insula, an area of the brain deep inside the cerebral cortex, takes in the information that people tell us and then tries to find a relevant experience in our memory banks that can give context to the information. It’s mostly helpful: the brain is trying to make sense of what we hear and see. Subconsciously, we find similar experiences and add them to what’s happening at the moment, and then the whole package of information is sent to the limbic regions, the part of the brain just below the cerebrum. That’s where some trouble can arise — instead of helping us better understand someone else’s experience, our own experiences can distort our perceptions of what the other person is saying or experiencing.

The more comfortable you are, the more difficult it is to empathize with the suffering of another.

A study from the Max Planck Institute for Human Cognitive and Brain Sciences suggests that our egos distort our perception of our empathy. When participants watched a video of maggots in a group setting, they could understand that other people might be repulsed by it. But if one person was shown pictures of puppies while the others were shown the maggot video, the puppy viewer generally underestimated the rest of the group’s negative reaction to the maggots.

Study author Dr. Tania Singer observed, “The participants who were feeling good themselves assessed their partners’ negative experiences as less severe than they actually were. In contrast, those who had just had an unpleasant experience assessed their partners’ good experience less positively.” In other words, we tend to use our own feelings to determine how others feel.

Here’s how that translates to your daily conversations: Let’s say you and a friend are both laid off at the same time by the same company. In that case, using your feelings as a measure of your friend’s feelings may be fairly accurate because you’re experiencing the same event. But what if you’re having a great day andyou meet a friend who was just laid off? Without knowing it, you might judge how your friend is feeling against your good mood. She’ll say, “This is awful. I’m so worried that I feel sick to my stomach.” You’d respond, “Don’t worry, you’ll be okay. I was laid off six years ago and everything turned out fine.” The more comfortable you are, the more difficult it is to empathize with the suffering of another.

It took me years to realize I was much better at the game of catch than I was at its conversational equivalent. Now I try to be more aware of my instinct to share stories and talk about myself. I try to ask questions that encourage the other person to continue. I’ve also made a conscious effort to listen more and talk less.

Recently, I had a long conversation with a friend who was going through a divorce. We spent almost 40 minutes on the phone, and I barely said a word. At the end of our call, she said, “Thank you for your advice. You’ve really helped me work some things out.”

The truth is, I hadn’t offered any advice. Most of what I said was a version of “That sounds tough. I’m sorry this is happening to you.” She didn’t need advice or stories from me. She just needed to be heard.

Excerpted with permission from the book We Need to Talk: How to Have Conversations That Matter by Celeste Headlee. Published by Harper Wave, an imprint of HarperCollins Publishers. © 2017 Celeste Headlee.

ABOUT THE AUTHOR

Celeste Headlee is an award-winning journalist, the bestselling author of We Need to Talk: How to Have Conversations That Matter, and cohost of the series Retro Report on PBS. Headlee serves as an advisory board member for Procon and the Listen First Project. In her 20-year career in public radio, she has been the executive producer of On Second Thought at Georgia Public Radio and has anchored programs including, Tell Me More, Talk of the Nation, All Things Considered and Weekend Edition. She also cohosted the national morning news show The Takeaway for PRI and WNYC, anchored World Channel’s presidential coverage in 2012, and received the 2019 Media Changemaker Award.