‘This is it. This is exactly what I want to do.’
Michael VanRooyen started running toward trouble more than 30 years ago. He’s still going.
Researchers say among newcomers are medical, long-term care workers who are arriving amid critical U.S. shortage

David Grabowski.
Veasey Conway/Harvard Staff Photographer
New research finds the addition of a thousand new immigrants in a metropolitan area reduces elderly mortality by about 10 deaths than would be typical.
Why? Because among the newcomers are foreign-born healthcare workers who are arriving amid a critical nationwide shortage, according to the study’s authors, who hail from Harvard Medical School, the Massachusetts Institute of Technology, and the University of Rochester.
David Grabowski, HMS professor of healthcare policy and a study author, said more immigration brings more physicians, nurses, and aides, but especially long-term care workers, both for private homes and nursing facilities.
The study indicates that adding 1,000 immigrants to what’s called a “metropolitan statistical area” — a city plus surrounding towns — means an additional 142 foreign-born healthcare workers of all kinds.
The study also indicates that foreign-born workers don’t displace those born here but add to a healthcare workforce that remains in short supply.
One sign of that, Grabowski said, is that increased immigration leads to a net increase in the long-term care workforce rather than competition for a static number of openings.
Plus, he said, the expanded pool of available workers does not depress wages as might be expected if many were vying for a limited number of jobs.
“This result is very supportive of the value that foreign-born workers add to the health of our population,” Grabowski said. “When you have an increase in immigration, you end up with more long-term care workers. It’s additive, not substitutive. It doesn’t crowd out anyone’s jobs, and it doesn’t appear to lower wages at all.”
The research, published as a National Bureau of Economic Research working paper in February, follows on earlier work by Grabowski that has its roots in the pandemic, a time when the importance of the long-term care workforce became apparent.
That research, Grabowski said, explored the makeup of that workforce and highlighted the importance of immigrants in a field that requires some skill but offers relatively low pay.
The current paper, which received support from the National Institute on Aging, highlighted the already crucial role of immigrants in the U.S. healthcare system.
About 18 percent of all healthcare workers are immigrants, the authors wrote, while roughly one in five nursing-home workers are immigrants and one in three home-care workers are immigrants.
“There’s shortages across the board, and I think there are opportunities for immigrants to contribute in all of these areas,” Grabowski said.
Prior research indicates that, as immigration increases, institutionalization of older adults falls, likely because more home-care workers become available.
The ability to age at home, Grabowski said, is a factor in the decline in mortality revealed in the current paper.
That’s because older adults tend to do better aging in a familiar environment, close to family and friends. More healthcare workers not only improve access to care but also quality of care, both at home and in nursing homes.
“There’s an argument that bad things happen oftentimes to older adults in nursing homes. When you’re in those congregate settings, you’re more likely to have an infection, more likely to have weight loss or hospitalizations,” Grabowski said. “When you’re in the home your mental health is better. It’s where everybody wants to be.”
Though the paper’s release comes at a time of heightened tension around immigration and America’s immigrant workforce, Grabowski said work on it began several years ago.
That doesn’t mean, however, that the research doesn’t have implications for current immigration policy, Grabowski said.
The paper indicates that a 25 percent increase in the flow of immigrants nationally would reduce elderly mortality by about 5,000.
However, if the political priority is to limit overall immigration, then it makes sense to consider special visas for foreign-born healthcare workers or those willing to enter the healthcare workforce, Grabowski said.
“I’m not really thinking of this as a current policy issue, but as a broader issue around how can nursing homes and home-care agencies solve this workforce shortage that became particularly acute during the pandemic,” Grabowski said. “Immigration could be one piece of a broader set of policies, including wages, benefits, and making this a better job.”
The nation’s demographic trends suggest that the worker shortage is only going to get worse, Grabowski said, with fewer younger workers providing care for more older adults.
“When you look at the demographics, it’s really alarming in terms of the number of older adults we’ll have relative to the number of middle-aged individuals,” Grabowski said. “We’re going to need help caring for all these older adults. I think technology can help a little at the margins, but it’s not going to replace the workers. Either we draw more native-born workers into this sector or we greatly increase our efforts to attract foreign-born individuals.”

Photo by Grace DuVal
Most envision the realistic style of the Greeks and Romans when thinking about the art of ancient Europe. But there were other peoples and ways to think about depicting the world, and that includes the Celts, the diverse group who inhabited Britain, Ireland, and a vast portion of continental Europe.
“Archaeology and art history are still very Greece- and Rome-focused in the United States,” said Susanne Ebbinghaus, the George M.A. Hanfmann Curator of Ancient Art and Head of the Division of Asian and Mediterranean Art. “So I thought, ‘Oh, it would be amazing to bring some of these objects here.’”
The Harvard Art Museums are sharing these artistic contributions in a new, first-of-its-kind exhibition called “Celtic Art Across the Ages,” which explores the objects created by those labeled “Celts” from the Iron Age to the early medieval period, as well as from the Celtic Revival of the late 19th and early 20th century and even more recent time periods.
“We’re deliberately trying to separate the clichés about Celts from art that has been called Celtic.”
Penny Coombe, Kelekian Curatorial Fellow in Ancient Art
It also considers the evolution of imagery and ideas in the region amid the spread of Roman rule.
Laure Marest, the Damarete Associate Curator of Ancient Coins, said that this exhibit seeks to question assumptions about long-held artistic narratives.
“History is written by the winners,” Marest said. She pointed out that the themes of Greek and Roman art have been revered for a long time by Western audiences, but Celtic art — which co-existed alongside them — is different.
Marest said she was struck by how contemporary some of the pieces feel, with their reliance on abstraction, ornamentation, and deconstruction of forms.
“The art they produce is actually surprisingly modern in some ways,” she said.

Sandstone Head from 450–380 B.C.E., found in Germany.
Photo by Grace DuVal
One such example is a fragmented piece of sandstone in the shape of a head, discovered in Heidelberg in southwestern Germany in 1893.
It was likely part of a warrior sculpture and often surprises viewers: It is not figurative, not clearly human, plant, or animal; it is almost cartoonish in its construction — features that are shared by other examples of Celtic art.
Other imagery in the exhibit is fantastical in nature — featuring dragon-like or other mythical creatures — or incorporate different ideas of deities.
There is also a bronze sculpture featuring the goddess Artio with a tree and a bear. Found in 1832 at Muri, near Bern, Switzerland, elements of the sculpture appear to have been changed and repurposed at different time periods.
Why? What significance did this deity hold to the people at the time it was created? What inspired the people who created — and changed — this divine image? It hints at the complexity of life for the various Celtic peoples under the spread of Roman rule.

The “Dea Artio group,” a second-century C.E. bronze sculpture from Switzerland.
Photo by Grace DuVal
“Most of the ancient inhabitants of central and western Europe are unlikely to have considered themselves Celts,” said Ebbinghaus, even though they may have related languages, practices, and traditions.
She explained that the people we refer to as Celts, Gauls, or Galatians weren’t as homogeneous as we tend to think. These ancient populations spanned a large geographic area and each had its own name and culture.
“We’re deliberately trying to separate the clichés about Celts from art that has been called Celtic,” said Penny Coombe, the Kelekian Curatorial Fellow in Ancient Art.
Coombe said the exhibit invites viewers to reflect on what this means.
“This term Celtic has endured for nearly 3,000 years, albeit with a huge gap in when it was used … What does relate all these very different artifacts to one another and is that a real relationship?” she said. “How is this term repurposed and reused in different ways at different times, and how does it become politically relevant in later periods of building nationalism, building nationhood?”
The exhibition brings together nearly 300 objects from collections in France, Germany, Switzerland, Austria, Italy, Britain, Ireland, and the U.S.
Curated by Ebbinghaus, Coombe, Marest, and Matthew M.L. Rogan, senior curatorial assistant for special exhibitions and publications, the exhibit has taken years to come together and relies heavily on significant loans from many European museums.
It also features items from local collections, including items from the Peabody Museum of Archaeology and Ethnology, the John F. Kennedy Presidential Library and Museum, and Boston College.
Items range from jewelry to functional objects like arms and armor, horse trappings, chariot components, and feasting equipment to objects associated with the church.
One of the items on display is a pony cap, an ornamental hat with horns created for a small horse. This piece is loaned from Scotland and has an associated line drawing that shows how it would have looked on the animal’s head.

A third-century B.C.E. ornamental “pony cap” from Scotland.
Photo by Grace DuVal

The pony cap as it would have been worn by a horse.
Graphic by Judy Blomquist/Harvard Staff
“It’s so unusual,” Coombe said. “Why would you dress up a really tiny horse with this piece of armor … What do the horns mean? They’re decorated with scrolling and incised patterns, which seems to be similar to ornament that’s seen on shields that come from the River Thames in a distinctly British style.”
The curators hope that Celtic Art Across the Ages will offer viewers an opportunity to deepen their understanding of art and appreciate what its nuances can reveal about the past.
“Many populations lived in the ancient world, and, yes, interacted with Greeks and Romans. We should be skeptical of written histories and think about who is the author,” Ebbinghaus said. “We can learn to see in different ways and unexpected ways.”
“Celtic Art Across the Ages” will be on display March 6-Aug. 2 at the Harvard Art Museums. A print catalog featuring more than 30 essays by international specialists accompanies the exhibition. The exhibition also features a variety of programming, including an Irish animated film marathon and Welsh poetry readings. The Museums are free and open to the public.

Chris Laumann (second from right) with graduate students Esther Wang and Srinivas Mandyam, and Norman Yao, a professor of physics.
Veasey Conway/Harvard Staff Photographer
For more than a century, condensed matter physics has grappled with one of its greatest unsolved challenges: how to build superconductors that operate at room temperature and transmit electricity with no loss.
Now, in a paper recently published in Nature, a team of Harvard physicists has reported new insights into why one promising superconductor has yielded mysteriously uneven results.
The researchers used a novel method to study materials at high pressure by adding quantum sensors to a simple device pioneered by a Nobel-winning Harvard physicist in the last century, a tool that will likely prove useful to advance future work.
“We can ask questions at high pressure that we could never ask before,” said Norman Yao ’09, Ph.D. ’14, professor of physics and senior author of the new study. “And the question that we’ve been getting the most from our colleagues is: Can you measure our rock too?”
Most existing conductors cannot transmit electricity without some resistance and thus lose power (in the U.S., about 5 percent of electricity is lost in transmission but in some countries the losses amount to half of energy production). Superconductors have zero resistance — and thus no energy loss — making them potentially a revolutionary innovation.
In theory, better superconductors could make it economically feasible, for example, for wind farms in Siberia to power eastern Asia or solar panels in the Sahara Desert to supply Europe.
They also hold great potential in other applications such as magnet technologies, motors, maglev trains, high-energy particle accelerators, and magnetic resonance imaging (MRI) systems. Currently, MRI machines use liquid helium to bring the superconducting coils down to minus 452 degrees Fahrenheit.
Superconductors were first discovered in 1911, but practical applications long remained elusive because the materials require extremely cold temperatures.
One breakthrough came in 1986, when J. Georg Bednorz and K. Alex Müller discovered superconducting copper oxides, or cuprates, that worked at much higher temperatures than previously known materials (the pair won a Nobel Prize only 19 months later).
This revelation sparked a historic conference known as “The Woodstock of Physics” and the search for other “high temperature” (which here means not quite so cold) superconductors. Among the earliest proposed materials were the nickelates — layered nickel oxides that were chemical “cousins” of the cuprates.
In 2023, the first bulk nickelate superconductor was discovered. The discovery generated excitement, because the material had a critical temperature above the boiling point of liquid nitrogen (minus 320 degrees Fahrenheit, which, though deathly cold by human standards, is relatively warm for a superconductor), but also caution, because superconductivity emerged only under extremely high pressures.
This material proved to have puzzlingly uneven performance, and some scientists suggested only a small percentage of the material really was capable of superconductivity.
To better understand this mystery, a team led by Yao and Chris Laumann ’03, an associate professor of physics at Boston University, sought to study these materials at micron scale by adding some new tricks to an old technology.
In the first half of the 20th century, Harvard physicist Percy Bridgman conducted pioneering experiments of materials under high pressure by using a vice-like apparatus that squeezed samples between two cone-shaped anvils of steel or tungsten carbide (Bridgman won a Nobel Prize in 1946).
Later, other researchers switched the anvils to diamonds, one of the hardest naturally occurring materials on Earth. Besides hardness, diamonds offer another advantage: They can be turned into sensors.
By bombarding the diamonds with ions and baking them at high temperature, researchers create defects known as “nitrogen vacancy centers” that can detect magnetic and electric fields. In 2019, the Yao group became the first to add these nitrogen vacancy centers to the diamond anvil, allowing them to take new measurements of materials under pressures above 100 gigapascals — roughly those in the outer core of the Earth nearly 3,000 kilometers below the surface.
In the experiments, the diamond anvil cell — a device about the size of wine cork — and the sample are mounted on a rod and lowered into a cryostat, a refrigerator whose temperature can go down to 4 degrees Kelvin, or about minus 452 Fahrenheit.
A beam of green light is directed into the interior of the diamonds, the nitrogen vacancy centers fluoresce red, and the light bounces back up a series of mirrors into a photon detector. A complex series of operations boils down to this: Changes in the red fluorescence reveal tiny shifts in the local magnetic field around the nickelate sample, a phenomenon known as the Meissner effect and a key indicator of superconductivity.
“This nitrogen vacancy measurement is able to see superconductivity on significantly smaller-length scales and long before conventional methods that are based upon resistance,” said Srinivas Mandyam, co-lead author of the new paper and a Ph.D. student in the Kenneth C. Griffin Graduate School of Arts and Sciences studying physics. “When you’re trying to discover new compounds, this might pick it up much earlier than the usual way would.”
With this technique, researchers can map samples at millionths of a meter and correlate local superconducting behavior with temperature, pressure, stoichiometry (the ratio of elements in the material), and other forces including normal stress (compression) and shear stress.
“The tools that we’ve been developing as a group are quite special because you can really image functionality under pressure and determine where exactly the material acts as a superconductor,” said Yao.
The researchers adjust pressure like a “tuning knob.” Near the critical pressure, they saw the first evidence of superconductivity in localized regions. As they added pressure, these superconducting regions encompassed larger portions of the rock. They also discovered that superconductivity was curtailed by shear stresses.
Until now, the uneven results in nickelates had been attributed to a range of possibilities, such as inhomogeneities in chemistry and structure. The new study reveals that a single sample really should be seen as a collection of micron-scale localities that behave differently.
These insights could help engineer more efficient materials — a small step toward the ultimate goal of superconductors that work at ambient temperatures and pressures.
Laumann, a frequent collaborator with the Yao group, said the new tools would allow researchers to “sniff around this neighborhood better,” and more deeply investigate the properties of the varied types of superconductive materials discovered so far.
“It’s like if a tree falls in the woods and nobody’s there to hear it, does it make a sound?” said Laumann. “If nobody is there to tell you, it’s just not something you can see or discuss. The fact that we can now make these local measurements opens up a whole new range of questions.”

Sonja Lyubomirsky ’89 and Harry Reis.
Photo (left) by Taea Thale; photo courtesy of Harry Reis
Two psychologists offer science-backed framework on how to improve relationships
Excerpted from “How to Feel Loved: The Five Mindsets That Get You More of What Matters Most” by Sonja Lyubomirsky ’89 and Harry Reis.
“Just be yourself.” It’s a cliché we’ve all heard before, maybe even rolled our eyes at. But when you’re in a relationship or friendship where you’re not feeling as loved as you’d like to feel, what does that expression actually mean? We’ve suggested that many people aren’t being themselves: Instead of showing themselves, they show off themselves. Yet herein lies both a paradox and a blessing. The paradox is that feeling loved is earned not through achieving perfection but through presenting more of your full self — your values, experiences, quirks, and dreams, even the small, unpolished details of your daily life. Sharing your struggles and imperfections can build connection, too, but feeling loved isn’t just about revealing your flawed, imperfect self — it’s about revealing what truly matters to you.
To be clear, feeling loved doesn’t hinge on oversharing or baring your soul to just anyone. It doesn’t mean unloading your trials and tribulations in the first five minutes after meeting. It means selectively and progressively revealing parts of yourself in a way that fosters genuine connection.
The blessing is that showing your full self is fully within your control. In fact, it’s a lot easier than contorting yourself into someone else’s ideal image. Many people believe that in order to feel more loved, they must persuade others to love them more — as if they were trying to sell someone a new car. Years of empirical studies and observation suggest that this approach is ineffective. That’s why our message is different: Feeling loved is more — much more — about you (and your mindset) than about trying to persuade the other person that you are worthy.
Yet people often behave in ways that work against feeling loved: They hide their deepest thoughts, emotions, flaws, and past misbehaviors because they are afraid of what others might think, or they fear being embarrassed or exploited. Paradoxically, the more you hide your innermost self and the less of yourself you reveal to others, the harder it is to feel truly loved and valued by the significant people in your life. This is a principle strongly supported not only by anecdotal evidence but also by relationship science.
Moreover, when you focus on how you are coming across to others, your attention is drawn to what you are doing — for instance, trying to say just the right thing, while doing your best to make sure your shortcomings are hidden, so that you are seen as witty or attractive or brilliant. Ironically, this approach to relationships puts your attention in exactly the wrong place. You’ll find that you actually make the best impression when you focus your attention on the other person.

It’s worth noting that unveiling the complexity of your multifaceted “true” self will almost always leave you feeling vulnerable because you are exhibiting your true colors and risking losing the other person’s regard. However, vulnerability is not the goal; it is simply a necessary preliminary step. Ironically, showing weakness will make room for you to feel genuinely loved because you’ll finally be confident that the other person is appreciating and loving the real you. (Otherwise, whatever love or admiration they express will ring hollow.) To paraphrase Nobel Prize winner André Gide: It is better to be known for what you are than to be loved for what you are not. Humility and authenticity and a caring interest in others create the conditions for you to feel fully known.
In summary, then, three things have to happen for you to feel loved:
1. You have to share the complexity of your full, multifaceted self — both your strengths and your contradictions — with the other person. (No, this isn’t as simple as saying, “Let me tell you everything.”)
2. The other person has to notice what you’ve shared.
3. The other person has to care about what you’ve shared.
How do you increase the chances that the other person will notice and care? The answer is simple — you go first! That means you first need to notice and care — to show curiosity — about their multifaceted self. It may seem counterintuitive initially, but in order to create a context for sharing more of yourself, you need to focus not on yourself but on your conversation partner. You encourage them to notice and care about your full self by first noticing and caring about their full self. To feel loved by them, you begin by making them feel loved by you.
This step begins a back-and-forth process that we call the Relationship Sea-Saw. Imagine yourself and the person you wish to feel more loved by sitting on a seesaw submerged under water (hence, the deliberate spelling of Sea-Saw). Only parts of your multilayered selves are visible above the surface — these are the aspects you feel safe to share, the parts that the other person sees and loves when they tell you that they love you.
However, consider what happens when you give the other person your undivided attention — when you approach them with curiosity, listen deeply to their response, and bring to the interaction genuine warmth and an appreciation for their multidimensional self. By doing so, you help lift their self a bit higher out of the water, making more of their true self visible. When they feel truly seen, valued, and accepted — not just for their best qualities but for their whole richly textured self — they will also feel more loved by you than ever before.
Continuing with this metaphor, by pressing down, you are placing the full weight of your attention on the other person, lifting them up. As the focus shifts to them, your own self becomes temporarily more submerged. Essentially, you’re holding them up and providing them support, you’re creating the conditions that make it possible for them to open up, to be fully known, and to feel safe in revealing more of who they truly are.
Importantly, this step of lifting the other person higher isn’t a sacrifice — it’s simply a stage in a cycle. When the other person experiences the security of being deeply understood and accepted, they’re likely to reciprocate. They, too, may express curiosity in you and listen to you more attentively and warmly, embracing your full complexity with an open heart. In doing so, they help lift more of your full self above the surface, enabling more of you to be seen, understood, and valued. In this way, the act of truly knowing and loving someone else becomes the very thing that opens the door for you to feel truly known and loved in return. It’s a virtuous cycle of connection: The more connection is experienced, the more love, as well as the greater curiosity about and care for each other, is felt.
If you don’t feel loved enough, we have a profound and empowering message for you: Feeling loved is not out of your control. For some, it will require a radical shift in how you orient toward conversations with loved ones. For others, it will simply call for more practice of that muscle that enables you to deeply know another person and become deeply known by them.
Because the secret to feeling more loved is not about changing yourself or about changing the other person — it’s about changing the conversation.
© 2026 by Sonja Lyubomirsky and Harry Reis. Reprinted courtesy of Harper Books, an imprint of HarperCollins. Available wherever books are sold.

Ruth J. Simmons.
Photo by Nicholas Hunt via Getty Images
Recognized for her many roles upholding and advancing foundational ideals of higher education
Harvard Radcliffe Institute will award the Radcliffe Medal to the renowned university leader and educator Ruth J. Simmons on Radcliffe Day, May 29.
Throughout her distinguished career, Simmons has modeled extraordinary and transformative leadership in higher education. A three-time university president who has shaped generations of students and scholars, Simmons has championed the power of education while calling on colleges and universities to uphold their foundational ideals and reckon honestly with their failures, demonstrating an uncommon steadfastness in the face of daunting pressures.
The Radcliffe Day awards program will include a testimonial by author James McBride; a video tribute by former first lady Michelle Obama, J.D. ’88; a keynote conversation between Simmons and Harvard President Emerita Drew Gilpin Faust; and the formal award presentation by Radcliffe Dean Tomiko Brown-Nagin.
Harvard Radcliffe Institute awards the Radcliffe Medal annually to an individual who embodies Radcliffe’s commitment to excellence and impact. The medal was first awarded to Lena Horne in 1987. Recent honorees include Ophelia Dahl, Jodie Foster, Melinda French Gates, Dolores Huerta, Sherrilyn Ifill, and Sonia Sotomayor.
“Ruth J. Simmons’s inspiring personal journey demonstrates the value of community and the power of education,” said Brown-Nagin, Daniel P.S. Paul Professor of Constitutional Law at Harvard Law School and professor of history in the Harvard Faculty of Arts and Sciences. “Through her fearless, principled leadership, she has had a transformative impact both on institutions that reflect the breadth of American colleges and universities and on the students and society they serve.
“I am honored to recognize Ruth Simmons at a moment when the promise of higher education that she has championed over decades — defined by opportunity and openness to difference and debate — is under threat.”
For more information, visit the Radcliffe Day events page.
Photo illustration by Liz Zonarich/Harvard Staff
More than 200 years after the publication of Mary Shelley’s “Frankenstein; or, the Modern Prometheus,” the story continues to inspire writers, artists, and filmmakers, including Guillermo del Toro and Maggie Gyllenhaal.
In this edited interview, Deidre Lynch, Ernest Bernbaum Professor of Literature, who has taught the novel in the course “Modern Monsters in Literature and Film,” discusses the historical context behind Shelley’s creation and why “Frankenstein” remains alive in the cultural imagination.
You have said that the novel “Frankenstein” is dear to your heart — why?
It has as much to do with the form of the novel as the content of the novel. I love that it’s a story inside a story inside a story. I love the fact that the first thing we encounter are these letters that this polar explorer is writing. He writes — as everyone knows now that Guillermo del Toro has preserved that part of the novel in his adaptation — that he comes across Victor Frankenstein as he is pursuing his monster, aiming to take revenge on him. Frankenstein tells his story, and then within Frankenstein’s story, we get the story of the monster, which he tells himself. What I love about that complicated structure is how Shelley has set things up in such a way that it becomes such a surprise when the monster begins to speak for himself for the first time. We go from thinking that the creature is repugnant in his monstrosity to realizing that he’s eloquent and persuasive, and maybe more human than his creator.
Mary Shelley wrote this novel at age 18. How did she do it?
She was the daughter of William Godwin and Mary Wollstonecraft, two literary celebrities in the 1790s, who were notorious for their support of the revolution in France and progressive politics. Shelley had a strong education and was exposed to literary people through her childhood.
So, if anybody was going to be able to do something like that at age 18, it would have been Mary Shelley. But what I find more astonishing is that by the time she writes “Frankenstein,” she has eloped with a married man, and by the time the novel is published in 1818, she has been pregnant more than once. She had to become an adult very quickly. The ways in which Victor Frankenstein responds with horror and disgust when his creature comes to life might resemble those of a new mother who’s horribly frightened by the responsibility of having to care for a newborn infant.
In the backdrop of the early 19th century, a time of turmoil in Europe, Mary Shelley crafts her novel. What historical contexts shape “Frankenstein”?
From the preface to the novel that is reissued in 1831, we know that “Frankenstein” was her contribution to a very famous ghost storytelling contest among her; her husband to-be, poet Percy Shelley; the poet Lord Byron; and John Polidori, the author of the first English vampire novel.
It’s the summer of 1816 when Shelley and her friends end up in Switzerland in a sort of self-imposed exile from England. By then, the long war between the British empire and the Revolutionary France and then Napoleonic France had been over only for a year. Mary Shelley and Percy Shelley come of age at a period of terrible political repression, and of immense unrest and immense injustice in England. That sense of injustice is important in the novel. It strikes me that the creature is asking Victor Frankenstein for justice: “Do right by me” is his plea. In a way, the novel is a response to a time when notions of equal rights are circulating, but there aren’t the legal structures to ensure that rights are observed or secured for those who need them.
“The novel is so rich that it is eternal, and the questions that it raises are existential questions.”
Some scholars have said that the novel is a cautionary tale about science. What is your view?
It’s important to remember that the novel’s subtitle is “The Modern Prometheus.” In classical mythology, Prometheus is the titan who steals fire from the gods of Olympus in order to benefit humanity. So, there’s a notion of technological progress written into that subtitle. By the time she composes “Frankenstein,” Shelley is aware of experiments with galvanism, which used electricity on corpses to communicate the spark of life to the dead, and she also knows that some of those experiments often involved the corpses of convicts, and she seems to be reflecting on how these experiments disrespect the humanity of other human beings. Shelley explores the ethical consequences in the pursuit of scientific knowledge, when ambition overpowers people’s sense of what they owe to one another.
How have perceptions of Frankenstein changed over the years?
It got fairly harsh reviews when it was first published anonymously, maybe because of its dedication to William Godwin, which was catnip for conservative commentators who decided that anything that was dedicated to Godwin had to be politically dangerous. The novel’s political stand has been in some ways overshadowed by an 1823 play based on “Frankenstein” titled “Presumption! or, the Fate of Frankenstein” and the dramatic adaptations that followed. The consequence is that what disappeared from the cultural memory about “Frankenstein” is the fact that the creature speaks and tells his own story and tries to persuade Victor to do justice. In the 1823 play, the creature is barely a speaking part. And beginning with the 1931 film, where Boris Karloff plays the monster, the many spin-offs gave us a silent monster in ways that might make him less human than he seems when you read the book. That was one of the ways in which the novel got misremembered over the course of the 19th century. Part of that misremembering would include the many allegorical representations of class relations and race relations that used the image of Frankenstein as a vengeful monster.
Of the many screen adaptations of Frankenstein, which one is your favorite?
I would say that the James Whale from 1931 is my favorite version because it’s a black and white film, and even though the monster, played by Boris Karloff, doesn’t speak, his hands are astoundingly eloquent. Guillermo del Toro promised more fidelity to the original text by including the polar explorer’s storyline in his movie, but he continues to leave out the story of Justine, a working-class woman who is executed because of Victor’s hubris and his failure to be accountable for the catastrophes that he’s unleashed. I also think that del Toro’s movie makes the morality really obvious and includes a scene of forgiveness between Victor and the monster at the end, which Shelley never wrote. By leaving things mysterious and ambiguous, Shelley gave us something that our imaginations will be able to feed on for as long as we’re still reading books. Movies for the longest time have overshadowed the book. But “Frankenstein” is now one of the most frequently taught texts in high schools and English departments.
Why does the story of “Frankenstein” still fascinate us to this day?
It’s always going to be relevant because it deals with issues of justice, equality, and how we exclude versus include other people within our community; a lot of stories of racism and racial exclusion have often been rooted in the “Frankenstein legend.
The novel is so rich that it is eternal, and the questions that it raises are existential questions: What does it mean to be human? What is it like to belong or not belong? When we don’t ask to be born, and yet here we are, how do we make the best of it? All of those are profound questions that go with being human. And I don’t know of many novels that raise them as effectively as Shelley does in “Frankenstein.”

Illustrations by Liz Zonarich/Harvard Staff
Abuse, violence, neglect, and other adverse experiences threaten not only our physical and mental health: Recent scientific advances show they also can change our cells.
“Cells have their own way of keeping memories,” said Jason Buenrostro, the director of the Biology of Adversity Project at the Broad Institute.
This means that when our bodies experience adversity, it can affect us for the long haul. Kate McLaughlin, the executive director of the Ballmer Institute for Children’s Behavioral Health at the University of Oregon, said brain imaging shows that children who’ve experienced trauma are more sensitive to perceived threat than others. The resulting increased cell activation has been tied to a variety of health issues later in life, such as PTSD, depression, anxiety, and even heightened risk of cardiovascular disease.
The effects may even span generations, according to Karestan Koenen, the director of the Broad Trauma Initiative and a professor at the T.H. Chan School of Public Health.
In this episode of “Harvard Thinking,” host Samantha Laine Perfas talks to Buenrostro, McLaughlin, and Koenen about the biology of adversity.
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Kate McLaughlin: While we know a lot about the long-term impact that adverse experiences can have on our health, we’re still very much in the infancy of understanding why that is the case. Why is it that experiencing a traumatic event in childhood impacts your risk for cardiovascular disease 30, 40 years later? Why does it increase risk for so many kinds of mental health problems, and why does that risk persist over time?
Samantha Laine Perfas: We know that abuse, violence, neglect, and other kinds of adverse events damage our physical and mental health. But given scientific advances, we’re now able to see these effects at the cellular level, and we’re finding that in some cases, the harms run dangerously deep in our bodies and minds. Where’s the science today, how should we respond, and what does the future hold for protecting people from their worst experiences?
Welcome to “Harvard Thinking,” a podcast where the life of the mind meets everyday life. Today we’re joined by:
McLaughlin: Kate McLaughlin. I am the Executive Director of the Ballmer Institute for Children’s Behavioral Health at the University of Oregon.
Laine Perfas: She was formerly a professor of psychology at Harvard. Then:
Jason Buenrostro: Jason Buenrostro. I’m a professor at Harvard University in the Department of Stem Cell and Regenerative Biology.
Laine Perfas: He’s also the director of the Biology of Adversity Project at the Broad Institute. And finally:
Karestan Koenen: Karestan Koenen. I’m a professor of psychiatric epidemiology at the Harvard T.H. Chan School of Public Health.
Laine Perfas: She is also an institute member at the Broad Institute and directs the Broad Trauma Initiative.
And I’m your host, Samantha Laine Perfas. I’m a writer for The Harvard Gazette.
Today we’ll talk about how adversity affects our biology and what that might mean for healthcare in the future. We know that these adverse experiences affect our well-being, specifically our physical and mental health. What are some of the most common ways that we see ourselves being affected?
Koenen: Some of the observations that have been now made for decades is that adverse experiences, particularly adverse childhood experiences, are related to a host of negative outcomes. Mental health — we usually think of post-traumatic stress disorder, depression, anxiety — but we’ve also traced these things out, and you see increased risk of cardiovascular disease, Type 2 diabetes, autoimmune diseases, and now growing evidence of dementia. You really see this connection between these adverse experiences, mental health, and physical health across the life course.

McLaughlin: The work linking adversity to mental health in particular has been robust and well replicated. What you tend to see is that experiencing adversity early in life, as a child or during adolescence, increases your risk of developing pretty much every type of mental health problem: anxiety, depression, externalizing behaviors or being aggressive, substance use, and even psychosis. And what’s interesting is that you see that risk is elevated not just early in life — in close proximity to when the experiences happened — but you actually see that risk persists across the life course. Someone who experienced abuse as a child is more likely to become depressed, even in middle age, than someone who didn’t experience that early childhood adversity. It stays with us.
Koenen: There also are better and better studies showing that the adversity effects can persist across generations. Those initial studies were with grandchildren of Holocaust survivors, for example, or refugees; very specific groups. But now we have population-based studies, which are showing that maternal experiences can not just impact her offspring, but the next generation of offspring. And I think as more and more data like that come online, we will be able to understand that better.
McLaughlin: Something that you tend to see, really across the board, is what people call a dose-response relationship, where the more types of adversity you experience, the higher your risk becomes for experiencing physical and mental health challenges. And it suggests that even if we’re really good at coping with stress, even if we have lots of sources of support and resilience, at a certain point, the more of these kinds of experiences you encounter, the likelihood that it’s going to have a meaningful impact on your health rises dramatically.
“Why is it that experiencing a traumatic event in childhood impacts your risk for cardiovascular disease 30, 40 years later? Why does it increase risk for so many kinds of mental health problems, and why does that risk persist over time?”
Laine Perfas: I feel like we’ve known for a long time that if you have an adverse experience as a child or at some point in your life, it clearly affects your mental health or your physical well-being. It’s fascinating to see that we’re now discovering that goes as deep as the cellular level. I’d love to talk a little bit about what connections we are finding at the cellular level to these adverse experiences.
Buenrostro: It’s useful to first start and remember that we are this beautiful constellation of different kinds of cells, right? When you think of the brain, the heart, the lungs, a lot of cells have to come together, of different types, to work together to enact a function. And as we look across these kinds of cells that live in the body, all of them have a role to play in the stress response pathway. In the context of a fight-or-flight response, you might imagine a metabolic need in the heart; you might imagine increased immune-cell activation as we prepare for infection; you might imagine a reaction in the nervous system. All those things are happening. Each one of these cells has a role to play. And when cells see too much of those adverse experiences, some cells will learn to become really good at activating, which we might say, “Oh, maybe that’s adaptive, good is better.” But it might also predispose you to future activation. Other cells we expect to see get fatigued from that overwork, and that starts to lead to dysfunction. The challenge in this space is to understand how diverse exposures map on to these diverse kinds of cells that live in our body. And to build that connection to understand how things like load might occur. As you accumulate dose, as we talked about, where are they accumulating? How are they having the impact? And then what happens to them over time?
McLaughlin: While we know a lot about the long-term impact that adverse experiences can have on our health, we’re still very much in the infancy of understanding why that is the case. So why is it that experiencing a traumatic event in childhood impacts your risk for cardiovascular disease 30, 40 years later? Why does it increase risk for so many kinds of mental health problems, and why does that risk persist over time? The thread that ties together all of the work across these different levels of biological systems is trying to understand what those key mechanisms are. Because of course, if we understand, it gives us interesting targets to think about how we might intervene, how we might promote resilience, how we might prevent some of those health problems from emerging down the line.
Koenen: And I think it gets at potential for stratifying and subtyping things that we think of as one thing. So people might say major depression. Some people who have major depression might have more genetic influences on risk. And then there are folks at increased risk of major depression with childhood adversity. And maybe there are some different mechanisms why two people who have depression get depression, which have implications for treatment. So I think the work that Jason does and that Kate has done can have big impacts down the line, both in terms of clinical intervention and also how we think of prevention.

