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The problem with the school smartphone debate

Study finds most districts already regulate devices. Is the real issue enforcement?


Health

The problem with the school smartphone debate

Study finds most districts already regulate devices. Is the real issue enforcement?

4 min read
Hao Yu.

Hao Yu.

File photo by Stephanie Mitchell/Harvard Staff Photographer

Amid concern about student screen time and mental health, new research indicates that most U.S. public schools already have policies regulating the use of smartphones in class.

Hao Yu, associate professor of population medicine at Harvard Medical School and at the Harvard Pilgrim Health Care Institute, said his finding raises the question of whether the policies are being enforced.

“The most surprising thing may be that school-level cellphone policy was so prevalent,” said Yu. “Almost every public school we surveyed indicated that they have a cellphone policy.”

The research, conducted in October 2024 and published in a recent JAMA Health Forum, surveyed public school principals about cellphone policies effective during the 2024-2025 school year. It categorized policies according to strictness, from outright bans to permitting students to bring a phone but not use it when school is in session. Of intermediate strictness are policies that allow students to bring smartphones to school but only use them outside of class. The least strict categories contain schools that allow phone use in the classroom at the teacher’s discretion and include schools that have no cellphone policy at all.

97% Of public schools have some sort of cellphone policy, according to study

The survey found that 96.68 percent of public schools have some sort of cellphone policy. Elementary schools are the most restrictive, with 6.79 percent having a “no phones at school” policy and another 81.62 percent mandating “no phone use while school is in session.” Middle schools are a bit less strict, with about 75 percent allowing phones but banning their use while school is in session and about 15 percent allowing phones for use only outside of class time. High schools are the least restrictive, with just about 25 percent banning use when school is in session, and about half allowing use at school but outside of class. Nearly a quarter of high school policies allow use during class with permission of the teacher.

The survey was published in October and conducted with colleagues from Harvard, Brigham and Women’s Hospital, Brown University, and RAND.

Yu said the distribution of school cellphone policies with different levels of restrictiveness makes some sense, as the strictest policies are for the youngest students and the policies become more liberal as the students grow older and gain autonomy. Yu pointed out, however, that the loosest policies are at the high school level, which also has higher rates of depression. He also said this survey did not probe whether there was an association between mental health and looser policies.

Yu acknowledged that the survey raises questions to be explored in future work. Among them are differences in smartphone policies by school characteristics, such as whether policies at public charter schools or private schools, for example, differ from those at traditional public schools; what associations exist between the policies and student mental health; and how schools enforce cellphone policies. The question about policy enforcement is particularly important to examine given the increasing number of states that have enacted statewide bans of cellphone use in schools.

“Even if a state bans cellphones at schools, it’s really up to school principals and teachers to enforce the law,” Yu said. “It’s a gap in the literature as to how exactly those key players are enforcing.”

Ultimately, Yu said, society has to seek a balance on the issue because today’s students are going to work all their lives in environments with smartphones and other screens, as well as increasingly sophisticated AI. Merely labeling these devices “evil,” he said, ultimately won’t be helpful.

“It’s a challenge for teachers because nowadays, for this younger generation, cellphones or AIs are just part of their life,” Yu said. “How you help them incorporate these tools into their academic life is really challenging.”


Why self-appraisals may not be best way to judge job performance

Research shows women, workers of color rate themselves lower; manager ratings tend to mirror them if bosses read rankings before writing their own


Online evaluation on computer screen.
Work & Economy

Why self-appraisals may not be best way to judge job performance

Research shows women, workers of color rate themselves lower; manager ratings tend to mirror them if bosses read rankings before writing their own

8 min read

Companies often rely on annual employee reviews to determine who gets promoted, who gets a raise, and who are the best candidates for layoffs. But research has shown the process can be influenced by factors other than job performance, such as gender and race.

A new paper examines how those two factors played out in worker performance ratings at a multinational company, particularly in cases where bosses got a chance to see employee self-evaluations before doing their own.

In such cases, manager scores closely correlated to how high or low employees had rated themselves, suggesting an “anchoring” effect. Overall, women and workers of color tended to give themselves lower marks. Women of color rated themselves the least favorably and got the lowest scores from managers.

Managers gave out lower scores across the board when they didn’t see employee self-appraisals beforehand.

The Gazette recently spoke with the paper’s co-author Iris Bohnet, Albert Pratt Professor of Business and Government and co-director of the Women and Public Policy Program at Harvard Kennedy School. In this edited conversation, Bohnet, a behavioral economist who studies gender, explains how gender and race appear to shape the way employees are assessed at work and what can be done about it.


Why were you interested in the dynamics of performance evaluations?

Most performance appraisal processes invite employees to evaluate themselves and then share those self-evaluations with their managers before managers make up their minds.

I was concerned about that process and have been for a long time.

There’s lots of research in behavioral science and in psychology suggesting that if you throw even a random number at somebody, that anchors people’s judgments. If we throw any information at evaluators during the performance appraisal process, it’s very likely that information is going to influence their decisions.

Assume you’re my manager, and we have a rating scale from one to 10. I give myself a seven, another person gives themselves a nine. You will be influenced by the seven and the nine. The question is how informative the seven and the nine really are.

Women and people of color tend to give themselves lower self-evaluations. We knew that going in. If we have reason to fear that people differ in their ability or willingness to shine the light on themselves, then we might bake inequity into the system by inviting people to share their self-evaluations.

“On the employee side, we do find that women give themselves low self-ratings, and in particular, women of color give themselves even lower ratings than white women.”

Iris Bohnet.

Iris Bohnet.

Photo by Martha Stewart

Overall, women received lower ratings than men, and employees of color were rated lower than white employees. Is that evidence of manager bias?

What we can say is certain outcomes are driven by the employees themselves; certain patterns are driven by managers.

On the employee side, we do find that women give themselves low self-ratings, and in particular, women of color give themselves even lower ratings than white women. I’m using the binary here on gender and race because these are global data. 

Then, the question is what managers do with this information, and we see three patterns: The first one is they take everyone down. The second one is they take people of color down more than white people. And the third one is that they take women down less than men.

Somewhat surprising, we saw the employee-manager gap was less pronounced for all women. We don’t quite know why that is.

Something complicated happens on race.

There are two things happening for women of color. Remember, they started out giving themselves the lowest self-evaluations. Managers give them, so to speak, a gender “boost” — they decrease their evaluations less than those of men of color, for example. So, in that sense, they didn’t treat women of color any differently than white women.

However, this “boost” was not enough to correct for women of color’s very low self-evaluations.

What makes this even more complicated was that managers treated all people of color more harshly. So that’s where your question about manager bias comes in.

Is there anything that managers do in addition to what the self-evaluations are causing? Yes. The self-evaluation effect is driven by gender, and then the manager effect is driven by the reverse gender effect, and the fact that they evaluate people of color more harshly than white people, particularly, in the U.S., Black people.

We’re trying to be careful in the paper to say that the data do not allow us to prove that the observed patterns are due to bias.

It seems unlikely that people of color are worse performers than white people or that women of color should have given themselves worse ratings than everyone else. That’s what we told the company: “It’s not that we can prove this is biased because we don’t have objective performance information available. But the patterns are so correlated with social identities or demographic characteristics that this should probably give you pause.” Which it did.