McLaughlin: One way we can think about a model that ties all of the stress biology together is that our bodies, our brains have responses that are adaptive in the short term, and these responses are exquisitely designed to keep us alive in an emergency, ensure that our bodies continue to function as they should when something is immediately important for us to respond to. But where we often see things become challenging is where those short-term responses continue to get activated over long periods of time, where they can have long-term negative consequences, even if they’re quite adaptive in the short term. And that’s certainly something we see when we look at how the brain tends to be impacted by adversity even down to the cellular level; that’s maybe a useful way to think about stress biology in a more general way.
Laine Perfas: I think it challenges some preconceptions we’ve had. There’s this idea that time heals all wounds: Just give it some space and you’ll eventually get to a place where you can proceed as normal. Is that a misnomer? Does it turn out that time does not heal all wounds?
McLaughlin: I think that’s an interesting question. There’s truth in what you’re saying, but we also need to be mindful that what we’re talking about here are averages. On average, people who experience adversity are more likely to experience mental health challenges. They’re more likely to experience physical health challenges, but it’s not a one-to-one. There are many people who experience adversity and never develop depression, never develop anxiety, never develop PTSD or a substance-use problem. There’s remarkable resilience in the face of adversity as well. It’s an important nuance to keep in mind as we talk about all of these biological pathways: None of this is deterministic. Everybody’s body doesn’t respond the same way to a stressor or to a traumatic event. And understanding that variability is part of what makes it so challenging to chart these mechanisms and understand how to intervene.
Buenrostro: What we’ve learned in the field that I come from, this field of epigenetics, is that cells have their own way of keeping memories, so cells can remember past exposures in the absence of the control of the neurons in your brain. And with that in mind, while what Kate said is definitely true, it might be important to know if, me or you, where we fall in that distribution, so that we could better understand our health. The challenge is that because we know these cells can record their own memories, even if you’ve forgotten, or you don’t actively think about these sorts of effects and how that affects your mental health, we might still see these changes manifest in the cells in your body. This creates even more motivation for the work we’re trying to do as a team here, and where we need to really be able to understand, how are these signals being remembered in different cells in your body?
Koenen: One of the things that’s really exciting is this idea that perhaps we could get to the point where we could see the effects of adversity or trauma on cells before it manifests mental health problems or disease and then know about where to intervene or where people might need support.
Laine Perfas: I wanted to ask this earlier, and I got carried away with my other questions, but how prevalent is adversity in this context, and how often does it affect our cells?
McLaughlin: When we talk about these sorts of experiences that feel or sound extreme, the reality is they’re remarkably common. In fact, most people will experience some form of adversity in their lifetime. When we look at childhood experiences of adversity, both in the U.S. and all around the world, most studies that are population-representative show that about half of kids are going to encounter some meaningful form of adversity before they become adults. Most people are going to experience some meaningful form of trauma at some point in their life.
Koenen: In the U.S., it’s about 75 to 80 percent, which is common across many countries.
“Cells have their own way of keeping memories.”
Buenrostro: Your question had two pieces to it, right, Samantha? You said, how common is adversity? And then you also asked, how common is it that it affects our cells? I think that latter question is what we have very limited insight into. We know and we can, of course, gather information from a population and ask them how common adverse experiences are in the community, but how they inscribe into cells, and to which cells, and whether or not those are the reason why they have a mental health disorder or an autoimmune disorder or heart disease later in life? We still need to make those molecular measurements to make that connection more clear.
Koenen: We also don’t know even if we see a cellular change related to adversity, we don’t know how long that lasts. Is it stable, or what could alter it? Is that true?
Buenrostro: Yeah, that’s certainly an open question. And we have in the field of epigenetics many case studies where the field has of course studied this quite intensely. One example is in smoking. It’s known that in response to smoke exposure, we think of lung cancer. Most people don’t realize that it has a profound effect on your immune system as well. Turns out your body remembers whether or not you smoked 10 years after you stopped smoking. These stressful exposures in general could be imprinted for your lifetime, or for short times or times in between. A lot of that needs to be worked out.

McLaughlin: I think one place where there’s been fairly reliable signals that changes in biology have impacts on mental health is when we look at patterns of brain development. We see some reliable changes that happen in the brain when kids experience certain kinds of adversity, particularly when they experience traumatic events — events that are threatening to your survival, things that are dangerous, being exposed to violence, being exposed to abuse, growing up in a violent neighborhood, or in a household where there’s violence. What we tend to see is that the brain’s patterns for processing emotional information shift in a way that are really prioritizing identifying information in your environment that could signal something dangerous is going to happen. This makes a lot of sense, right? If you’re growing up in a dangerous environment, you want your alarm bell signaling to you, “Hey, something dangerous could be happening right now,” to be sensitive because it’s much more costly to make a mistake of missing a cue in your environment that something dangerous could happen than it is to be overly reactive.
A concrete example, a pattern we see repeatedly in kids who’ve been exposed to traumas, is that this region of the brain called the amygdala is much more responsive whenever there’s a cue that could signal something bad might happen: an angry face, a fearful face, even a neutral face. Neutral faces are ambiguous; you’re not sure what might happen. And we see that in kids who’ve experienced trauma, the amygdala responds much more strongly to those signals that something could be dangerous in your environment. Coming back to this point about adaptivity in the short term, or adaptation, it makes a ton of sense for you to become really sensitive, highly attuned to when something dangerous in your environment might be happening. However, in the long term, we see that this pattern of brain activity — having a sensitive amygdala that’s responding in a strong way anytime you see something that could be negative or could be potentially dangerous — actually predicts the later development of a whole range of mental health problems. If you’ve got a sensitive amygdala and then a traumatic event happens, you’re more likely to develop PTSD in relation to that traumatic event than somebody who doesn’t have a more sensitive amygdala. And we saw that in kids in Boston who were exposed to the Boston Marathon bombing. You see it in military samples where they look at brain imaging before folks go into combat and then experience trauma. It’s just one example that addresses your question of what’s a biological signature: something we measure that’s related to adversity and then predicts mental health challenges down the line.
Buenrostro: We’re also seeing that same phenomenon molecularly. In the last five or so years, the field has developed these single-cell tools, these tools to measure every single cell and what’s happening to them and respond to, say, exposure like adversity. In study after study now, more and more examples are emerging that there is a cellular change associated in the same places in the brain that Kate’s highlighting. So two very different ways of looking at the same parts of the human body, and yet you’re still finding shared consequences from the molecular to the kind of brain activity and connectivity that Kate’s talking about.
Koenen: And there are also colleagues at Massachusetts General Hospital who’ve looked at the same amygdala signatures that Kate’s talking about and link those to markers of cardiovascular disease. So that seems to be a pathway via which adversity links to physical health problems, not only mental health problems.
Laine Perfas: Do we know if the type of experience has an effect? For example, there are experiences that are acute, like you experienced one traumatic event, or there are prolonged-exposure experiences, like growing up in an abusive environment. Do we see those different types of experiences affecting our biology differently?
McLaughlin: The simple answer is yes. One way to think about this is, if we use a concept like stress, it can refer to a lot of different types of experiences. Something that our research has focused on a lot is thinking about, are there key ingredients in those experiences that are likely to lead to particular biological responses? The example I just gave you about amygdala reactivity to threat, we see that pattern specifically in kids who have experienced trauma. Whereas in contrast, kids who’ve experienced adversity that involves more like what we call deprivation — nobody in their household was violent to them, but they were neglected as a child — that’s an extreme form of adversity. Even in the most extreme form — you can think about kids who have grown up in orphanages, like work that’s been done at Harvard on Romanian orphans — you don’t see the same impacts on the amygdala. Instead, what you see is big impacts on brain systems that are involved in cognitive and social aspects of development. That’s just a simple example, but it captures the bigger idea that you’re asking about. I’d be curious to hear from Jason if you see that similar kind of differentiation at a cellular level.
Buenrostro: Yeah. I’d love to piggyback off of that. We’ve been pursuing this work and the Biology of Adversity project at the Broad, and one thing that we’re doing is using mouse models of these sorts of stressors, either of threat or neglect. And in some of the recent data, there are these places where the two stressors, adverse exposures, converge on common cell types. But then we also see, of course, things that are specific to each. I think in the end the answer will be that there are some common shared effects and there are some things that are specific. And one idea that we have, though we’ll need more data to really be sure this is the case, is that the more thinking part of your brain, the more you go up in the brain, the more experience-specific it’ll be. But the deeper you go into these base functions, like in the hypothalamus that controls your physiology, what your body’s doing in response, probably converges a lot more. Of course, we’ll have to do more studies to really separate those two things, but it is an interesting thought of like, your experience and your recollection of the adverse experience is probably very different across individuals, but the ways it impacts your body and physiology probably has a lot of points of convergence.

Koenen: What Kate was talking about, threat versus deprivation — one thing I’ve been struck by is if you look, there can be many different types of threatening experiences, which can have the same effect. For example, a lot of our work focuses on experiences of trauma and cardiovascular disease, and we see that whether the trauma is a sexual assault, something that happens directly to someone physically, or something like being stalked, where there’s no contact, there’s no physical violence, we see the similar effects on cardiovascular disease. And what these experiences have in common are the threat. So I think the way Kate thinks about this, with dimensions of threat versus deprivation, is a way of then looking at why experiences that may on their face seem quite different actually have a similar effect.
McLaughlin: The more work that’s done on this topic, the more we’re identifying the critical ingredients of the experience. One ingredient we know matters a lot is threat, experiencing something that’s actually dangerous, where your survival is threatened in some way. But to the point Jason raised earlier about lots of different kinds of adversity having some convergence or common features and then some that are specific, I would say is something we see peripherally in systems that are much higher-level than measuring cells. So for example, if you look at patterns of cortisol, either in response to a stressor or just the normal pattern across the day that we all experience, lots of kinds of adversity — threat, deprivation, loss — tend to lead to fairly similar patterns of changes in how your body produces this stress hormone cortisol. But as we move into parts of the brain that are more about appraising your experience and engaging in complex cognition, those are the places where we start to see the type of experience having a more differential impact.
Buenrostro: Yeah, just to add, we’re discussing quite a lot about the experience itself, but we haven’t yet talked about when in your life these things occur. Obviously, as a child or even as a developing fetus, as you’re developing all the tissues and organs you need to be a thriving adult, the impact of stress can be very different, and at different stages of your life, than it would be as an adult or even as an elderly individual. We do know there’s a lot of impact of development, but also, of course, there’s a lot of sex-specific effects, males versus females, that could also alter the response. And then, something we haven’t talked about yet is, of course, your genetic predisposition to diseases. One way we think about it is that stress accelerates the path to disease, but you might already need to have a genetic predisposition for something like cardiovascular disease for the stress or adversity exposure to push you over that limit.
Laine Perfas: What are the implications of knowing that, and what does that reveal about how adversity affects not just an individual, but generations of people?
Buenrostro: I do think it’s more than just healthcare. I think it’s also about history. And words in our field have been used like personalized medicine, right? This idea that we’ll be able to use your genetic and your lifestyle data to then better understand who’s at risk for what and to be able to better tailor therapies, medicines, to help you recover or even prevent other diseases. It’s important that we’re able to understand what kind of traumatic exposures that communities and populations have faced, not just in the current day today, but also into the future, and how we might better support those communities to thrive
Koenen: I envision a future where we’re not just focused on the individual. We need to focus on the individual, but we already have a lot of information on what can support people to reduce adversity and improve the lives of people who are experiencing adversity. A colleague of mine, Natalie Slopen, just published a paper on housing support payments. Even if you had other kinds of childhood experience, other kinds of adversity, if their families received housing support, then they had less of these negative outcomes. We need to help individuals, but we could also shift the curve as a society to where all people are experiencing less adversity, and also the adversity that they’re experiencing has less of a negative effect.
“Are there treatments that are based on our bodies and not completely focused on our brains and our thinking?”
McLaughlin: Yeah, I’d love to build on what Karestan just said. Of course, it’s important to think about individuals, but if we really want as a society to think about how we promote adaptive outcomes, how we support people who have experienced adversity, thinking about policy-level solutions is obviously going to give us the biggest bang for our buck. Some work we did in my lab was looking at the impact of economic disadvantage on kids’ brain development. We used this large-scale national study. It’s got 12,000 kids in it across a range of different states. One of the areas of the brain we also see impacted by adversity is the hippocampus, and you actually see the size of this brain region gets smaller in people who experience trauma as kids and people who grew up in poverty. But we saw that in states where families who are living in poverty get more cash assistance from the state, the impact of that economic adversity on their kids’ brains was substantially smaller, like more than a third less than in states that did not have a generous social safety net. And we saw an even bigger effect on their mental health. So the impact of growing up in chronic poverty on developing anxiety and depression was two-thirds smaller in states that provided these kinds of supports to families than in states that didn’t. There are policy solutions and levers that can be pulled to protect kids, families, people who experience adversity if we have the political will to implement them.
Laine Perfas: We’re still in the early stages of learning about the biology of adversity. But I’m wondering what your thoughts are on things we might be able to begin implementing now, and also where you hope we’ll be 20 years from now.
Koenen: Another benefit of understanding how adversity and trauma affect our whole bodies, not solely our brains, has been the development and new evidence for bottom-up treatments for things like PTSD. There was a big study a couple of years ago that compared cognitive processing therapy, one of the evidence-based cognitive behavioral therapies for PTSD, with trauma-informed yoga. In the trauma-informed yoga, they did not talk about the trauma at all. It was completely body-based, focusing on understanding sensations in your body, choice in terms of what you do with your body. They had equal effects in reducing PTSD. I think this has opened up a question, a whole new area, very different than I was trained as a clinical psychologist: Are there treatments or ways of intervening on trauma, on adversity, on the mental health consequences that are based in our bodies and not completely focused on our brains and our thinking? Which is a huge question, but it’s a big area of interest now that we have these large-scale studies showing this evidence. The reason it’s exciting to me is because some of these things are much more accessible, so it can open up different opportunities for people who’ve suffered from trauma and adversity and are struggling. There may be many different ways to heal.
Buenrostro: We all have different ways of promoting wellness, different coping mechanisms, different approaches to caring for our past exposures. One thing that we hope that the work does in the next 20 years is to create objective quantitative measurements of the effect of treatment. How will you ever get reimbursed in the healthcare setting if there isn’t a measurement you can do, that a doctor could prescribe to quantify the positive effect of that intervention or that therapy? It’s super important for the medical system to have those objective measures. It’s also probably important for the individual who doesn’t want to go on a road trip of trying different interventions and then seeing what works for years of their life.
Koenen: That’s something that I’m excited about. When people are seeking help, to better match them to help that will have the impact they want rather than trial and error, or sort of luck — people get whatever their provider is offering — and that people can be better matched to the help that will best serve them.
Buenrostro: It goes both ways. This is a treatment approach that we’re talking about now, but there are also approaches to resilience, and there are lots of conceivable ways we can imagine promoting that in the community. It could be anything from diet to good sleep, other sorts of supportive networks — and as you think about the factors that best promote resilience, we also need an objective way to measure that. But with objective measures like molecular measurements, we think we can do that in a way that’s much more efficient.

McLaughlin: One of the things that can facilitate resilience is allowing people to access what is probably our most powerful source of resilience, which is the support of other people. You see this in studies of primates and studies even of rodents, all the way up through people, that even in the face of extreme trauma, one of the most powerful factors that promotes recovery — better mental health, better physical health, better immune system functioning, differences in your brain, across the spectrum — is having emotional support. Having somebody, even if it’s just one person in your life, who you can turn to who provides emotional support in the face of that stressor. And kids, even kids exposed to horrific forms of adversity, having that one adult in their life, whether it’s a coach, a teacher, a family member, a neighbor, who provides support, can be incredibly powerful in protecting them against many of these negative consequences we’ve talked about today. One way that I hope society’s becoming more supportive of people who’ve had these kinds of experiences is through this sort of increased public awareness because of what you’re doing today, Samantha. Putting information out there, helping people understand the impact that these experiences have, has led to a sort of shift in a lot of people’s minds in how we think about how best to support people who have come through these kinds of experiences.
Laine Perfas: What gives you all hope as you continue to research this field?
Buenrostro: I just wanted to take a moment and say just how exciting a time we’re in, in the ability to measure molecularly what’s happening in our bodies, and also the opportunity to use new computational approaches like artificial intelligence. We’re able to understand what’s happening mechanistically to cells. And this is just a recent advance in the field. So what we think is, these technologies will create this foundation that allows us to make a bigger societal impact. That’s exciting, not just from the problem we’re talking about today, but also from the opportunity to translate a lot of the challenges we’re talking about into actionable things that might help individuals in future generations.
McLaughlin: We’ve talked a lot about the negative impacts that adversity can have on our health and our brains and our biology, but it’s really important to keep in mind that the average response, for most people who experience even extreme adversity, the most common response is resilience. The second piece that gives me hope is that the kind of ingredients in resilience, the things that are the most powerful protective factors, are what a researcher named Ann Masten at the University of Minnesota calls “ordinary magic.” It’s nothing extreme or out of the capacity of most of us to access. It’s things like social support, having somebody that you can talk to, being a person who is determined or who perseveres in your goals. The kinds of things that can protect us aren’t even necessarily expensive treatments or finding the right therapist — of course, that can help and is important — but for many of us, the most powerful ingredients that can protect us are things that we already have access to, like the other people in our lives. That gives me a lot of hope that there are already a lot of natural sources of resilience and that many kids, many people who experience trauma and adversity, are able to thrive despite those experiences.
Koenen: As someone who’s worked in the trauma field for now, it’s going on 30 years, people often ask me, “What keeps you going? How can you keep studying this?” And one of the things I always come back to is every single person I’ve talked to who experiences trauma or adversity is a survivor. So anyone who’s listening to this episode who may have experienced trauma and adversity and be struggling with it, you are a survivor because you’re still here, and you’re here to listen and you’re here to learn. And then the other piece I’ll add onto what Kate said: When we study resilience in our cohorts of women, one of the key ingredients is meaning and purpose. People can even be suffering from a lot of anxiety and be in distress. But something that really buffers them and improves outcomes over the long haul is finding meaning in whatever you’ve experienced and translating it to a higher purpose. That could be helping other people who’ve experienced what you’ve experienced, serving your community, connecting with other people. Those are some of the things that give me hope in terms of how we move forward.
Laine Perfas: Thank you all for this really great conversation. I appreciate it.
McLaughlin: Thank you.
Koenen: Thank you. It was fun.
Buenrostro: Thank you.Laine Perfas: Thanks for listening. To find a transcript of this episode and all of our other episodes, visit harvard.edu/thinking. And if you like this podcast, rate and review us on Spotify and Apple Podcasts. Every review helps others find us. This episode was hosted and produced by me, Samantha Laine Perfas. It was edited by Ryan Mulcahy, Paul Makishima, and Sarah Lamodi. Original music and sound design by Noel Flat. Produced by Harvard University, copyright 2026.
Visiting professor discusses ‘vertical integration,’ why DOJ originally sought breakup, and what’s next

In a 2024 lawsuit, the Justice Department’s Antitrust Division alleged that Live Nation Entertainment and Ticketmaster, which is owned by Live Nation, illegally stifles competition at the hundreds of venues Live Nation operates across the United States, artificially driving up ticket costs for concertgoers. The DOJ asked for the two companies, which merged in 2010, to be broken up.
But last week, while a trial was underway in federal court in Manhattan, the DOJ and Live Nation announced a settlement that will not force the company to split from Ticketmaster. The deal requires Live Nation to forgo some exclusive booking arrangements, which will allow certain venues to choose which concert promoters to work with, and also caps ticketing service fees at 15 percent at those venues.
The settlement was rejected by 36 states that had joined the DOJ’s lawsuit last year, including Massachusetts. The trial resumed Monday.
In this edited conversation, Rebecca Haw Allensworth, an antitrust scholar from Vanderbilt Law School who is currently the Ropes & Gray Visiting Professor of Law at Harvard Law School, explains the litigation and what it may mean for ticket buyers.
What is Live Nation alleged to have done with respect to ticketing and concert venues?
According to the government, Live Nation dominates three related markets. One is ticketing. If you go to a major concert, most of the time you’re going to go through Ticketmaster, and that’s owned by Live Nation. Live Nation also owns, according to the government, the vast majority of what they’re calling major concert venues, which is anything larger than a theater or small venue, but not quite a stadium. The market in which Live Nation is most dominant for venues is outdoor amphitheaters. They also own a large portion of the promoting services — the entities that put on the concert, advertise it, come up with some of the concepts for the tour.
The problem, from the government’s perspective, is that if you want to enter any one of these markets as a competitor, you’ll find yourself dealing with Ticketmaster or Live Nation. That puts Live Nation in a position of controlling competition at all three layers.
That’s an example of vertical integration — a company that operates on multiple levels within the same market. The major problem with vertical integration is what it does for potential competitive entry. It’s how Live Nation has managed to stay as dominant and grow its dominance over the last 15 years.
The settlement appears far less punitive to Live Nation than what the DOJ initially sought. What happened?
The Biden administration asked for a breakup of Live Nation and Ticketmaster. That is not a part of the settlement. The settlement the DOJ appears to have agreed to would put some restrictions on what Live Nation and Ticketmaster could do with the business, with contracts, with artists, with contracts, with venues. It has a 15 percent cap on the fees that Ticketmaster can charge, but only for amphitheaters — a small fraction of Ticketmaster’s business.
Antitrust is meant to protect competition with the belief that stronger competition is better for consumers. This doesn’t do a lot to protect competition. Rather, it’s like a Band Aid over the symptoms of poor competition. There are a few examples in the agreement that do have the possibility of opening up competition to a limited extent, but nothing that would go as far as a breakup would to create opportunities for a ticketer or a promoter to enter the market. That’s what the breakup was going to be for.
Was breaking up Ticketmaster and Live Nation a real possibility or an example of antitrust overreach that critics of the Biden administration often complained about?
Oh, it was a very real possibility. This is really different, for example, from the Google monopolization case over search. There, a breakup was always very unlikely. Here, a breakup was probably the most likely remedy if they had found liability. And I think liability was likely because of how strong the remaining claims were and the fact that it was a jury trial. One way of understanding this settlement is that Live Nation-Ticketmaster was legitimately worried about the breakup.
Does the settlement meaningfully address the anti-competitive issues or reduce costs to ticket buyers? As you mentioned, the 15 percent cap on ticket fees is only at amphitheaters, not other types of venues, where most concerts are held.
The 15 percent sounds good on paper. But when you’re vertically integrated, you can take your profit in a different market. So, maybe the prices will be reduced slightly in ticketing, but then they will go up in promotion services or elsewhere. That’s a problem.
When Ticketmaster sells its ticketing to a venue, they’re no longer going to be requiring it to be exclusive. That could be a limited toehold for a competitor to occupy. But there is nothing in the term sheet outlining the basic terms of the settlement suggesting that the pricing must be the same for both exclusive and non-exclusive, which leads me to conclude that they could charge more for non-exclusive deals. That could have the same effect as requiring exclusivity if it’s significantly cheaper. This is the problem with a nonstructural remedy, with a non-breakup: they’re still huge, they’re still a monopolist, the venues are still afraid of them, and the artists still have to go through them. So, they have the power to do the same thing through other means because they are such a powerful monopolist in this space.
Dozens of states are now pressing ahead with the trial. Is there still a chance ticket buyers could get more favorable terms?
Yes, the states could still win and get a better outcome for consumers. The judge in this case could order a remedy that goes beyond the settlement with the DOJ, including the possibility of a breakup — the very outcome that Live Nation seems to have been trying to avoid with the settlement.

Two new studies led by Harvard-affiliated researchers at Brigham and Women’s Hospital and Dana-Farber Cancer Institute challenge a decades-old assumption that the thymus, an organ best known for its role in establishing immune function in childhood, becomes irrelevant in adulthood. Using AI to analyze routine CT scans, researchers uncovered that adults with a healthy thymus had increased longevity and reduced risk for cardiovascular disease and cancer. In a separate study of patients with cancer, the researchers found that thymic health may influence response to immunotherapy — a treatment that depends on the strength of a patient’s immune system.
These findings, published in two papers in the same issue of Nature, suggest the thymus plays a far more consequential role in adult health than previously understood, and might provide a new target for personalizing disease prevention and cancer treatments.
The thymus is a small organ in the chest that helps train T cells, priming the immune system to protect the body from infections and disease. For decades, doctors believed the organ was mostly inactive after puberty because it shrinks with age and produces fewer new T cells. As a result, its role in adult health has rarely been examined in large populations.
Previous research has linked T cell diversity to aging and immune decline, but most of those studies relied on small, blood-based analyses. In contrast, the new studies examined more than 25,000 adults in a national lung cancer screening trial and over 2,500 participants in the Framingham Heart Study — a large, long-running population cohort of generally healthy adults.
“The thymus has been overlooked for decades and may be a missing piece in explaining why people age differently, and why cancer treatments fail in some patients.”
Hugo Aerts
The team analyzed the size, shape, and composition of the thymus, generating a “thymic health” score. People with high thymic health scores had about a 50 percent lower risk of death, 63 percent lower risk of cardiovascular death, and 36 percent lower risk of developing lung cancer compared to those with low thymic health. These associations remained significant after adjusting for age and other health factors.
The researchers theorize that when thymic health and T cell diversity decline, the immune system may become less able to respond to new threats, like cancer or other diseases. Their analysis found that chronic inflammation, smoking, and high body weight were associated with poorer thymic health, suggesting that lifestyle and systemic inflammation may influence immune resilience across the lifespan.
“The thymus has been overlooked for decades and may be a missing piece in explaining why people age differently, and why cancer treatments fail in some patients,” said Hugo Aerts, corresponding author on both papers, Harvard Medical School professor of radiation oncology at Dana-Farber Cancer Institute, and director of the Artificial Intelligence in Medicine Program at Mass General Brigham. “Our findings suggest thymic health deserves much more attention and may open new avenues for understanding how to protect the immune system as we age.”
In a second study, the researchers analyzed CT scans and outcomes from more than 1,200 immunotherapy-treated patients. Patients with stronger thymic health had about a 37 percent lower risk of cancer progression and a 44 percent lower risk of death, even after accounting for other patient, tumor, and treatment factors. These findings point to a previously underappreciated role the thymus may play in shaping how well patients respond to modern cancer immunotherapies.
The researchers caution that their findings will need to be confirmed in future studies, and the imaging method is not yet ready for routine clinical use. While lifestyle factors were linked to thymic health, the studies did not test whether modifying those factors can directly improve thymic function.
The team is currently leading additional research to investigate whether other care-associated factors may impact thymic health. In one study, they are examining whether unintended radiation exposure to the thymus in patients with lung cancer may affect outcomes.
“Improving our understanding and monitoring of thymic health could eventually help physicians better assess disease risk and guide treatment decisions,” said Aerts.
This research received funding support from the National Institutes of Health.
Historians trace role of physicians, medicine, disease during war in articles marking 250th anniversary of Declaration of Independence

“In the Revolution, physicians were relatively more prominent than they have been in subsequent moments of American history,” said David S. Jones.
Veasey Conway/Harvard Staff Photographer
In addition to coverage of related events and exhibits, the Gazette will publish a series of occasional features marking the 250th anniversary of the Declaration of Independence. This is the first.
George Washington had a problem in the winter of 1777.
Smallpox was devastating the already undermanned Continental Army, and much-needed new recruits were being quarantined for a month as a precautionary measure. In addition, Washington had intelligence that the British had devised a scheme to infect more troops.
So the general made a fateful decision. Every soldier and recruit would be inoculated, a technique by which they would be infected, likely get a mild case, and acquire immunity.
Washington wrote to military physician William Shippen Jr.: “If the business is immediately begun and favoured with the common success, I would fain hope they will be soon fit for duty, and that in a short space of time we shall have an Army not subject to this the greatest of all calamities.”
This case of potential Colonial biological warfare was recently recounted in the New England Journal of Medicine as part of a series looking at the role of physicians, medicine, and disease in the American Revolution to mark the 250th anniversary of the signing of the Declaration of Independence.
“In the Revolution, physicians were relatively more prominent than they have been in subsequent moments of American history,” said David S. Jones, one of the authors of the article as well as the A. Bernard Ackerman Professor of the Culture of Medicine at Harvard Medical School and a professor of epidemiology at the Harvard T.H. Chan School of Public Health.
“In these battles, as in most wars, more soldiers were dying of disease than were dying of combat,” he said.
“Colonial warfare was just a violent, awful thing. Is spreading smallpox any more violent or awful? It bugs us. I don’t think it bugged them at the time.”
Jones will be joined in the project by a team of fellow medical historians from Harvard and elsewhere. The list of potential subjects is not short.
Benjamin Rush, a physician and one of the signers of the Constitution, was a prolific and influential writer opposed to slavery and in favor of free public schools and prison reforms. John Warren, a Roxbury native and a Continental Army physician, went on to found Harvard Medical School; his son, John Collins Warren, founded the NEJM and served as Harvard Medical School’s first dean.
The parts of the stories that intrigue Jones most are the ones where open questions — or outright mysteries — remain.
Take Washington’s inoculation decision.
In December 1775, months before his decision to inoculate the entire army, Washington had Boston surrounded. Some 6,000 British soldiers and about 6,000 civilians had been trapped since spring, and smallpox and dysentery were rife in the besieged city.
The general received word that some refugees fleeing the city had been found to have smallpox. It fueled his suspicion — which was never conclusively proved — that the British were seeking ways to spreading the disease as an act of war.
“The patriots were convinced it was happening,” Jones said.
And it wouldn’t have been out of character, he said. Some of the British personnel trapped in Boston were among those who purposely gave blankets and other items from a smallpox infirmary to Native American diplomats in 1763 during an armed conflict.
“But no one has ever found a smoking gun [in the Boston siege]. No one has found a letter from [British Major General] Thomas Gage to someone in the British high command saying, ‘Let’s do this,’” Jones said.
And he has looked. Almost everything related to the American side of the Revolution has been digitized by the U.S. National Archives, but British materials are less readily available online. So he spent some time in U.K. archives searching for anything previous historians might have missed. No such luck.
Would it make a difference if there were hard proof? Not necessarily for the Continental Army at the time, who were convinced the biological warfare was happening and acted accordingly, setting up smallpox hospitals to contain the spread of the disease and even dipping letters in vinegar to disinfect them before they were read.
And knowing for sure wouldn’t necessarily change our understanding of Colonial-era warfare, Jones said.
Historians already know that both sides readily engaged in what we would now consider war crimes, from destroying the enemy’s crops to killing prisoners of war.
“Colonial warfare was just a violent, awful thing,” Jones said. “Is spreading smallpox any more violent or awful? It bugs us. I don’t think it bugged them at the time.”
Finding the proof would matter, Jones said, to thoroughly tell the truth about America’s founding war and medicine’s role in winning it.
“Battlefield conditions do a lot to advance the cause of surgery, but the most important contributions of physicians to wars have usually been how to keep soldiers healthy so they’re able to fight,” he said. That includes managing disease and hygiene, digging latrines, and providing and protecting safe and sanitary food and drinking water.
Jones is being joined in the project by collaborators Scott Podolsky, professor of global health and social medicine at Harvard Medical School; Jeremy Cannon, M.D. ’98, professor of surgery at the University of Pennsylvania’s Perelman School of Medicine; and Justin Barr, transplant surgeon at New Orleans’ Ochsner Medical Center.
The group plans to publish as many as eight pieces through September 2033, the 250th anniversary of the end of the Revolution.

Third-graders raise their hands in a New Orleans classroom. Louisiana is one of four Southern states gaining attention for boosting its K-12 test scores in recent years.
AP Photo/Gerald Herbert
Southern states have historically underperformed in educational achievement. But a recent rise in test scores in Alabama, Louisiana, Mississippi, and Tennessee has led some experts and journalists to describe the “Southern surge” as one of the few bright spots in U.S. education over the past several years.
According to the Education Recovery Scorecard, Alabama ranked first among states in math recovery and third in reading, Louisiana ranked second in math recovery and first in reading, Mississippi sixth in math recovery and fourth in reading, and Tennessee third in math recovery and ninth in reading.
The scorecard is a collaboration between the Center for Education Policy Research at Harvard, the Educational Opportunity Project at Stanford University, and faculty at Dartmouth College, to compare learning loss between 2019 and 2024.
In this interview, which has been edited for length and clarity, Thomas Kane, Walter H. Gale Professor of Education and Economics, and the center’s faculty director, spoke about the lessons for other states.
Why have the recent educational gains in Alabama, Louisiana, Mississippi, and Tennessee become such a big story?
It’s a big story that we all ought to be paying attention to because the federal government essentially handed power over K-12 decisions back to states in 2015. That was a decade ago, and nationally, achievement has been declining.
I think it’s largely because a lot of states, including Massachusetts, were not ready to take the reins. And this subset of Southern states has undertaken ambitious reforms to the way they teach literacy that seem to be paying off in terms of improved student achievement.
State leadership matters more than ever, and we ought to be encouraging states to step up with ambitious efforts to reverse the decline.
Your center examines educational policies and their impact on students’ achievement. Did the data surprise you and your team?
Part of what we’re trying to do at the center is highlight not just states, but individual districts that have been improving. For instance, Compton in Los Angeles is a low-income community that has made unusual progress since 2019. Union City is a low-income district in New Jersey, and they too have seen bigger increases than many of the higher income districts in the state.
The truth is that before 2015, many states, including Massachusetts, were making a lot of progress. But over the last decade, policymakers in many states have been leery about investing their political capital in education reform because they fear controversies.
We need to remind them that investing in state and local efforts to improve K-12 education leads to educational progress. In our center, we’re trying to provide evidence on the specific policies that are making a difference to inspire other communities and states to do the same.

“States need to realize that if we’re going to turn this around, it will depend on their own leadership. Four states have clearly taken that message to heart,” said Thomas Kane.
File photo by Veasey Conway/Harvard Staff Photographer
What are the factors behind the success stories in the Southern states?
Unfortunately, we don’t know which policies these states have pursued were most important. For instance, Mississippi, which now ranks sixth in math recovery and fourth in reading, invested a lot in literacy coaches. Based on other research I’ve seen, the literacy coaches might have been a critical part of the Mississippi success.
Massachusetts is working on literacy reforms that don’t include much funding for coaches, but they include some of the other less controversial aspects of the Mississippi plan, like changing curricula and changing teacher training.
Our center is studying whether specific policies, like teacher coaching or student grade retention, are the key moving parts — so that states don’t just pick the most uncontroversial (and ineffective) aspects of the Southern state initiatives.
What changes did Louisiana and Alabama implement?
Louisiana provided state incentives for districts to change their curricula in math and literacy and also provided state support to retrain teachers in how to use those new materials. It also made it easier for districts to combine funding across different federal funding streams to pursue priorities and cleared away some of the red tape involved in federal funding.
Alabama passed a Numeracy Act in 2022, and provided math coaches to low-performing schools and funding for summer learning, especially for students in early grades.
But I hesitate to say that every state should do exactly the same thing because we don’t yet have good evidence on which aspects of their plans made the most difference. Going forward, we want to help states learn which specific policies make a difference.
Can you explain the cases of Tennessee and Mississippi?
The literacy reforms in Mississippi go back to 2012, when they shifted their early literacy curricula to emphasize more phonics-based literacy instruction, which is sometimes referred to as the science of reading.
The state provided funding for coaches to work with teachers in early grades, starting with the schools that were struggling the most. They also had a requirement they believe was a critical part of their success, which was requiring students to pass a literacy test at the end of third grade before proceeding to fourth grade.
It was a controversial move. Massachusetts has shied away from that requirement. But it could turn out to be critical.
Tennessee offered training for its K-5 teachers in phonics-based literacy instruction. They did not invest in literacy coaches statewide, although I’m guessing some individual districts did it.
Mississippi and Alabama also use what are called universal screeners to try to identify kids that have dyslexia and other issues early rather than wait for them to fail in third or fourth grade.
One thing that Tennessee did, especially during the pandemic, was invest statewide in tutoring programs to help students catch up.
What are the lessons for other states?
The most important thing that states need to realize is that it’s up to them whether their students’ achievement recovers — or continues to fall.
There is not going to be any federal leadership on K-12 education. It’s not just the current stalemate in Washington. The federal government gave the power back to states in 2015, and the decline in students’ achievement began that year.
It got worse during the pandemic, but it started back in 2015.
States need to realize that if we’re going to turn this around, it will depend on their own leadership. Four states have clearly taken that message to heart: Mississippi, Alabama, Louisiana, and Tennessee.
Let’s hope that Massachusetts and other states decide to step up and show some leadership, too.

Photos by Jeffrey Yang ’26/Harvard College
This year, Harvard College is home to one current and two former National Youth Poet Laureates, a lineage that began with inaugural honoree Amanda Gorman ’20. National Youth Poet Laureate Evan Wang ’29 and former laureates Salome Agbaroji ’27 and Alyssa Gaines ’26 recently spoke with the Gazette about how the title changed them, balancing arts and academics, and how their poetry has evolved during their time at Harvard.

When Wang sits down to write (usually late at night in his dorm room), he is already thinking about the stage. The first-year tests each line for how it may sound when spoken aloud, and imagines what hand gestures he can use for emphasis.
“When I’m prepping for a performance, I think of ways that I can accentuate certain aspects of the poem,” he said. “I really want to have fluctuation; it should never be monotone. Which word you choose to stress within the poem redefines the meaning.”
As National Youth Poet Laureate, Wang is in high demand. His debut chapbook, “Slow Burn,” comes out next month. He has been working with a composer on a choral piece that the Mendelssohn Chorus of Philadelphia is scheduled to premiere in June. This year he’s performed at the Google DeepMind headquarters in London, the AFS Youth Assembly in New York, and the Smithsonian Center for Folklife and Cultural Heritage in D.C.
Wang began to pursue poetry seriously in 2021, after a spoken word poem he wrote and performed about his own experience with racial microaggressions garnered positive attention in his school district.
“That just really motivated me to continue writing about my own experiences, because I realized how quickly a poem about myself can become a poem for others and can be about others,” Wang said.
“That just really motivated me to continue writing about my own experiences, because I realized how quickly a poem about myself can become a poem for others and can be about others.”
Evan Wang
Wang’s poems are reflective and confessional, and he writes mainly about queer romance, yearning, and the immigrant experience.
“I’m always taking risks,” Wang said. “I’m always diving deeper into myself to see what I’m really trying to say. A lot of my mentors describe my poetry as ‘sharp,’ because a lot of my lines are terse. They don’t waste a lot of breath, and they really are a gut punch.”
Wang said his approach to poetry changed after seeing a video of author Ocean Vuong, one of his greatest inspirations, performing the poem “Head First.”
“The poem was so vulnerable, but it used the word ‘stupid,’ which is quite colloquial,” Wang recalled. “For so long, I thought poetry had to be pristine. I thought it was Shakespeare and Whitman. From then on out, I wrote poetry as a way to explore my own vulnerability, as a way to become really intimate.”
Wang is chair of the IOP Coalition for the Arts, a creative director for FIG. Magazine, and involved in the Harvard College China Forum. He is passionate about poetry as a form of entertainment and wants to collaborate on projects that combine poetry with other art forms. It was when he heard dancer Misty Copeland speak about representation at the W.E.B. Du Bois Medal ceremony that he truly realized how much the arts have changed his life.
“I remember sitting in the audience thinking I cannot imagine a future where my life is separated from the arts,” Wang said. “That really served as a catalyst for me to really begin considering poetry as a viable career.”

Agbaroji believes that many Harvard students are poets, though few would describe themselves that way. Too often, she said, the label feels reserved for those with awards or titles. She hopes to change that perception.
“This is an art form that is so democratic and generalizable,” Agbaroji said. “You don’t need a recording studio, you don’t need a film crew, you literally just need your brain and the words. I’m hoping to influence people to try to write and create in a way that doesn’t necessitate excellence, but maybe just fun.”
The social studies concentrator is currently recording a spoken word poetry and music album in the SOCH studio . She said having a project with an end goal has given motivation to her writing practice.
“I make the time between classes, while I’m eating dinner, sometimes in my bed at 3 a.m., because I am so eager for people to experience the work,” Agbaroji said. “It’s a different motivation. Before I was writing because I was struck with inspiration. This one is a sense of urgency, because I’m just so excited to put out my first official project.”
“Before I was writing because I was struck with inspiration. This one is a sense of urgency, because I’m just so excited to put out my first official project.”
Salome Agbaroji
She recalled her first year at Harvard as a “balancing act,” juggling academics and a social life while serving as National Youth Poet Laureate. Sometimes that meant having a little FOMO (she missed Yardfest because she was giving a TED Talk) but resulted in some incredible memories, like meeting President Joe Biden and former press secretary Karine Jean-Pierre on a visit to the White House.
Agbaroji, who began writing poetry at age 14 during the pandemic, has always written about social and political issues, advocating against inequality and injustice. But recently she’s made room for more personal writing.
“I’m giving my work space to be about me: ‘Salome had a bad day today, let’s write about that,’” she said. “I think I’m appreciating that breadth I’m gaining as I mature as an artist.”
On campus, Agbaroji captains Omo Naija, Harvard’s African dance troupe, and is in the Signet Society. These days, the poets who inspire her most are rappers Kendrick Lamar, Noname, and Tierra Whack. Agbaroji, who is also a singer, regularly fuses poetry and music, which she said she was hesitant to do at first, due to the way she was first introduced to poetry: as an art form that is supposed to stand alone. Her album will feature both poetry and music.
“You’re supposed to be impactful with just your words and the stage. You shouldn’t need a song, you shouldn’t need a prop, all the power should live in the words,” Agbaroji explained. “But poets also know that rules are meant to be broken. I knew that coming to Harvard, that would be another element of myself I wanted to grow confidence in. I’m glad I did, and I keep challenging myself in that way.”

Last summer, Gaines realized she can’t live without writing.
It may not seem like a surprising revelation for someone who has been participating in poetry competitions since age 8. But after serving as National Youth Poet Laureate as a first-year, Gaines took a two-year break from poetry to explore other interests and career options through a joint concentration in Social Studies and History of Art and Architecture.
Then, an internship at Macmillan Publishers the summer before senior year brought her right back.
“I was around books all day long, and I was like, ‘OK, this is the thing I love,’” said Gaines, who declared a secondary in English. “I realized that I love writing, and I don’t see a life without it. I think poetry is always a part of the way I think about the world.”
Gaines recalls her first year as a pivotal time of growth and new experiences. On weekends she would often travel to perform her poetry at events like Bloomberg Philanthropy’s Earthshot Prize and the YPO EDGE summit and return to campus for classes and homework. Despite her status as National Youth Poet Laureate, she still felt impostor syndrome at Harvard, and felt pressure to pursue a practical career, even if it wasn’t her passion.
“I felt like the stakes were super high, and maybe I didn’t feel the authority to bet on myself as a writer, as a creative person,” Gaines recalled. “Through being at Harvard and being in classes with people who are throwing themselves wholeheartedly into the things that they love, I had to learn that that’s okay to do.”
This year, she has returned to creative writing in full force, working in whatever blocks of time she can find: between study sessions, in the dining hall, or even jotting down lines if they come to mind in class. Her work, which lately has explored themes of maritime navigation, the transatlantic slave trade, migration, and memory, carries a rhythm punctuated by alliteration that reflects her years performing spoken word.
Gaines serves on the art board of the Harvard Advocate, as well as the JFK Jr. Forum Committee at the IOP. She has been co-director of the Black Arts Collective and is a member of Alpha Kappa Alpha Sorority Inc. Poets who inspire her include June Jordan, Sonia Sanchez, Frank Bidart, and Reginald Dwayne Betts, as well as Tracy K. Smith, Boylston Professor of Rhetoric and Oratory and Professor of African and African American Studies.
“I think it took some time for me to get back to writing poems and trying to see how my artistry, my craft, can develop,” Gaines said. “There’s so much for me to discover and to keep learning and to try again.”

Photos by Niles Singer/Harvard Staff Photographer
Vladimir Nabokov never learned to type. Every word of every novel he published — including the classics “Lolita,” “Pale Fire,” and “Pnin” — was typed by his wife, Vera, before being sent to editors.
“He wrote on notecards,” said Christine Jacobson, associate curator of modern books and manuscripts at Harvard’s Houghton Library, and co-curator, with Dale Stinchcomb of New York’s Morgan Library, of “Thanks for Typing: Women’s Type Labor in Literature and the Arts.”
Nabokov, Jacobson said, would shuffle the notecards “until he liked the arc of the story. And depending on how fleshed out they were, he would then either dictate them to Vera, or if they were in complete prose, he would hand them to her to be typed.”
“Thanks for Typing” explores the stories of women like Vera — typists who helped bring the novels and stories of famous literary figures to the public — as well as the thousands of women who served as secretaries and typists for government officials, scientists, researchers, and Hollywood creatives.
The inspiration for the exhibit was a viral social media tag — #thanksfortyping — started by University of Virginia Professor Bruce Holsinger.

“He was looking through academic monographs on Google Books when he started to pay attention to the acknowledgement section and notice the same language over and over again: ‘Thanks to Judy for typing’; ‘Thanks to my wife, Mary, for typing the manuscript and transcribing the interviews,’” Jacobson said. “It was like, thanks for typing, thanks for typing, thanks for typing, over and over again.”
“And so we wondered, what might we find if we looked for these stories in our own archives here at Houghton, and what would it look like to bring greater attention to those stories in an exhibition?” Jacobson said.

The poem “Charlotte Brontë’s Grave” by Emily Dickinson.

A collection of technical guides to typing.

A photo of “Scientific American 27, no. 6 (August 10, 1872).”

Remington advertisements from 1924.
Exploring Houghton’s archives, Jacobson and Stinchcomb discovered typists for Emily Dickinson, Henry James, T.S. Eliot, and Oscar Wilde. As part of the exhibit, the curators paired examples of Dickinson’s handwritten poems — including her unique capitalizations and paragraph indentations — with typewritten versions created Mabel Loomis Todd during the 1890s. Todd began publishing Dickinson’s manuscripts four years after her death, when Dickinson’s sister gave her hundreds of handwritten pages.
“We would not have Emily Dickinson’s poetry without her,” Jacobson said.
With responsibilities that ranged from research to copy editing, typists in some cases left an important mark on the finished product, Jacobson said, citing Todd’s decision to discard many of the oddities in Dickinson’s script and edits Vivian Eliot made to her husband’s poems.
Then there’s the influence typing had on the writer: “Henry James’ style changes very significantly once he starts dictating to a typist, and that is where you get the great late Henry James period, where his style is a lot more verbose and the sentences are very long and winding,” Jacobson said.
In addition to typists’ literary contributions, the curators wanted to contextualize how their work has been valued, or not, over time.
“From the moment the typewriter is invented, it is immediately associated with women and women’s labor,” Jacobson said.
“From the moment the typewriter is invented, it is immediately associated with women and women’s labor.”
Christine Jacobson
When Christopher Latham Sholes invented the first commercially viable typewriter in 1872, he didn’t pose for press photographs but instead positioned his daughter at the machine, she noted. The very first photograph of somebody operating a typewriter, Jacobson said, captures Lillian Sholes — the original “typewriter girl.”
“The message that this would have been sending to 19th-century audiences would have been that this machine is so easy to use that a woman can do it,” Jacobson said. “Sholes is lauded as this person who paved the way for women to enter the white-collar working world, which is definitely true, but I think the issue here is that from its inception the contributions have been minimized, and not seen as a technical skill.”
From the turn of the century to the 1950s and ’60s, Jacobson said, women’s labor continued to be minimized while depictions of it grew more sexualized.
Mid-century typewriter manuals were “very much about catering to your boss’s every need and making sure that you look beautiful and hygienic for work,” she said. “They’re objects of sexual desire. They’re meant to adorn the office.”
The exhibit wouldn’t be complete without a chance for visitors to type for themselves, courtesy of a vintage Olympia in the Edison and Newman Room. Houghton is also partnering with the Harvard Film Archive to spotlight women who make their living at the typewriter, with screenings of “Meet Joe Doe,” “His Girl Friday,” and “The Hudsucker Proxy.” For showtimes, tickets, and Christine Jacobson’s show notes, visit the HFA website.
“Thanks for Typing” will be on display through May 1.

Janet Rich-Edwards.
Veasey Conway/Harvard Staff Photographer
Janet Rich-Edwards on the Radcliffe moment that helped turn an epidemiologist into a novelist
The inspiration for a novel can come from anywhere. For Janet Rich-Edwards, it came from a lecture.
“Canticle,” Rich-Edwards’ debut novel, traces its origin to a presentation by fellow Radcliffe scholar Katie Bugyis on liturgical books created and used by medieval nuns. As she listened to the talk, Rich-Edwards, the 2018-2019 Helen Putnam Fellow at Radcliffe, felt a spark.
“You sort of feel a connection back through centuries,” she recalled. “As academics, we’re all book-lovers ourselves, and to be reminded how sacred books are feels a little bit like coming home.”
“You sort of feel a connection back through centuries. As academics, we’re all book-lovers ourselves, and to be reminded how sacred books are feels a little bit like coming home.”
Janet Rich-Edwards

“Canticle” follows Aleys, a young woman in 13th-century Bruges who is prone to mystical visions. After fleeing an unwanted marriage, she finds herself with the beguines, a group of economically self-sufficient lay religious women who live outside the rule of the church. When Aleys begins to perform what might be miracles, everyone wants something from her, including an ambitious local bishop. The novel explores faith, doubt, and solidarity among women seeking spiritual and intellectual freedom. It has been recommended by publications ranging from The New York Times to People magazine.
Fiction might seem an unlikely pursuit for Rich-Edwards, an epidemiologist and a Harvard Medical School associate professor of medicine at Brigham and Women’s Hospital. Her own Radcliffe fellowship project focused on childhood trauma and its impact on addiction, appetite, and health. But she began writing fiction at 50 (“I’m a believer that every time you turn a decade, you ought to try a new trick,” she said) and just kept working at it.
By the time she was sitting in Bugyis’ lecture, she had a few finished manuscripts in the drawer and was looking for her next project. “I thought, ‘I would love to write about that.’” After the lecture, she approached Bugyis to ask for research advice.
“I set her up with materials, and she ran with it,” said Bugyis, the 2018-2019 Joy Foundation Fellow at Radcliffe, and now an associate professor in the Program of Liberal Studies at the University of Notre Dame. Watching Rich-Edwards’ novel gain attention and acclaim has been “really magical.”
Interdisciplinary exchange is at the heart of the Harvard Radcliffe Institute’s fellowship program, which every year brings together 50 scholars in the humanities, sciences, social sciences, and arts — as well as writers, journalists, and other professionals — to pursue ambitious research or creative projects.
“The Radcliffe Institute has always functioned as what I would think of as a true university,” said Rich-Edwards. “You really have your mathematicians next to your poets next to your social scientists, and we are all enthusiastically learning from one another.”
And Rich-Edwards knows Radcliffe well: Not only was she a fellow, but she served as faculty co-director of the institute’s science program for seven years.
Incredibly, “Canticle” is not the first work of fiction to emerge from the 2018-2019 fellowship cohort — or even from Bugyis’ lecture. Lauren Groff’s award-winning novel “Matrix” was also inspired by Bugyis’ research. Groff, the 2018-2019 Suzanne Young Murray Fellow at Radcliffe, told the Gazette in 2021 that the lecture sent her brain “exploding into rainbows.”
Bugyis, whose work examines the material culture of medieval nuns, spends lots of time scrutinizing overlooked manuscripts for traces of daily religious life. A drop of wax on a piece of parchment likely means the prayers on it were read in the evening, and an abbess or a prioress brought her candle a bit too close to the page. Notation added to the text might indicate where a cantor was to raise her voice or speak more slowly.
But as a historian, Bugyis said, she has to stay within the bounds of speculation.
“What I love about what Janet and Lauren have been doing is claiming a reality around that, and saying this is what it was like within this imagined past. I think fiction is able to take these little points of contact that I find and take them all the way.”
For Rich-Edwards, those points of contact with the past were personal, not just professional.
“I think all people, but especially women, need to carve out a space of freedom to follow their heart’s desire,” she said. “I felt a kinship with the beguines who did exactly that. I could only turn to writing after the busyness of raising children had passed. I think these women were looking for their own space for worship and work that didn’t involve traditional norms. It’s akin to a room of one’s own.”

Karin Öberg.
Veasey Conway/Harvard Staff Photographer
Distinguished astrochemist will shift to University-wide role overseeing faculty affairs and development
Karin Öberg, renowned scholar in the field of astrochemistry, has been named Harvard’s next senior vice provost for faculty, the University announced Friday.
“Karin is a widely admired faculty member whose excellent judgment and efforts to nurture academic excellence have already made a difference at Harvard,” said Harvard President Alan M. Garber. “I am eager for even more members of our community to benefit from her experience and skills. I have no doubt that she will excel in her new position.”
“I am delighted that Karin has agreed to take on the role of senior vice provost for faculty,” said University Provost John Manning. “She is a brilliant scientist, a dedicated teacher, a respected academic leader, and an exemplary institutional contributor. Her deep commitment to academic excellence and broad range of interests will serve her well, and I look forward to working closely with her in her new role.”
As senior vice provost for faculty, Öberg will serve as Harvard’s central leader for faculty affairs, coordinating University-wide efforts to recruit and retain outstanding scholars, help advance their research and teaching, and support their work-life balance. In collaboration with the Schools, deans, and relevant offices, the senior vice provost for faculty also coordinates the review of academic appointments. Öberg succeeds current senior vice provost Judith D. Singer, who will retire from her role in the Provost’s Office later this spring to return to teaching after 18 years of service.
“I believe that a flourishing faculty, free to pursue academic excellence, is at the heart of Harvard’s mission,” said Öberg. “I am deeply honored and excited at the opportunity to serve the University and support the next generation of scholars in this new role.”
As professor of astronomy and Thomas Dudley Cabot Professor of the Natural Sciences, Öberg studies how chemistry influences the formation and composition of young planets that are taking shape in the swirling disks of dust and gas around young stars. Her research group engages in novel laboratory experiments that simulate the exotic chemistry of space, performs complex astrochemical modeling, and pursues astronomical observations to better understand how chemical conditions shape planet formation and potential habitability.
She joined Harvard as a Hubble Fellow at the Harvard-Smithsonian Center for Astrophysics in 2009. In 2013, she joined the faculty of the astronomy department, and in 2016 was named Thomas D. Cabot Associate Professor in Astronomy, to be promoted to full professor in 2017.
In addition to publishing more than 250 peer-reviewed journal articles in her field, Öberg has also been the recipient of many honors and awards, including the Packard Fellowship, the American Astronomical Society’s Newton Lacy Pierce Prize, and a Simons Investigator Award in Astrophysics. She was also invited to deliver the Max Planck Society’s Harnack Lecture. She has long made efforts to share her research with the public through events and media, and she is a prominent voice in global conversations, both within and beyond academia, on the intersection of science and religion.
In addition to her research and teaching, Öberg has a strong record of service to the Harvard community. Within the astronomy department, she has served as director of undergraduate studies. Within the Faculty of Arts and Sciences, she served on the Faculty Council and currently sits on the Committee on Appointments and Promotions. She has contributed to University-wide efforts around academic culture and dialogue through her service on the Open Inquiry and Constructive Dialogue Working Group. She also serves on the University Faculty Advisory Council.
Outside of Harvard, Öberg has served on the governing board of Atacama Large Millimeter/submillimeter Array (ALMA) telescope in Chile since 2018 and served as its chair from 2019 to 2020. From 2020 to 2022, she served as a trustee of Associated Universities, Inc., a nonprofit that partners with federal agencies to plan, build, and operate large-scale scientific facilities. Since 2021, she has served as a trustee of the Pontifical University of Saint Thomas Aquinas, an international theological institute based in Rome, taking on the role of vice chair in 2025.
She holds a B.Sc. in chemistry from Caltech and a Ph.D. in astronomy from Leiden University.
Öberg will begin her new role on July 1.

A doctor drawing blood from a patient as part of the Tuskegee Syphilis Study.
Public Domain/National Archives
There is a need for a Black bioethics, argued a recent panel sponsored by Harvard Medical School and Tuskegee University. One need look no farther than inequities in COVID-19 diagnoses and treatment during the pandemic for evidence, but another, devastating historical example is the 40-year-long Tuskegee experiment.
Moderator Rebecca Brendel, director of the HMS Center for Bioethics, gave a quick recap of the experiment, in which several hundred Black sharecroppers were enrolled in a U.S. Public Health Service study.
The 399 participants, all suffering from syphilis, were told they had “bad blood” so researchers could observe the progress of the untreated deadly disease in human subjects. The study ran from 1932 to 1972.
In 1978, a national committee of physicians, lawyers, and scientists issued The Belmont Report, which outlined ethical guidelines. (An official apology, from President Bill Clinton, finally came in 1997.)

Adie Fein/Harvard Chan School
But nearly 40 years after The Belmont Report, discrimination in healthcare remains a stark reality. Black mortality rates are still significantly higher than those of white people in the U.S., said panelist David Augustin Hodge, interim director, lead ethicist, and research professor at the National Center for Bioethics in Research and Healthcare at Tuskegee.
“Black people die at a faster rate. Life expectancy is lower,” said Hodge. Minority children “are 3.5 times more likely to die in childhood” than white. These discrepancies translate to “about 80 million years of life that have been lost between 1999 and 2020,” he said.
Such deaths are often attributed to causes unrelated to race. For example, the higher mortality rate of Black people with COVID is blamed on co-morbidities. But the co-morbidities that make Black people more vulnerable, such as diabetes, are themselves a result of a healthcare system that has failed the Black community.
“If we do not give attention to Black lives and brown lives and the lives of the vulnerable, we will see these things happen,” said panelist T.S. Harvey, associate professor of medical and linguistic anthropology and global health at Vanderbilt University.
The Belmont Report, as Harvey pointed out is “strictly limited,” in that it discusses only research with human subjects.
Considering these strictures, “it has been applied too broadly” as an answer to discrimination, he said. Instead, bioethicists need to look to liberation theology as a model of “inclusiveness rather than exclusiveness,” he said.
“As a Black bioethicist. I’m just as interested in our Native American population. I’m just as interested in Alaskan or Asian Pacific populations. I’m just as interested in my Hispanic brothers down on the border, the Mexican brothers and sisters, or the Cuban brothers and sisters. In those in the Appalachian Mountains, those who are poor,” Harvey said.
“Because quite frankly, when we’re talking about ethics and when we’re talking about principles, we are talking about the least of us,” as liberation theology teaches, he said.
“If we do not understand or start to work with the power of implicit bias in technology, we will continue to go down the road of excising those communities that need to be involved.”
David Augustin Hodge
Complicating the problem of healthcare discrepancies is the rising use of AI in both medical and sociological research, both noted. Because AI draws from published material, it is inherently backward-looking — and replicates the biased research of the past, such as studies that only included white people or only men.
“Technology for all of its capabilities, whether or not we’re talking about artificial intelligence, large language models, or really sophisticated prosthetics, is not neutral,” said Harvey. “It replicates existing structures, existing notions.”
“If we do not understand or start to work with the power of implicit bias in technology, we will continue to go down the road of excising those communities that need to be involved,” said Hodge.
Exclusion also occurs “not by racism, but by comfort zones,” Hodge continued, noting that researchers tend to think in terms of the communities to which they belong. “When we’re talking about clinical trials, we [should be] talking about making the invisible visible,” he said.
To counter this ingrained racism and classism, said Harvey, we must “think about health disparities and who are the populations that are impacted now, and then reimagine those technologies and reimagine those interventions by understanding those challenges. But to do that, we have to move beyond utilitarian ethics to what Dr. Hodge talks about as fundamentally relational.”
“We can use many, many different philosophical frames to think this through, but we need to recognize that technology is there as an aid and can be used in many, many ways, but also understand the kinds of disparities that some of these technologies reproduce,” he said.
One model may be found in the gaming community, where “the technology is in the hands of the gamers,” he said. In other words, it is driven by the users, which in healthcare would mean the patients or clients.
Beyond that, “I continue to push,” said Hodge, even as he identified a source of hope: “Young people are thinking about this kind of work: public health ethics, public health and bioethics, neuroethics, etc. It is important to engage.”
“What we hope to do is to build beyond,” concluded Harvey. “Reimagine the possibilities to think about the complexity of the problems as human problems that have human solutions.”
“Bioethics and Black History: The Legacy of the Tuskegee Report” was organized by the Harvard Medical School Center for Bioethics, the National Center for Bioethics in Research and Health Care at Tuskegee University, and the HMS Office for Culture and Community Engagement as part of the series “Reflecting on the History of Healthcare,” available on the HMS Center for Bioethics YouTube community

Medicare beneficiaries skipping fewer medications due to cost
More than one in four American adults struggle to afford their prescription medications. Those who can’t are left with grim choices — skipping doses, cutting pills in half, or abandoning prescriptions entirely.
New research from Richard A. and Susan F. Smith Center for Outcomes Research at Harvard-affiliated Beth Israel Deaconess Medical Center offers early evidence that federal drug pricing reforms intended to help are beginning to do just that.
Published in JAMA Internal Medicine, the study found that Medicare beneficiaries were less likely to report skipping, rationing, or foregoing medications due to cost after the Inflation Reduction Act’s prescription drug cost-cutting provisions took effect Jan. 1, 2024. The improvement was greatest among those managing multiple chronic conditions.
“For too long, Medicare patients have been forced to ration important medications because of cost. Our findings are an early signal that the Inflation Reduction Act is changing that — and the patients benefiting most are exactly those who need it most,” said the study’s senior author, Rishi K. Wadhera, associate director and section head of health policy at the Smith Center for Outcomes Research and an associate professor at Harvard Medical School.
The act’s 2024 provisions targeted two groups most burdened by drug costs. For Medicare beneficiaries with high medication spending, the law eliminated the 5 percent co-insurance requirement for catastrophic coverage, effectively capping annual out-of-pocket costs at approximately $3,300 per year. For lower-income enrollees who had been receiving only partial assistance, it expanded access to full subsidies, significantly reducing what they pay for their medications.
To assess the real-world impact of these changes, researchers used a quasi-experimental difference-in-differences design, drawing on data from the National Health Interview Survey, an annual survey of more than 27,000 U.S. adults conducted by the Centers for Disease Control and Prevention. Wadhera and colleagues compared Medicare Part D beneficiaries between the ages of 62 and 67 to a similar group of privately insured adults who were not subject to the act’s provisions.
They found that Medicare beneficiaries experienced a 4.9 percentage point reduction in cost-related medication nonadherence relative to their privately insured counterparts. Specifically, fewer patients reported skipping doses, reducing doses, delaying prescription fills, or foregoing medications because of cost. The finding held up across multiple sensitivity analyses, including after adjusting for race, ethnicity, income, and educational attainment, and when compared to a different comparison group (dually-enrolled beneficiaries).
The effect was particularly pronounced among beneficiaries managing two or more chronic conditions who saw a 7.8 percentage point reduction in cost-related nonadherence.
The effect was particularly pronounced among beneficiaries managing two or more chronic conditions — including hypertension, diabetes, heart disease, and cancer — who saw a 7.8 percentage point reduction in cost-related nonadherence. Compare that to privately insured adults, not covered by the act’s provisions, for whom medication nonadherence rose more than 2 percentage points during the same period. As of June 30, 2024, 1.5 million Medicare beneficiaries had saved close to $1 billion from the act’s elimination of the catastrophic coverage co-insurance requirement alone.
“When someone with diabetes or heart disease stops taking their medications due to cost, the consequences can be severe. Our data suggest that the [Inflation Reduction Act’s] reforms are helping the highest-risk patients stay on the medications they need,” said lead author of the study, Lucas Marinacci, a faculty physician investigator at the Richard A. and Susan F. Smith Center for Outcomes Research, general cardiologist at BIDMC, and instructor at Harvard Medical School.
While the act’s drug provisions are helping Medicare beneficiaries stay on their medications, they are not yet making a dent in their overall health care costs. The study found neither a corresponding improvement in Medicare beneficiaries’ ability to pay medical bills nor a decrease in their anxiety about future health care costs.
The study was supported in part by the National Institutes of Health.

Vishal Patel.
Photo by Grace DuVal
Researchers seeking to understand the impact of smartphones on driving safety have a warning for music fans: Release day might be dangerous.
The study, described in a working paper published last month by the National Bureau of Economic Research, showed a 43 percent increase in streaming and a 15 percent increase in traffic fatalities on the days that major albums drop.
Vishal Patel, a surgical resident at Brigham and Women’s Hospital, clinical fellow at Harvard Medical School, and the paper’s first author, said that the work was inspired by a moment behind the wheel. His wife, a singer and avid music fan, texted him to listen to a song that had just been released on streaming services. Patel began scrolling through his phone. When he looked up a few seconds later, he realized that he’d started drifting out of his lane.
“It hit me that a split second longer with my eyes off the road could have meant a serious accident,” he said. “Then I thought, if millions of people are doing the same thing at the same time — on the day a big album drops — the cumulative risk on the road must be enormous.”
Smartphones tempt drivers to send emails, search, call up directions, or even find a recipe for dinner. Despite that ceaseless potential for distraction, research into the impact of phones on driving is scarce, according to Patel and the new paper’s senior author, Anupam Bapu Jena, the Joseph P. Newhouse Professor of Health Care Policy at Harvard Medical School. The principal obstacle is ethics: Researchers can’t conduct live experiments that might illuminate what’s going on in the millions of cars on the road today. They can’t, for example, ethically instruct half of a study group to keep their eyes on the road while telling the other half to search for music as they navigate traffic.

Anupam Bapu Jena.
File photo by Niles Singer/Harvard Staff Photographer
Enter Patel’s insight about the distraction of downloading music, which he recognized as an opportunity for a natural experiment.
The researchers analyzed accident stats on the release days of the 10 most streamed albums between 2017 and 2022, plus, for comparison, on the 10 days both before and after the release dates. Using Spotify data, they found an average of 123.3 million streams on the major album release days, compared with just 86.1 million streams on the days before and after — a 43 percent increase on release days.
Turning to traffic fatalities, they found an average of 139.1 deaths on release days, an increase of 18.2 fatalities over the average of 120.9 traffic deaths on the 10 days before and after the releases. Added together, deaths rose 15.1 percent, totaling 182 additional fatalities on the 10 days when those major albums were released.
“It could be manipulation of the device, it could be general distraction because of the excitement,” Jena said. “It could also be that you’re playing the music louder than you normally would play it, and that you don’t pick up things around you that you otherwise would have picked up. Any of those things are possible.”
Patel and Jena also examined accident characteristics, seeking insights on the potential role of factors other than distraction. Drivers tended to be sober, arguing against the possibility that they had attended boozy parties celebrating the album releases. The increase in fatal accidents was also larger in single-occupant vehicles, missing a passenger who might help manage the music. Drivers also tended to be younger, fitting the profile of younger people as more avid music consumers.
Patel’s investigation into distracted driving continues. Technology has advanced significantly since 2022, when data collection for the current study ended. Vehicle technology has advanced, with cameras and sensors eliminating blind spots and making switching lanes safer. Many vehicles come with automatic braking and other safety features. Among the open questions, Patel said, is the impact of artificial intelligence, which could allow a new array of distracting tasks to be performed while driving. AI could also, however, enhance safety by taking on tasks from the driver, like finding music or drafting a work email.
“People convince themselves they can multitask behind the wheel — scheduling calls, eating, putting on makeup,” Patel said. “Smartphones have dramatically expanded what’s possible to do while driving and, as cars become increasingly connected, the temptation to divide your attention is only going to grow.”

Illustrations by Liz Zonarich/Harvard Staff; Harvard file photos
Ahead of the 98th Academy Awards on March 15, we’ve created our own shortlist: movies with a tie to Harvard. Find out how much you know about Crimson cinema by taking our quiz.

Morgan Ortagus (far right) with IOP’s Ned Price and student moderator Bahar Moradi ’27.
Photo by Martha Stewart
The war with Iran is not about regime change but rather an effort to protect Americans from a nuclear threat, according to Morgan Ortagus, who until recently served as deputy U.S. special envoy to the Middle East and special envoy to Lebanon under ambassador Steve Witkoff.
But if the elimination of the Supreme Leader of Iran and leaders in the Islamic Revolutionary Guard Corps helps Iranians choose what their future looks like, then, “I don’t think it was a mistake,” Ortagus said during a talk at the Kennedy School on Tuesday.
“I don’t feel bad for any of these people,” she said. “These are people that tortured and mass executed their own people and plotted to kill my president.”
The strikes by the U.S. and Israel on Feb. 28 were not triggered by one specific event, but a “culmination of threats” from Iran and years of failed diplomatic efforts by both Republican and Democratic presidential administrations, according to Ortagus, who served as a State Department spokesperson during the first Trump administration.
Among the threats she cited were the Iranian regime’s decades of malign influence in the Middle East, its continuing nuclear ambitions, the escalation of threats to U.S. bases and those of U.S. allies in the region, and plots to assassinate President Trump, former national security adviser John Bolton, and former secretary of state Mike Pompeo.
Despite all of that, “President Trump very much wanted a deal with the regime and was willing to give them one” prior to the 12-day war with Israel last June, but he felt Iran was merely “string[ing] along” the U.S., said Ortagus, who was involved in the negotiation.
Ortagus pushed back on criticism of the administration’s actions in the current war. She defended the wide range of rationales the president and top defense and foreign policy officials have offered for the attack, insisting that they give Trump “maximum flexibility” in negotiations with Iran and allow for quick decision-making. She also downplayed the relative inexperience of the lead U.S. negotiators, Witkoff, a New York real estate developer, and Jared Kushner, Trump’s son-in-law.
“What matters is results,” said Ortagus, a former U.S. Navy Reserve intelligence officer.
Asked by co-moderator Ned Price, interim co-director of the HKS Institute of Politics, about the president’s claim that Iran’s nuclear program had been “obliterated” in bombings last year, Ortagus said that Trump was referring only to the specific sites the U.S. had targeted, not Iran’s willingness to develop nuclear weapons.
Trump views the current military action as a means to remove the threat posed by Iran’s navy and to degrade its ballistic missile stockpile, as well as a follow-up on his pledge earlier this year to Iranian protestors that “help is on the way,” she said.
“When you say that, you have to put your money where your mouth is, and I think in this case the president’s done that.”
The administration tried, she said, to coerce Iran’s regime into capitulation before opting for military action.
“The Iranian regime were extended the hand of diplomacy by the president multiple times,” she said. “It’s unfortunate that they’ve chosen, time and time again, to destroy their own country and their own people for some theocratic revolutionary idea of how they are going to reshape the Middle East.”
The event was moderated by Price, who served as deputy to the U.S. representative to the United Nations and as U.S. Department of State spokesperson during the Biden administration, and Bahar Moradi, president of the Harvard Undergraduate Iranian Association.