During one of the years, managers did not get to look at employee self-evaluations before they submitted their performance reviews. Can you explain what happened?

Yes, the company had a glitch in the system that kept them from following their usual process. In that year, while they collected self-evaluations, they were unable to share them with managers beforehand. In the data, we see the glitch must have happened because the managers’ ratings are much less correlated with people’s self-evaluations.

We’re also seeing that managers lower people’s ratings even more than normally.

However, we were surprised that it didn’t change the gender-race dynamics. That glitch year, everything was lower, less correlated, and the dynamics looked like every other year. Which is why we looked at the data more carefully and then saw that managers must have gone back to the prior year’s self-evaluations. Their assessment is more correlated with what people did and said last year.

When I tell organizations, people are not very surprised that managers would do that. In some ways, it’s further support for this social influence channel. Managers really rely on these self-evaluations.

Your research focuses on interventions. Are there any that could minimize the social effects on managers while they conduct appraisals?

The financial services company decided to no longer share self-evaluations based on everything I just told you, including the caveats that we couldn’t show it as powerfully as we would have liked to show it.

They also decided to do the analysis that we did for them on a regular basis. These are data analyses that a data science team in a large firm can easily do and that helps them diagnose potential issues and to identify potential hotspots.

Not sharing self-evaluations might be helpful if managers don’t have access to an employee’s rating history. At least, this is what we found for newly hired employees in the glitch year, where women of color ended up with ratings on par with white women and men.

That doesn’t mean you can’t ask people to do self-evaluations and discuss them once managers have made up their mind.

While we did not study this ourselves, it could also be useful to give more evaluations rather than fewer.

Most firms have these appraisals once a year and that leads to lots of issues, including the social influence channel we have discussed, but also lobbying from employees that knock on the manager’s door the week before the process starts to influence their judgment and remind them of the wonderful things they have done this year. That leads to differences across all kinds of dimensions because some people are less likely to do that.

Culturally, it may not be appropriate to knock on your manager’s door. Or maybe gender comes in: For women, it’s harder to negotiate assertively in those types of instances. There are companies and organizations that have moved to quarterly evaluations to increase the accuracy of their performance assessments.

And then, secondly, more is better than less. Peer evaluations are intriguing, so it’s not just the manager and the employee, but other people as well. More accurate data that paints a more accurate picture of performance. It shouldn’t be only the manager, who might be very removed from what an employee does on a daily basis.

There are companies which have also done away with these performance appraisals completely and just decide to give feedback on a very regular basis, sometimes weekly, and find that much more productive than these formal evaluations.

But I fear the final verdict is still out. We need more organizations to take a close look at their data and test what works and what doesn’t to make these subjective performance appraisals more accurate and fairer.


Science needs contrarians, and contrarians need support

Institute of Quantitative Social Science initiative tailored to researchers exploring provocative ideas


Professor of Psychology Richard J. McNally.

Professor of Psychology Richard J. McNally.

Stephanie Mitchell/Harvard Staff Photographer

Science & Tech

Science needs contrarians, and contrarians need support

Institute of Quantitative Social Science initiative tailored to researchers exploring provocative ideas

4 min read

Picture a scientist with a provocative hypothesis — something that defies conventional wisdom or verges on the outlandish.

Supporting the pursuit of that big, bold claim is the goal of the Institute for Quantitative Social Science’s new Extraordinary Claims, Extraordinary Evidence (ECEE) program. Designed for social scientists who want to explore highly controversial topics, the program helps tenure-track faculty generate the rigorous evidence necessary to assess their ideas.

“Science depends upon contrarians,” said Gary King, Albert J. Weatherhead III University Professor and IQSS director. “We need researchers trying to propose claims that most others think are wacky or wrong or offensive or ridiculous, because sometimes rigorous evidence will convince us all that they’re right.”

The ECEE initiative — named for a quote by Carl Sagan, the late Harvard faculty member and science communicator — specifically helps scientists secure the funding and data resources necessary to gather what King called the “extraordinary amount of evidence” required to prove or disprove their hypotheses.

“Harvard faculty have no shortage of bold ideas,” said Steven Worthington, director of data science for IQSS. “An extraordinary claim is an idea unusual enough that, if true, it could shift the focus of a field.” Citing concerns that such ideas might otherwise “remain unexplored for political, social, or financial reasons,” Worthington said that the initiative ensures that “they’re actually tested.”

ECEE falls within the IQSS’s mandate “to provide the infrastructure to do big science in the social sciences,” according to King.

The program takes many forms. “The primary support has to do with quantitative methods,” Worthington said. That includes practical help with everything from data collection, analysis, and visualization to assistance with statistics. In addition, ECEE can assist with physical resources, including shared workspace.

The program is open to all faculty, from the most senior to those just starting out. “The service lowers the barrier to entry for difficult questions and dangerous hypotheses,” Worthington said.

Made possible by a generous gift from Alexander and Diviya Magaro ’94, ECEE is currently aiding eight research projects — and is considering others.

“What we’re looking for is something that meets our criteria for what is extraordinary,” Worthington said. “If it does, then we ask: Can we actually gather evidence and apply the necessary methods to test this?”

Some claims, he points out, cannot be examined using empirical evidence. “It has to be something where we can gather data and do our due diligence to test that claim,” Worthington said. “Then we assess whether we have the quantitative expertise needed to help in that domain.”

Confidentiality is critical, said King, who noted that IQSS won’t share which faculty are receiving support via ECEE. “We have found that total confidentiality, combined with the extraordinary research support we’re offering, helps faculty to take risks on highly contrarian projects,” he said. “They can go public if they wish, but the program does not require that they even acknowledge our help.”

One group that has decided to go public is led by Professor of Psychology Richard J. McNally. Their study, “Sending Signals: Trigger Warnings and Safe Space Notifications,” published earlier this year in the Journal of Experimental Psychology, looks at two common methods for mitigating harms when students view potentially traumatic materials.

McNally and his co-authors found that trigger warnings had “no overall impact on students’ perceptions.” Meanwhile, defining classrooms as “safe spaces” increased feelings of safety and willingness to discuss controversial subjects. But the practice also boosted students’ perceptions of their professors as “left-wing authoritarians.” The paper recently received an editor’s choice honor from the American Psychological Association, which publishes the journal.

“That was an interesting project because it’s a lightning-rod topic at the moment,” Worthington said. “What the authors were able to do was to turn a highly politicized topic into an evidence-based analysis.”

With support from ECEE, the researchers asked, “How can we examine this but in a way that is transparent and methodologically rigorous?”

“Our role was to help ensure that the evidence was strong enough that even skeptics would take it seriously,” Worthington said.

The study involved a careful experimental design and detailed interviews with more than 800 students. Thanks to ECEE, “we could have this big design that had the statistical power to detect any differences, should they be lurking in this massive data,” explained McNally.

Without the support, he added, “we could have never pulled it off at this scale.”


Does ‘work from anywhere’ really work?

Take our research-based quiz to test your knowledge of office culture trends


Work & Economy

Does ‘work from anywhere’ really work?

laptop and globe
1 min read

Take our research-based quiz to test your knowledge of office culture trends

In the years since the cataclysmic shift in office culture triggered by the COVID-19 pandemic, companies of all sizes have continued to redesign their workforces for a new era. In his book “The World Is Your Office: How Work from Anywhere Boosts Talent, Productivity, and Innovation,” Prithwiraj Choudhury, former Lumry Family Associate Professor at Harvard Business School, advocates for more than working from home. He’s a proponent of working from anywhere, or WFA, going beyond a hybrid model to allow for a truly global workforce. We asked Choudhury to help us develop the following quiz based on his research.


Step 1 of 9

1. What percent of working Americans work from home for some or all the time? 



What’s working, not on front lines of AI in classroom

Tech, education experts share new initiatives on learner profiles, making STEM more accessible, ‘microschool’ experiments


Nation & World

What’s working, not on front lines of AI in classroom

Keith Parker (from left), Yenda Prado, and Kedaar Sridhar.

Keith Parker (from left), Yenda Prado, and Kedaar Sridhar.

Jill Anderson/HGSE

5 min read

Tech, education experts share new initiatives on learner profiles, making STEM more accessible, ‘microschool’ experiments

As AI becomes more accessible to students, educators and school leaders are scrambling to figure out how best to integrate the technologies rather than fight against them.

To share the innovative ways in which they’re bringing AI into the classroom, Harvard’s Graduate School of Education brought together an education researcher, a tech entrepreneur, and a school superintendent to discuss what’s working, what’s not, and what we still don’t know about utilizing AI’s capabilities.

“I think it is important to recognize the moment we’re in. We are in a space that is emerging,” said Yenda Prado, research analyst at the education nonprofit Digital Promise.

Her organization’s work has centered around closing learning gaps for students performing below grade level, living in poverty or rural communities, learning multiple languages or in special education programs, and students of color.

“We’re very much interested in developing learner profiles. So what does the learner profile of an English language learner look like? What does the learning profile of a student with a learning disability look like? And how can we use those profiles to train learning agents to deliver instruction that is tailored to the specific need of a specific student?”

Kedaar Sridhar, the 2025 Harvard Education Entrepreneurship Fellow and co-founder of the startup M7E AI, said his company has developed a platform using AI to make STEM learning more accessible for some of the more vulnerable student populations.

“What I’m building is not student-facing, but it helps the ecosystem where you’re helping reduce teacher burden and improve the classroom experience,” he said.

M7E uses an AI platform to analyze math curricula, which is often wordy and sometimes confusing. The program is then able to simplify the language to make problems more straightforward, clearer, and easier to understand.

“We remove unnecessary or irrelevant struggle and focus on the productive struggle,” he said. “The desirable difficulties that come with actually building up a student’s core of knowledge, where they’re able to question and make decisions, and even be able to question what an AI might be able to output.”

“Once we understand the things that AI can and can’t do, we can start thinking about the types of tasks that AI could and should not be doing.”

Yenda Prado.
Yenda Prado

Keith Parker, superintendent of the Elizabeth City-Pasquotank Public Schools in North Carolina, is using a “microschool” as a hub of AI experimentation in the classroom. Parker has been a voice for innovation since economic downturn in his region led to a shortage in resources and teaching staff.

“Economically, over the past 50 years, this part of the state has been challenged, and so my career is focused on building up systems and structures in public education,” he said.

To try out new classroom strategies, Parker and his leadership team started a district microschool — 25 fifth and sixth graders managed by three teachers who are free to develop their own curricula. Parker said he has plans to expand the microschool to grade 8.

“There will be no way three adults can teach 60 kids across grades five through eight and differentiate exactly what all those kids need,” he said. “So our great experiment here is — not only can AI be a supplemental tutor, but can AI also be a primary means of direct instruction to kids for some portion of the day.”

So far, Parker said that the focus for his teachers has been sharing how to create prompts that allow students to elicit what they really want to know from AI systems.

“Because the way you prompt and the way you engage with it can produce an entirely different response from the model,” he said. For instance, students in English class can generate character guides for the novels they’re reading or even prompt chatbots to take on the persona of characters for a student Q&A.

But, he said, every day sees new ways to use the tech. “We’re in the midst of a massive revolution in K-12 education,” Parker said.

According to Prado, the first step toward reimagining K-12 education will be further research into successful strategies and the student benchmarks they produce.

“We need to have educators involved in the actual co-design of these technologies,” she said. “That looks like researchers going into the school communities, developers going into the school communities, and engaging and testing things out and seeing what sticks and what doesn’t, and going through these rapid iterations of design.”

And, she added, that will help students and educators understand the capabilities of AI, what it’s good at, and what is better without it.

“Once we understand the things that AI can and can’t do, we can start thinking about the types of tasks that AI could and should not be doing, and how we support our school communities to develop the necessary AI literacy to feel empowered to make their own choices about how they use or not use AI,” she said.  


Just who gets a say at FDA public drug-approval hearings?

New research shows negative voices are relatively rare in drug approval hearings.


Leah Rand

Leah Rand.

Stephanie Mitchell/Harvard Staff Photographer

Health

Just who gets a say at FDA public drug-approval hearings?

Researchers find vast majority of speakers tend to be supporters; unclear why so few detractors appear

8 min read

Public input is a key part of the drug approval process, and it occurs during hearings before FDA advisory committees, which make recommendations to support or oppose allowing a treatment to advance.

New research shows testimony given at those meetings in recent years overwhelmingly supports drug approval, and nearly half of speakers report some kind of conflict of interest. This raises obvious questions about who gets to speak, why, and how much influence these individuals have on final FDA decisions.

In a two-year project sponsored by The Greenwall Foundation, researchers affiliated with Brigham and Women’s Hospital’s Program on Regulation, Therapeutics, and Law (PORTAL) and Harvard Medical School are seeking to answer these questions.

In this edited conversation, the Gazette spoke with Leah Rand, research scientist with PORTAL, lecturer on medicine at the HMS Center for Bioethics, and first author of an article in JAMA Internal Medicine on the work. Rand said the research raises a key unanswered question: Why are voices with negative experiences largely missing from the hearings?


Why is this topic important to study?

We live in a democracy, so it seems important that people participate in regulation. But the FDA is making highly technical decisions, which raises the question of whether there should be public input and what to do with the information that people offer.

“There’s a lot of uncertainty about the FDA process and whose voice is weighing in on decisions that affect the public’s health.”

A second reason is that advisory committee meetings are an opportunity for the FDA to be transparent about its decision-making process. The FDA has been convening advisory committees for a long time, but my colleague Joseph Daval has shown that in the last 10 years, there’s been a decline in committee meetings and, under the current administration, pretty much all the meetings have been canceled.

Instead, we’ve seen ad hoc advisory committees convened that have apparent intellectual conflicts of interest around certain pet topics of the administration. So there’s a lot of uncertainty about the FDA process and whose voice is weighing in on decisions that affect the public’s health.

How much weight do these advisory committee recommendations have?

The committees make recommendations, and they are asked in most meetings to vote on questions that the FDA puts to them. The most frequent type of meeting — the ones that we looked at in this paper — are on new drug approvals or new indication approvals.