The Atlas Hotel is the latest building to open at the Enterprise Research Campus in Allston.
Credit: Tishman Speyer
With a variety of seating nooks and a warm, casually elegant aesthetic, the first floor of the new Atlas Hotel in Allston encourages visitors to stay a while. The hope is that this intentional design choice will be availed by hotel guests and local neighbors alike.
“We call this space ‘Allston’s living room,’ and we really want the community to feel comfortable here,” said the hotel’s managing director, Arnaldo Almonte.
And on a recent visit just a few weeks after the Hotel opened at the end of January, people were scattered throughout the space chatting and working on laptops, exactly as intended.
The Atlas Hotel, designed by Marlon Blackwell Architects, is the latest building to open on Harvard’s Enterprise Research Campus (ERC), with 246 rooms, including 12 suites. Along with the ERC’s David Rubenstein Treehouse at Harvard University, the hotel will support the ERC’s mission to bring diverse groups from teaching, research, business, and learning together in this burgeoning innovation district. The hotel was developed by Tishman Speyer, and is managed by Highgate group.
Directly adjacent to the “living room” is the lounge area for Ama, the hotel’s ground floor restaurant, led by local restaurateurs Biplaw Rai and Nyacko Pearl Perry of Pearl & Law Hospitality, creators and owners of Dorchester’s Comfort Kitchen.
“We call this space ‘Allston’s living room,’ and we really want the community to feel comfortable here.”
Arnaldo Almonte, Atlas managing director

The lobby in the Atlas Hotel serves as a gathering space for the community and hotel guests.
Photo by Grace DuVal
“Because it’s attached to the hotel, we knew the lounge area was important as a place where people could continue their conversations from meetings or conferences, or just hang out and relax,” explained Rai. The rest of the dining spaces for Ama are tucked behind a large bar with views of the interior courtyard where there is a seasonal outdoor dining area.
Ama, which means “mother” in Nepali, embraces a theme of caregiving, from menu offerings such as soups and pork belly, to the ergonomic design of the bar to support the health of bar staff, to the art create.
“We can only do this kind of project with the community — we understand being in a hotel might be a barrier for neighbors to want to come in, but we really want everyone to come, linger, and enjoy their time here,” said Rai.
The hotel incorporates art and photos from Boston artists throughout the spaces. Among them: Edward Boches’ photos from his “Postcards from Allston” series, which was featured at the Harvard Ed Portal’s Crossings Gallery in 2022. Ama further connects the local Allston-Brighton art community and the Ed Portal with two collaborative pieces from payal kumar and Nina Bhattacharya, both of whom recently exhibited their work at the Crossings Gallery.

Ama restaurant features original artwork by Allston-Brighton artists.
Photo by Grace DuVal
“In collaborating with the Ama at the Atlas team, it became so clear that every person carried a story of a caregiver with them shaping their own journeys as caregivers,” kumar and Bhattacharya wrote in a statement. “It was important to us to uplift these beautiful intergenerational stories through our artwork and to ground the space in what is often unseen. We drew on sense memories elicited during a workshop with staff to design pieces that make visible the care, dignity, and labor at the heart of nourishment.”
Later this spring, the Pearl & Law team will expand their offerings at the Atlas when they open a separate rooftop space called Foxglove Terrace, designed to create the atmosphere of an Asian night market. The indoor and outdoor spaces will offer dramatic views of the Charles River, Cambridge, and Boston, highlighting the Atlas’ unique location.
“We really see the Atlas as not only the hospitality hub for the Enterprise Research Campus, but also as a launching pad for visitors to explore this side of Boston and Cambridge. Allston is easy to access from east, west, north, and south, and we pull together many international influences in this neighborhood, from Lebanese, to Cantonese, and now Nepalese with Ama. I think this combination of diversity and accessibility is an amazing draw for the community and our guests,” said Almonte.
The hotel was created with the proximity to Harvard Business School and the Science and Engineering Complex in mind as those audiences are equally important to the Atlas. Onsite meeting rooms have been designed to complement the larger conference spaces at the Rubenstein Treehouse next door.
“We know there is a wide web of Harvard Schools and programs and we want all Harvard affiliates, from various Schools to alumni, to join us here,” said Almonte. “We want this to be a gathering place for the existing neighbors, for people who are coming to visit, for people who are at the Rubenstein Treehouse for a conference. It really is supposed to be a place to foster organic interactions, and further the vibrancy of the ERC, and the broader neighborhood.”

Photo by Emma McIntyre/WireImage
Alum with Academy Award to his credit details hills and valleys of Hollywood career
In film school, writes Edward Zwick ’74 in his 2024 memoir, “We were all contemptuous of awards. As we got older, it turned out we were not so averse to winning them.”

Zwick — who directed the Academy Award-winning “Glory” and won an Oscar for Best Picture for his work as a producer on “Shakespeare in Love,” among other achievements — describes his career in “Hits, Flops, and Other Illusions: My Fortysomething Years in Hollywood” as a roller-coaster ride: days upon days in dingy hotel rooms followed by starstruck nights on the red carpet.
Ahead of the 98th Academy Awards, the Gazette asked Zwick what he makes of this year’s nominees, and what four decades in Hollywood have taught him about the value of winning a golden statue. This interview has been edited for clarity and length.
How did your award wins and nominations shape you as a filmmaker, and how do you think about them now?
Early on I had a kind of adolescent view of most things, a kind of contemptuous view of institutions. In my view, institutions had never been a very good judge of art. But Hollywood is a very seductive place. You’re surrounded by peers and the media. You begin to give these institutions greater importance. I fell prey to that, particularly as I was given a certain amount of attention for some of the things that I had done.
But for me, because it happened when I was young, it anticipated all sorts of hills and valleys, things that worked and things that didn’t work. It became clear to me eventually that the awards had very little impact on my self-esteem or on my process. The day after you win an award, you still have to get up and face the blank page. In fact, I found that success has this weird counterintuitive effect. There’s something anxiety-provoking about it: Why did this thing work when the others didn’t?
“The day after you win an award, you still have to get up and face the blank page.”
I found that only through failure do you learn to apply real critical analysis to the process, to why you made the choices that you made. Because there’s an alchemy to things that work that can’t necessarily be replicated.
How have you seen the film industry change since you were coming up?
Movies, when they were at the apex of the culture, had an ephemeral quality. A movie came to your local theater and you went to see it without any expectation that you would ever see it again. They had this momentous quality to them.
But as television became an alternate viewing experience, and then as DVDs and streaming came around, the market just got more difficult. Obviously, COVID had a huge impact on the movie-going experience as well.
Now we see movie production influenced by the algorithm, which presumes to tell us we should make a film because it has some relevance to another film and will therefore partake in its success. So we begin to see this imitative quality. And then films that are more unique or more challenging become a much more difficult bet and are therefore given smaller budgets and less marketing.
Add that on top of competition from YouTube, TikTok, and everything else, and movies take on an increasingly secondary place in the culture. Ultimately, audiences have to be trained and educated, and it’s hard to want what you haven’t seen. I worry that as audiences get accustomed to movies that were designed for mass appeal, that cycle will only continue.
Some would argue that unusual, challenging films are still being made to some degree. Looking at this year’s crop of nominees, for example, there’s “Sinners,” which racked up a record-breaking 16 nominations, and “Train Dreams.”
Oh, there are certainly wonderful and important films being made. It’s absolutely still possible.
With that in mind, what sticks out to you from this year’s nominees?
You mentioned “Sinners” and “Train Dreams.” “Hamnet” is a wonderful movie. And there were some great foreign movies, too. Joachim Trier’s “Sentimental Value” is quite wonderful as well.
But it’s really like comparing chalk and cheese. How do you compare “Train Dreams” to “Sinners” and say which one is better, or “Sentimental Values” to “Hamnet”? Sometimes a movie wins because it strikes a fashionable chord, or just by virtue of its unique qualities, or because of a clever marketing campaign.
As someone who’s been there, what advice would you give a nominee when it comes to the emotional roller coaster they’re sure to be on, whether they win or not?
I’d say to have a sense of humor about it. It’s a chance for some recognition, and that’s not to be diminished, but it’s also not to be overvalued. I think most people in Hollywood came to do what they do out of love and artistic impulse, and that’s what sustains them.
What made you set out to write a memoir when you did?
Had COVID not happened, it might never have come to be. I was about to start a project, but we were shut down literally the day before shooting was going to start. We thought, as we all did, that the shutdown might be brief, and we could get back to it, but that turned out not to be the case. So as lockdown went on, I did something I’d never really done, and I looked at some of my old movies. What I saw in them wasn’t their flaws or their virtues, but rather, the situations, the anecdotes, and particularly the people, these relationships that had been so intense and amusing and loving and vexing.
I just started writing about it. In the beginning I didn’t even think of it as a book. Eventually I labeled the file on my computer “B–k” so as not to offend the gods. But as I wrote, I came to realize that from a 30,000-foot view, there was a trajectory that spoke to a time of remarkable transition in the business. I found there was a kind of autumnal quality to it, that it would reflect something that was not quite a bygone era, but something that’s no longer the center of our culture.

Joyce Chaplin.
Photos by Niles Singer/Harvard Staff Photographer
Benjamin Franklin is known as a leading figure of the American Revolution, a diplomat, a printer and publisher, and an inventor. But in a lecture Thursday, Joyce Chaplin made the case that Franklin’s role as a man of science was central not only to his life but also to American independence.
Science gained cultural significance in the 18th century, as Europe embraced Enlightenment ideals, and Franklin made himself into one of the best-known scientific minds of his era, said Chaplin, James Duncan Phillips Professor of Early American History. That reputation, shaped in part by the publication of the pamphlet “Experiments and Observations on Electricity” in 1751, would pay dividends during the Revolution and beyond.
“Franklin did experiments that provided the first convincing explanations of electricity, including its manifestation as lightning,” said Chaplin. “Within the context of enthusiasm for science in the 18th century, this was important. His work in science gave Franklin unparalleled authority to defy a monarch who seemed to have become a tyrant … setting off the first political revolution in an age of revolutions that would continue into the early 19th century.”
The event, at the Geological Lecture Hall, was sponsored by the Collection of Historical Scientific Instruments, the Peabody Museum of Archaeology & Ethnology, and the Harvard Museums of Science and Culture. It marked the 250th anniversary of the Declaration of Independence.
“Franklin was interested in science because he was ambitious and knew he needed some extraordinary accomplishment to achieve any kind of prominence.”
Joyce Chaplin

Franklin was born in Boston in 1706. After a yearslong apprenticeship, he moved to Philadelphia at age 17 to establish himself as an independent printer. A year later he traveled to London, where he not only mastered the printing trade, but also developed a fascination for science to the point where he became “desperate to meet Isaac Newton,” said Chaplin, whose books include “The First Scientific American: Benjamin Franklin and the Pursuit of Genius.” Newton had published “Philosophiæ Naturalis Principia Mathematica” in 1687, in which he formulated the laws of motion and universal gravitation, and London was a hub of discovery and innovation.
It was a time when “participation in science was widespread and unspecialized,” Chaplin said. It was in London that Franklin learned “what a reputation in science might do for him,” she added.
“Franklin was interested in science,” Chaplin said, “because he was ambitious and knew he needed some extraordinary accomplishment to achieve any kind of prominence.”
When Franklin returned to Philadelphia, he quickly became a successful printer. In 1729, he purchased “The Pennsylvania Gazette,” and in 1732, he published “Poor Richard’s Almanack” to share his interest in science, including weather forecasts, and discoveries of the era.
Inspired by the Royal Society of London, which was founded in 1662 to promote scientific research, in 1731 Franklin created the Library Company of Philadelphia, which collected scientific instruments and sponsored lectures in science. He helped establish the American Philosophical Society and the Academy of Philadelphia, which later evolved into the University of Philadelphia.
Franklin’s work with electricity, including the kite experiment, secured him prominence first in Philadelphia and later in Europe, where he was respected and admired. In time, his fame would spread “into Russia and through the Americas, including the Spanish and Portuguese colonies,” said Chaplin.
When Immanuel Kant called Franklin a modern Prometheus for “having drawn fire or electricity from the heavens,” the German philosopher “was implying a similar defiance of the natural and supernatural order of things,” according to Chaplin. The same theme occupied Mary Shelley, who might have had Franklin in mind when she published “Frankenstein: or, The Modern Prometheus,” in 1818. Shelley’s novel presented “a darker vision of the man of science,” Chaplin noted, and delivered a “rather dire warning about scientific prowess.”
“Shelley had many possible targets in mind for this accusation,” she said. “Franklin is definitely one, maybe the major one, in this book. … If anyone ever asked me how Franklin is different from the other American founders, I’d say, in perfect truth, ‘Well, he’s the subtitle to Frankenstein.”’
And yet, as Franklin’s scientific fame grew, so did his political power. In 1753, he was appointed deputy postmaster general of North America. The year after, he was elected to represent the Pennsylvania assembly at the Albany Congress, “something that had never happened when he was just a printer,” Chaplin said. Franklin served as agent of the Pennsylvania assembly in London between 1757 and 1762.
During the Revolution, Franklin’s scientific reputation was an asset in his diplomatic efforts to secure France’s support for the insurgent colonies. He was a key figure in the founding and early years of the republic, helping draft the Declaration of Independence and the Constitution, but all his political power stemmed from his scientific prowess, Chaplin said.
“I do think the United States of America would have come into existence even if Benjamin Franklin never existed,” she said. “But I think most Americans are today unaware of the heavy lifting, starting in 1776, that Franklin’s reputation, as a famous man of science, performed for the United States. Science helped to make a powerful case for the nation at the dawn of its birth.”

John Kelly.
Niles Singer/Harvard Staff Photographer
New study focuses on those with long history of sobriety
The road to recovery is a lifelong endeavor for those struggling with alcohol use disorder.
People relapse an average of five times before achieving sustained sobriety — and stumbles can happen even after years of abstention, according to John Kelly.
Kelly, the Elizabeth R. Spallin Professor of Psychiatry at Harvard Medical School, is the first author of a new study that explores some warning signs for relapse, especially in those who have had long stretches of success.
In an interview with the Gazette, which has been edited for clarity and length, Kelly discussed the lack of research surrounding long-term relapse, and what clinicians and patients in recovery should look out for.
Could you explain what some of the markers look like in day-to-day life?
There were four domains we looked at — biological, psychological, social, and changes in treatment/recovery support services.
Biological factors are things like sleep, appetite, or pain. The psychological are things like anxiety, depression, boredom, or stress. Social factors are loneliness, isolation, or engagement with high-risk others and environments where alcohol or other drugs may be present.
And then treatment and recovery support services would be things like people changing their medication use, if they’re on an anti-relapse, anti-craving medication, or changing their going to meetings, or stopping counseling.
From a biological standpoint, the things that were most notable were pain and recreational drug use. They occurred more rarely, but when they did occur, they were very strong predictors of recurrence of the disorder.
“What can happen is that imperceptibly, under the radar and insidiously, people don’t realize that they’re moving toward a relapse.”
What sparked the decision to do this study?
We’ve got a ton of information — theoretical and empirical data — on short-term relapse. So we’re all quite familiar with the cues and triggers that can lead to relapse after a cessation attempt in these early days, weeks, and months. But there’s almost nothing that is known or was known about longer-term relapse once all of that so-called deconditioning has occurred — the unlearning of the conditioned cues that arouse the craving and the neurophysiological response when people become addicted to alcohol or other drugs.
We were able to uncover and discover some of the dynamics and content areas that were associated with longer-term relapse.
That’s what I think is very important from a disease-management perspective.
We talk about these illnesses as being chronically relapsing conditions, particularly in the first five years. It means that people, particularly in that first five years of their recovery, are still not out of the woods. They’re still susceptible to recurrence of the disorder, and yet we have no protocols in place for disease management in primary care or other clinical settings.
So what I wanted to do here was to try to see if we could uncover some of these warning signs that occur before people have a recurrence of the disorder, to monitor these kind of sobriety-based warning signs, or recovery vital signs that that can be monitored in primary care or other clinical settings.
Because we don’t have good biomarkers that will predict relapse or recurrence of an alcohol or other drug disorder, we have to rely on self-report and the kinds of psychosocial factors and environmental risk factors that can precipitate and increase risk.
In a clinical setting, how do we design the best screening questions to elicit the most useful responses?
I don’t think there’s any reason why people would be defensive about questions about pain, sleep, appetite, social-network changes, going to meetings, medication use. And so what we did is, we delineated a checklist, which is available in the paper as the appendix.
What that is, is a documentation and listing of all the things that people reported that precipitated relapse in the year. It provides a nice way for a clinician to broach the subject and then talk about some of these warning signs.
These signs are coming from people who have relapsed, who didn’t know that the relapse was coming. These people were, on average, in recovery for five or more years. What can happen is that imperceptibly, under the radar and insidiously, people don’t realize that they’re moving toward a relapse.
A good clinician can therefore talk about these things as risk factors, and make the patient more aware of them and even show them that these are potent risk factors for relapse, so pay attention to them.
“A very frequent, potent marker of relapse risk was when people reprioritized other things above their recovery.”
Why is it so important to catch this behavior as early as possible? How much more difficult is it to get back to sobriety after a relapse?
It can be, yes, because there’s a lot more shame and self-stigma that occurs in later relapses when people have been in recovery. So it’s very important to intervene before the recurrence of the disorder, to be proactive about it, rather than wait for some kind of disaster to happen — to end up in the emergency department, or overnight stays in the hospital, or some other thing that’s happened because of the recurrence of the disorder.
It can minimize the mortality rate and morbidity rate, as well as all the other aspects — the social ramifications and the negative ripple effects that occur in the families of people who relapse as well.
Was there anything that you found that was particularly surprising?
I think those biological factors, particularly physical pain. Even though that was a rare one, it was a potent one.
Also recreational drug use, especially with this kind of California sober idea — when if you have a certain type of drug use disorder, like alcohol use disorder, then you use something like cannabis as a kind of a harm-reduction or coping tool. But a lot of these people using something like cannabis relapsed on their primary drug, which was alcohol.
For me, a lot of it was really underscoring potent factors, which we’ve known about for a long time, like cognitive vigilance — the idea of making sure you don’t forget that you’re in recovery from this potentially deadly disorder, and making sure that regardless of how many days, months, years you have behind you, it doesn’t necessarily guarantee that you’re cured and that you still have to maintain vigilance.
So a very frequent, potent marker of relapse risk was when people reprioritized other things above their recovery.

Anastasia Berg, Jesse McCarthy, and George Scialabba.
Photo by Mira Kaplan
Panel discusses evolving tradition in U.S. due to social, economic shifts, and need for such thinkers in democratic cultures
If there’s one thing public intellectuals can agree on, it’s the necessity of disagreement. But thoughtful debate in a public forum is becoming increasingly rare, threatening the the future of intellectual life in America, according to George Scialabba ’69, Professor Jesse McCarthy, and Anastasia Berg ’09.
The three spoke about the evolving role of the public intellectual at an event hosted by the Public Culture Project, an initiative of the Division of Arts & Humanities, on Feb. 25.
“Partly, public intellectuals exist to give voice and articulation to as-yet unformed ideas in public, the populace. And hopefully to compare and contrast,” said Scialabba, an essayist and literary critic. “It never works ideally. Usually public intellectuals, like everyone else, are partisan — sometimes rancidly partisan. But in democratic cultures they do help people understand their encoded impulses and desires and see them or hear them represented in public life.”
Scialabba, whose most recent book is the just-published “The Sealed Envelope: Toward an Intelligent Utopia,” said that that despite the longtime stereotype of the U.S. as an anti-intellectual nation, the country has historically produced many public intellectuals across ideological traditions.
That would include, for instance, representatives of the so-called New York Intellectuals (such as Lionel Trilling, Clement Greenberg), Harlem Renaissance (W.E.B. Dubois, Alain Locke), Cold War liberals (Arthur Schlesinger Jr., Richard Hofstadter), conservatives (William F. Buckley, James Burnham), and individual writers like Hannah Arendt and Susan Sontag
But today, Scialabba said, the conditions that once supported great thinking are eroding. Urban gathering spaces and flexible part-time jobs that offered time and space to pursue intellectual pursuits are disappearing, and small magazines and newspapers can’t financially support writers the way they used to.
Additionally, many intellectuals have been absorbed into academia, where there is less room for public engagement, he said.
“For everyone, it means a narrowing horizon,” Scialabba said. “Students, especially, are affected. The panic currently raging among the young about their career prospects could not be a more effective deradicalizing agent and could not be more unfavorable to producing public intellectuals if it had been designed for that purpose.”
“For everyone, it means a narrowing horizon.”
George Scialabba
McCarthy, John L. Loeb Associate Professor of the Humanities and of the Social Sciences, defines intellectuals as people who believe deeply that ideas matter. He said that at many critical moments in American history, including the Civil War and the end of slavery, there was never a question for Black American intellectuals about whether arguments were important.
“There was no way to ever imagine that ideas didn’t matter, the stakes of political struggle have always been so stark and so immediate that the question of getting involved in this emerges spontaneously and of necessity,” McCarthy said.
Berg, a philosophy professor at the University of California, Irvine, worries that with the advancement of technology, including AI, young people are increasingly deprived of opportunities to hone linguistic and cognitive skills.
She said it was especially concerning at times like the present when ideas and arguments are more important than ever.
“I really worry that people will not be able to conduct an argument, as their entire cognitive, linguistic lives are being mediated for them,” Berg said.
She warned of the dangers of falling into patterns of habitual, unexamined thinking, citing philosopher Hannah Arendt’s idea that most evil arises from thoughtlessness or a shallow inability to think beyond clichés and stock phrases — such as the kind a large language model may produce.
In fact, the whole reason Socrates insisted on accosting Athenian citizens with existential questions was to promote “perplexity” in others, she said.
In some corners of the country, intellectuals are taking on the cause, passing their passion for inquiry to the next generation through initiatives like the Program for Public Thinking, run by the University of Chicago, and “The Point” magazine, where Berg is an editor.
“Our task has been to inculcate the habit of perplexed thinking,” said Berg. “It’s only such thinking, Arendt insisted, that can condition human beings against that most banal, the most common and most treacherous evildoing. There’s an ethical significance to being able to approach things in a perplexed manner.”
She acknowledged that engaging in intellectual discourse and disagreement with others can be uncomfortable and destabilizing. For hosts and organizers, it can be hard to provoke thought in an audience without alienating or scaring people off.
“How do we stage disagreements? This is a huge focus of what we try to convey to our students,” Berg said. “How do we disagree in public and stage a disagreement that’s antagonistic and exciting and incisive, that draws in rather than alienates our readers or the people who identify with one of those positions? How do we encounter beliefs radically different than our own without condescension or contempt?”
That can help us, she said, at a critical moment in history.
“Today I see this extra task for public intellectuals of safeguarding a public, safeguarding the capacity of people to meaningfully disagree with one another.”

Anne Applebaum and Serhii Plokhii.
Veasey Conway/Harvard Staff Photographer
Atlantic staff writer weighs Ukraine’s future, widespread threats to global stability
As the Russia-Ukraine war enters its fifth year, and with the U.S. seeming to withdraw from its role as a reliable security and trading partner, there is now a clear understanding in Europe that it’s time to turn the page and prepare to go it alone, says author and journalist Anne Applebaum.
“Everyone you speak to now, not just in Europe but especially in Europe, talks about hedging: ‘How do we hedge against the United States? How do we find other markets? How do we protect ourselves? We’re now in a world where we have America on one side and Russia on the other, and we need to think about what our voice will be,’” Applebaum, a staff writer for The Atlantic, said during a March 4 talk with Serhii Plokhii, the Mykhailo S. Hrushevs’kyi Professor of Ukrainian History at Harvard.
The event was part of a series of talks on Europe in wartime hosted by the Harvard Ukrainian Research Institute, the Davis Center for Russian and Eurasian Studies, and the Center for European Studies at Harvard.
Applebaum, who has written several books on the political histories of Russia, Ukraine, and Europe, said that the current global moment harkens back to the dark politics of a century ago, when ethnonationalism was on the rise. Most striking, she said, is the weakening of the rules-based world order that emerged after World War II and prevailed into the 21st century. At the recent Munich Security Conference, she said, the terms “liberal world order” and “rules-based world order” were being “used as a kind of insult” by some.
“It was a thing you say to dismiss somebody — ‘That’s someone who doesn’t know what’s going on because they’re still stuck in the ideas of the 1990s and 2000s and we moved to something else.’” She added: “It’s a really very radical change, and obviously, it affects Europe, obviously it affects Ukraine, and obviously it affects us.”
Beginning in the 1990s, after the fall of the Soviet Union, the EU thought that trade with Russia, especially for its cheap oil and gas, was the best path toward peace and good relations, Applebaum noted. By providing Russia with some financial stability and integrating it into European markets, the thinking went, the Kremlin would be disincentivized to engage in conflicts with countries along Europe’s Eastern flank, she said.
“The breaking of that belief, especially in Germany, has been profound,” Applebaum said, “and I don’t think it comes back anytime soon.”
One possible outcome of the war could be a Europe that includes Ukraine. With its vast mineral and agricultural wealth, along with its military strength, Ukraine could be a “transformational” member of the EU and NATO, Applebaum said.
While there is a real desire among many in the EU and Ukraine to make the accession happen, she said, the process cannot move forward without approval from all 27 EU nations on numerous governance, trade, and security issues.
“The Ukrainians are frustrated by the EU conversation because they think, ‘You’re blocking us for no reason,’ and Zelensky very much wants to be able to offer Ukrainians something at the end of the war,” Applebaum said. “It’s just that the logistical and institutional complications aren’t small. They’re important.”
It’s too soon to know how the U.S.-Israeli war with Iran will affect Ukraine or Russia, according to Applebaum. Should the conflict continue, the global instability it has caused, including a spike in oil prices, may boost the Russian economy at a critical juncture, she said. Rapid depletion of U.S. weapons could also benefit Russia, she added.
On the other hand, a besieged Iran, which has been an important strategic Russian ally and reportedly used Russian intelligence to hit U.S. military targets, could seriously weaken Russia’s influence in the region, she said.
Applebaum believes that both wars have revealed a fundamental flaw in the informal alliance of autocratic regimes like China, Russia, and Iran. Though their antipathy toward liberal democracy remains constant, she said, they have shown little willingness to provide military support to their fellow autocrats.
“A lot of those regimes turned out to be more fragile than had been previously imagined,” she said. “One of the premises was that they would help each other when in trouble — and that seems to be not true.”

Greatest gains for participants who were biologically older, researchers say
How quickly our bodies age on a cellular level — our “biological age” — can differ from how old we actually are in years. Using data from a large randomized clinical trial of older adults, researchers from Harvard and Mass General Brigham evaluated the effects of taking a daily multivitamin over the course of two years on five measures of biological aging and found a slowing equivalent to about four months of aging. The benefits were increased in those who were biologically older than their actual age at the start of the trial. The results are published in Nature Medicine.
“There is a lot of interest today in identifying ways to not just live longer, but to live better,” said senior author Howard Sesso, a preventive medicine specialist at Mass General and a Harvard Chan School epidemiologist. “It was exciting to see the benefits of a multivitamin linked with markers of biological aging. This study opens the door to learning more about accessible, safe interventions that contribute to healthier, higher-quality aging.”
Epigenetic clocks estimate biological aging based on tiny changes in DNA. These clocks look at specific sites in our DNA that regulate gene expression (known as DNA methylation) and change naturally as we get older, helping track mortality and the pace of aging.
The new study, which uses data from the well-established COcoa Supplement Multivitamins Outcomes Study (COSMOS), analyzed DNA methylation data from blood samples of 958 randomly selected healthy participants with an average chronological age of 70.
Participants were randomized to take a daily cocoa extract and multivitamin; daily cocoa extract and placebo; placebo and multivitamin; or placebos only. Samples were analyzed for changes in five epigenetic clocks from the start of the trial and at the end of the first and second years. Compared to the placebo-only group, people in the multivitamin group had slowing in all five epigenetic clocks, including statistically significant slowing in the two clocks that are predictive of mortality. The changes equated to about four months less biological aging over the course of two years. Additionally, people who were biologically older than their actual age at the start of the trial benefited the most.
“We plan to do follow-up research to determine if the slowing of biological aging — observed through these five epigenetic clocks, and additional or new ones — persists after the trial ends,” said co-author and collaborator Yanbin Dong of the Medical College of Georgia, Augusta University.
Said Sesso: “A lot of people take a multivitamin without necessarily knowing any benefits from taking it, so the more we can learn about its potential health benefits, the better.”
The study received funding from the National Institutes of Health.
Elizabeth Jones (left), Shawon Kinew, and Jiwon Lee.
Veasey Conway/Harvard Staff Photographer; photo illustration by Liz Zonarich/Harvard Staff
The vibe was festive, with jazz playing in the background. Students worked quickly but didn’t rush to form relief sculptures of fruit — apples, lemon, pomegranate, strawberries, cherries, leaves, all set against an arch.
The group of 11 had gathered at the Harvard Art Museums’ Materials Lab on a recent Friday afternoon to try their hands at sculpting in stucco, a thick, gritty compound made of lime, sand, and marble dust that had been widely used for decorative purposes during the Renaissance and Baroque periods across Europe.
Held as part of the graduate seminar “Sculpture, Theory, Practice: Donatello, Michelangelo, Bernini, Serpotta,” taught by Shawon Kinew, assistant professor in the Department of History of Art and Architecture, the workshop aimed to bridge the theory and practice of sculpture.
“As an art historian, sometimes our discipline can become a little removed or abstracted from the actual materiality or the physical object itself,” said Kinew. “It’s always a valuable experience when you have that tactile understanding of what the artist was doing. Our aim in this workshop is to challenge our knowledge with the practical experience of art-making — what changes for the art historian when she knows how to make.”

Students of the graduate seminar “Sculpture, Theory, Practice: Donatello, Michelangelo, Bernini, Serpotta” try their hands at sculpting in stucco.
Photos by Lauren McMahon

A detail of the armature, the framework supporting the individual relief sculptures, made by students.

Conservator Alberto Felici applies a final layer of marmorino, a mix of lime and marble dust, on one of the sculptures.

Felici, who led the stucco workshop with conservator Elisabeth Manship, shows one of the relief sculptures.

Each relief sculpture was designed to be placed together so that the arches could form a circle.
Wearing white coats and blue gloves, students followed recipes of stucco mixes, materials, and techniques used centuries ago by artists Alejandro Casella, Pietro da Cortona, and Giacomo Serpotta as they molded relief sculptures from the armature, the framework supporting a sculpture, to the final layer of marmorino, a mix of lime and marble dust.
By the end of the workshop, students left with lessons beyond art history or stucco decoration.
Nathaniel Shields ’26, a master’s student in engineering and business, said the workshop helped him gain a better appreciation of art and what it takes to produce it, as well as a chance to practice what he was learning in class.
“It’s a huge privilege to be able to enter a class like this, where you have the ability to consider things from the historical perspective, but also the practical perspective,” said Shields. “After reading and learning about this material and the artwork in class, obviously the ability to put your hands into some stucco and try to make something yourself is pretty exciting.”
Kinew’s class focuses on artists such as Donatello, Michelangelo, Bernini, and Serpotta, and their use of materials such as bronze, wood, marble, wax, clay, and stucco.
The workshop’s focus on stucco was significant, said Kinew, because art historians have overlooked the material despite its widespread use across Europe between the 16th and 18th centuries.

Giacomo Serpotta’s work in Oratorio di San Lorenzo, located in Palermo, Italy.
Photo by Shawon Kinew
“Stucco sculpture is one of the most important and ubiquitous media of Renaissance and Baroque Italy, and still it is rare for it to get the same scholarly treatment as fresco or marble sculpture,” said Kinew.
Similar to marble but much cheaper and lighter, stucco was mostly used in sculpture and decoration in churches and palaces throughout Italy and Europe.
Due to its lightness, sculptors favored stucco as a “material of flight,” said Kinew. “It could render the most fantastic visions of flight — flying figures that seem suspended in air, rays of light, sunburst figures, all of which could only be achieved in stucco,” she added.
Tony Sigel, a former senior conservator at Harvard Art Museums, aided students during the workshop. He highlighted the role of the Materials Lab, which hosts hands-on classes for the public, campus groups, and students.
“Having a room like this in a museum like this is a very unique thing,” said Sigel, “and having the course taught by conservators is a gift.”
Conservators Alberto Felici and Elisabeth Manship, who led the workshop, said they hoped the students learn lessons that will help them in careers as art historians — or even as art enthusiasts. Felici and Manship are lecturers and researchers in the renowned conservation program of the University of Applied Sciences and Arts of Southern Switzerland.
“The main takeaway for me is that they realize how complicated it is,” said Felici. “It’s important that the students are able to understand the behavior of different materials, the thinking and the work that went into creating the art so that they would be able to better understand the aim of the artist.”
“The main takeaway for me is that they realize how complicated it is.”
Alberto Felici
In addition, students learned how much of this kind of art was a collective effort, Manship said. By working in groups, students replicated the workshop system used by Italian artists, who often collaborated with dozens of assistants and craftsmen on large projects.
“We forget that there were huge groups of people working together even if we only know the name of one artist,” Manship said.
For students, the best part was being able to work with a material they have been studying. They didn’t mind the challenges of dealing with stucco, a self-hardening material that requires fast work and nimble fingers.
“I’m not very good at what I’m doing,” said History of Art & Architecture concentrator Charlie Benjamin ’26 as he worked on sculpting a lemon. “I have a lot more appreciation for the artists themselves … In a way, the workshop demystified the art-making process, which you think of as a spontaneous act of creation, and you realize just how much sweat and forethought has to go into something [like] creating art.”
For Kinew, the workshop was a return to the legacy of art history classes that included making, which began at Harvard with Edward Waldo Forbes’ signature course, “Methods and Processes of Italian Painting,” known to students as the “Egg and Plaster” course, in 1932.
An art historian and pioneer in art conservation, Forbes taught students how to recreate early Italian paintings by using egg tempera, made from pigments mixed with egg yolk.
“Forbes’ students came to understand Giotto and Michelangelo by painting in tempera and in fresco,” Kinew said. “This was a moment when the study of art history was wholly integrated with art-making, a time when art history found its home in the museum.”
Kinew hopes that the workshop will help students and art lovers gain a deeper artistic appreciation of stucco as a decorative and sculptural art form.
“My hope is that now when we visit Roman or Palermitan chapels, we will see these spaces in all their complexity and parts, as stucco confections,” Kinew said. “It will be like seeing these spaces in technicolor for the first time.”

Christina Woo.
Photos by Veasey Conway/Harvard Staff Photographer
Scientists identify path toward making cancer drugs safer and more selective
For years, a protein inside our cells has quietly powered billions of dollars’ worth of cancer drugs. Now a team of researchers have discovered that this workhorse protein, called cereblon, in addition to its known functions, can also fine‑tune which proteins live and which are sent to the cellular trash.
The new study, published in Nature, is the first to identify and map an allosteric site — a hidden binding pocket — on cereblon. This research was led by Christina Woo, professor of chemistry and chemical biology, and her research group, in collaboration with a team of scientists at pharmaceutical company GSK and Scripps Research Institute.
Cereblon is part of a protein complex that tags other proteins for destruction. It became infamous because it was targeted by thalidomide, a drug prescribed for morning sickness in the 1950s and 1960s that caused birth defects. Decades later, thalidomide and related compounds were rehabilitated as treatments for blood cancers, precisely because they can redirect cereblon to tag disease‑causing proteins.
That principle is underpinned by a strategy called targeted protein degradation. Chemists design small molecules that bring bad proteins to cereblon, which then marks them for disposal by the cell’s disposal machinery.
Until now, nearly all of that work focused on cereblon’s orthosteric binding site — the same site thalidomide uses. The new study reveals that cereblon also has a second pocket, an allosteric site, that doesn’t replace the main binding site but changes what happens once it is engaged.
“This work is so novel that when I share it with audiences, you can see a ripple effect across the room of just how excited they are to learn about this new binding site on cereblon,” Woo said.
Scientists at GSK first identified a small molecule, SB‑405483, that appeared to boost certain signals, suggesting it might be binding somewhere else on cereblon.
“We immediately recognized that the discovery of an allosteric cereblon binder could represent a fundamentally new area of cereblon biology for exploration,” said Andrew Benowitz, executive director at GSK and former American Cancer Society postdoc at Harvard. “We knew of Professor Woo’s breakthrough contributions to the understanding of cereblon biology, and it seemed like a very natural idea to initiate a collaboration with her to better understand exactly what we had found.”
The Woo Lab led an extensive set of cell‑based studies, using reporter cell lines that produced different cereblon neosubstrates — proteins that can be targeted for degradation — fused to fluorescent tags. When a tagged protein was destroyed, its glow faded. By treating these cells with standard cereblon‑targeting drugs at the main site — with and without the new allosteric ligand — they could watch how the second site changed what was degraded.