The questions they vote on usually include “Should this drug be approved?” or “Does the benefit outweigh the risk of this drug?”

Joseph Daval looked at meetings from 2010 to 2021 and found high concordance between advisory committee recommendations and what the FDA does. Out of 298 committees, the FDA action matched what the committee recommended 262 times.

You went through a lot of testimony for this study. What stood out to you?

What stood out was hearing patients’ and family members’ experiences with the drug and the condition that the drug treats. They offer insight about drugs that are not yet available on the market because they’ve taken them through clinical trials.

“It’s often very emotional because many drugs are for conditions that devastate patients and their families.”

It’s often very emotional because many drugs are for conditions that devastate patients and their families.

I was also struck by the arguments they make about the FDA’s standards of approval: what the benefit/risk balance is and who gets to determine it, and the FDA’s responsibility to patients and the public to ensure that the drugs available are effective and safe.

What were your main findings?

We looked at 161 meetings on new drug approvals from 2015 to 2023. Those meetings occur when a company is bringing a drug to the market or for new indications, where an available drug is being studied for a different condition.

There were 1,481 testimonies given to the advisory committees during those meetings.

Our main findings were that the largest single group of speakers, 48 percent, were patients and their family members and that 43 percent of all speakers disclosed some sort of conflict of interest.

People who disclosed a conflict of interest were 11 percent more likely to recommend drug approval than our reference group, speakers who did not disclose a conflict.

“Our main findings were that the largest single group of speakers, 48 percent, were patients and their family members and that 43 percent of all speakers disclosed some sort of conflict of interest.”

We also found that the group most likely to recommend approval were patients and their family members who had had experience with the drugs; 99 percent recommended that the FDA approve the drug.

There was a group whose members, on average, did not recommend approval.

We called this group public health advocates, and they come from a variety of organizations that are not condition-specific. This included Public Citizen, the National Center for Health Research, and organizations representing a group’s interests, like older adults, for example.

Seventy-two percent of those speakers opposed approval.

It was interesting to see that there are some groups that are active in opposing drug approval, who talk through the FDA standards and highlight the available data to explain why they don’t support approval.

Is there any reason that the voice of public health advocates, though in the minority, should be given added weight?

I won’t comment on who they are and what their agenda is, but there’s a question about the diversity of views at these hearings.

If 99 percent of patients who use the drug or their family members support approval, that raises the question whether there are people who had negative experiences who we’re not hearing from. They may think, for example, that the side effects were not worth the chance of a small benefit.

There’s a real challenge of how you diversify viewpoints or perspectives that you’re hearing and how you get input from a broader swath of the patient population who might disagree but aren’t represented at those meetings.

Another issue the study mentioned is conflicts of interest. Do we know what kinds of conflicts were present and how that weighs into FDA decision-making?

It’s important to be aware of conflicts and to have them disclosed. The FDA encourages but does not require speakers to disclose conflicts of interest.

So it’s possible that we undercounted conflicts of interest, and they are more pervasive. That would likely skew our results toward an even stronger association between a conflict of interest and recommending approval.

“It’s important to be aware of conflicts and to have them disclosed. The FDA encourages but does not require speakers to disclose conflicts of interest.”

That said, we didn’t adjudicate anyone’s conflict of interest. If someone said, “I’m disclosing that the organization I work for receives funding from the sponsor,” we didn’t go back and try to figure out how much money they got and whether this person is conflicted. We took them at their word.

Experts often work with sponsors on new drugs, and you still want to hear their expertise.

When meetings are in person, most patients can’t afford to show up in suburban Maryland at FDA headquarters on a random Wednesday afternoon, so a sponsor flies them there to have their voices heard. Once you dig into them, the conflicts are more varied than, “I work for the sponsor,” or “They fund my research,” or “I have stock in this company.”

Do we know what proportion of patients were there in a sponsored capacity, even if it is just receiving a plane ticket?

Forty-four percent of patients and family members disclosed a conflict of interest, and the majority of those were for travel. Some of them are involved in advocacy organizations, and those organizations might receive sponsor funding as well.

Conflicts of interest are a big focus of the FDA right now. The new commissioner, Marty Makary, issued a statement reaffirming that the FDA would not seat anyone on the advisory committee with an industry conflict of interest. A focus now is the extent of these conflicts, who are we hearing from, and what varieties of interest they might have.

Is it likely that overly positive recommendations mean that drugs that perhaps shouldn’t are getting approved?

We can’t associate what a speaker said with advisory committee recommendations, and advisory committee recommendations with FDA action, because the advisory committees and the FDA look at a lot of other evidence as well in making their decision.

What’s next for this two-year project?

We’re conducting interviews and asking advisory committee members what they’re hearing from patients, how they interpret what patients say, and whether it influences decision-making.

We’re also asking former FDA employees about how they understand and incorporate patient commentary into their decision-making.

And we’ve been talking to those who spoke about why they gave testimony, whether they feel they’ve been fairly listened to.

In the end, we will convene our own panel of experts to make recommendations about how to improve incorporating public voices into the FDA process. This project is a good reminder that there are a variety of ways of being involved in our government and having your voice heard.


Your digital twin might save your life

AI, statistics offer new possibilities for personalized medicine


Health

Your digital twin might save your life

Illustration by Liz Zonarich/Harvard Staff

6 min read

AI, statistics offer new possibilities for personalized medicine

When neurologist Steven Arnold is deciding whether to treat an Alzheimer’s patient with a new therapy, he relies on averages. 

“Many people get put on something because it showed a statistically significant though slight benefit in a few thousand diverse people in a big placebo-controlled trial,” said Arnold, principal investigator at the Alzheimer’s Clinical & Translational Research Unit at Massachusetts General Hospital and a professor of neurology at Harvard Medical School. “They then just stay on it forever, because we think maybe it is slowing the decline more than the placebo.”

Arnold is frustrated with the status quo in medicine of doctors treating individual patients using results gathered from groups. He imagines a more personalized approach: understanding whether a specific medication is helping a specific patient — or even whether it’s likely to help before it’s ever prescribed. 

One emerging solution that’s showing promise: digital twins. 

A digital twin is a virtual model of a person, or a part of a person, that doctors can use to test treatment decisions, like an engineer might stress-test a simulated building against digital earthquakes. Fueled by increasingly rich health data from wearables, medical records, and large national cohorts, and powered by novel statistical methods and artificial intelligence, the once-speculative technology is moving closer to a reality. 

Digital twins can exist at multiple biological scales — cellular models, whole-patient simulations, or synthetic cohorts that represent entire demographics. Researchers across Harvard are developing all three. 

Chao-Yi Wu (left) and Hiroko Dodge.

Niles Singer/Harvard Staff Photographer

Hiroko Dodge, director of research analytics at the MGH Interdisciplinary Brain Center and a professor of neurology at the Medical School, uses digital twins to create chatbots that mimic the speech pattern of each participant in her behavioral intervention trial, which aims to improve cognition in Alzheimer’s patients through conversation.

“These twins allow us to validate our early detection methods for cognitive decline by analyzing each patient’s conversational patterns — without needing to recruit new patients,” Dodge said. “This is a typical digital-twinning application, but many other approaches also fall broadly under the category of digital twinning.”