In some combinations, the allosteric ligand made certain targets easier to destroy. In others, it protected them, reducing their degradation. In many cases, results depended on the existing cereblon‑binding drug with which it was paired.
“We saw that this small molecule can enhance the degradation of certain neosubstrates in the presence of certain orthosteric ligands, but also that modulating this allosteric site can inhibit neosubstrate degradation,” said first author Vanessa Dippon, a graduate student at the Kenneth C. Griffin Graduate School of Arts and Sciences. “It just completely changed the repertoire and landscape of cereblon neosubstrate degradation.”
For Woo, that selectivity is the heart of the discovery.
“The most immediate application is the potential to enhance efficacy of orthosteric ligands for the desired target, and reduce off‑target toxicity, by reducing the ability to recruit undesirable targets,” she said.
To understand why a hidden site could have such wide‑ranging effects, the team turned to structural biology. Working with cryo‑electron microscopy expert Gabriel Lander at Scripps, they obtained high‑resolution snapshots of cereblon in different shapes.
Those structures revealed that when both the main and the allosteric sites are occupied, cereblon moves through a previously unseen intermediate form and settles into a more closed shape that is especially good at grabbing proteins marked for destruction. They also showed that the allosteric ligand nudges the main‑site drugs into slightly different positions, offering a structural explanation for the shifting degradation patterns seen in cells.
The discovery opens several new possibilities. One is to use allosteric ligands as add‑on modulators for existing cereblon‑based cancer drugs — boosting their action on desired targets while limiting the degradation of proteins linked to side effects. Another is to design new molecular glues or two‑headed degrader molecules that use the allosteric pocket itself.
More broadly, Woo sees the work as a window into how cells may naturally regulate cereblon and related enzymes.
“It implies that there’s so much more to understand about the way that these E3 ligases are regulated in us,” she said. “That likely implies that there are small molecules — endogenous molecules — that are doing those functions already. And we’re just kind of catching up to understanding it.”
The project was partially supported by the National Science Foundation and the National Institutes of Health.

Alzheimer’s research panelists Cara Croft (from left), Ganga Bey, Jennifer Gatchel, Leyla Akay, and Immaculata De Vivo.
Veasey Conway/Harvard Staff Photographer
Alzheimer’s disease is widely believed to be caused by accumulating amyloid plaques in the brain, which trigger cascading effects that cause damage. But efforts to reduce amyloid plaques haven’t reversed cognitive decline, causing some to wonder whether something else is going on.
Leyla Akay, director of biology at the Boston area startup TAC Therapeutics, is among them — and thinks that “something else” might be fat metabolism, or, more precisely, disruptions to normal fat metabolism in the brain.
Akay, who spoke at the Radcliffe Institute for Advanced Study on Thursday, pointed out that the recently approved Alzheimer’s drug donanemab reduces amyloid beta plaques in the brain, but that it only slows cognitive decline and doesn’t reverse it.
“Ultimately, these patients are declining,” said Akay. “It’s fair to ask if we can do better and ask, ‘Are there other potential causes of biological mechanisms contributing to Alzheimer’s disease?’”
During Akay’s doctoral work at MIT, she zeroed in on the APOE4 gene, a mutation of APOE3 and major risk factor for developing Alzheimer’s disease. APOE4 plays a role in lipid transport in the brain but is worse at the task than APOE3. The result is lipids accumulating inside of brain cells and disruption of nerve cells’ fatty myelin coating, which could affect how nerve signals move through the brain.
When Akay’s lab discovered that inhibiting a molecule called GSK3 beta reduced lipid accumulation inside of brain cells and improved myelination, they started TAC Therapeutics to develop the idea further.
Akay told the audience for the panel, which was part of Radcliffe’s Next in Science series, that early results are promising but there’s a lot of work still to be done.
“A lot of work ahead” was also a theme for other speakers at the event, who spoke about modifiable risk factors for Alzheimer’s, the possibility of social drivers influencing the condition, and how work continuing on the amyloid beta front includes a focus on the second step in the destructive cascade: the development of tangles of a protein called tau in the brain.
The event was moderated by Immaculata De Vivo, professor of medicine at Harvard Medical School, professor of epidemiology at the T.H. Chan School of Public Health, and the Melanie Mason Niemiec ’71 Faculty Codirector of the Sciences at Radcliffe. De Vivo said dementia — with Alzheimer’s as the leading cause — already affects 55 million people in the world, and that number is set to almost triple by 2050. Despite that gloomy forecast, De Vivo hailed the research moving ahead on several fronts that continues to push the frontiers of knowledge about the feared condition.
She hailed advances in molecular and cellular neuroscience, genetics, and genomics, in our understanding of how environmental conditions increase risk, and how clinical trials and advances in prevention are working to delay onset and slow progression.
“This is a moment of real possibility,” De Vivo said. “Our speakers today are advancing our understanding of dementia from very different vantage points: epidemiology and social drivers of health, clinical research and prevention, neurobiology and model systems, and the role of lipids — fats — and genetics in neurodegeneration.”
Cara Croft, senior lecturer in neuroscience at Queen Mary University of London described work in her lab using mice and naked mole-rats to explore the role of the protein tau in Alzheimer’s disease. Tau accumulates in fibrous tangles in the brain and is believed to be triggered by the initial accumulation of amyloid beta plaques. A key part of her work is examining how neurons can sometimes unravel tau tangles, allowing them to be cleared rather than accumulate.
“We know that proteins can unravel and unclump and that’s something that we want to boost,” Croft said. “Some neurons already have this fast tau unraveling and we want to normalize them all to have this really fast tau unraveling with the idea that this could be a future treatment for Alzheimer’s disease or dementia.”
Reducing risk of developing Alzheimer’s in the first place is possible and may depend in part on our legs and our appetites. Jennifer Gatchel, assistant professor of psychiatry at HMS and Massachusetts General Hospital, said recent work has shown that there is such a thing as a brain-healthy diet. The Mediterranean diet with legumes, fish, and olive oil; the DASH diet focused on lowering blood pressure; and the MIND diet, which combines elements of the two, have all shown benefits in lowering Alzheimer’s risk. Gatchel also pointed to recent work out of MGH that found that physical activity can affect risk. Those who walked more had reduced risk of the condition. And, though walking more was associated with even lower risk, even the lowest level, 3,000 steps per day, brought positive benefits.
“Even small incremental changes can actually have biological effects on our brain, so it doesn’t have to be all or nothing,” Gatchel said. “That was a very, very exciting finding.”
Our position in society may also play a role in our Alzheimer’s risk, according to Ganga Bey, assistant professor at the University of North Carolina Chapel Hill. Bey’s research focuses on how the stressors that come with social hierarchy, made up of socioeconomic factors such as race, gender, and ethnicity, can increase Alzheimer’s risk through stress, diet, blood pressure, and other physiological factors. The result, Bey said, is that Black Americans have twice the risk of Alzheimer’s, and Hispanics 1.5 times the risk, as non-Hispanic white Americans.
“Alzheimer’s disease and related dementias are patterned along clear racial, ethnic, and socioeconomic lines. Some sex or gender disparities exist as well but they are less consistently observed,” Bey said. “What in the environment that is doing all these things and causing so much disease, but is so poorly understood? What is it exactly that we’re referring to and how does it influence the behavior of our genes?”

Moviegoing isn’t what it used to be. Rising ticket prices, worsening theater etiquette, and lingering effects of the COVID-19 pandemic have all contributed to sagging box office numbers. A survey from October shows the percentage of moviegoers who frequently see films in theaters decreased from 39 percent in 2019 to 17 percent in 2025. In another poll conducted last year, 75 percent of Americans said they had recently opted to stream a movie at home instead of watching it in the theater.
Yet certain groups of dedicated moviegoers are defying those trends, particularly Gen Z audiences. In-theater events, anniversary screenings, and blockbusters with strong social media marketing have shown the most promise in filling seats, but recent releases shouldn’t be discounted: Ryan Coogler’s record-breaking Oscar nominee “Sinners” (2025) was shown at AMC Theaters in January for the fourth time, not even a year since its opening.
What is bringing some audiences back to theaters when it’s more convenient and cost-effective to watch at home? In a conversation edited for clarity and length, we asked Nathan Roberts, filmmaker, professor, and head instructor at Harvard Extension School, what he’s learned in six years of teaching his course “Why Do Movies Move Us?: The Psychology and Philosophy of Filmgoing.”
The last six years have highlighted the attendance problem facing theaters, but among groups that buck those trends you’d almost think it’s a non-issue.
There’s always been a kind of ritual aspect of going to the cinema that I feel has grown. When something becomes more of a niche activity, it can gain popularity for those who take it seriously. There is a certain identity associated with that activity, a kind of doubling down. There’s a similar kind of ownership that I’ve seen people taking with film that, in some ways, has to be taken if you’re going to justify going out of your way to go to the theater when it’s easier to watch something at home.
When there’s an event or specialness to a certain film, it tends to do well, but when people think of event cinema, they tend to think of things that are really big — films that are expensive, films that are lavish — but I also feel like something to pay attention to is how the event-ness isn’t just a question of size, but a question of delight in collective experience. People who like concerts can go to big festivals, but true lovers of live music often will enjoy going to a smaller venue with an artist they really love, where it feels like there’s a kind of intimacy. I’m curious to see to what degree we can discern whether collective intimacy is as important, if not more important, than the bigness or splashiness of the event. A recent example is the film “Send Help” (2026), which is unique as it held consistently at the box office despite losing screens. It’s a very fun film to watch with the crowd because not only are transgressive things happening — there are some sequences that are kind of violent and crazy — but there’s this psychological element to how these two characters relate, which makes it so fun to see with a full house and people reacting. I think it is a sign that an original studio film — not a piece of intellectual property — can actually do quite well and maintain longevity because of how fun it is to watch with an audience.

Nathan Roberts.
Photo by Jessica Lim
Is there really a measurable difference between seeing movies at home versus in the theater?
In one study from 2021, they found that it’s not only hardcore cinephiles who like going to the movies. There’s actually an emotional component to how people respond to films that differs depending on whether they watch them in the theaters or at home. That said, empirical studies are difficult because there are so many independent variables that go into every single experience of film viewing. I think that’s why a lot of the scholarship on this issue has been phenomenological, largely drawing on and thinking through aspects of personal experience that can be shared, but come from a subjective place rather than an objective one.
How do reissues fit into the conversation?
Reissues are in part, a response to the broader problems at the box office: a lack of theatrically distributed films across the board. A lot of these theaters — AMC Theatres and so on — are built with a number of auditoriums that are not necessarily being fully utilized. There’s empty space and the theater isn’t making money. So regardless of the number of people who go to these reissues, offering the possibility for people to buy tickets and come to see these films is only a net gain for the theater.
There’s also the question of differentiating the theater experience from the home experience. Home theaters are great — now you can get huge televisions, but you can’t match the quality of IMAX at home. A lot of these reissues are in IMAX, including films not shot on IMAX. One of the more interesting and strange reissues, in my opinion, was “Black Swan” (2010) in IMAX last year. That film was shot on 16 mm, and IMAX is 65 mm. There must have been some post-production processes that they did in order to make it look good when it was blown up to IMAX, but that, to me, suggests that the reason for the reissue is not necessarily even a means of showing the film in the best possible way, but providing a sensory experience for a viewer that they simply can’t have at home. There’s a long history of Hollywood cultivating technologies for theaters to differentiate themselves from home television distribution. It feels to me like this is a continuation of that process. I do wonder if people are thinking, “Wow, this film was amazing to watch at home, how cool would it be to actually see it on the big screen, or to see it in IMAX?” Re-releases offer an opportunity for people who, the first time around, weren’t motivated to see it on the big screen, to catch a full sensory experience of a film.
“Filmmakers desire to create immersive collective experiences, because those are often the experiences that made them love and want to make films in the first place. “
Given how many don’t make it to theaters, are filmmakers still making movies with the theatrical experience in mind?
This is one of the places where it’s important to differentiate between what studios desire and what filmmakers desire. Filmmakers desire to create immersive collective experiences, because those are often the experiences that made them love and want to make films in the first place. It’s only, in my experience, industry incentives that push against that. On the extreme end of the spectrum, something that has grown as a way to make money while the film industry is floundering are these so-called “vertical dramas,” literally designed to be watched on the phone. Often, they’re low production value, nonunion projects that don’t pay very well. From my point of view, living in Los Angeles, being a filmmaker, having talked to filmmakers, I don’t know a single one who’s like, “I can’t wait to make this vertical drama,” or “I can’t wait to make something that people watch at home on streaming.” This is continually backed up by things that you can read in the press and hear at award ceremonies where filmmakers say, “Keep theaters alive!” “Go to theaters!” Part of the desire is to create an image that is so detailed and full that it can be appreciated on a big screen, to craft a kind of overwhelming or sensory experience. There’s a delight in creating a 5.1 surround-sound experience that can only be had on the quality sound system of a theater.
So why do movies move us?
Every time you go to sit down and see a film with a group of people or by yourself, there’s always something that is going to be moving in a new and different way. That is what gives me hope in filmgoing: There isn’t a preset way of how movies move us. There are always possibilities for new forms and new ways of being moved, and new ways of forming collectivities, whether it’s seeing films in the theater, gallery, or seeing films at home. The lack of predictability, or the lack of predictable response, is a beautiful thing.

Illustration by Liz Zonarich/Harvard Staff
Faculty, staff offer recommendations for side trips off the beaten path
Every book is a doorway into another world, and some worlds are weirder than others. We asked members of the campus community to recommend a few that expand our notions of what literature can be.

A half-century before the advent of LLMs, Italo Calvino was experimenting with the use of combinatory and computational systems for crafting new literary works.
The automation of writing, he speculated, could open up powerful new horizons of literary expression as machines became increasingly capable of bringing to the page “all those things that we are accustomed to consider as the most jealously guarded attributes of our psychological life, of our daily experience, our unpredictable changes of mood and inner elations, despairs and moments of illumination.”
Frustrated by the limitations of period computer technology, he found his ideal “machine” in the tarot card decks used by card players and cartomancers.
Such is the storytelling engine deployed in “The Castle of Crossed Destinies” (1973), a novel built out of images instead of words, in which the narrator “plays” two separate decks and each run of cards generates a sequence of intertwined tales that include the stories of Astolfo’s journey to the Moon in the “Orlando Furioso” and the plots of “Hamlet,” “Macbeth,” and “King Lear.”
The novel is divided into two sections: “The Castle of Crossed Destinies” (which takes place in a medieval castle and is built around the mid-15th-century Visconti-Sforza tarot) and “The Tavern of Crossed Destinies” (which occurs in a Renaissance inn and is built around the 17th-century Marseille tarot).
Calvino thought of adding a contemporary, post-apocalyptic coda to the book, titled “The Motel of Crossed Destinies,” generated by remixing fragments of comic strips and popular magazines, but never brought the project to fruition.
— Jeffrey Schnapp, Carl A. Pescosolido Chair in Romance and Comparative Literatures, founder of MetaLAB (at) Harvard, and faculty co-director of the Berkman Klein Center for Internet and Society

Playwright Adrienne Kennedy’s “People Who Led to My Plays” (1987) is an extraordinary memoir, a journey into the mind of a brilliant artist, an explosive collection of lists, thoughts, photographs, and images that takes us into her life and development as an artist.
The memoir begins with her years as a young Black girl in elementary school in Ohio in the 1930s, and it ends with her traveling to Europe and Africa in 1960-61 with her own young family, where she finally discovered the distinct nonlinear style and voice that would make her one of the greatest playwrights of our time.
The structure of the book is exhilarating and unexpected. It is divided into five chronological sections, and each section is full of vignettes — sometimes a few paragraphs and sometimes only a line or two, each one beginning with an italicized name or place. A single page might include headings such as: “People my mother dreamed about,” “Julius Caesar,” “Lorca,” “My father,” “Paul Robeson.”
Threaded between these vignettes are family photos, pictures of movie stars, writers, art — all the people and places that shaped her plays.
Imagine someone taking you into a room that leads to a thousand other rooms — showing you this image and that, telling you what it is that struck their heart as they saw it or thought about it, speaking to you with a powerful directness and candor. This is a book that is at once a work of poetry, a scrapbook, a glimpse into the mind of an artist, and a portrait of the world.
I cherish my copy. Adrienne Kennedy taught at Harvard my freshman year, and her playwriting class was the first course I took. She gave me a copy of “People Who Led to My Plays” after I’d finished her course, over tea, and she wrote words of encouragement inside. It meant so much!
— Talaya Adrienne Delaney, research adviser in the humanities and lecturer at Harvard Extension School

It’s hard to call this experimental fiction since I don’t know that the author is explicitly trying, but it certainly falls under “weird books.” It’s a collection of fragments, aphorisms, short little things that Lichtenberg, the 18th-century German polymath, jotted down for himself. It feels quite modern, like a person’s “drafts” folder for the current social media age.
— Tomer Ullman, Morris Kahn Associate Professor of Psychology
My pick is Tove Jansson’s “Moominvalley in November”(1970), translated by Kingsley Hart.

Queer Finnish artist and writer Tove Jansson’s balloonish, serene Moomins are popular children’s characters the world over, as are the other figures who populate their world of Moominvalley. But “Moominvalley in November,” the ninth and final book in the series, is an unlikely children’s book about adult problems, written after the death of Jansson’s mother and suffused with suppressed grief and rage, all written in the gentle, sparse style of the earlier books.
The Moomin family are absent — they are having an adventure at sea driven by Moominpappa’s midlife crisis, documented in “Moominpappa at Sea” — and in their absence, six lonely, neurotic strangers drift into their empty house and wait for them to return. Among them are Fillyjonk, a cleaning obsessive who has developed a phobia of cleaning; Hemulen, who cannot live up to the standards of masculinity he has set for himself; Toft, a small, quiet creature who becomes fixated upon an old biology textbook he finds in the Moomins’ attic, and from it accidentally creates a monster; and Snufkin, who has lost a tune.
It’s a bewildering, beautiful book about letting go of family, deeply weird, and I return to it over and over.
— Anna Wilson, assistant professor in the Department of English

“The Book of Margery Kempe” is, in the words of its most recent editor, astonishing.
Its very existence is something of a miracle. The sole surviving manuscript was discovered in the billiard room of a country house in Derbyshire in 1934. The befuddled owners turned to an expert, Hope Emily Allen (who had studied at Radcliffe) to tell them what they had. Allen immediately recognized it as a long-lost copy of Margery’s “Book” and took the lead as co-editor of the first scholarly edition in 1940. (A translation by B.A. Windeatt was published by Penguin in 1985.)
The book has pride of place as the first autobiography in English, authored around 1430 by a woman who couldn’t read or write, so she dictated her life’s story to two men, one of whom was her son.
Margery herself was no less astonishing than her book. The mother of 14 children, she abandoned her conventional role as a merchant’s wife to devote herself to her spiritual calling. “The Book’s” episodes move between local life in Norfolk and far-flung journeys across Europe, including pilgrimages to Rome and Jerusalem. It tells of Margery’s ecstatic visions and her public bouts of weeping she called “roaring.”
Fearless about professing her faith, she came under scrutiny by church authorities, but like Chaucer’s fictional Wife of Bath, Margery adeptly used the words of scripture to refute her accusers. Weirdly unique, uniquely weird: There’s nothing quite like Margery Kempe and her “Book.”
— Daniel Donoghue, John P. Marquand Professor of English, general editor of the Dumbarton Oaks Medieval Library

Spanning from the 1600s until today, we see the life of Addie LaRue, who made a bargain to live forever but is cursed to be forgotten by everyone she meets. This story, published in 2020, felt like it was creating a mythos as it was told, spanning centuries of Addie’s life as we learn what it means to be remembered. This feels more like a late summer, early fall book if you are a seasonal reader like me!
— Meg McMahon, Harvard Library user experience researcher
Although the medieval writer Geoffrey Chaucer has long been called the Father of English Poetry, his most famous literary work is notably weird. “The Canterbury Tales” recounts how a group of pilgrims travel together from outside London to Canterbury and play a tale-telling game along the way.
So far, so good.

But for a supposed literary masterpiece, the “Tales” is wildly variable and uneven. It includes chivalric romances and stories of Christian virtue, fart jokes, and adulterous trysts. Parts of it are entertaining; parts are beautiful; parts are wickedly funny; parts are dull.
How are readers meant to feel about all this? Should they be offended, or bored? And which tale wins the prize? We’ll never know the answer to the last question because the work is unfinished. Not only that, but it survives only in pieces, which scholars are unsure how to arrange.
This is where the full weirdness of “The Canterbury Tales” emerges, in the murky intersection of historical accident, historical difference, and poetic invention. Chaucer was doing something quite new with the “Tales,” something that would have struck even his contemporaries as weird.
But plenty of the peculiarities we notice derive from the context we’ve lost between 1400 and today. Part of why I love reading Chaucer is the fun of following these tangled threads of the strange.
— Julie Orlemanski, Walter Jackson Bate Fellow at the Radcliffe Institute

Many years ago, I bought a book called simply, “14,000 Things to be Happy About” (1990) by Barbara Ann Kipfer. The premise is so simple it’s almost absurd — the book is just a list of things: “bakery croissants,” “a bedroom library,” “ a stalled car catching,” “the taste of cake batter,” “snappy salutations,” “listening for the sound of a key in the lock,” “the tag on our pillows that says sternly for reasons no one seems to know ‘Do not remove this tag under penalty of law.’”
I smile every time I open the book. Every page has something that I either love or marvel that I can’t stand but someone else loves, which also brings joy. How can someone get happy about “the act of entering a room and forgetting why” or “the gap in the dressing room curtain that can never be completely closed” or “overcoming acalculia (inability to do basic math),” I think, and I laugh at the variety of this world.
I also love the book’s subtle instruction — these words are just words; what brings joy is the meaning we associate with each event it conjures.
It also serves as a reminder that books are objects of craft. So, my tattered copy of the book is right there in the living room next to the others, and I love the strange little book, if we might call it that, so much.
— Sarah Lewis, John L. Loeb Associate Professor of the Humanities and associate professor of African and African American Studies

Ann Forsyth.
Niles Singer/Harvard Staff Photographer
Most older adults say they want to spend their golden years in their own homes. The reality is more complicated, says urban planning expert.
With the rapid graying of the United States, due to extended lifespans and declining birth rates, concerns among older adults are also on the rise. Their worries range from financial concerns to physical and mental health issues to healthcare and housing. Most older adults would prefer to stay in their own homes throughout their golden years, according to a recent Pew Research Center poll. But aging in place is not that simple.
In this interview, which has been edited for clarity and length, Ann Forsyth, Ruth and Frank Stanton Professor of Urban Planning at the Graduate School of Design, talks about what aging in place entails, how technology helps older adults, and what communities can do to assist those who want to avoid the nursing home.
In surveys, most older adults say that they would prefer to live in their own home rather than a nursing home. How would you define aging in place?
At its simplest, it is aging in your own home. But that leaves a lot of questions, such as which home is home? Is it the home you lived in in your 40s and 50s? Is it one that you moved into in your 60s and 70s in order to age in place? And then the issue is, for how long? Is it one that you would leave only when you die? Or do you stay in that home as long as you can look after yourself and then move somewhere else in your community, maybe a senior housing development? For many people, aging in place is really about staying outside a nursing home.
What challenges do people face when trying to live independently as they age?
The main issue is uncertainty. There are many positives about staying in your own home. It provides shelter, meaning, and continuity. You may want to stay in your own home, but you’ve got uncertainty about whether you’ll be physically able and mentally able to manage your household. There’s also uncertainty about how long your household will stay intact. If you’re married or have a partner, and something happens to them, then you’ll have to make different kinds of decisions. For older people, there is more potential for surprises that could undermine their ability to stay at home. Some people might worry about mental problems that could affect their ability to manage their home finances and so on. There’s a lot of worry and concern.
Most homes are not equipped for aging in place. Can design help?
It is tricky. What you have to do is balance two factors, one of which is compensation for losses or problems that might come along. For example, being able to get around without having to go upstairs, or when using a walker, or being able to use assistive devices that may need wider, bigger spaces and so on. But you also need to have an environment that provides some challenge and meaning because you need to physically and mentally challenge yourself to maintain your capacities. The stairs dilemma is quite interesting: Do you have a house without stairs so that it’s easier to get around when you are no longer as mobile? Or do you have stairs because they help you maintain capacity through incidental exercise? If you’re wealthy enough, you can have a bit of both because you can have a bedroom and bathroom on the main floor. That’s very complicated; it’s hard to find those houses, and they’re quite expensive. One way to think about it is when your home gets too challenging, you move, but at that moment, you’re facing a lot of challenges, and the thought of actually having to move and deal with all your stuff and emotions may be very difficult.
How can urban planning support aging populations?
This is an area where cities need to bite the bullet. In the U.S., the Americans with Disabilities Act has been terrific for helping make public buildings physically accessible and offering protection for a variety of disabilities. But there is a need to think comprehensively about not only the physical environment, but programming, and other aspects of the social environment, which is key to prevent loneliness and social isolation among older people. That is something that more cities will need to do more of.
In terms of housing, there are two philosophies; one is clustering older people together so it’s easier to provide services like classes or meals, versus integrating them with the wider community. Both of them have benefits, and can be done at different scales, so you don’t have to have a massive retirement community like Sun City with tens of thousands of older people all in one place. You could have an apartment block filled with older people in a part of the city. That configuration allows them to be together, to meet and support each other, and to keep reforming their social networks as people depart.
There’s also age-specific housing for older people, or co-housing programs that try to mix older and younger groups of people, and both can work with or without external support. The debate always centers about how much clustering there is of older people to make services and socializing easier versus how much they’re just scattered throughout the environment, which makes it more complicated for services. But one successful example of the scattered housing is the Village model in Boston and elsewhere now, where people that are scattered throughout the city find each other through this villages group that provides services, social connection, and a sense of community.
What role can technology play in helping older adults age at home?
There are many kinds of technologies that can make aging in place much easier. We’re not only talking about walkers and wheelchairs, but also digital technologies and even ordinary appliances. In a study I did with Yingying Lyu, a Harvard graduate who now works at West Chester University of Pennsylvania, we found that older folks in rural China prefer to use a rice cooker or a slow cooker because it makes them feel much safer than using gas-stoves or wood. Robotic vacuums are also helpful, but there are other kinds of technology that are changing old age. For example, going up and down stairs can be complicated, but with the help of robotic shorts, we might be fine with stairs. Technologies can also help caregivers. A lot of robots can help people lift things, and they could help caregivers transfer someone from a bed to a wheelchair or help get them out of the bathtub. Technology already helps older folks maintain family ties and social relationships through video conferencing on computers and phones.
People are living longer and having fewer children. How might these demographic changes affect the care of older Americans?
There are big challenges these days with smaller families, more mobile populations, and older people living so much longer. As families reduce in size and disperse more, there will be less labor to do that informal, unpaid care that families do for their older relatives. There will be more need for paid care. That’s going to be a huge challenge in most parts of the world.
There are a number of strategies for minimizing the amount of care older people need, and that includes improving people’s health, so that they would need less care. It also includes finding new sources of caregiver labor force, such as attracting people from different industries into caregiving or relying on immigration, which is often used to increase the caregiving workforce. And then promoting cooperation among older people to care for each other, using technologies, both for caregivers and older people, and improving the environment. Of course, all of these strategies need resources, and communities and governments need to be better prepared to deal with the impact of demographic changes on aging populations.
Comedy legend who once led Lampoon will deliver principal address on May 28

Pamela Littky for HBO Max
A collection of stories covering Harvard University’s 375th Commencement.
Comedian, writer, television host, and Harvard alumnus Conan O’Brien will be the principal speaker at Harvard’s 375th Commencement on May 28.
“Conan O’Brien is a singular and outstanding American humorist,” said President Alan M. Garber. “His work, deeply rooted in close listening and keen observation, creates joyful connections between and among ideas and people. I look forward to sharing the stage with him in Tercentenary Theatre later this year. Harvard is tremendously fortunate to call him one of our own.”
One of America’s most beloved comedians, O’Brien rose to prominence as a writer for “Saturday Night Live” and “The Simpsons,” earning an Emmy Award before becoming the host of “Late Night with Conan O’Brien” in 1993. O’Brien’s role as a talk-show host would continue for nearly three decades, over which he built a devoted following attracted to his offbeat, intimate, and self-deprecating humor.
O’Brien’s fans have followed him beyond his late-night work. His travel shows “Conan Without Borders” and “Conan O’Brien Must Go” — which included trips to Armenia, Haiti, South Korea, and Ireland — were praised not only for their humor, but for their warmth and curiosity. His podcast “Conan O’Brien Needs a Friend” has become one of the most popular interview podcasts, offering an even more personal and unscripted setting for O’Brien and his guests. In recognition of his influence on American comedy, O’Brien was awarded the Mark Twain Prize for American Humor in 2025.
A native of Brookline and member of Harvard’s Class of 1985, O’Brien served as a two-term president of the Harvard Lampoon and graduated with a degree in History and Literature. Decades later, a fan handed O’Brien a photocopy of his undergraduate thesis, “Literary Progeria in the Works of William Faulkner and Flannery O’Connor,” minutes before he was set to deliver a performance. “I knew then it was time to die,” he later joked.
O’Brien has remained connected to the University throughout his career, appearing often on campus and speaking at both Harvard’s 2000 Class Day and its 2020 virtual graduation ceremony. He has encouraged students to experiment widely with coursework and extracurriculars and to push through insecurity, which he said he faced as a student and throughout his career.
O’Brien also will be awarded an honorary degree.

Illustrations by Liz Zonarich/Harvard Staff
In many ways, marriage began as a real estate transaction. It was also used to corral sexual behavior, establish family units, and provide financial stability to women. Nowadays, people have more freedom to pursue aspects of life such as sex, money, and parenthood without tying the knot.
“Really now the only reason to be married is because you love someone. We don’t need it anymore,” said Debora Spar, the Jaime and Josefina Chua Tiampo Professor of Business Administration at Harvard Business School.
Many women are now questioning the benefits marriage has to offer, said Eve Rodsky, bestselling author of “Fair Play: A Game-Changing Solution for When You Have Too Much to Do (and More Life to Live)” and Harvard Law School alum (’02). Largely because of ingrained expectations, she said, women take on the burden of housework despite having careers of their own. That needs to change, she said, if marriage is to remain valuable to both parties.
Richard Schwartz, associate professor of psychiatry at Harvard Medical School and a consultant to McLean and Massachusetts General hospitals, pointed out that many studies have shown marriage boosts people’s health, happiness, finances, and parenting ability. But he agrees that more recent studies have shown that some of those benefits help men more than women.
In this episode of “Harvard Thinking,” host Samantha Laine Perfas talks with Spar, Rodsky, and Schwartz about the role of marriage in society today.
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Debora Spar: We desperately need to restore community and restore physical institutions and organizations. That alone won’t save marriage. But I think it will take the burden off. Because it is absurd if you think about it, that one single person, even the most wonderful person in the world, can be your lover, your soulmate, your co-parent, forever.
Samantha Laine Perfas: Just as society has changed, so has marriage, including the problems and rewards that come with it. Research suggests its benefits show up in your physical and mental health, but it might not seem like it when you’re buried in the second job of managing a household. With greater social acceptance of a variety of lifestyle choices, many people, especially young women, are thinking twice before tying the knot. Should you?
Welcome to “Harvard Thinking,” a podcast where the life of the mind meets everyday life. Today we’re joined by:
Spar: Debora Spar. I’m a professor at the Harvard Business School.
Laine Perfas: She’s written a number of books that look at the interplay between technological change and relationships, including marriage. Then:
Richard Schwartz: Richard Schwartz. I’m an associate professor of psychiatry at Harvard Medical School.
Laine Perfas: He studies marriage with his wife, Jacqueline Olds, who is also a psychiatrist at the Medical School. They’ve written about both marriage and loneliness. And finally:
Eve Rodsky: Eve Rodsky. I’m the New York Times bestselling author of “Fair Play.”
Laine Perfas: She’s also a graduate of Harvard Law School, class of 2002. And I’m your host, Samantha Laine Perfas. I’m a writer for The Harvard Gazette. Today, we’re going to talk about marriage and whether the challenges are worth the benefits.
Historically, what role did marriage play in society?
Spar: Well, it’s always very harsh to say this, but marriage as we know it actually emerged as a real estate transaction. If you go way back in time, our early ancestors didn’t marry at all. They lived in tribes and children were sort of raised communally, and it was only with the advent of the agricultural society that marriage became necessary. It was a way of ensuring that property was maintained between generations. It was a way, way before DNA testing, for men to know who their children were, which became important once you invested in property and farming and land. And so marriage emerged as a way of creating these family bonds that would enable property to be maintained and society to be stabilized. And I always hate to say this because I feel like the rat at the party, but if you go to most marriage ceremonies, even today, across religions, you can hear the echoes of the real estate transaction: that the father gives the daughter away, promising that she will remain faithful to one other human being for the rest of her life as long as they both shall live — which as my students are fond of reminding, me is a very long-term contract — and with the promise that they will be fruitful and multiply, which we now hear as romantic. But back then, being fruitful and multiplying was the way of creating labor, which was, along with land, the most valuable commodity. So, sorry to be anti-romantic, but marriage really has a history as an economic transaction.