“These twins allow us to validate our early detection methods for cognitive decline by analyzing each patient’s conversational patterns — without needing to recruit new patients.”

Hiroko H. Dodge
Hiroko Dodge

Alongside Dodge, Mass General Research Institute investigator Chao-Yi Wu uses statistical manipulations to help clinicians like Arnold more precisely determine if a treatment will benefit specific patients.

“Everybody is different,” said Wu, who is also an assistant professor of neurology at the Medical School. “Everybody can take the same painkiller, but some people get a response from it and some don’t feel the difference. That’s the intuition: If we have a twin, if we have a digital person that’s similar to us, we can test different conditions to help with clinical decision-making.” 

Building off the recently released data of some 50,000 patients with Alzheimer’s disease and related dementias, Wu can create multiple digital look-alikes that share the patient’s age, gender, race, socioeconomic background — and even more obscure metrics that have been correlated with Alzheimer’s progression, such as walking speed. 

“A person can have 100 twins. Based on those 100 twins, you can compare your cognitive trajectory after you receive the medicine versus those 100 twins’ cognitive trajectory, and in a statistical way you can understand whether the change is real or just random noise,” she said. 

For clinicians like Arnold, the comparisons could offer a finer-grained view of whether a therapy is actually working. 

“One of the biggest challenges in dementia treatment is the heterogeneity of patients,” said Dodge. “Patients often have mixed etiologies and varying levels of person-specific cognitive reserve, both of which influence clinical outcomes. As a result, a treatment that shows promise in a randomized controlled trial may work very well for some individuals but not others. Knowing the trajectory a specific person would have followed without treatment could significantly increase patient care.”

Wu and Dodge also see digital twins’ potential to create entire patient populations, what they call synthetic cohorts, to simulate entire clinical trials before spending time and money on real-world research. In a recent paper, Wu used statistical methods generated by a synthetic control group for a randomized controlled trial and found that her synthetic patients responded similarly to the real-life placebo group in Dodge’s research studying the effect of conversation on cognition in Alzheimer’s patients. 

“We need better tools, a better method for understanding who responds and who doesn’t respond,” Wu said. “Digital twinning is a cost-effective way to do it.”

“We need better tools, a better method for understanding who responds and who doesn’t respond.”

Chao-Yi Wu
Chao-Yi Wu

Meanwhile, Marinka Zitnik, an associate professor of biomedical informatics at the Medical School and an associate faculty at Kempner Institute for the Study of Natural and Artificial Intelligence at Harvard University, is using artificial intelligence to build digital twins at a cellular scale. 

Zitnik has developed an AI tool she calls COMPASS, which analyzes personal omics and clinical health data. Through her lab’s ToolUniverse system, COMPASS can be linked with large language models to create chatbots that doctors can interact with just like they would interact with ChatGPT.

In a trial version of the system, a clinician — say, an oncologist — can upload biopsy data from a patient’s tumor microenvironment, along with as much other health data as is available, such as medication history or blood pressure. The system harnesses AI to analyze far more information than a clinician could manage previously.

“Now the clinician can ask this model to perform various analyses,” Zitnik explained. “‘What’s the likelihood of the patient’s favorable response to this specific immunological drug?’ And the chatbot will now provide an answer and discuss.” 

Effectively, your doctor could have a conversation with a synthetic version of your cells. 

For all its potential, digital twinning is still in an early stage — and there’s no clear consensus on what a full twin would look like. Both Wu’s synthetic cohorts and Zitnik’s cellular chatbots are proofs of concept. Still, researchers say the timing is right. 

“This conversational interface is possible now with large language models over the last three or four years; it wasn’t possible 10 years ago,” Zitnik said. “There’s been an order of magnitude increase in enthusiasm and the number of people working on this idea of digital twins because we see the opportunity now with AI.”


Time to legalize psychedelics?

Campus debate weighs therapeutic need vs. safety questions


Holly Fernandez Lynch (from left), Matthew “Whiz” Buckley, Cat Packer, and David Yaden.

Holly Fernandez Lynch (from left), Matthew Buckley, Cat Packer, and David Yaden.

Veasey Conway/Harvard Staff Photographer

Health

Time to legalize psychedelics?

Campus debate weighs therapeutic need vs. safety questions

6 min read

Debate over psychedelic legalization tends to focus on two extreme views: the need to speed therapeutic access to meet urgent problems such as veteran suicide, and calls to thoroughly research substances first to ensure they meet safety standards.

Even as I. Glenn Cohen, faculty director of the Law School’s Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics introduced the event’s title — “Toward Psychedelics Access: Go Faster or Slower?” — he acknowledged it was an oversimplification.

“The public discourse sometimes seems to be drawn over these extreme questions,” said Cohen, James A. Attwood and Leslie Williams Professor of Law. “And although there are places where these are mutually exclusive ‘or’s,’ we’re going to try to bring the ‘and’ into the equation, too.”

The talk, hosted by the Petrie-Flom Center and moderated by former Slate Magazine editor David Plotz, brought together experts from a range of backgrounds to discuss the future of psychedelic use in the U.S.

David A. Yaden, the Roland Griffiths Professor of Psychedelic Research at Johns Hopkins University School of Medicine, began the conversation by discussing how even the definition of psychedelic is debated. Some use the term broadly to talk about drugs from ketamine and MDMA to psilocybin and cannabis. Though Yaden’s research tends to focus on “classic psychedelics” like psilocybin, he stressed that it’s hard to generalize the clinical effects of psychedelic drugs. While many people are excited about their healing potential, he expressed caution and said there are “real risks” to using these substances.

The lack of knowledge stems largely from a lack of research funding, he said. “What I would love to see is the NIH funding medical researchers to do large, rigorous, well-powered studies with active controls, which are expensive but would provide us with information that would be absolutely priceless,” he said.

“What I would love to see is the NIH funding medical researchers to do large, rigorous, well-powered studies with active controls, which are expensive but would provide us with information that would be absolutely priceless.”

David A. Yaden

Matthew Buckley, a former Navy TOPGUN pilot and the president of the No Fallen Heroes Foundation, emphasized the tremendous healing potential of psychedelic drugs. He said that the version of himself from five years ago would be astonished to hear him speaking this way today, “but that guy died on a mattress on the floor in Mexico” during a psychedelic healing retreat.

On this retreat, he said, with a group of disaffected former Navy SEALs and retired athletes, ingesting substances such as ibogaine and 5-MeO-DMT helped him resolve deep trauma, depression, and alcoholism that had alienated him from his family and led to the deaths of many of his fellow servicemen. His foundation funds similar therapies for members of the military and other first responders.

“I got home from that retreat and I said, ‘This is going to end veteran suicide,’” Buckley said. Through his foundation and the Sacred Warrior Fellowship, a Florida-based church Buckley founded that incorporates psychedelic use, he offers struggling people drugs that he believes have a powerful healing potential.

Holly Fernandez Lynch, associate professor of medical ethics and law at UPenn’s Perelman School of Medicine and Carey Law School, discussed the tension in the psychedelic community about the proper pathway for drug approval. “I come at this with what I think is a pretty straightforward principle, although it’s controversial, which is, if you’re making medical claims, then you should have to prove those medical claims,” she said. “We should hold psychedelic medicine and psychedelic drugs to the same standard as other medicines.”

“We should hold psychedelic medicine and psychedelic drugs to the same standard as other medicines.”

Holly Fernandez Lynch

She acknowledged that this is difficult. “I’ve sat next to ALS patients or family members, and they look at me and they say, ‘You’re evil. Why don’t you want my family member to have access to this medicine?’” She says it’s more complex than that. She wants people to have access to the most effective drugs, but she wants them to understand how the drugs can be used, what their effects might be, and how they can be used safely.

“As scientists,” said Yaden, “we’re not for or against psychedelics. We want to report the facts and produce knowledge of risks and benefits profiles.” Although psychedelic studies can be quite expensive, in part because it’s difficult to maintain a control group of people who believe they’ve taken the experimental drug, he says this difficulty is not unique to psychedelic drugs. “All psychotherapy research, for example, has this issue — and many other substances as well,” he said. “We just don’t talk about those as much.”

Buckley argued that this slow, methodological approach does not meet the urgent problem of veteran suicide. “There’s got to be a happy medium,” he said. “I think in the West, we have this massive ego, like, ‘We just discovered these compounds. Let’s study them for 20 years.’ Are you kidding me?”

“I think in the West, we have this massive ego, like, ‘We just discovered these compounds. Let’s study them for 20 years.’ Are you kidding me?”

Matthew Buckley

While Lynch said she understood the desperation people feel as they try to access certain potentially transformative drugs, she noted that there’s a downside: “There are lots of snake-oil salesmen out there who would be willing and ready to take advantage of people who are desperate.”

In certain cases, quick commercialization of a previously illegal substance can have unintended consequences. An audience member told an anecdote about a dispensary that offered a discount to patrons who spent a great deal of money on cannabis.

“I might be eating these words,” said Cat Packer, director of drug markets and legal regulation at the Drug Policy Alliance, “but I think that there has to be some level of oversight and regulation.”

Though she supports decriminalization efforts for psychedelics and other drugs, she said that with cannabis specifically, commercialization sometimes went “too far, too fast,” while other areas continue to overregulate the substance.

“I think it requires a delicate balancing act,” she said.


How a toxin from the gut microbiome may help spark colorectal cancer

Findings suggest colibactin may be promising target for disease prevention


Health

How a toxin from the gut microbiome may help spark colorectal cancer

dna disorder

Getty Images

4 min read

Findings suggest colibactin may be promising target for disease prevention

For years, a mysterious bacterial toxin lurking in the human gut was suspected of driving colorectal cancer. Now researchers in a pair of Harvard labs have caught the toxin in the act of damaging DNA and creating the very sorts of mutations long implicated in the disease.  

The new study, published Thursday in Science, is the first to detail the structure of the DNA lesion formed by colibactin, a natural product toxin made by common gut bacteria. Leading the research team were Emily Balskus in the Department of Chemistry and Chemical Biology and Victoria D’Souza in the Department of Molecular and Cellular Biology.

“This molecule has been really challenging to study because it’s very chemically unstable,” said Balskus, the Thomas Dudley Cabot Professor of Chemistry.

The findings, enabled by National Institutes of Health funding that was terminated and later restored, suggest colibactin may be a promising target for prevention of the deadly disease.

The major form of DNA in our cells is a double helix: two strands twisted together. Many carcinogens damage one strand or the other, but colibactin does something more extreme — it creates a cross-link.

“An inter-strand cross-link means that your DNA-damaging agent reacts with both strands of DNA,” Balskus said. “It links the two strands of DNA together, creating a particularly toxic form of DNA damage to the cell.”

This kind of a lesion can lead to broken chromosomes, faulty repair, and potentially cancer‑causing mutations.

Victoria D’Souza in Molecular and Cellular Biology and Emily Balskus in the Department of Chemistry and Chemical Biology.

Victoria D’Souza (left) and Emily Balskus.

Credit: MCB

“Every time the cell is trying to make a DNA copy out of its genome, it needs to unwind the two strands,” said D’Souza, professor of molecular and cellular biology. “The cross-link causes a major hurdle for replication.”

The study was produced in collaboration with scientists Peter Villalta and Silvia Balbo at the University of Minnesota. The Harvard team also included Erik S. Carlson, a former postdoctoral fellow in Balskus’ lab, as well as graduate students Raphael Haslecker and Linda Honaker in D’Souza’s Lab and Miguel A. Aguilar Ramos from the Balskus Lab.

The researchers began by asking a deceptively simple question: Does colibactin cross-link any DNA sequence it encounters, or does it have favorite spots?

Colibactin is a toxin that is made by certain strains of E. coli and other gut bacteria that carry a biosynthetic gene cluster known as pks or clb. Because the compound falls apart quickly, the team had to produce colibactin using living bacteria to make it in situ for all their experiments.

These colibactin‑producing bacteria were used to generate the toxin directly in the presence of short pieces of DNA. The researchers then measured where cross-links formed, leaning on classical gel‑based sequencing as well as mass spectrometry with their collaborators from the University of Minnesota.

They found colibactin has a strong preference for cross-linking stretches of DNA built mostly from adenine (A) and thymine (T). Understanding that preference required shifting into structural biology, so D’Souza’s lab used nuclear magnetic resonance (NMR) spectroscopy to build a structural model of the lesion.

“I think the biggest hurdle for solving a structure by NMR is the need for a lot of material,” D’Souza said. “The team was able to produce enough and overcome that major challenge.”

The resulting structure explains why colibactin is so picky. AT‑rich segments of DNA have a minor groove — the narrow channel on one side of the helix — that is tighter and more negatively charged than in other sequences.

“The cool thing about colibactin is that it perfectly fit in terms of shape and charge complementarity,” D’Souza said.

These molecular details strengthen the case for further investigating the links between colibactin‑producing bacteria and colorectal cancer. Exposure to colibactin was known to generate mutations at the AT-rich sequences in the genome. Understanding colibactin’s specificity now explains the locations of these mutations, which have been detected in colorectal cancers.

Notably, the specific mutations attributed to colibactin are enriched in tumors from younger patients. It turns out that E. coli — the main colibactin producers — are most abundant in the infant gut microbiome. That lines up with the early‑life window when environmental risk factors for early‑onset colorectal cancer are thought to act.

The findings highlight the power of cross‑department collaboration, researcher say.

“When a project is as difficult as colibactin has been, you can’t expect one group to have all the expertise that’s needed to solve problems,” Balskus said. “At Harvard, we’ve benefited so much from having great access to experts across a wide range of different disciplines.”


‘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.


Michael VanRooyen.

Stephanie Mitchell/Harvard Staff Photographer

Health

‘This is it. This is exactly what I want to do.’

long read

Michael VanRooyen started running toward trouble more than 30 years ago. He’s still going.

Scholars at Harvard tell their stories in the Experience series.

Michael VanRooyen has spent decades responding to emergencies around the world, with no choice but to stare straight ahead at suffering, destruction, and death. These experiences have taught him how to ease pain amid chaos, forced him to navigate moments of intense fear and danger, and given him the technical and emotional depth to support war-torn communities in their efforts to heal and rebuild.