Rodsky: Up until the third wave of feminism, marriage was assumed to be a man and a woman, and that man would protect and provide for that woman in exchange for that woman doing all of the unpaid labor to allow him to do that. But then as we rose in the third wave of feminism, where we were told that women were getting all of these gains in the workplace — so I’d say up until today, the way I look at marriage is, well, that social contract needs to be completely rewritten. Because the fourth wave of feminism is not about getting women gains in the workplace; it’s about having men make gains in the home. Otherwise, that social contract to me is completely dead. We’re sort of a downer, Debora and me.
Schwartz: I don’t know if this is cheering things up anymore, but I just add that Debora is describing how marriage begins as basically a land and property arrangement. You extend it, and it becomes a division of labor for the sake of the family-unit arrangement, and those are the primary roles it plays. It seems to me that it has also traditionally played two more roles. One is essentially to corral sexual activity into a defined space where it doesn’t interfere with and get in the way of other kinds of relationships that are important for the functioning of the community. And the other thing that it does, of course, is to stabilize raising children. And I think that was an equally important role that it has played.
Laine Perfas: I am not going to lie, I did not anticipate that our episode on marriage would start on such a depressing note. But marriage has clearly evolved since its inception, same-sex marriage being one obvious example. What other ways has it shifted?
“We desperately need to restore community and restore physical institutions and organizations. That alone won’t save marriage. But I think it will take the burden off.”
Spar: It’s gone through many evolutions, some more subtle than others. But if we take the initial piece as this real estate deal, it was really around the industrial revolution when the farming economy begins to decrease in importance that this idea of companionate marriage or romantic marriage becomes much more prominent. So it’s not our generation that discovered the idea of romance and love in marriage. It’s been around for a long time. And of course, to be less depressing, love’s been around for a really long time. It just wasn’t necessarily connected with marriage. We start to see this idea in the late 19th century, maybe even a little earlier, that love and marriage do in fact go together. I think what we’ve seen most recently, though, is that the other economic reasons and societal reasons for marriage have more or less gone away. A man doesn’t have to be married to have sex. A woman doesn’t have to be married to have sex. Men and women don’t have to be married to have children, because we’ve had the advance of reproductive technologies and the decrease in stigma around single parenthood. So I actually see this as rather a beautiful trend because now the only reason to be married is because you love someone. We don’t need it anymore. Which in many ways, I think, contributes to the decline in marriage because certainly many people, and increasingly women, are saying, if I don’t need to be married, why bother? But there’s still an awful lot of people saying, I don’t need to be married, but I really love this person and I do want to spend the rest of my life with him or her.
Laine Perfas: Let’s unpack that statement: Why bother? There have been many studies out there that show marriage does have benefits. It benefits individuals, it benefits communities, it benefits children. Could one of you talk a little bit about those benefits?
Schwartz: There have been a whole group of studies that have suggested that marriage has benefits in three main areas. One is in health, one is in happiness, and one is in how children do over time. Children raised by two parents do better academically, do better economically. Boys are less likely to end up in prison. Girls are less likely to end up depressed. And most of those studies have held up, although there’s now increasing debate about how it looks. It is clear that the health benefits for men are greater than they are for women. There are recent studies that suggest that maybe the happiness benefits are also greater for men than women. It’s hard to judge that when a new study comes out, that seems different from the historical ones that have shown that women benefit in happiness from marriage. And now there’s a new one that suggests maybe that’s not really true. Hard to know if that’s things changing, if that’s just difficulty in methodology with one study or another. We just have to wait and see on that.

Rodsky: I think what Richard said is very true. We are seeing that the benefits of marriage really do accrue to men — and back to Debora’s romantic love, I’ll just tell you a quick story. I was with nine women, Oscar-winning producer, the head of a stroke and trauma unit at a big hospital. There were 10 of us at this breast cancer march. This was 2011. We were there to honor a friend who had been recently diagnosed, and it was a beautiful morning. We were all covered in pink carrying signs that said things like “not just a women’s problem.” But then around noon, Sam, everyone started looking at their phones and everyone looked desperate to get out of there. We were supposed to go to lunch. And every one of those women married to a man were looking at texts from their partners with things like, “Where did you put Hudson’s soccer bag?” … “If you want me to go to the birthday party, did you leave me a gift?” … “I can’t take the baby to the park because you didn’t leave me any clean diapers.” My favorite was my friend Kate, the one who had been diagnosed with breast cancer. Her husband at noon texted her, “Do the kids need to eat lunch?” And so what I want to say about that day, because I write about it in my first book, “Fair Play,” all those strong women said to me, “I left my partner with too much to do.” Before we left, I asked those women to count up how many phone calls and texts we’d received. We had 30 phone calls and 46 texts for 10 women over 30 minutes. That’s the cost of marriage. Romantic love is pretty much unpaid labor unless you do some serious work at the beginning of your marriage. I think that a lot of women are saying, “What’s in it for me?”
I would say that what Richard said is right: We are actually not sure what the benefits are to women anymore. I think until we rewrite the social contract, it’s going to be really hard to sell the benefits of marriage to women.
Spar: Let me push back a little bit. Going back to what Richard said, it’s almost incontrovertible that marriage is good for children. It doesn’t necessarily have to be a legal marriage. It doesn’t have to be a heterosexual marriage, but as Eve’s talking about, raising kids is hard. It’s really hard. It does take a village, it takes a tribe, it takes cousins and grandparents. And part of the societal problem we’re living with is we’ve all moved away from our birth families. And we know fertility numbers are shrinking, so the village is disappearing, which puts all of the pressure on the marriage, on two feeble, fragile people to raise a child. As Marx and Engels pointed out many years ago, the original division of labor was within the family. And the math is pretty straightforward. If you have two parents, one can be the income earner and one can be the housekeeper. It works. It’s not fun for those, you know — it’s historically been women who have been stuck with the housework, but the math works. What’s happened in the past 50, 70 years is women have — and God knows, I’m a beneficiary of this — decided, I don’t want to just be changing diapers. I want a job, I want a life, I want friends. I want to go to marches and walks and all these things. The problem is we didn’t find anyone else to take over the housework. And so we’ve created a problem, and this isn’t to get the lazy husbands off the hook. It’s, as I’m fond of saying, it’s a math problem. We don’t have another set of hands to take care of the labor that women are no longer willing to do by themselves. And the last thing I’ll say is, women, for better and worse, have come up with multiple identities since feminism. We can be working moms and we can be single mothers, and we have a range of identities. Men are still largely defined by their role as economic breadwinners. It’s not only that we need to rearrange women’s roles. We need to rearrange men’s roles as well. And we need perhaps to come up with a new version of the nuclear family because the math doesn’t work once women go to work.
Rodsky: Amen. That is right.
Schwartz: I think that’s an incredibly important point. Years ago, my wife and I did a small study of the effect of different work and homemaking responsibilities among men and women with young children. And one of the things that turned up that we didn’t expect and had nothing to do with what we were actually looking at is all the men in this sample had children under 5. And one of the things that they described is that they all wanted to be more involved with their children than their fathers had been with them. And they wanted to be just as involved and committed to work as men have always needed to be. And they couldn’t fit everything in, and something had to give. And what gave for almost all of them was friendships, and they basically fell out of connection with their friends over a long period of time. That speaks to the problem that men have in trying to maintain the work role that they’ve always had while somehow adding something else into it. And you can’t do that without cutting something else out.
“Romantic love is pretty much unpaid labor unless you do some serious work at the beginning of your marriage. I think that a lot of women are saying, ‘What’s in it for me?’”
Laine Perfas: It is meaningful to see the current generation of fathers not having a model and still trying to figure it out anyway, and it’s messy. But one of the things that I saw — I think it was a few years ago — this study came out, it was looking at the division of labor in the house, but then also the perception of that division of labor. And women tend to take on about two-thirds of the workload at home, but men perceive that they are doing it equally, which as you can imagine is incredibly infuriating for both parties. What’s going on there? Why is there that gap in perception?
Rodsky: This is what I study and I will say that what we did with “Fair Play” is we created a system so that perception would be equalized, because there is a perception gap. But there’s a perception gap because, as Arlene Kaplan Daniels — she was a sociologist — in 1987, she said that the work of the home was invisible. So in our studies, we started to ask couples, hetero, cisgender couples especially, who does what in the home? Who handles groceries, who handles middle-of-the-night comfort? Who handles transporting your kids to school? Who handles medical and healthy living? And the answer was, we both do. But the problem with that data was that men were overreporting, women were underreporting. So we changed the question. The question that broke open the data was, instead of asking who handles X, it was, How does mustard get in your refrigerator? Because I could ask that in 27 countries. And the beauty of that question was that we saw that women — even in the Nordic countries where we think that we’re doing it better because there are policies to support marriage — women were the ones who said to me, “I’m the ones who notices that our pediatrician said our son is iron deficient, and that he needs mustard on his protein so that he can get more iron.” In the workplace, we call that conception. And then women were the ones saying that they monitored the mustard for when it ran low, and they got stakeholder buy-in for what that family needed for the grocery list. That’s planning. And then men were involved, but they were going to the store to buy the mustard that Johnny needed. But Richard, you’re bringing home spicy Dijon every time, and I asked you for yellow, and then the presenting problem is not the real problem, right? It’s not about the mustard, or as Debora said, about whether or not somebody is asking, “Do the kids need to eat lunch?” This is about the thing that marriage needs, a home-organization needs, that has been eroding since I’ve been doing this work for 10 years. Women say to me, “I’m not going to trust my husband with my living will because Richard can’t even bring home the right type of mustard.” And then women start to say to themselves, “In the time it would take me to tell him what to do, I should do it myself.” And we start to get into this race to the bottom in marriage. And then what happens to the person who’s just executing and not doing cognitive labor is that they lose psychological safety in that home organization. Men are saying to me, “I’m never going to do anything again in the home because I can’t get anything right.” In 10 years of doing this work, every single divorce that we’ve found, every person we’ve talked about, always has division of labor as part of their story. And so that to me is the crux of the issue.
Schwartz: I think it’s interesting that when you talk about making the invisible work visible, you mentioned the cognitive labor. That’s very hard to make visible, but an important part of the picture: I do my share of the cooking and shopping, but what I don’t do my share of is the meal-planning, of knowing what we’re going to do. And that is a big part of the job that is hard to make visible.
Spar: I’ll throw just one more source of blame here, and there’s data to back this up. One of the things that’s also happened is we’ve sort of raised the bar on homemaking. When I was a kid, for Halloween, you went to the drugstore, you bought a mask and you put it on. Now women are somehow supposed to macrame these elaborate chipmunk costumes for their kids. I mean, it’s nuts.
Laine Perfas: And then come Halloween, your kid won’t put the costume on anyway.
Spar: Exactly! And yet, rather than doing the logical thing — if I want to have kids and to have a job, which let’s be honest, is a choice for both women and men — if you want to make that choice, then something’s got to give. And yet, rather than normalizing a more minimal version of housekeeping, we’ve actually upped the ante in insane ways. Our houses are too big. We have too many cars. Our yards are too big. So there’s a series of societal decisions that we should at least be aware of.

Schwartz: And I would extend that to child-rearing. One of the most surprising statistics these days is that parents who are both also working are spending more time supervising their children and transporting their children than combined parents did in the days when one parent was just a home worker and just alone with the kids. That obviously is untenable. I think it also has something to do with what Debora was talking about earlier, the falling away of the larger community taking care of children so that it all has to be done by parents.
Laine Perfas: It almost seems like we’ve fallen into the trap of just, more is better. And yes, as a parent of two young children — I have a 4-year-old and a 1-year-old — it is hard. And somehow, no matter how much you do — and I am blessed to have a really great co-parent in my husband — and even then we still fall into, “Well, I thought you were … I need space.” “No, I need space …” It’s just, kids are tough, man. That’s the reality.
Spar: I am sorry, Sam, you haven’t even hit the worst part yet.
Laine Perfas: Don’t tell me that. Don’t tell me that!
Spar: Don’t worry, it only lasts another 25 years and then you’re good.
Laine Perfas: I was thinking about marriage. Back to our pre-kids days. So take kids out of it. I was thinking about how, when we talk about marriage, the language we use: You need to find the one. You need to find someone with whom you have perfect sexual chemistry. You need to find someone who’s going to be a teammate, a partner, who’s also hilarious and going to make you laugh. And I’m wondering if our expectations are just too high?
Schwartz: The way you asked the question, I think, answers it as well: Yes.
“One of the most amazing demographic shifts over the last century is that the number of households that consist of one person living alone has risen every census. … But [it has led to] people much more lonely, disconnected, and unhappy.”
Spar: There’s some realization that we’ve lost community. That Bob Putnam was completely right when he wrote “Bowling Alone” many decades ago. And Richard, you mentioned this with men, but it’s very true, I think, for women as well. We put all of the burden on the nuclear family. We don’t have the friends, the cousins, the bowling leagues, the Elks groups, which helped with these chores. And my great fear about the moment we’re in technologically, just putting marriage aside, is that we’re retreating more and more into an individual focus. People are living their lives by themselves on their phones, and we desperately need to restore community and restore physical institutions and organizations. That alone won’t save marriage, but again, to your point, Sam, I think it will take the burden off. Because it is absurd if you think about it, that one single person, even the most wonderful person in the world, can be your lover, your soulmate, your co-parent, forever. We have to rearrange those expectations — and that doesn’t mean lowering them, it just means shifting them and allocating the burden to some of the other pieces of society.
Schwartz: The ability to do things that you couldn’t do before. You mentioned that a woman can support herself alone, can have a house, an apartment alone. There’s no need to have anybody else involved in it. It’s wonderful to have that freedom, but those choices don’t always lead you to a better place. One of the most amazing demographic shifts over the last century is that the number of households that consist of one person living alone has risen every census over 100 years, which has brought us to a point where I think people are doing that because they’re able to and couldn’t in the past, but doing what they’re able to do has ended up with people much more lonely, disconnected, and unhappy than they would be without making the choice that they want to make.
Laine Perfas: With marriage and birth rates declining, there have been political efforts to encourage people to get married and have kids, or if they already have kids, to have more kids. Should marriage be incentivized?
Rodsky: I think there should be incentives to encourage marriage. There should be incentives. When it works, it’s a great transaction. People are richer. People do have good health outcomes for it. There should be incentives — not the incentives of — not getting rid of no-fault divorce and ways to force people to stay into marriage. But I think tax incentives, childcare incentives, free childcare. I mean, this gets back to what we were saying earlier. It’s too hard to do alone. But the problem is it’s not going to be solved by your PTA, and unfortunately, it’s not going to be solved by your church. The only way it’s going to be solved is by government policies. We have to give people access to more affordable childcare. We have to give people access to ways for them to be able to sustain a family. Affordable housing. Better schools, right? So if we start to reimagine our social contract, actually it would be taking away a lot of the economic scholarship of the ’80s and the ’90s, which is the scholarship that showed that the government is your enemy. So I do say that, yes, more than just tax incentives, we have to start encouraging our government and forcing our government to deal with the affordability crisis in this country, and especially childcare.
Laine Perfas: What tools do you see being beneficial for people to work on changing their marriage into the marriage they want it to be, one that is fulfilling and beneficial for both parties?
Rodsky: I think this is the biggest irony about the expectations, that the three most toxic words that I’ve heard about marriage keep coming up over and over again. When I ask people, how are you going to handle the division of labor in your home, how you can handle all these challenges, almost every single couple that I’ve interviewed over a decade has said, “We’re going to figure it out.” “Figure it out” is a terrible way to enter any sort of social contract. First off, our home is our most important organization. Couples who believe that do really well because they understand that organization, to succeed, needs three things. It needs boundaries, which means, as Richard said, we get time to shut our identities off as a parent, partner, professional, and have those friends, have other experiences that are not just our caretaking responsibilities. We need systems. And we need communication. Now, one of the funniest conversations I had was with this huge systems engineer of this big tech company who is a great dad. And we were talking, and he told me that in their home, their biggest fight is that they wait to decide who’s taking the dog out every single night before it’s about to take a pee on the rug. That is the opposite of the systems that he’s designing. But I think people are so afraid of coming to the table to say, “We need to practice systems; we need to practice boundaries; and especially we need to practice communication.” We did one survey of 1,000 people on social media: What is your most important practice? Some people didn’t understand the question. Some people said religious practices. Some people said meditation. Not one of the thousand people in our survey said communication is their most important practice. And what I’m here to say is that we’ve seen over 10 years of our data that when people practice communication when emotion is low and cognition is high, and really sit for those check-ins, like they would a staff meeting, like they would any other transactional relationship where they sit and invest in communication, that those relationships do a lot better.

Spar: I would just add lower expectations, by which I mean, don’t settle, but going back to what you had mentioned earlier, Sam, trying to understand that this person isn’t going to be the be-all and the end-all for everything for the rest of your life. Try to maintain other people in your life. It’s hard to maintain friendships when you’re in the crazy years of marriage and young kids. Try to maintain those friendships. Try to do the girls’ nights out, the boys’ baseball games, whatever. And try, going back to what I said earlier, try to get rid of the stuff that’s not critical. One of the lightbulb moments for me was when I came home at the end of the day, I was racing around, I was throwing dinner on the table because I had to get out to the PTA meeting. And my son said, indignant at the ripe old age of 7, “Why are you going to the PTA meeting?” And I yelled back, “Because this is for you, this is for your school.” He said, “I don’t care if you go to the meeting.” And it was a lightbulb moment. I thought I was doing something for him, but I wasn’t. He wanted me to stay home and read him a book. And I realized, my hack became, volunteer for cleanup duty. Because I did, I wanted to participate in my kids’ community, but they didn’t really need me at the three-hour PTA meeting. They needed me to clean up the trash after whatever events. And so I was No. 1 trash collector. But it was efficient, and it enabled me to contribute while spending more time with the more important stuff at home. So, outsource whatever you can. Let somebody else do the stuff that they can do. And try to minimize. Cut the corners in ways that matter.
Laine Perfas: What advice do you have for the folks listening who find themselves in a marriage that’s not quite where they want it to be, and perhaps the marriage skeptics out there? What might they consider as they think about whether or not to tie the knot with someone?
Spar: Don’t give up on love. But realize love, like anything else of importance, involves hard work. And don’t sign up for anything, whether it be marriage or children or a job, unless you’re willing to commit and do the work, and be as honest about it as you possibly can be.
Schwartz: For the people in marriage who are questioning whether or not to leave it, there was a wonderful letter from a divorce lawyer, I think, in the Boston Globe many years ago that said, “It’s my business to help you through divorce, but before you do this, think about your life and think about how much in your life is actually dependent on your marriage and how much of it you’ll lose if you leave that. Because everything will be different, and you should appreciate that first.” And I thought that was incredibly useful advice to give.
Rodsky: And what would I say for those marriage skeptics? So what I’d say for them is that there’s ways to practice marriage before you enter the social contract. I say to my son, he’s 17 years old, right? You can start practicing marriage by understanding how much emotional labor the men do around you. There are ways to practice. There’s ways to ask questions. Girls will say to me, how do I know if I want to date this person? I say, you can start to look and see what type of thoughtful person that is. You can see the patterns earlier. You can ask, “What was the last best gift you gave?” If someone says, “Oh, I don’t know, my mom helps me with all that,” or “I’ve never given gifts,” or “Those aren’t important to me.” Or someone who says, as my son just said to me about my 8-year-old daughter, she wants a Labubu, but there’s a new Labubu out there that he wants, and he has to get online and search at Pop Mart to make sure that Labubu is there — that type of emotional labor, investment in relationships, you can see earlier. What I’m saying is, there’s lots of beautiful signs out there of people who are committed to the unpaid labor, to the emotional labor of relationships, who you see are there for their parents and their grandparents. What I would say is, look for those people. There are good ones out there. And you can practice spotting these patterns before you enter the social contract of marriage.
Laine Perfas: Thank you all for this great conversation.
Schwartz: Thank you.
Rodsky: Thank you.
Spar: It’s been a great pleasure. Thanks.
Laine Perfas: Thanks for listening. To find a transcript of this episode and all of our other episodes, visit harvard.edu/thinking. And if you like this podcast, please rate and review us on Apple Podcasts and Spotify. Every review helps others find us. This episode was hosted and produced by me, Samantha Laine Perfas. It was edited by Ryan Mulcahy, Paul Makishima, and Sarah Lamodi. Original music and sound design by Noel Flatt. Produced by Harvard University, copyright 2026.

Judith Singer.
Photo by Suzanne Camarata
Education scholar lauded for achievements in overseeing, leading changes in faculty development, support for academics since 2008
Judith D. Singer, James Bryant Conant Professor of Education, will step down on June 30 from her role as senior vice provost for faculty, the University announced today.
A statistician by training and community-builder by practice, Singer was the first woman to be elected as both a member of the National Academy of Education and a fellow of the American Statistical Association. At Harvard, she is widely known for helping a wide-ranging group of academics pursue meaningful work — recruiting outstanding scholars and nurturing their efforts across decades.
As senior vice provost for faculty, Singer has overseen faculty development across the University since 2008. Her team coordinates efforts to recruit and retain scholars, help advance their research and teaching, and support their work-life balance. She serves as an adviser in the ad hoc tenure process, chairs the Provost’s Review Committee on Faculty Appointments, oversees funding for scholarly appointments, and guides all policies and practices affecting institutional faculty affairs.
“Few people have done as much to nurture and sustain academic excellence across the University as Judy Singer,” said President Alan M. Garber. “When I returned to Harvard in 2011, she quickly became one of my most trusted advisers, a person of great discernment who is valued for her good humor as well as her knowledge and wisdom. I am grateful to Judy for her tireless work to fulfill our mission and to strengthen our community. I wish her all the best for her next chapter.”
“As senior vice provost for faculty, Judy has advanced faculty excellence through tireless and thoughtful work on the appointment and retention of exceptional scholars across disciplines, the shaping of policies that enhance their teaching and scholarship, and the development of initiatives to support work-life balance,” said University Provost John F. Manning. “We are deeply grateful for her extraordinary service to the University over many years.”
Singer has led major changes to every phase of faculty life, from streamlining recruitment and promotion to strengthening retirement benefits. Working alongside partners across all the Schools, she developed best practices for faculty recruitment and retention, creating resources and providing consultation to Schools on faculty appointments, programming, and benefits. She has helped create and implement fair, rigorous, and consistent processes for University-level review of academic, endowed chair, and University Professorship appointments.
Her office also launched the University’s online central faculty hiring portal and, in 2020, supported the transition to remote teaching during the COVID-19 pandemic and explored its long-term implications for faculty.
Singer has also worked to build a broad network of support for faculty. She oversaw the formation of University-wide faculty medical leave policies, childcare and other dependent care resources, financial support programs, and improvements to the faculty mortgage-loan programs. Over the years, she and her team have created professional development events, covering topics such as op-ed writing, academic publishing, and media training, as well as networking events for faculty members and their partners. She has also worked to collect and analyze data that help support recruitment and retention policy and decision-making across all areas of faculty affairs.
“Judy Singer began her role at a time of turmoil at the University,” said Steven Hyman, who was University provost in 2008 when Singer was appointed. “With energy, intelligence, great judgment, and relentless determination, she improved processes for faculty hiring, promotion, retention, and even quality of life. Her success served equity, the prioritization of excellence, and much else that the University prizes.”
Drew Faust, Harvard president at the time of Singer’s appointment, echoed the sentiment: “Judy Singer has brought fierce energy and a deep commitment to excellence and intellectual rigor to her role as senior vice provost. Her dedication to the fundamental values of scholarship and of universities has had an impact on the quality of the faculty that will be her enduring legacy.”
A prominent member of the faculty herself, Singer has focused her academic work on improving the quantitative methods used in social, educational, and behavioral research. Her scholarship has been especially influential in the development and application of multilevel modeling, survival analysis, and individual growth modeling — and in making these and other sophisticated methodologies more accessible for applied researchers.
A scholar with wide expertise, she has published prolifically across statistics, education, psychology, medicine, and public health, including nearly 100 academic papers and book chapters as well as three co-authored books: “By Design: Planning Better Research in Higher Education,” “Who Will Teach: Policies that Matter,” and “Applied Longitudinal Data Analysis: Modeling Change and Event Occurrence.”
She serves as a fellow of the American Educational Research Association; previously she served on the board of directors of the National Board of Education Sciences and as a founding board member of the Society for Research on Educational Effectiveness.
Singer began her academic career in 1984 as an assistant professor at the Harvard Graduate School of Education. In 2001, she was named James Bryant Conant Professor of Education. She served as academic dean of HGSE from 1999 to 2004 and, along with her longtime research collaborator, John B. Willett, was acting dean from 2001 to 2002.
She holds a B.A. in mathematics from the State University of New York at Albany and a Ph.D. in statistics from Harvard University.
“It has been an honor to work closely with presidents, provosts, and deans these last 18 years toward our shared goal of supporting excellence across Harvard’s faculty,” said Singer. “I have been fortunate to lead a remarkable team in building the frameworks, practices, and resources that enable Harvard to attract and retain the best and brightest scholars from around the world and support them in their work.”
To learn more about faculty affairs at Harvard, see the Office of the Senior Vice Provost for Faculty website.

Thomas Bisson, 1987.
Harvard file photo
At a meeting of the Faculty of Arts and Sciences on March 3, 2026, the following tribute to the life and service of the late Thomas Noel Bisson was spread upon the permanent records of the Faculty.
Born: March 30, 1931
Died: June 28, 2025
Thomas Noel Bisson, Henry Charles Lea Professor of Medieval History, Emeritus, died on June 28, 2025, at the age of 94. A distinguished historian and teacher of medieval Europe, he focused on institutions, the transpersonal structures of governance that emerged painfully and fitfully from the doings of those in service to the great and the powerful, particularly in the portentous 12th century C.E.
Bisson was born in New York City in 1931, but his formal schooling began in China; he remembered riding to school in a rickshaw. His father, the American political writer and journalist T. A. Bisson, was studying Japan and China. His maternal grandfather, John E. Williams, had been Vice-President of the new Nanking University and was murdered during the Nanking Incident (1927). The elder Bisson ultimately lost his academic appointment during the McCarthy era, finishing his career in Canada.
Thomas Bisson was educated at Haverford College (B.A. 1953) and Princeton University. At Princeton he took his Ph.D. (1958) with Joseph R. Strayer, the eminent historian of medieval institutions, and studied also with Ernst Hartwig Kantorowicz of the Institute for Advanced Study. Bisson taught at Amherst College, Brown University, and Swarthmore College before moving to the University of California, Berkeley, for 20 distinguished years (1967–1987). He came to Harvard in 1987, where he was the Henry Charles Lea Professor of Medieval History from 1988 until he retired in 2005. He chaired the Department of History from 1991 to 1995 and, at both great institutions, trained as graduate students many of the next generations’ leading medievalists, of whom he was justifiably proud. After his retirement, Bisson continued to prove his dedication to the liberal arts through his quietly thoughtful undergraduate teaching, including First-Year Seminars. Many of his former students gathered joyously at his home on Hammond Street to honor him for his 94th birthday in the spring of 2025.
Bisson pursued his abiding interests in medieval Europe’s history in ways that typify the man and the scholar: quietly, rigorously, and thoroughly. He had a profound respect for others and the rare ability to listen carefully. As a mentor of graduate students, he was famously strict while always remaining deeply humane. Despite a discipline of steel, Bisson’s gentle laugh abetted a modest sidelong glance and quiet thoughtfulness that endeared him to those around him. As a close colleague, Tom was simply wonderful. Bisson’s seven monographs and five edited volumes of his own and others’ articles are mostly weighty tomes whose rigorous scholarship illuminates the medieval forms of what would lead to big institutions in the modern world; they continue to serve as foundational works across the later medieval history of Europe. Their impact can be judged by their translations into the native languages of the places he studied: French, Catalan, and Italian.
Bisson’s “Assemblies and Representation in Languedoc in the Thirteenth Century” (1964) shed light on the rising institutional power of new socioeconomic groups before and after the incorporation of this region into the Capetian kingdom of France. The book was followed by his innovative “Conservation of Coinage” (1979), where Bisson’s meticulous study of charters and coins brought to light a remarkable manifestation of what he saw as the spirit of suspicion against arbitrary rule across France, Catalonia, and Aragon in the 11th and 12th centuries. Both books bear witness to the broad European range of Bisson’s historical curiosity. His austere 1984 study, “Fiscal Accounts of Catalonia Under the Early Count-Kings” — the money trail in contemporary parlance — was another impressive contribution to understanding the early mechanisms of secular governance. Bisson’s deeply empathetic experiment with microhistory yielded in 1998 those medieval Catalan peasants’ “Tormented Voices” that echo the violent impact of fast economic change; perhaps his favorite work, this Catalan story resonated with Bisson’s personal concern with the public good in our own time. His greatest monograph is surely the 2009 “Crisis of the Twelfth Century,” where he tracked how arbitrary lordship shifted toward more settled forms of power. Crisis displayed Bisson’s virtuosic command of the evidence across all of Europe, down to Magna Carta and “a Parliamentary Custom of Consent.” He distilled much of his deep research into “The Medieval Crown of Aragon: A Short History” (1986). His final work was, again, one of austere and lasting scholarship: a critical edition, translation, and commentary of Robert of Torigni’s “Chronography” (2020), a crucial source for Anglo-Norman history, whose mysteries Bisson unraveled and clarified as none before him.
Bisson earned all the major fellowships and awards, including All Souls College and Guggenheim fellowships. His work was recognized by elections to the American Philosophical Society, American Academy of Arts and Sciences, British Academy, Royal Historical Society, Reial Acadèmia de Bones Lletres, and Institut d’Estudis Catalans. His North American peers signaled their esteem by electing him President of the Medieval Academy of America, and the government of Catalonia awarded him the Cross of St. George, one of their highest civil distinctions.
Bisson lost his beloved wife, Carroll (Webb), a deeply cultivated Classicist, in 2005, after 43 harmonious years of shared pleasure in literature, music, and travel. A lifelong baseball fan, Bisson avidly followed the Red Sox. He was a talented and dedicated pianist, whose later musical life centered on the interplay of music and text in Schubert’s Lieder. Just a few weeks before his passing, he described with quiet joy the last time he had played “Wandrers Nachtlied” with family. Among scholars, Bisson will be remembered as an immensely productive yet meticulous historian whose painstaking research and writing bowed to few fashions. He did not fear tackling deep and difficult questions on the basis of the original, often unknown archival documents; the impact of his teaching has already stretched over three or four generations of medieval historians. Bisson is survived by his daughters, Noël Bisson, Dean for Academic Programs in the Harvard Kenneth C. Griffin Graduate School of Arts and Sciences, and Susan Bisson Lambert, as well as by four cherished grandchildren.
Respectfully submitted,
Dimiter Angelov
Charles S. Maier
Michael McCormick, Chair

Veasey Conway/Harvard Staff Photographer
Scholars at Harvard tell their stories in the Experience series.
Before becoming Harvard’s 31st president, Alan Garber served as provost and chief academic officer for more than 12 years, a role that gave him an expansive view and an intimate understanding of the teaching and research that define the University’s mission. The lessons of that experience have stayed with him.
Garber’s Harvard roots run deep, starting with his arrival in the early 1970s as a freshman from Rock Island, Illinois. After graduating in three years, he went on to earn two advanced degrees: A Harvard Ph.D. in economics and an M.D. at Stanford University. That was immediately followed by internal medicine training at Brigham and Women’s Hospital, where he met his future wife. He returned to Stanford, where he spent the next 25 years as a teacher, researcher, and VA physician.
In this edited interview, Garber notes that he’d never aspired to a top post in higher education before President Drew Faust called to gauge his interest in the provost’s job. Years later, when he stepped into the presidency, he was once again pushing the boundaries he’d imagined for himself. But in both cases, he says, Harvard had given him too much for the answer to be anything but a wholehearted “Yes.”
Tell me about your childhood in Rock Island.
Rock Island, across the Mississippi River from Davenport, Iowa, was a city of about 50,000 then. My father was born there, and my mother grew up in Wisconsin.
I have a twin sister and an older brother. As you might expect, my twin and I have always been especially close. My mother was a social worker. When children arrived, she became a stay-at-home mom who did extensive volunteer work. My father was the oldest male in his family, so when his parents grew very sick and died young, he effectively became the head of the family. He worked and did not attend college. He ended up owning a liquor store and playing the violin in the Tri-City Symphony Orchestra. Both of my parents believed deeply in the importance and value of education.
During high school, I had a few jobs. They included summer work stacking paving bricks from a torn-up street and delivering plumbing supplies. During the school year, I worked as an usher in the multiplex cinema in the adjacent town, Milan. Milan was mostly rural — the cornfields started just a few blocks away. I looked forward to sitting in one of the theaters during my break, eating my bucket of popcorn and drinking a quart of Coke. When the first “Godfather” movie played, I’d usually drop in during the baptism scene. Another favorite was the chase scene in “The French Connection.” I felt listless, and my head ached, on my days off. That’s how I discovered caffeine withdrawal.
We weren’t near a big city. It was about a 3½-hour drive from Chicago. Growing up, I had the feeling that there was a lot going on in the wider world that wasn’t happening where we lived.
Was music a big part of your upbringing?
We went to classical concerts every month, and my father played string quartets with his colleagues at our home. I didn’t really appreciate chamber music until I was much older, but from an early age I loved Beethoven and the great violin and piano concertos. Sometimes my father would invite guest soloists to our house for a cocktail party after the Saturday evening concert. At one of those parties, our dog bit Itzhak Perlman on his bow hand.
That probably killed the conversation.
Not for long. Perlman was charming and incredibly gracious. He just laughed it off.
When did you set your sights on Harvard?
Harvard seemed a grand, remote, historic, and unattainable institution that stood for excellence. At the end of my junior year of high school, I traveled to Boston and saw the school for the first time. Whatever interest I had was multiplied manyfold by visiting the campus and meeting people there.
What brought you to Boston?
I stopped there on the way to a summer science program for high school students at the Weizmann Institute of Science in Israel. I had a glimpse of both Harvard and MIT, where my cousin worked. I applied to several other colleges but didn’t visit them.
My summer experience made me think about completing high school in a new environment. A plan came together quickly. Somehow my brother, a yeshiva student in Chicago, and I convinced my parents that I should join him, studying at the yeshiva at night while attending public high school in the daytime. I had no desire to become a rabbi but wanted to explore Judaism at a deeper level than had been possible going to Hebrew school twice a week. And that’s what I did. It was an incredible experience.
In what sense?
I’d studied Hebrew, the Bible, and the Jewish religion for many years, but not in a serious way. Now I was thrown in with people who were real scholars. It made me appreciate how little I knew. We studied the Talmud and rabbinical commentaries as partners. Each one of them had far more experience and knowledge than I did. I am grateful to this day for their patience and encouragement. As I had hoped, my appreciation and understanding of Judaism deepened greatly.