“It’s a gift to work in a place where you truly feel like you are helping people,” he says. “I have always thought of it that way.”

VanRooyen, an emergency room doctor by his earliest training, is the J. Stephen Bohan Professor of Emergency Medicine at Harvard Medical School and the Lavine Family Professor of Humanitarian Studies at the Harvard T.H. Chan School of Public Health. In 2005, he helped found the Harvard Humanitarian Initiative, which in the years since has sought to strengthen aid programs through education and research. In this edited conversation, he reflects on the challenges and rewards of a calling that has taken him from big-city U.S. hospitals to global disaster zones and back again.


Where did you grow up?

A small town in Michigan called St. John’s, about 7,000 people. There were four of us — my father, my mother, my older brother Rick, and me. My parents grew up in Holland during World War II. As a young man, my father joined the Dutch resistance during the German occupation of the Netherlands in 1940. He was captured and imprisoned in Bergen-Belsen, a Nazi concentration camp. He was liberated at the end of the war and he and my mom immigrated to the U.S. in 1954. I remember being a little kid and wrapping my arm around his in church and asking about the numbers tattooed on his arm.

When I was 5, my mom was diagnosed with melanoma; she passed away on my eighth birthday. Three years later, my father married a woman with eight children, and suddenly I had five new sisters and three new brothers. It was quite an adjustment to suddenly be part of this big family, but it was great. My father was a cobbler and had his own shoe store, so we grew up with very limited means, but the family was close and very supportive. To get out of the house, I joined the Boy Scouts. When I was 14, I was with my scoutmaster when we witnessed a tractor crash. We called the paramedics and watched them in action. I was so impressed. I thought, “I have to do something like that.”

Tell me more about that crash.

My scoutmaster and I were driving along a country road when we came across a kid whose tractor flipped while trying to pull another tractor out of a ditch. He was pinned underneath the tractor, folded in half underneath thousands of pounds of metal. We were first on the scene. I was shocked and initially paralyzed. But he was alive, so my scoutmaster ran to a nearby house to call the paramedics while I held his hand and told him he would be all right. He was trapped and shaking, and we were both so scared. The paramedics arrived with a tow truck, and they started lifting the tractor. Everyone was so calm and professional during the rescue. They extricated him, loaded him in the ambulance, and got him to the hospital.

Michael VanRooyen as a youth with step-siblings.

VanRooyen (second from left) as a youth with step-siblings (from left) Rose, Bill, and Joyce.

Photo courtesy of Michael VanRooyen

You were pre-med at Michigan State and then Wayne State for medical school. What do you remember most from those years?

I had a great experience at Michigan State, but pre-med was intense — physics, calculus, organic chemistry. It was a busy time — trying to work while going to school — but it prepared me well for medical school.

Wayne State Medical School was a bit of a culture shock. As a small-town kid, the urban environment of Detroit was an adjustment. But Detroit was an amazing place for clinical medicine because of the size and complexity of big hospitals like Detroit Receiving and Henry Ford Hospital. It was my first real exposure to emergency medicine. When I did my first rotation in the ER at Detroit Receiving Hospital — a massive department compared to anything I had experienced — there were sick patients everywhere. I watched the ER doctors and, just like the first responders I witnessed when I was a kid, they were all so professional and composed. The crazier it got, the more focused they became. On my first day in the ER, I thought, “This is it. This is exactly what I want to do.”

Are there any patients you still remember?

In the ER in Detroit, everything came through the door. I remember one patient who was working in the Chrysler plant and a container of molten plastic had spilled on him and hardened. A large part of his body, including his face and neck, was covered in black plastic. He could only breathe out of his nose, and we didn’t know how badly injured he was. We had to chip away all this plastic — there was an incredible mess in the emergency room. He was badly burned but alive underneath. We talked him through the procedure and got him to the ICU.

When did humanitarian response come into the picture?

I was a third-year student, bleary-eyed at 3 in the morning with a new admission. I was sitting next to the patient, asking him questions, when we both realized that we were falling asleep on the spot. We laughed about it and finished, but I remember walking out, looking out the window over the city and wondering what I wanted to do with my career. I was drawn to medicine to help people on their worst day and I wondered if it was possible to help people on a much larger scale. I imagined what my father went through as a war prisoner and wondered what it would take to work in the hardest places with the greatest need. I eventually decided to be a humanitarian doctor. I had no mentors and no experience. I had a lot of exploring to do, so I took three months off in my fourth year of medical school to work in El Salvador during the civil war. I returned to the U.S. with a new conviction to be a global doctor. I had found my calling.

After a magnitude 7.0 earthquake devastated Haiti in 2010, the Harvard Humanitarian Initiative, headed by VanRooyen (far left), mobilized to set up a field hospital.

Harvard file photo

Where was your residency?

University of Illinois in Chicago. I moved to Chicago, became an intern, and then did my residency in emergency medicine. Back then, there was no flexibility for travel abroad, so I went straight through residency — intense, but great — and graduated in 1991, a newly minted emergency physician. After working a year to pay off my student loans, I quit and headed abroad to explore global medicine. I spent the next year working in various international settings and eventually landed a position as a humanitarian doctor in Somalia. It was a sentinel moment for my career.

This was during the country’s civil war. What do you remember?

Rival clans fought for territory and the country was pushed into famine. Food relief shipments were being stolen by militias and sold for weapons. It was a very dangerous time for humanitarian organizations, which were trying to access the interior of the country to deliver food aid. Nongovernmental organizations had to adapt to the militarized context by paying for armed protection, so there were militias and weapons everywhere. I worked in Somalia over the course of 1992 and ’93, supporting medical care for refugees. Shortly thereafter, I was called to work in Bosnia in the former Yugoslavia to work in a war hospital. From there, I joined NGOs in a series of relief missions, managing teams in Rwanda after the genocide, then Sudan and other crises. I spent much of the 1990s back and forth between the U.S. and several humanitarian emergencies.

Were you an ER doctor doing humanitarian work on the side or the other way around?

Working in humanitarian crises and returning home to work in emergency medicine led to a set of parallel careers. Although the environments were completely different, I was able to leverage my experience from one with the other. I was a full-time emergency doc and director of an ER in Chicago at the same time as I was a relief doc with humanitarian organizations. I continued to grow my experience base, working with relief organizations in Bosnia, Kosovo, Iraq, and North Korea. Then I’d come home and resume my life as an ER doctor and professor. In 1997, I moved from Chicago to Baltimore to join the faculty at Johns Hopkins.

I want to backtrack to Rwanda. You worked in a refugee camp and then on restarting the Central Hospital of Kigali. Was that a different sort of project? It seems like a longer-term challenge.

The humanitarian relief work in Rwanda was massive and was largely setting up temporary facilities and healthcare — food, water, sanitation, housing — in these large camps. I originally went to a camp in Ngara, Tanzania, where there were over 400,000 refugees — it was incredibly challenging. But shortly thereafter, we followed the Tutsi military as they took back the country and came into Kigali. We arrived to find the hospital destroyed, with thousands of dead bodies, blood thick on the floor. It was a shocking site. Our job was to get the hospital up and running, starting with the operating rooms, emergency rooms, and some inpatient beds.