You arrived on campus in 1973. How would you describe Harvard’s student body at the time?
It struck me then as diverse and international, though it wasn’t by today’s standards. My House, Dunster, was very friendly. You could sit down in the dining hall with anybody and feel comfortable speaking about almost any issue. I like to think the conversation was usually profound, and sometimes it was. But we probably talked about weekend parties, the food, and music more than anything else. My classmates were impressive. Everyone seemed to know something interesting.
Although surveys indicate that students are more reluctant to speak about sensitive topics today, in other respects the experience was similar. There was a real sense that you were around people who were going to make a difference and that, when you did have discussions, you couldn’t get by with sloppy thinking.
You finished in three years. Tell me about that experience.
The barrier to graduating in three years was low. You needed enough Advanced Placement credits when you matriculated, and you had to do enough work in three years. Only a fraction of eligible students chose to graduate early.
Like many of my classmates who took less than four years, I was motivated in part by financial considerations. Losing a year of the Harvard College experience was a real sacrifice, but those of us who entered graduate or professional school at Harvard were able to continue to spend time with many of our College friends. Under the circumstances, it didn’t seem like a bad idea.
At that point you were interested in premed?
I was interested in science, especially the life sciences. I didn’t have firm plans but assumed that I’d become a physician. I later learned my parents shared that assumption. If you plan to graduate in three years, you need to declare your concentration within a couple of months of starting college. I declared in biochemistry, one of the most popular concentrations for premeds. So I was on a path that would at least give me the option to apply to med school.
But two courses I took in the first year opened my eyes to other possibilities. They were Physics 12, taught by Edward Purcell, a Nobel laureate, and Ec 10. I loved both of them. When I moved into Dunster House the next year, I became friends with Jerome Culp, the resident tutor in economics. We talked about economics and how much I’d enjoyed it. He soon convinced me that I should change direction and concentrate in economics.
I liked physics, too, but my interest wasn’t deep, and my roommates (they later became prominent professors, two in physics and one in chemistry) set the bar impossibly high. Physics 12 contributed to my decision to pursue economics in an unexpected way: by teaching me how to structure and solve applied mathematics problems, a vital skill for an economist.
Jerome gave me other good advice. He said that I should start taking graduate courses and told me which were most important. He also urged me to become a research assistant, arranging for me to work for a prolific young labor economist who is still a member of our faculty, Richard Freeman. It was an invaluable experience. So that is how conversations in the Dunster dining hall set me on a path that led to where I am now.
“I was sure that in the long run I’d find my work as both an economist and physician more meaningful than pursuing only one of those vocations. And all these years later, I can say that I’ve never regretted that choice.”
What did you like about economics?
It was a compelling frame through which to view human behavior. It provided a set of questions and a quantitative mode of thinking about important, real-world phenomena. You learn how to formulate and rigorously test hypotheses, a skill that is important in many fields and in life.
After you graduated, you pursued a Ph.D. in economics at Harvard and an M.D. at Stanford at the same time. This is long before online learning, so how did that work, logistically?
First came the decision to do both. To get advice about whether to get an M.D. or a Ph.D. in economics, I met with distinguished faculty across the University. Economists encouraged me to go into economics. Marty Feldstein, who later became one of my dissertation advisers, was one of them. As a Harvard undergrad, he’d planned to attend medical school himself but deferred admission to Harvard Medical School while he pursued a fellowship leading to his doctorate at Oxford. After a few years, he decided against the M.D.
The dean of the School of Public Health, a physician, thought I should get a Ph.D. in public health. The other physicians urged me to pursue an M.D.
As I digested the conflicting advice, I realized that by the time I graduated college, I would have done half of the required Ph.D. coursework. If I took an additional year, I could complete the coursework, earning a master’s degree in the process. So I decided to apply both to medical schools and economics departments, figuring that I should at least get the master’s in economics. One evening, the chair of the economics graduate admissions committee saw me poring over piles of computer output and asked whether I planned to pursue the entire Ph.D. I’d been thinking of it anyway and committed on the spot. He later became the chair of my dissertation committee.
I took a deferral from medical school at Stanford, where two of the nation’s most prominent health economists taught, spending the next year at Harvard with my classmates and finishing my Ph.D. coursework as planned. Then I took a leave from graduate school and went to medical school. I did two years, took a leave from med school, worked on my dissertation, and then came back to med school. I finished the two degrees, on two coasts, nearly simultaneously.
Where was your clinical work during medical school?
At Stanford Hospital and the Palo Alto VA hospital. I was also a research assistant during my first years of medical school. One of my mentors was Hal Sox, the chief of the Division of General Internal Medicine for Stanford and also the head of general medicine at the VA hospital. When I took a leave of absence to work on my dissertation, he arranged for me to have a student general medicine clinic at the Palo Alto VA.
Thanks to that experience, when I started clinical clerkships upon my formal return to medical school, I was as well-prepared as medical students who had gone straight through. My attraction to the VA was reinforced by my first inpatient medicine clerkship, which was also at the VA. That also led to my decision to go into general internal medicine and later, when I became a faculty member, to do my clinical work at the same hospital.
Were there particular patients who made a deep impression?
There were several, but one, a Mr. Campbell, really stood out. He was a World War II veteran, dying of advanced lung cancer. The main hospital building was old enough to still have wards with as many as 12 patients in a room. That sounds unpleasant, but the wards had important advantages over private and semi-private rooms. The patients in the wards came to know each other and looked out for one another. That vigilance was better in some ways than fancy monitoring equipment. He had a prolonged hospitalization and knew the ropes by the time I met him. He always looked out for his wardmates.
He was a wonderful person and very kind to me. He knew that I was learning by taking care of him and was so accommodating, generous, and uncomplaining. In many ways, he was one of my greatest teachers. It really hit me hard when he died.
It sounds like a tight-knit group of patients.
If somebody was having trouble breathing, another patient would find a nurse to help. Most were stoical and would not complain if they were feeling worse. They might hide it, even if they had a worrying symptom, like shortness of breath. Their wardmates would make sure the doctors and nurses knew. Mr. Campbell did that and set an example for other patients. I saw firsthand what people meant when they referred to World War II veterans as the “Greatest Generation.”
Your Ph.D.-M.D. experience was clearly a marathon. Did you ever get discouraged?
When I was looking at residency programs, the interviewers at Mass General asked: Do you think you’ll regret spending all of this time in training when you could have just been an economist? I replied that one of my grad school roommates — the economist Jeff Sachs — had just been promoted to full professor with tenure at Harvard, and here I was about to start an internship in six months. It was completely possible, I said, that when I would be called in the middle of the night to do a fever workup, I might think, “If I had just done economics, what would I be doing right now? Certainly something better than this.”
But I was sure that in the long run I’d find my work as both an economist and physician more meaningful than pursuing only one of those vocations. And all these years later, I can say that I’ve never regretted that choice.
“Fear is not conducive to learning. It’s not conducive to doing great research. Sometimes we need to take risks to make progress.”
When you were hired as an assistant professor at Stanford, you went back to the VA to do your clinical work?
Yes. Just as when I was a student, taking care of veterans was a source of great satisfaction and pride. I continued to see patients at the Palo Alto VA until I returned here to be provost in 2011.
Were there certain health issues that were particular to that population?
Compared to many academic medical centers, we saw more lung disease, liver disease, and heart disease. The Palo Alto VA was also a major referral center for the care of dual (medical and psychiatric) diagnosis patients and for spinal cord injury. I taught and supervised care of patients both on the inpatient service and in clinic. For several years, I was the only tenured Stanford faculty member in general medicine at the VA hospital. During that time I took care of many former prisoners of war, some of whom had ongoing illness related to their imprisonment, like the neurological impairments resulting from beriberi acquired in World War II prison camps.
During your time at Stanford, you authored more than 100 articles on healthcare economics. Tell me about your research.
I became very interested in applying the tools of economics to evaluate medical and public health practices. In my dissertation, I examined antibiotic resistance, where one person’s overuse of antibiotics puts others at risk of becoming infected by a resistant organism. It sounded like a negative externality, where one person’s economic activity harms others. I thought that the tools of economics could be helpful in measuring and ultimately controlling the harms that antibiotic users impose on others.
Over the years, I studied areas like cardiovascular disease prevention, including cholesterol control. I used and taught the tools of decision analysis, cost-effectiveness analysis, and the application of econometric techniques to the prevention, diagnosis, and treatment of disease.
You started two centers related to health policy and economics at Stanford. Was that when you first began to think about higher education administration?
I wasn’t interested in academic leadership positions and would have been even less inclined to pursue them if they were described as administration. However, not long after I started on the Stanford faculty, my division chief went on sabbatical, and I ended up becoming the director and principal investigator of a postdoctoral fellowship program that he led. That role basically continued throughout my time on the Stanford faculty. Later, I became the acting division chief. I had no interest in doing this on a longer-term basis, so creating the centers was kind of an aberration.
The chair of the Department of Medicine came up with the idea for a center for me to run — why it became two centers is a long story. She and my mentors at Stanford somehow convinced me that the centers’ mission would be sufficiently close to my research interests that running them would not be burdensome. I was overly optimistic about that, but leading the centers turned out to be gratifying in unexpected ways. Most importantly, I discovered that I loved mentoring students at all levels, postdocs, and eventually faculty. But I wasn’t attracted to positions with greater leadership responsibilities, like department chairmanships. I never would have expected to be a candidate for provost.

Garber welcomes first-years during move-in day in Harvard Yard with wife Anne Yahanda (from left) and Deans Hopi Hoekstra and David Deming.
File photo by Stephanie Mitchell/Harvard Staff Photographer
You started as Harvard provost in 2011. Did the idea of someday becoming president ever cross your mind?
People ask about it, but it was not something I was thinking about. When I started as provost, I didn’t have as much leadership experience as was typical for the position. I accepted the offer because I hoped to repay my debt to Harvard for all that it gave me. I didn’t think I needed to be president to do that.
As is typical for U.S. universities, the provost is the chief academic officer and is uniquely focused on the academic life of the University as a whole. Anyone with broad intellectual curiosity can’t help but feel a sense of wonder when they learn about the work faculty do at the frontiers of the fields represented at Harvard. That promise of intellectual stimulation combined with the opportunity to do my part to help the University succeed was irresistible.
At some point during your tenure as provost, you started to notice that the community was having trouble talking across differences and remaining open to a range of views on political and cultural issues. How did that realization develop?
Over the years, there was a growing reluctance — notably among students, but also among faculty and staff — to speak openly about sensitive issues, especially with people who might have different views. A fear of being misunderstood, of giving offense, and of ostracism chilled speech. Fear is not conducive to learning. It’s not conducive to doing great research. Sometimes we need to take risks to make progress. We shouldn’t offend people gratuitously, but if the consequences of inadvertently or even intentionally giving offense become too great, dialogue about difficult issues will be a casualty.
As these problems grew, I realized that traditional debates about what speech is permissible in different settings, and other traditional speech concerns, only addressed part of the challenge we faced. There still needed to be an understanding about speech rights, but it became apparent that we also needed to ensure that our entire community had the skills to participate in difficult conversations.
Among our faculty are renowned experts on these issues. And many more can demonstrate how to facilitate dialogue with extraordinary finesse and grace. I realized that we should look at this set of speech challenges as an opportunity to empower students, faculty, staff, and all the members of our community to be able to handle difficult situations better. In other words, we have an obligation to give people the tools they need to fully participate in the life of the community. That includes exposing, discussing, and working through differences.
Are there lessons you can learn by engaging with differences that you can’t learn any other way?
By doing so, you better understand perspectives that differ from your own. More importantly, you develop general skills in listening, speaking, and identifying areas of agreement and disagreement. You might even change your mind and be better for it. Engaging with differences is important right now because there is an overwhelming sentiment in our community that we need to be brought closer together, that we should not retreat into our own corners and avoid people whom we believe to be different from us.
Do you see intolerance of opposing views and intolerance of other people as two sides of the same coin?
Yes. People associate views with identities. If you’re a wealthy white student who went to a small private school in California, people assume that you will have a particular set of political views. If you’re a Black student from the urban Northeast, they assume that you will have another set of political views. And both might happen to be wrong. There’s a diversity of views from people with different economic, social, or religious backgrounds. We all want to be treated as individuals, not as types. We don’t want anyone to prejudge us based on our demographic characteristics or any other group identity.
The University has been locked in a dispute with the Trump administration for the past year. Did you see this coming before the election? Also, how do you strike a balance between today’s challenges and longer-term planning?
In the wake of October 7, 2023, the decline in trust in institutions, especially universities, accelerated. Academic institutions were blamed, often unfairly, for many of the problems the nation faced. But there were real problems at Harvard and other campuses. Attacking universities seemed to be a successful political strategy. As a candidate, Trump warned that his administration would investigate and seek to transform universities.
So harsh scrutiny was to be expected. However, we did not anticipate the form and the severity of the attack on Harvard and other universities, nor the readiness with which precedent would be abandoned, for example in Title VI investigations and enforcement. In navigating all that has followed we have, as always, been guided by principle. In developing our responses in the past 13 months, we have always confirmed that we will follow the law. We have always strived to protect the mission of Harvard and of higher education more broadly. We will go to great lengths to protect that mission, because in the end, when we carry out our mission, we serve the public.
You mentioned that the community wants to be brought together. Is it happening? Do you see a more unified institution?
Many people have told me how pleased they are at the way we have come together as a community. We still have our differences, but we also are committed to our mission, our common goals, and each other with a dedication that would be elusive when threats to the institution seem neither imminent nor serious. Now, more than at any other time in memory, we appreciate that this is a great and precious community — and it’s extensive. It includes not only the faculty, staff, students, and alumni, but also the many friends who may have no formal affiliation with Harvard but share our aspirations for higher education and its role in the world. That’s something that validates our mission and should give us all hope for the future.

Namwali Serpell.
Photo by Jordan Kines
Namwali Serpell’s book is an appreciation of ‘difficult’ oeuvre — and a defense
The true genius of Toni Morrison, says Namwali Serpell, isn’t found in the first read, but in the second, third, or fourth. This was how Serpell fell in love with Morrison’s prose, which she argues is designed to be a simultaneously cerebral and beautiful experience for readers.
“If you have to read and reread in order to put together what’s happening, then you are a co-creator of that literary experience,” said Serpell, a prize-winning novelist and a professor of English. “She saw this as specifically important for Black literature. Her highest aspiration, as she put it, was to create something at the level of jazz, which she saw as the highest form of Black art.”
Serpell’s new book, “On Morrison,” is a chronological walk through the Nobel laureate’s novels, from “The Bluest Eye” (1970) to “God Help the Child” (2015). It also explores the short story “Recitatif” (1983) and the play “Desdemona” (2011).
The ideas that animate the book took shape in the classroom, in a Morrison course Serpell first taught in the English Department in 2021. “The book is like the experience of taking a class with me,” she said. “My aim is to give you an appreciation for how carefully constructed Morrison’s works are, and how successful they are in using form to make you feel things you’ve never felt before.”
In this edited conversation, Serpell discusses Morrison’s approach to form, her talent for self-reading, and the value of being “difficult.”
What was it like to spend so much time with Morrison’s work for this project?
“The book is like the experience of taking a class with me.”
Namwali Serpell

A lot of my thinking about Morrison is influenced by Morrison herself, who was an incredible reader of her own work. She was a critic herself, but she also had what I like to think of as the beautiful audacity to write about her own work. She was very good at close-reading even the meter, the rhythm of her own sentences, or explaining why she included certain colors at the beginning of a novel. She also spoke a lot in interviews about what she was and wasn’t trying to do. Her own practice of self-reading is so inspiring.
You’ve said that Morrison’s skill as a writer is too often overshadowed by her public persona. Could you explain what you mean by this?
Turning her into a kind of institution, or monument to Black excellence, I think, does a disservice to her legacy. She was deeply interested in form, but her novels often get read only in terms of their political content or their political aim or their representational goals. While we have a wonderful icon and a model of success, what we don’t have is a deeper understanding of how she changed the novel: the experiments she did, the ways she broke open the form, and infused other forms into it. The ambition that she had as an artist has been so influential on other writers that some of her techniques we now take for granted. She’s much more interesting on the page than we take her to be.
Did you learn anything new about Morrison?
I never met Morrison and I didn’t really want to. As they say, never meet your heroes. I have also loved having a purely literary relationship with someone who had purely literary relationships with a lot of other writers herself. But whenever I told someone that I was writing the book, I immediately got anecdotes about the time that they met Toni Morrison. Some of the things that I learned from them were that she had a wonderful sense of humor, bordering on the raunchy sometimes. Her sensibility was oriented toward class politics, but Morrison also delighted and luxuriated in beautiful, well-made things. Fashion was important to her. And when she got the phone call about winning her Nobel, apparently she closed the door to her office and danced.
You have written about Morrison’s “difficulty,” both in her texts and in her personality. Can you share more?
I felt that she was in need of a defense. It felt to me like she had not been taken seriously for the difficulty of her work, but rather rejected for what was perceived as the difficulty of her personality. She had a very contrarian sensibility when it came to politics. She also suffered no fools. She came to believe that it was a good thing for Black women to be seen as “difficult,” because that meant that they had insisted on being taken seriously. I thought that was a very interesting way of thinking about the attribution of difficulty to Black femalehood: If you lean into it, it is a way of asserting the importance of what you’re doing.
Morrison articulated, over the years, many different reasons why difficulty in a text was not simply a sign of showing off your intelligence, but was, for her, about engaging the reader and drawing them into participating in the making of the book.
Where should a first-time Morrison reader begin?
People often want to start with “The Bluest Eye” but it’s actually one of her most difficult books. I think it’s better to ease in with “Sula” (1973) or “Home” (2012). She described “Sula” as “hermetic,” by which I think she meant it’s tight — well-crafted and well-shaped, like a poem. It’s not very long, but it’s very, very moving and very beautiful. If you want to start with later Morrison, “Home” is pretty straightforward. One of the characters will, in certain chapters, talk back to the narrator. It’s a little experimental, but actually pretty easy to figure out. It’s delightful.

Walter Willett (from left), Eric Rimm, and Timothy Rebbeck. Anna Grummon of Stanford joined the conversation via Zoom.
Photos by Veasey Conway/Harvard Staff Photographer
Experts seek to clarify the health effects of alcohol and sugary drinks
Pure, clear water: yes. Soda and other sugary drinks: no. Alcohol in its many forms: maybe, but always in moderation.
In a conversation Thursday at the Harvard Chan School, experts zeroed in on beverages, emphasizing health effects that are no less serious than the risks and benefits that come with food.
“From our first cup of coffee in the morning, to a glass of wine at night, to an energy drink, these beverages are woven into our lifestyles, our celebrations, and our cultures,” said Timothy Rebbeck, the Vincent L. Gregory Jr. Professor of Cancer Prevention and director of the Chan School’s Zhu Family Center for Global Cancer Prevention. “Yet the health impacts of the beverages, especially when it comes to cancer and the long-term effects on chronic disease and health, have been confusing and sometimes controversial.”
Alcohol, with its mixed health profile, took center stage, with Professor of Medicine and of Epidemiology Eric Rimm and Professor of Epidemiology and of Nutrition Walter Willett outlining the pros and cons. On one hand, Rimm said, moderate alcohol use has been shown to protect from heart attack and, on a population scale, lower mortality for those consuming between half a drink and a drink a day. On the other hand, studies have shown that alcohol increases the risk of several types of cancer, including breast cancer.
“What we know is that people that drink about a half a drink to a drink a day live the longest, so they die less of heart attacks,” Rimm said. “They may have a bit more cancer, but the absolute risk of heart attacks is much greater than the absolute risk of breast cancer or colon cancer.”
Willett acknowledged that the increased cancer risk can be small, especially compared with major hazards like smoking. Still, on a population scale, the increased risk of breast cancer due to drinking is large enough to counterbalance the benefits of screening, he said.
Willett and Rimm also offered practical advice to help consumers understand what the competing statistics might mean at the individual level. One has to evaluate these risks within one’s own context, they noted. For example, Willett said, a young woman with a healthy heart may want to focus squarely on alcohol’s breast cancer threat. That calculus may be different for others, depending on their specific circumstances and family background.
Though the discussion focused on the health claims surrounding moderate drinking (one drink per day for women, two for men), another panelist, Stanford’s Anna Grummon, noted that alcohol’s biggest societal impact comes from dependence and heavy drinking, conditions that lead to dangerous behaviors like drunk driving and physical violence, and can devastate families.

“What we see in the data is that many of the harms that we worry about with alcohol consumption, a lot of those are not necessarily around heart disease or cancer, but around addiction and motor vehicle crashes, and these are significant contributors to the overall death rate in the U.S.,” said Grummon, director of Stanford’s Food Policy Lab. These effects suggest that policy makers might want to “nudge” consumption downward so that more people are meeting the level of “moderate” drinking, she added.
“I don’t think any policymaker is interested in getting to zero consumption. I don’t think we want to go back to prohibition,” Grummon said, “but I think there’s interest in moving the curve a little bit to the left towards lower consumption and more people meeting the guidelines that Eric mentioned.”
The mixed picture for alcohol consumption was in contrast to what panelists agreed is a much clearer one for soda, energy drinks, and other sugar-sweetened beverages, including sugary fruit juices. A 12-ounce can of a popular soda brand has 10 teaspoons of sugar, an amount almost nobody would add to a cup of coffee or tea, Rimm said. Sugar-sweetened beverage consumption is linked to rising obesity, which itself raises cancer risk, and diabetes, which increases risk of heart attack and stroke.
“When you compare a soda to water, or soda to coffee, or soda to tea, whatever you’re comparing it to always wins,” Rimm said.
One answer for those who don’t want to give up sugar is to switch to drinks with artificial sweeteners. Willett said that sweeteners, especially aspartame, have largely proven to be safe and significantly improve a drink’s health profile. But the best choice is water, he said. And since the water supplies in most major cities are safe, a person can take it right from the tap.
Willett pointed out that the failure of the national government to act on regulating these drinks isn’t unique. Campaigns that wound up curbing smoking and banning trans fats, for example, both started at the local level, grew to the state level and then gathered enough momentum that the national government acted.
“That’s where the action is,” Willett said. “It’s state and local, even sublocal —institutional — and people can make a difference there.”

Illustration by Liz Zonarich/Harvard Staff
Education scholars say rigor, learning same as paper, stigma an unnecessary hurdle
More than 40 percent of Americans think that listening to audiobooks is less rigorous and really doesn’t count as reading.
Cognitive neuroscientist Nadine Gaab disagrees, and she and other education scholars say the view is counterproductive when it comes to learning and development.
Not only does the brain operate the same when reading print books or listening to audiobooks, Gaab said, but the learning process is also the same.
“The theory of learning styles has been debunked,” said Gaab, the Silvana and Chris Pascucci Professor in Learning Differences at Harvard Graduate School of Education. “It’s not the case that someone learns better by listening or by reading. You may have a preference, but learning is sort of the same regardless of the modality. ”
Reading is a complex skill that involves the early development of brain regions that support sound and language processing, the essential milestone skills for learning to read, said Gaab. The neural networks that process written and oral language are deeply intertwined and largely overlap when reading print books or listening to audiobooks.
“There isn’t much of a difference between the brain network for reading and the brain network for language comprehension,” said Gaab. “The brain area we call the ‘letter box,’ which processes print, is not as engaged when you listen, but it has been shown that when some people listen to words, they visualize them, so the letter box gets activated as well.”
“There isn’t much of a difference between the brain network for reading and the brain network for language comprehension.”
Nadine Gaab
Listening to audiobooks meets derision in some circles, where it may be seen as “cheating,” but Gaab rejects that notion. Both print books and audiobooks offer advantages to readers, she said. While readers can review and go back to print books easily, audiobooks offer voices and sounds that make the story compelling and attractive.
Librarians wholeheartedly agree.
Readers should reflect on their choices by focusing on the purpose of their reading, said Alessandra Seiter, community engagement librarian at the Harvard Kennedy School. Some might favor print text because it helps them absorb information better, and others might prefer audiobooks because they allow them to multitask and save time.
“There is nothing wrong with audiobooks,” Seiter said. “There is no purity about reading words on a page.”
There are clear practical implications, said Alex Hodges, director of the Monroe C. Gutman Library at the Graduate School of Education. Print texts offer readers the chance to highlight passages or write notes that might help them retain information better, Hodges said. Audiobooks, on the other hand, may impart a more relaxed experience.
Laura Sherriff, librarian for the Cabot Science, Fine Arts, and Lamont libraries, would like to remove the stigma around audiobooks. In her former life working at a bookstore, she saw kids starting out with “Harry Potter” audiobooks and coming back to buy the print books. “It was their gateway to reading,” she said.
Regardless of their form, either print or audio, books introduce readers to new knowledge, imagined worlds, and complex language, said educational linguist Paola Uccelli, John H. and Elisabeth A. Hobbs Professor of Cognition and Education at the Graduate School of Education.
“In both formats, readers encounter not only new information but also text-specific linguistic patterns — and new possibilities for making meaning through language — well beyond what they are likely to experience in casual conversations,” said Uccelli.
“Audiobooks, particularly when students find them engaging and have opportunities to participate in book discussions, can be a powerful tool for helping developing readers expand not only their background knowledge but language resources essential for making meaning from text.”
Gaab’s lab examines how people learn from infancy through adulthood, with an emphasis on language and reading. She often recommends that parents of children with reading difficulties try audiobooks, along with print books, and reminds them that “the most important thing is that children are motivated to learn and excited to read.”
And adults, she said, should be less critical of audiobooks because that’s essentially how we all started.
“If you’re a good reader as an adult, it does not matter whether you read it or you listen to an audiobook,” said Gaab. “We all start as listeners to audiobooks. As children, we were sitting in our parents’ laps while they read books to us. So, we all have been audiobook lovers at some point in our lives.”

Andrew Kruse.
Niles Singer/Harvard Staff Photographer
Some 1 million patients in the U.S. live with a type of heart disease called heart failure with preserved ejection fraction, or HFpEF, caused by a stiffening of a chamber of the heart that makes it much more challenging to distribute blood throughout the body. The condition has few approved therapies and high mortality rates.
For years, researchers have suspected that the hormone relaxin could be an effective treatment for certain cardiovascular diseases — including possibly HFpEF. It helps counteract fibrosis, prevents veins and arteries from hardening, and promotes essential vascular and cardiac remodeling to support the mother’s heart during pregnancy. However, a major challenge has been keeping relaxin in the body long enough to be effective. The pharmaceutical industry tested a similar compound in clinical trials but encountered the same challenge as many hormone-based treatments: These molecules are generally small, and the body filters them out too quickly for them to be effective.
“The pharmacokinetics are not really suitable to use it as a drug,” said Grant Zimmermann, director of business development at Harvard Office of Technology Development (OTD).
That started to change in 2017, soon after a discovery in the lab of Andrew Kruse, professor of biological chemistry and molecular pharmacology in the Blavatnik Institute at Harvard Medical School. “Andrew came to us,” Zimmermann recalls, “and said, ‘I think I know how to fix this.’”
Kruse had been interested in the structural biology of relaxin, which he calls a “very unusual member” of the family of proteins his lab has researched for years. Researchers in the Kruse Lab were studying the structure of the relaxin receptor to understand how it binds to its ligand and induces changes in the body. In the process, the research team made an important discovery: They were able to convert relaxin from a naturally occurring two-chain molecule to a one-chain molecule using protein engineering, and they were able to attach the Fc-domain of an antibody to extend relaxin’s half-life in the body. Native relaxin is complicated to produce in the lab because of its two-chain structure, according to Sarah Erlandson, the graduate student leading the project. Creating a single-chain design made it possible to fuse the antibody Fc to relaxin, allowing it to stay in the body longer.
There wasn’t one moment that illuminated how consequential the discovery would be, says Erlandson. Instead, the process involved the types of continuous progress that often define scientific research and development. Their work “relied on iterative design improvements,” she said. “I remember our growing excitement as we made progress on the engineered protein. That’s when it started to feel like we could have a tangible impact on relaxin therapeutics.”
What they designed as a tool to study structural biology, Kruse realized, could have significant therapeutic potential.
OTD protected the innovations related to the research and got to work on strategies to further advance the research toward commercialization opportunities. Zimmermann brought the project to his colleagues at the Blavatnik Biomedical Accelerator (BBA). That team immediately saw promise in the research and provided funding through pilot and development grants, along with business development support.
Relaxin represents a “prototypical example” of the type of innovations that the BBA funds, says Zimmermann. The accelerator specifically looks for technologies with a clear path to clinical development that need a boost to attract potential industry partners that can further the development of beneficial innovations through sponsored research or license it for commercial use.
The BBA helped fund pharmacokinetic evaluations of the molecule’s use in mice and validate the research to the point that Kruse was able to form a startup and license the technology, launching Tectonic Therapeutic to further advance the research to the clinic.
“All of these things were really critical for us to be able to out-license this molecule, to show that it actually had some real promise,” Kruse said. “The Blavatnik Accelerator is really what allowed us to go from a pure research compound to something that was ultimately a clinical candidate.”
“All of these things were really critical for us to be able to out-license this molecule, to show that it actually had some real promise.”
Andrew Kruse
Kruse also received guidance and ultimately partnered with Timothy A. Springer, the Latham Family Professor of Biological Chemistry and Molecular Pharmacology in the Blavatnik Institute at Harvard Medical School, whose lab studies protein-based therapeutics and who has helped found numerous biotech companies. What began as a lunchtime conversation about progressing academic discovery into a company grew into a collaboration. Springer helped co-found Tectonic, worked with Kruse on fundraising pitches, and provided pivotal early funding, along with his technical expertise.
Since licensing the relaxin technology, Tectonic has conducted additional engineering on the molecule devised in Kruse’s lab — with Kruse as an adviser and Springer on the board of directors — and created a larger platform to develop treatments targeting other G-protein coupled receptors (GPCRs), the class of receptors that Kruse’s lab studies. About 30 percent of all approved drugs target GPCRs, but currently-approved treatments target “just a small fraction” of all known GPCRs, says Alise Reicin, Tectonic’s CEO.
“There is a lot of biology there that could be important in drug discovery and development, but many of those GPCRs, for a variety of reasons, were considered hard to drug or undruggable,” said Reicin. Targeting them with unique biological engineering, the team thought, could unlock new treatments.
For cardiovascular disease, the company’s focus is the RXFP1 receptor, a GPCR that is involved in numerous processes throughout the body, including in the cardiovascular system. Relaxin binds to the RXFP1 receptor and can make tissues, including veins, stretchier and softer. Tectonic’s relaxin treatment, known as TX45, is now in a Phase 2 clinical trial.
“I think there’s lots of reason for optimism that this story is going to play out in the way we envisioned all those years ago,” said Zimmermann.
In January 2025, Tectonic received data suggesting its relaxin therapeutic could work in a subset of patients, those with pulmonary hypertension associated with HFpEF. In the fall, they received a similar dataset in patients with pulmonary hypertension associated with reduced ejection fraction heart failure. These patients typically have reduced exercise tolerance and increased mortality compared with heart failure patients without pulmonary hypertension. In the coming year, the company will also begin working on treating a new form of pulmonary hypertension, associated with interstitial lung disease, with relaxin. For patients, this would mean a potential new treatment for challenging and, at times, fatal conditions.
“I’m a big believer that it’s the academic-pharma-biotech partnership that has driven innovation in all of the great drug-development programs over the last few decades that have improved the lives of patients,” said Reicin.

Parents of children who have died due to alleged social media-related harms hold a vigil on Feb. 5 at the Los Angeles Superior Courthouse, ahead of the landmark social media addiction trial.
Jordan Strauss/AP Content Services for ParentsTogether Action
A Los Angeles jury will decide whether Meta’s Instagram and Google’s YouTube are addictive and causing harm to teenagers and children — and whether they can be held responsible for it.
The lawsuit involves a 20-year-old California woman who says her compulsive use of Instagram and YouTube since childhood resulted in mental health struggles. She argues the platforms are intentionally designed to be addictive in order to boost user engagement.
A 1996 law protects online platforms from liability from content posted by users.
Meta and Google have denied that their popular services pose mental health dangers to young people. But a growing body of research, along with real-life observations of parents and teachers, suggests otherwise.
Glenn Cohen is deputy dean and the James A. Attwood and Leslie Williams Professor of Law at Harvard Law School, and faculty director at the Petrie-Flom Center for Health Law Policy, Biotechnology & Bioethics.
In this edited conversation, Cohen explains why the Los Angeles trial, which began Feb. 9, is testing tech’s insulation from liability and may reshape the public’s relationship with social media.
Many are calling this a landmark trial. Do you share that view?
This is a case that initially was against Meta, Google, TikTok, and Snapchat. It’s currently against Meta and Google; Snapchat and TikTok settled out of court. It’s a so-called bellwether trial.
There are about 1,600 cases that are in multidistrict litigation, which is a procedure for consolidating cases for some parts of the adjudication process. This is the first, but there’s going to be about two dozen bellwether trials. And these cases are selected as representative litigation for the larger pool of litigants.
I think it’s going to be quite an important case in part because it’s a theory that has a serious consequence for Meta and Google should they lose. They tried to get the case resolved in an earlier stage of the proceedings. When the court refused to grant them that resolution in November, that’s when Snapchat and TikTok decided to settle and not to take their chances at trial.
Meta and Google are risking a lot. This is one of the very first cases where we saw Meta CEO Mark Zuckerberg take the stand, and so this is a pretty unprecedented sort of thing.
Meta and Google are alleged to have deliberately designed their products to be addictive to teenagers and younger children. What does the plaintiff have to prove?
Her claim is that she became addicted to these sites as a child, and now experiences anxiety, depression, and body image issues as a result.
The opening statement by her lawyer, Mark Lanier, said things like it’s addictive to the brains of children and that Meta engineered addiction in children’s brains. He draws explicit comparisons to tobacco. Tobacco and gambling are the two public health analogues that you’re going to see come up multiple times.
The allegation is that, just as slot machines and cigarettes use particular techniques from behavioral science and neurobiology, the design decisions here were done in a way to maximize the engagement of youth to increase advertising revenue. That’s a main claim the plaintiffs use to frame their case.
One of the most interesting legal questions has to do with Section 230 of the Communications Decency Act. This was a 1996 law that shielded online platforms from liability for third-party content posted on websites.
The issue of whether the Act protects Meta in this case came up at prior stages of this litigation where the court disagreed with Meta. Should Meta lose this case, it is likely to come up on appeal.

Glenn Cohen.
File photo by Niles Singer/Harvard Staff Photographer
Tech firms are involved in lots of litigation. What makes this particular lawsuit so compelling?
What’s novel about this case is that the plaintiffs frame their claim as having nothing to do with content. They claim this is about design and functionality and design aspects like infinite scroll. So, they argue, a court can adjudicate liability for the design without running afoul of either Section 230 or facing First Amendment questions about content regulation and the like.
The trial court has accepted those arguments at this stage of the proceeding. But on appeal, should Meta lose this case, I suspect that ruling will be front and center.
The other thing to look for in the litigation is about causation — that is, for the plaintiffs to show that the harms would have been avoided if Meta had not designed the product in this way, that the health issues arose because of Meta product design.
We’re going to see back-and-forth and jousting about whether it’s the content versus the design that’s causing the damage to this young woman that she alleges.
And I think we’re going to see a bunch of back and forth on what’s called “failure to warn” questions.
The mother of the plaintiff has alleged that she had never seen any of the warnings on the subject. She learned about it after watching “60 Minutes” after her daughter had been using the Meta products. There’s going to be questions about what kinds of warnings were provided, whether they were sufficient, and whether that negates the liability of Meta.
One more thing will be the quality of social science research linking the platform features to the alleged harms to this young woman and to children in general. That’s going to be another pressure point.
Those are probably three or four things that I would keep my eye on that are going to be significant.
There’s a real chance that Meta will lose this case at trial. Some of their best arguments were ones that have been rejected in an earlier decision by the court. Still, those are mostly legal questions that I think will be taken up on appeal.
So, it’s possible that Meta will lose the trial and yet ultimately be vindicated at the end of the day.
What are the strengths and weaknesses of their arguments, in your view?
The plaintiff seems to have a very compelling story to tell, and that often is helpful, especially in front of a jury.
And I think they’ve already gotten some good stuff out of Mr. Zuckerberg on the stand. I don’t think he cratered, but the sound bites they’ve generated have been helpful to the plaintiff and the general mood around this litigation.
So those are two of the things that are strongest for the plaintiff side.
On the other side, there is this issue about content versus design. It’s quite hard to disentangle, and that will be something that Meta will be hitting repeatedly.
And then, this question of causation will come up repeatedly, as well, and whether the plaintiff’s attorneys can demonstrate the relationship between the design features and the injuries the young woman sustained.
I imagine that we’ll see the lawyers argue these issues both in the trial court proceeding and certainly on appeal if they should lose.
Many countries in Europe, Australia, and others now regulate social media, as well as AI. Could this case accelerate regulations either here or abroad?
I think so. The things that are most likely on the table would be much more age verification and age gating.
Zuckerberg, in his testimony, says that phone makers bear more responsibility and having a reliable way to verify a young user’s age without a driver’s license would be, he said, a “very wise and simple way” to do it.
So that will be part of Meta and the other social media companies’ story too: that regulators should be focused on the main place where adolescents and children access social media — their phones — and that phone makers should be regulated. That’s going to be an argument they make to stave off regulation on them.
One of the biggest challenges we’ve seen with a bunch of the cases that have made it to the U.S. Supreme Court is Section 230. And then, on the flip side, the First Amendment and a reluctance to be regulating anything that approaches content.
Now, I do think there are probably congressional bills that could be passed that could protect minors without touching content and potentially running afoul of the First Amendment. But the social media companies have been fairly adept, thus far, in avoiding a lot of regulation.
There’s also an argument that if these trials are successful, some might point to them and say, “We don’t need governmental one-size-fits-all regulations. Tort liability is doing the work here for us.” So, there’s a way in which a win for the plaintiffs might also be an argument against too much top-down regulation.
Apart from the ultimate decision at trial, the trial itself is generating all sorts of sound bites and things that might make regulators more interested. We’ve seen increased interest in regulation outside the U.S.; we’ve seen a little bit within the U.S. with some of the states regulating in this space.
Notwithstanding the fact that social media companies are good at lobbying, there’s a real chance that some of the stuff that will be revealed in the course of these trials may change the average American’s relationship with social media companies.

Rishi Wadhera.
File photo by Stephanie Mitchell/Harvard Staff Photographer
New statistical snapshot finds disappointing trend despite advances in treatment, ways to prevent nation’s leading cause of death
Treatments for cardiovascular conditions have never been better. Knowledge about how to improve heart health has steadily improved. Yet, in the U.S., progress in cardiovascular health has largely stalled out and in some ways worsened — even as increasingly effective treatments and interventions come to market.
The problem, said Rishi Wadhera, lead author of the Inaugural Journal of American College of Cardiology (JACC) Cardiovascular Statistics 2026 report, is “uniquely American.”
“Many other higher-income countries are grappling with rising obesity and diabetes,” said Wadhera, Harvard Medical School associate professor of medicine at Beth Israel Deaconess Medical Center and associate professor in the Department of Health Policy and Management at the Harvard T. H. Chan School of Public Health. “But the U.S. stands out for how consistently those risks translate into worse cardiovascular outcomes, and how wide the gaps are by income, race, ethnicity, and geography.”
And, in fact, there is growing concern about a worsening problem among younger adults with just-released research showing a sharp rise in hospital death rates from severe first heart attacks among those aged 18 to 54. Most of the deaths were men, but women succumbed at higher rates.
In the JACC report, Wadhera and his colleagues presented a comprehensive picture of cardiovascular risk factors in the U.S., highlighting the disparity between medical knowledge and treatments and the chronic problems faced by tens of millions.
Among other stark statistics, the paper showed that one in two U.S. adults suffer from high blood pressure — with little change between 2009 and 2023.
Though interventions have improved, many who need help don’t get it. The report states that only two in three American adults with hypertension, considered among the most dangerous cardiovascular risk factors, receive medical treatment, with no improvement in the figure since 2009-2010.
This lack of treatment leads to deaths. From 2000 to 2019, hypertension-related cardiovascular deaths nearly doubled, from 23 to 43 per 100,000 — with men experiencing higher rates than women and Black adults higher than white adults.
Among other stark statistics, the paper showed that one in two U.S. adults suffer from high blood pressure — with little change between 2009 and 2023.
Especially concerning to Wadhera and his colleagues is that younger Americans are facing a greater burden of heart problems.
“We’re seeing cardiovascular risks factors and diseases show up earlier in life, which changes the entire arc of health for individuals and also increases the likelihood of decades of chronic illness and catastrophic health events later on,” Wadhera said. “The story of young adults was stark and compelling.”
Wadhera stressed that the report also highlighted some positive trends. Mortality from coronary artery disease dropped by about 50 percent between 2000 and 2020, and the quality of care for those who suffer a heart attack or stroke improved. Far fewer people smoke, too, limiting a major factor that plays into heart problems.
Wadhera cited the decline in smoking as an example of how research and public health campaigns can lead to meaningful improvements in health.
“The declines didn’t happen by accident,” he said. “They were the consequence of sustained education, prevention, public health efforts, health system efforts, and so on.”
He hopes that the report’s accessible presentation of trends not only helps researchers and clinicians, but also policymakers who make decisions that directly affect cardiovascular health — including on structural factors that drive disparities.
“There are obviously genetic determinants of obesity,” Wadhera said, “but at the same time, we do have to think about how our communities are constructed, how our environments are constructed, and whether they make it easy for people to make healthy choices.”
Despite overall decreases in smoking, he pointed out that smoking rates are much higher in lower-income than higher-income adults. Similarly, though most people understand the importance of diet and exercise in preventing hypertension and obesity, millions of Americans live in obesogenic environments with little public space, low-quality food, and poor transit options outside of driving.
“There’s a widening gap between what’s possible and what’s delivered,” Wadhera said. Until the nation aligns its health system, public policy, and community investments around prevention and risk-factor control, he added, the U.S. will continue to experience avoidable heart attacks, strokes, and cardiovascular deaths.

Quadree “Dree” Palimore.
Lauren Fabiszak/Harvard College
Senior composes musical about abolitionist’s early life
Quadree “Dree” Palimore paced the floor in a campus studio recently as Yerim Colin prepared to sing. The students were workshopping a number from Palimore’s original musical — an ambitious retelling of the life of Frederick Douglass.
“It’s been 30 days of your freedom, 30 days of you having your own identity,” Palimore prompted Colin. “What’s on your face, how are you going to express that to an audience? Think about that during the opening segment.”
The idea for the musical came to Palimore, now a senior, as a first-year, when a writing course on slave chronicles had him read the abolitionist’s memoir, “Narrative of the Life of Frederick Douglass.” He was inspired, in part, by Douglass’ relationship to music.
“In his ‘Narrative,’ he writes a lot about the role music had played for him as a slave, how he remembered hearing slave songs,” Palimore explained. “He wrote a lot about what he believed the power of music to be. That was compelling to me. There is power in a story. I think the use of song and music can elevate these emotions and experiences that this young man was facing.”
The first song came to him one day during sophomore year, while jamming with friends in Eliot House. His friends set down their guitars and left to take a break, but Palimore stayed, chasing notes on the keyboard.
“I had never written my own song. But I knew when I played that melody for the first time, that it felt different,” he recalled. “Out of the blue, I started playing the first melody ever for the musical.”
Now in his final College semester, Palimore is finishing the writing process for his musical, titled “Bailey: An American Narrative” after the abolitionist’s birth name. The show spans the seven-year period from October 1838 (about a month after 20-year-old Frederick Bailey escaped slavery in Maryland) to 1845, the year he published his memoir.
“The moments right before changing his name to Frederick Douglass feel important to me, because those were the days when he was making the big moves to do the things that he really wanted to do,” Palimore said. “I constantly think about how he reconciled being free with having that history attached to his name. How did he cry about it? How did he overcome it? How did he try to run from it?”
Palimore conducted extensive historical research, dug in the archives, and consulted Harvard experts, including Evelyn Brooks Higginbotham, Victor S. Thomas Professor of History and of African and African American Studies; Henry Louis Gates Jr., Alphonse Fletcher Jr. University Professor; and John Stauffer, Sumner R. and Marshall S. Kates Professor of English and of African and African American Studies.
But much of his writing process has also been imaginative. Palimore is fascinated by the idea of Douglass at his own age, and while writing his sections of dialogue tries to envision what the young abolitionist would have thought, journaled, and prayed about.
The music in the show is a mix of genres: rap and spoken word, some jazz, gospel, and orchestral. Palimore was also inspired by 19th-century music and has arranged what he’s calling a “2025 version” of the 1840s anti-slavery song “Come Join the Abolitionists.”
A vocalist and member of Harvard Glee Club, Palimore had only beginner piano chops and no composing experience when he began the musical, but he dove into learning. He declared a secondary in Theater, Dance & Media, signing up for courses such as “The Making of a Musical: The Creative Process” with Professor of the Practice of Theatre Diane Paulus and head of dramaturgy Ryan McKittrick, and “Beginning Acting” with head of directing Marcus Stern. He transferred from Mather House to Eliot, to be closer to the friends with whom he freestyled.
“Just being at Harvard, there are a million opportunities, so I tried to take as many as I could. Academic opportunities, of course, but also having access to piano rooms in the music building.”
Quadree “Dree” Palimore

Yerim Colin ’27 with Palimore at the piano.
Lauren Fabiszak/Harvard College
In the summer of 2024, Palimore did a directing internship at the A.R.T. for “Romeo and Juliet.” He attended an Office for the Arts vocal workshop with “Hamilton” actor A.D. Weaver and presented material from “Bailey” at the OFA’s Creative Careers Conference.
“Just being at Harvard, there are a million opportunities, so I tried to take as many as I could,” Palimore said. “Academic opportunities, of course, but also having access to piano rooms in the music building.”
Stew Stewart, professor of the practice of musical theater writing, has served as a mentor to Palimore during this project.
“Dree is a bracingly unique student whose fierce intelligence and visionary ambition fuels a passion for learning and creating that gave me the feeling of collaborating with an equal, more so than merely a professor passing on wisdom and knowledge,” Stewart said. “The more a student brings to the table the more we have to work with, and Dree’s got enough stuff for a few tables.”
Realizing he needed time to focus solely on writing the musical, Palimore took a gap year after junior year. He lived at his family home in Urbandale, Iowa, and worked at Target, melodies running through his head as he operated the elevated lift in the stockroom.
“I would take my 15-minute breaks and put my AirPods in and listen to the songs that I was composing, and I would take notes in my Pages app on my phone,” Palimore recalled. “I would be excited to go home to work on it.”
Palimore is planning a first table read of the show for April. He dreams about his work being performed on bigger stages in the future.
“Nothing else had ever brought me such fulfillment, staying up until 3 a.m. composing a work and then dreaming about it that same night, and then waking up at 7 a.m. and immediately pick up my laptop to implement those cello parts,” Palimore said. “I had never felt a certain way about anything before. The opportunities and experiences at Harvard revealed to me that art is what I want to do for the rest of my life.”

Esther Rheinbay and Luis Antonio Corchete Sánchez.
Veasey Conway/Harvard Staff Photographer
Research suggests it may explain higher incidence, severity of some disease in men
The Y chromosome is among the smallest in the human body and carries the fewest genes. Researchers are paying renewed attention to its role in cancer — specifically, what happens when it vanishes.
Women typically have two X chromosomes, and men an X and a Y. Men generally face a higher cancer risk than women in most shared anatomy, with the biggest differences in bladder, gastric cardia, and larynx disease. Researchers think lifestyle factors, such as diet, exercise, and exposure to carcinogens, explain some of the disparity, but not all.
Recent evidence suggests the disappearance of the Y chromosome in tumor cells may explain some of the gender gap in some cancer types, like kidney cancer. Understanding the connection could eventually lead to new therapies.
The gradual loss of the Y isn’t unusual. By the time they’re 70 years old, about 40 percent of men have lost at least some of the Y chromosome in their blood cells. In addition, the chromosome is frequently lost in tumors.
The Y chromosome primarily carries genes that provide instructions for male sex differentiation and fertility. But it also carries some known to suppress tumor growth — a protective ability that is lost if those genes are damaged or destroyed.
Luis Antonio Corchete Sánchez, a postdoctoral research fellow at the Krantz Family Center for Cancer Research at Mass General Brigham Cancer Institute and co-author of a recent review article on the issue in the journal Trends in Cancer, likens Y-chromosome gene loss to library books sent through a paper shredder: “You’ve lost those books forever; you can never recover that information,” he said.
Loss of the Y chromosome, or LOY, in tumors is a separate process from aging-related LOY, said Esther Rheinbay, Corchete Sánchez’s co-author. About 30 percent of primary tumors in men harbor either complete or partial LOY. In papillary renal cell carcinoma, a type of kidney cancer, the rates may be as high as 80 percent.
But the causality is far from clear. Scientists don’t know whether LOY causes tumors to grow, or whether LOY and tumor growth both result from some third process. The answer may vary by type of cancer, or even by individual patient.
“We know, at least in some tumor types, Y chromosome loss occurs very early in tumor evolution, but probably along with other alterations,” said Rheinbay, an assistant professor at Harvard Medical School and principal investigator at the Krantz Family Center. “One thing we’re trying to understand is: What’s the order of events? Is [LOY] oncogenic on its own, or does it need collaborators? That’s something we simply don’t know yet.”
“Every time we find more insight into the loss of the Y chromosome, we find more questions and more potential research gaps,” said Corchete Sánchez.
Studies of people with less common chromosome patterns, like males with an extra X chromosome or females missing or partly missing an X chromosome, suggest that X chromosomes may offer some protection against solid tumors, while the presence of a Y chromosome is associated with greater cancer risk.
But the little chromosome has proven frustratingly difficult to study.
“The Y chromosome is really rich in repetitive regions, so it’s hard to decide where the signal is coming from,” Rheinbay explained. “Together with the fact that it’s small, and there are very few genes relevant for cancer, it’s been deprioritized in analysis.”
Rheinbay’s team has been developing specialized tools to better define the status of the Y chromosome in cancer.
The same peculiarities that make the Y chromosome hard to study also offer promising opportunities for new cancer therapies.
“LOY in cancer cells leads to this exposed X chromosome,” Rheinbay said. “Because that doesn’t happen in most other cells, there’s a therapeutic window where we can potentially treat those cancer cells, and they will be way more sensitive to the drug than the normal cells with Y chromosome. That’s what we want: a treatment that kills the cancer but doesn’t hurt normal cells.”
“It’s exciting to venture into an area that has not been explored,” added Rheinbay. “And always thinking about the impact we could have on patient treatment makes it very exciting and very motivating.”

Images courtesy of Baker Library Special Collections; photo illustration by Liz Zonarich/Harvard Staff
Muriel Siebert arrived in New York City in 1954 with $500 and a dream. But from her first job as a “glorified gofer” at a small financial analysis firm, she would go on to become the first woman to buy a seat on the New York Stock Exchange, the first woman to own and operate a brokerage firm on the NYSE, and the first woman to serve as Superintendent of Banks for the State of New York.
A new exhibit, “Muriel Siebert: Redefining Power and Possibility on Wall Street,” on display now at the Harvard Business School’s Baker Library, highlights Siebert’s remarkable career, which opened doors for women in finance. This exhibit introduces the extensive holdings of the Muriel Siebert Collection at Baker Library, which the Muriel Siebert Foundation donated to the library in 2019. The Siebert archive comprises a wide range of materials, including correspondence, research reports, speeches, articles, press releases, photographs, and audiovisual materials.
Muriel Siebert was born in Cleveland, Ohio, in 1928, the daughter of a homemaker and a dentist. She attended Flora Stone Mather College intending to become an accountant, but before she could graduate, her father was diagnosed with cancer. She dropped out to care for him in her junior year.
In 1953, Siebert visited New York City with some friends and toured the New York Stock Exchange.
“What I saw as I looked down from the visitors’ gallery was a sea of men in dark suits,” she wrote in her autobiography. “But after absorbing all that fierce energy, I turned to my friends and said, ‘Now, this is exciting.'”

Young Muriel Siebert in 1943.

Siebert ca. 1960s.
New York Stock Exchange Archives, NYSE Group, Inc.

Floor of the New York Stock Exchange, ca. 1950s.
Photograph by Sylvania Electric Products, Inc. New York Exchange Archives, NYSE Group, Inc.

Siebert became a well-regarded specialist in the airline industry, and she often met with aviation executives and engineers.
Robert S. Lerner Photography, LLC
The following year, Siebert returned to New York to look for work.
After being turned down for several jobs, Siebert found work as a research trainee at Bache & Co. for $65 per week. She considered herself a “glorified gofer,” but she learned about the art and science of market analysis.
“I can look at a page of numbers and they light up and tell me a story,” she said.

Siebert rose through the ranks of the research analysts at smaller brokerage firms.
She encountered gender discrimination on many fronts.
“Mentors for women didn’t exist when I started on Wall Street,” she wrote. “It makes you a feminist when you’re making $150 a week and the man sitting next to you is making $300.”
“When I applied for a seat on the exchange, there was an uproar. Some people who felt that women should not be admitted to the stock exchange came to me and said so. But for every one person who resented my action, I found there were others who were happy for me. . . . I did a lot of soul-searching and talked to some of my other clients and I worked up enough strength to approach the exchange.”
Muriel Siebert, 1971
In 1967, a client suggested she buy a seat on the New York Stock Exchange and start her own firm. Siebert read the NYSE constitution and found no rules against women buying a seat. She bought her membership for $445,000, the equivalent of more than $4 million today. She called her membership badge “the most expensive piece of jewelry going.”

“The Advertising Club of Greater Boston, Night at Harvard, January 31, 1968.”

Notes for keynote speech by Siebert for “Women in Management Day Program,” HBS, May 3, 1972.
Siebert quickly earned a reputation as a trailblazer. She was invited to speak at Harvard Business School in 1968, shortly after she bought her seat on the exchange (HBS had first admitted women into its full MBA program five years earlier).
In 1972, she was invited back to be the keynote speaker at a program called “The Impact of Women on Today’s Business Environment.” She began her address, “When I received the invitation to speak here — I thought of the Virginia Slim Cigarette Ad — You’ve come a long way baby. As a woman who has succeeded in a man’s world — I’d like to say ‘Baby — you’ve got a long way to go.'”

In 1977, Siebert was appointed New York State’s Superintendent of Banks, making her the first woman to hold the position. She oversaw about 500 banking institutions, $400 billion in assets, and $100 billion in trust accounts.
The role made her acutely aware of the need for financial reform. In 1982, she ran for the U.S. Senate seat held by Democrat Daniel Patrick Moynihan, losing in the Republican primary to Assemblywoman Florence M. Sullivan.
While she was Superintendent of Banks and running for Senate, Siebert relinquished control of her firm into a blind trust. But after her primary loss, she returned to her company.
She grew the firm significantly, opening new offices, expanding into new services, and adopting new technologies, including an early computerized trading site.

“Mickie’s Back!” Advertisement, 1983, Muriel Siebert & Co.

“If you can’t reach Muriel Siebert.” Advertisement, 1983.

“Now Muriel Siebert has an office in California!” Advertisement.

Siebert Entrepreneurial Philanthropic Plan (SEPP) brochure.
“When I left my position with New York State, I had some offers from major firms. Had I taken any of them, I probably would have made a lot more money, but … I felt an obligation to other women. Had there been ten other woman-owned firms, I might have chosen differently,”
Throughout her career, Siebert championed women in business. She was a founder of the Women’s Forum in the Committee of 200, organizations supporting women in business. In 1990, she established the Siebert Entrepreneurial Philanthropic Plan (SEPP), which directed to charity 50 percent of profits, after clearing costs, from the fees associated with the underwriting or purchasing of new securities.
“My motives have always been pride, principle and profit. I don’t know how you stay afloat and sleep at night without all three.”
Muriel Siebert
“Giving back is more than an obligation, it’s a privilege,” she said.
Siebert was inducted into the National Women’s Hall of Fame and the International Forum Women’s Hall of Fame. In 2016, three years after her death, the NYSE opened Siebert Hall, the first and only room in the Exchange dedicated to an individual.
“Muriel Siebert: Redefining Power and Possibility on Wall Street” is open at Harvard Business School’s Baker Library through December 2026. This article includes text drawn from the digital exhibition and exhibition catalog.

Satoshi Yamaguchi.
Veasey Conway/Harvard Staff Photographer
The first symptoms appeared during a concert.
In 2009, Satoshi Yamaguchi, a drummer with the Japanese rock quartet RADWIMPS, found himself lost during a familiar bridge.
“The sound stopped suddenly,” Yamaguchi recalled in a 2023 TV news interview with NHK World-Japan. “I wanted to use my right foot to hit the drum twice, but I ended with the first try. At that instant, my brain really drew a blank. I thought, ‘What’s going on?’”
It took five years to receive the diagnosis of musician’s dystonia, which causes involuntary muscle spasms. The neurological disorder, impacting roughly 1 percent of professional musicians globally, eventually forced Yamaguchi’s exit from the band he had co-founded in 2003. But it also opened a remarkable new chapter in the percussionist’s story.
In a recent event hosted by the Reischauer Institute of Japanese Studies, Yamaguchi recalled his journey from rock stardom to scientific researcher intent on solving the mysteries of his condition. He also showed off the voice-activated drum kit that enabled his return to live performance in 2024, nearly a decade after he left RADWIMPS.
“My children had only ever seen me play the drums on the screen,” Yamaguchi recalled, sharing a photo of his family of five. “This was the first time they heard me perform live.”
Key to Yamaguchi’s trajectory was drummer-turned-scientist Shinya Fujii of Keio University’s NeuroMusicLab. The pair, who met when Yamaguchi arrived as a visiting researcher in 2021, went on to pursue a series of academic inquiries into musician’s dystonia.
Their first paper, published in 2024, charted the disorder’s impact on Yamaguchi’s musicianship. The effects may seem subtle to the untrained ear. But when symptoms appeared, the researchers confirmed, the drummer fell out of rhythm with a metronome.
For Yamaguchi, the findings came as a relief. “When I was still active in the band, I had no way to share the difference or the struggle with the people around me,” he told a packed house at Smith Campus Center. “But through science, I was finally able to reveal the true nature of that ghost.”
“When I was still active in the band, I had no way to share the difference or the struggle with the people around me. But through science, I was finally able to reveal the true nature of that ghost.”
Satoshi Yamaguchi
Inspired, Yamaguchi went on to conduct a large-scale survey of professional and amateur Japanese musicians. Results show musician’s dystonia is more prevalent among pros, with the right lower limbs most frequently afflicted.
Also uncovered was a potential link with the stress caused by in-ear metronomes, increasingly used in the music world by drummers, conductors, and other designated timekeepers. The devices dictate the rhythm of each piece, with a click track delivered directly to the eardrum.
“In recent years,” Yamaguchi explained, “large-scale live performance has evolved into a total entertainment experience that includes not only listening to performance, but also synchronizing the music with visuals, lighting, special effects, and programmed sound sources.”
In 2023, Yamaguchi moved to the Bay Area for a residency at Stanford University’s Center for Computer Research in Music and Acoustics. It was an unlikely place to discover the joys of taiko drumming, a traditional Japanese art form. He ended up performing in a 50th anniversary concert with the group San Jose Taiko.
The art form’s whole-body rhythms are taught orally — not via sheet music, Yamaguchi noted. While learning this way, he was struck by an idea. “What if I could use my voice to create the sound of the bass drum?” he recalled wondering. “My voice could become my instrument.”
Developed in collaboration with Yamaha, VXD is a bass-drum interface operated via vocal cues and throat sensor. Yamaguchi met privately last week with scientists from the Harvard Biodesign Lab, who wanted to understand how the system works. At the public event, Yamaguchi showed off VXD by playing a few RADWIMPS favorites.
An audience member gasped with delight when he started drumming “Sparkle,” featured in the 2016 hit anime film “Your Name.” Also performed were early releases “25-kome no senshokutai” (“The 25th Chromosome”) and “Iindesuka?” (“Is It Alright?”).
“Music has given me life,” Yamaguchi said near the end of his talk. “Music has also caused me pain. I lost it once, and then I found my way back to it — and it saved me.”
The event closed with the high-energy “Zenzenzense” (“Past Past Past Life”), which was also featured in “Your Name.” Yamaguchi pursed his lips into the microphone as he repeated the “don” syllable that triggers the VXD system’s bass drum. His right foot, pressed firmly to the floor, appeared as an anchor. The rest of his body was lifted by the beat.

Photos by Warrick Page/HBO Max
Every Thursday, viewers of the Emmy Award-winning HBO Max show “The Pitt” clock into their shift at Pittsburgh Trauma Medical Center’s emergency department to watch their favorite fictional doctors tackle any number of crises. But does “The Pitt” capture the reality of life as an emergency physician? The Gazette talked to four doctors at Harvard-affiliated hospitals about what the show gets right, what it doesn’t, and why they watch (or don’t). Their answers have been edited for clarity and length.
The pacing is exceptionally accurate. But it’s not just the pacing. It’s also the fact that the characters are constantly getting interrupted. They’ll be talking about one case and be in the middle of a conversation, but they’re pulled into another case, or they’re answering pages and they’re juggling multiple patients at once.
It’s also the whiplash of going from one patient to another, and the emotional whiplash of going from a heartbreaking case in one room to a minor complaint in the next room, and trying to juggle the back and forth there.
There are a lot of cases that they get right. We have a huge mental health crisis in this country, and the show does a good job of portraying things like suicidal ideation or acute psychosis without sensationalizing it. These are often sad and complicated cases, and the show does a good job of showing that there’s not an easy solution, and sometimes there’s not a solution at all for the mental health crises that some patients experience. One other example they are not shying away from is the fact that a lot of our patients have crises of homelessness, of lacking insurance, of having unsafe home situations, of having immigration concerns.
“One other example they are not shying away from is the fact that a lot of our patients have crises of homelessness, of lacking insurance, of having unsafe home situations, of having immigration concerns.”
But there is a little bit of time compression. There are conditions that take days to unfold, but they unfold on the show in a couple of hours. Patients are being discharged after a big illness or injury a lot faster than they would be in the emergency department because they’ve magically recovered. There are lab results that come back within the same episode and these episodes are all one hour. If we’re getting a CAT scan on a patient in the emergency department, it normally takes an hour or two to wait, then you get the CAT scan that takes an hour or two to read. But on TV, that would be three episodes later and that story arc is already gone.
No medical show is going to be perfect.
I can’t make it through a whole episode without turning it off, because it nails a lot of it really. I practiced emergency medicine solely for about six years, and then I continued to practice it part-time with sports medicine for another eight years or so. But I haven’t been in the ED for four years. I tried to go back when I joined Mass General and do a couple shifts, and I can’t do it. I can’t handle it, and I’m not good at it anymore. You have to be your best at every moment there.
“The Pitt” really, really nails the psychosocial stuff. I thought it was a little much when that guy was on the roof thinking about jumping. But there’s not one of us, I bet you, that hasn’t had the thought crossing your mind, especially when you’re going in to do an overnight shift and you know it’s going to be hell, or when it’s Christmas Eve and you’re not with your kids and you’re going through hell.
If you’re thinking about going into emergency medicine, watch the show and try to remember, as you get older, you get tired. You couldn’t get into a good emergency medicine residency when “ER” was on. And now “The Pitt” is here, and over the past 10 years or so, programs aren’t filling anymore. The word’s out that this is a tough job. Go look at 50-year-old ED physicians that stuck with it. They don’t look good.
I find the medical parts of the show realistic. Those of us who grew up in the era of “ER” years ago with Noah Wyle — that was an early kind of semi-realistic, not super realistic, view of the emergency department.
The way that they describe presentation of patients, the pathology that we see, procedures we do is realistic, surprisingly, more than any other show that I’ve seen. It’s the variety of patients that we get as they come through the door, the movement, all of it. It’s realistic in a way that it makes you feel like you’re at work.
“It’s realistic in a way that it makes you feel like you’re at work.”
The stuff that is not so realistic are the kinds of behavioral issues. While there’s cheeky commentary between people all the time, the sort of tense drama or interplay that we see that makes good drama is not necessarily standard in the emergency department.
It’s actually a quite collegial place to work. That’s why people like to work there, because it’s very much a team approach. We all like to work with the team.
Also there are times when the emergency room waits can be really long, because everybody’s coming at once. But that’s not the norm. It’s a busy place, but we are equipped to move people through. In the series, every time they go out to the waiting room, it’s absolute pandemonium, and it’s terrible out there. And that’s not exactly accurate.
“ER” veered into a lot of the drama. And I really love that “The Pitt” is just the emergency department and the relationships that happen there. And I love that they’re highlighting the nurses and the security and how it really is a village. I think they added respiratory tech this year because we can’t function without our respiratory tech.
There are probably a handful of cases that no, we would never do it like that or you would have that once in your career, maybe, and they happen to have it in the first five hours of a shift. But I would say 97 percent of those cases are totally what we see.
We see a lot of abdominal pain that’s not featured. Or a cold. You’re not going to feature that every time, which is a little bit more of our cadence of like, ankle sprain, ankle sprain, ankle sprain, or back pain, back pain. Not every case is this amazing case report, but certainly all of that stuff is very plausible and real.
And then also, they illustrated COVID and the difficulty of it, and those decisions that many people had to make about resources and who was going to get what. We fortunately never ran out of ventilators, but there was a whole mask issue, and they were very tough times.
In the end, I’m very grateful for it, for the entertainment, but also the messaging. If people understand when they come to the emergency department that it is crazy, and have a little bit of better understanding that it’s not for lack of not wanting you to go upstairs, or not wanting you to be in the hallway, it makes my job easier when people are not so upset.
Oftentimes, MGH is crowded, and we’re always apologizing to our patients. Suddenly it’s a little more palatable, because they’re like, ‘It’s like “The Pitt.”’
In new book, author Michael Pollan explores nonhuman sentience, stream of thought, AI

Michael Pollan.
File photo by Niles Singer/Harvard Staff Photographer
The brain is constantly managing a myriad of bodily functions, and most of them happen without our being aware of it. So why do some operations rise to the level of awareness?
That’s the question at the heart of Michael Pollan’s just released new book, “A World Appears: A Journey Into Consciousness.”
Pollan is the award-winning author of 10 books, including “This Is Your Mind on Plants” and “How to Change Your Mind,” and is the Lewis K. Chan Arts Lecturer and professor of the practice of nonfiction, emeritus. His latest book takes insights from science, literature, philosophy, spirituality, and psychedelics to turn the spotlight of consciousness on itself and explore what it is — and whether only humans have it.
Pollan will discuss the book with Louisa Thomas, a staff writer at The New Yorker and a lecturer in creative writing at Harvard University, on Thursday at the First Parish Church in Cambridge.
This interview has been edited for length and clarity.
You start by defining the “hard problem” of consciousness that the book sets out to explore. What is that hard problem?
It was set forth by a philosopher named David Chalmers back in 1994, and he basically said, “How do you get from matter to mind? How do you get from three pounds of brain tissue to subjective experience, having a voice in your head? You’re not aware of about 90 percent of what the brain does, so why do we have this space of interiority? Why isn’t everything the brain does completely automatic?”
This is a problem that neuroscientists have been working on since about the late ’80s. Before that, consciousness was not considered a respectable subject for scientists to delve into, so there was remarkably little work done.
So the book is really a look at the modern attempt to understand consciousness by both scientists and other kinds of thinkers.

There are a lot of theories about what consciousness is, and Chalmers is kind of a key figure in judging the relative success of each.
Yes, he’s very good at that. He takes any new theory of consciousness and applies himself to it until he hits a wall. He sort of serves the field as a kind of superego.
But a surprising number of scientists look to him as an arbiter of what is or isn’t a good theory. It’s an interesting phenomenon, because you don’t usually have science deferring to philosophy, but this is an area where that’s the case.
Why do you think that is?
It’s possible that we don’t have the right kind of science to solve this particular problem. All we have to understand consciousness is consciousness: The whole scientific enterprise is a manifestation of human consciousness. We can never step outside of it, and that makes it a uniquely difficult problem.
Also, for the last 400 years, science has organized itself around the idea that it should focus on objective, measurable, quantifiable reality, and leave subjectivity to the church. That was Galileo’s bargain, and it still holds.
The tools we have to understand what is finally a subjective experience are limited, and I argue it may take a revolution in science to solve the problem. It may take science learning how to incorporate phenomenology — lived experience — into its methodology before we can solve this problem.
That’s not to say we can’t learn a lot about consciousness. We’re all experts in it. Novelists and poets also know an awful lot about consciousness, so I turn to them as well as scientists.
What are we actually talking about when we talk about consciousness?
In the book I move from the simplest to the most complex manifestations of consciousness, starting with sentience. There are people who would say consciousness and sentience are the same thing, but I see an important difference.
I think sentience is a simpler, more basic form of consciousness. All it requires is an awareness of one’s environment, the ability to distinguish beneficial changes from destructive changes, and to move toward one and away from the other. Even bacteria have this: Chemotaxis is the bacteria’s ability to recognize dangerous molecules and food.
I think sentience may be a property of life that you need to deal with in a world that’s complex and ever-changing and unpredictable, and it may be that every living thing does sentience in a different way that suits their needs, the scale at which they live.
A group of researchers who call themselves plant neurobiologists (it isn’t exactly neurobiology, since no neurons are involved; I think the name is meant to troll more conventional botanists) are doing fascinating experiments that show, for example, that plants can be rendered insentient.
If you expose a Venus flytrap to xenon gas, which is a bizarre kind of anesthetic, they won’t react when a fly crosses their threshold. Another plant, Mimosa pudica, can be taught not to react, not to close its leaves, to false stimuli. It can remember the lesson for 28 days.
Also, the root of a corn plant can navigate a maze to find fertilizer. There are vines that change leaf shape depending on what plant they’re curling their way around.
I wouldn’t call that consciousness. I don’t think plants have interiority the way we do. But plants have more than instinct. They’re capable of intelligent decision-making.
You go on to talk about feeling as this next layer of consciousness. Why do feelings play such a big role in your framework for consciousness?
For a long time, scientists assumed consciousness had to be this cortical phenomenon. It had to be tied to rational thought, the kinds of things only we humans can do.
But a neurologist named Antonio Damasio, beginning with his book “Descartes’ Error,” showed that maybe feelings come first, that consciousness may be a product not of the cortex but of the upper brainstem. I think he makes a persuasive case.
Let’s say you have a feeling of hunger. That’s a basic sensation generated in your body, and your cortex is enlisted to make a reservation for dinner or imagine various counterfactuals that could get you fed. So the cortex is involved, but it comes into the picture later.
If you believe that feelings are the basis of consciousness, there are a couple of implications. One is that it helps make the case that animals, which have similar structures in their brain stems, are conscious. The other implication is questioning whether machines can become conscious. Machines are pretty good at thinking, but they’re much less good at feeling.
Feelings are grounded in biology; feelings are the way the body communicates with the brain. And feelings depend, I think, on the fact that we can suffer, perhaps on the fact that we’re mortal. You could ignore a feeling completely if there wasn’t a sense of vulnerability attached to it.
So I’m just not convinced that computation can describe everything a brain does. Our thought processes are so nuanced and subtle, it’s hard to attribute that to computation.
What did you learn about your own thought process through writing the book?
Scientists seldom look at the contents of consciousness, which is our thoughts. But I worked with a psychologist named Russel Hurlburt, who has spent the last 50 years sampling what he calls inner experience.
If you participate in his experiment, as I did, you wear a beeper, and over the course of the day, at completely random times, it sends a beep into your ear, and you have to write down exactly what you were thinking at that moment, however banal or profound. (In my case, it was always banal.)
And then he interrogates you. He says, “Were you thinking in words, in images, or in unsymbolized thought?” If you were thinking in words, were you speaking them or hearing them? He really drills down.
In my case, he came to the conclusion that I had very little inner experience. I was offended by that, because I think I have plenty of inner experience, but he couldn’t find it.
After 50 years, his biggest finding is that we don’t know that much about how we think, and that different people think in different ways.
At certain points reading the book, I got so interested in analyzing my own thinking that I stumbled over the act of reading.
Yes! One of the things I’m trying to do is defamiliarize consciousness. You know, my experience with psychedelics is partly what got me interested in consciousness, as has happened to millions of other people who have used them.
Going through life, reality seems transparent to us. We forget we’re looking through the windowpane of our consciousness. But it takes consciousness for the world to appear to us.
Psychedelics kind of smudge the windowpane so that we become aware of this miracle. I’m hoping the book will do the same, without any chemical assistance.
In the end, I shift from focusing on the problem of consciousness to focusing on the astounding fact of it. We’re given this gift of consciousness, and we’re giving it away thoughtlessly to companies that want to profit from it — by buying and selling our attention, and, with AI, our emotional attachment.
I’m hoping people will leave with a sense that this is really precious, this space of privacy and freedom that we have, and we have to defend it.