VanRooyen has cared for patients in war-torn areas such as Sudan, Iraq, and Bosnia.

Photos courtesy of Michael VanRooyen

Michael VanRooyen in an Iraq hospital.
Michael VanRooyen and others next to a tank in Bosnia.

Did you ever feel physically threatened in a danger zone?

There were times when it was logistically very difficult to get access to conflicted areas. Every trip had its challenges, and I got better at negotiating my way in, and knowing when to push harder and when to back down. It was common to get hassled at the border, made to negotiate with armed groups at a checkpoint. So any heightened sensitivity gets normalized after a while. Most of the time you learned to manage tense situations, but there were a few times when I felt truly threatened.

One of those times was in Zaire — now the Democratic Republic of the Congo — where I was working on a relief mission for refugees fleeing Rwanda. The minute we landed, we were accused of being spies. We were separated, interrogated at gunpoint, and then held for three days under house arrest. It was a highly volatile moment. Finally, with the help of two Zairian surgeons and about $6,000 that I had hid in my boots, we were deported. We hid in the back of a truck and made it to our plane and flew to Uganda. It was a harrowing experience.

Another episode happened when I was in Bosnia. We were crossing through Serb territory at night, trying to get into Sarajevo. In front of us, several Serb soldiers had pulled over a car, kicked out the windows, and dragged the driver out. They ran to us with their guns pointed at us and we just froze. We didn’t have our translator, so we put up our hands and yelled stuff like “From America … and New York … and Disneyworld!” They were finally amused — or disgusted — and shook their heads and let us go. Those are scary moments, which, fortunately, have been infrequent.

There are moments of fear, chaos, doubt in your work. Are there moments of joy and peace and satisfaction as well?

Overwhelmingly so. It’s a hard environment. There is a sense of guilt that comes from working amid such hardship and still having the ability to go back home. But it’s also an amazing opportunity to contribute and truly help people at the worst moment of their lives. It’s what I dreamed about all those years before in medical school. It’s a gift to work in a place where you truly feel like you are helping people. I have always thought of it that way.

When you’re training tomorrow’s humanitarian workers, how do you prepare them for things going wrong?

One of the reasons I started the humanitarian simulation training program 20 years ago was because of the gap between the classroom and what happens in the field. In the classroom, we would teach future humanitarian aid workers on issues of humanitarian principles and access and negotiation, but these concepts lacked the reality that aid workers face in the field. It’s hard for anybody sitting in class to think, “Am I really going to be at a roadblock and have to negotiate access with a gun in my mouth?” The simulation provides practical training. I wanted to give them the feeling of stress, and to help them understand the reality of what working in a conflict zone looks like. It has become the premier civilian humanitarian simulation in the world.

You were at Hopkins for seven years before moving to Harvard. How did one lead to the other?

I co-directed a humanitarian center at Johns Hopkins, developing the idea of bridging academics with humanitarian practice. While building the center, I worked as an emergency physician and continued to write and teach. Hopkins was a rich environment for both humanitarian studies and emergency medicine, and I grew a lot while I was there. I learned to work with U.N. agencies and major NGOs.

I was recruited to join the faculty at Brigham and Women’s Hospital and to launch a humanitarian program at Harvard. So, I partnered with Jennifer Leaning, a close colleague at Harvard, and essentially started all over again. On the flight to Harvard, I made one slide. It was called the “Harvard Humanitarian Institute.” That was the thing I wanted to build. With Jennifer, we created the concept of building a humanitarian university at Harvard. I believed that humanitarian assistance is not just medicine and public health; it is politics, law, economics, sociology, anthropology — nearly every discipline. And there’s no place like Harvard. We have programs, scholars, and students in just about every academic area, and I wanted to leverage the whole ecosystem to create this new center.

“I was drawn to medicine to help people on their worst day and I wondered if it was possible to help people on a much larger scale.”

Stephanie Mitchell/Harvard Staff Photographer

The initiative’s goal was to conduct research and develop tools that improved humanitarian work, addressing problems you saw in the field. What was wrong with humanitarian aid?

When I worked in Somalia, I realized that good intentions are not enough. Most people showing up to work in a highly pressured humanitarian setting had little experience and no training. As a Western emergency medicine doctor, I was entirely unprepared to work in a war zone. I didn’t know the culture, I didn’t know the context, I didn’t know a lot of the conditions I was treating. I was not prepared, and I was pretty sure most other people were also not prepared. It was a feature of the rapid growth of the aid industry. More conflicts, more crises, and more civilian aid agencies, with more people arriving without experience or training. It occurred to me that there was no professional pathway to train humanitarians. I felt like the humanitarian system needed a connection to research and education and a professional pathway for leadership development and mentoring, similar to what we have in medicine. The vision was that HHI would be among the very first organizations that aimed to professionalize the aid community at a time when it was growing rapidly and getting more dangerous.

How long before you decided that as an enterprise, aid efforts weren’t working?

First time.

Really?

Yes. When I worked in Somalia, I deeply admired the humanitarians I saw there. It was such important, lifesaving work in one of the most dangerous and complex places on earth. It was crucial work, and there were many dedicated, well-intentioned people trying to do good things, but failing at it. But the system was not built for learning. It didn’t encourage analysis or self-reflection, and there were few paths for professional development. The humanitarian system needed to evolve.

You once said that leadership is one of the hardest things to teach. Why is that the case?

If an instructor has never experienced the challenges of the field, I think it’s difficult to convey that in the classroom. In humanitarian studies, for example, my courses are derived from lessons in the field. Being a humanitarian in the field and bringing it back home to teach humanitarian studies gives it a level of validity that is different than if you just read the book. Leadership is the same in my opinion. Yes, you can teach leadership and theory, but if you haven’t faced the personal challenges of being a leader under challenging circumstances, it’s hard to teach that. Most leaders are not teachers, and most teachers have not been leaders. So having been fortunate to lead in emergency medicine, as a chair and as a systems leader, and also to have led in the humanitarian sector, I really draw from all of that to be able to develop this concept of who you are as a leader, because I’ve been there.

Is leadership intrinsic — are some people natural leaders — or can it be taught?

I don’t think leaders are necessarily born, though there are personality traits that make you better: a natural communicator, a unique sense of empathy, being good at self-editing on the fly. Those are not easy traits to gather into one person and some people will never get some of those right. But I do think that leadership, as a discipline, can be taught as a series of ideas, techniques, and practices.

Self-editing and empathy probably aren’t the first things that a lot of people would mention when they talk about good leaders. What about organization, persuasion, the arm-twisting that happens in politics?

Much of my daily function as a leader has to do with personal relationships: building capital for times when I have to make tough decisions. Another important skill is understanding and predicting problems, which are almost always people problems. I have worked with many gifted leaders, and watched them manage change, communicate in a crisis, or negotiate a difficult relationship. But what I’ve admired the most is the ability to be thoughtful, humble, self-reflective, and empathetic communicators who can express that they care. I think good leaders can blend the techniques of leadership while building strong relationships.

Michael VanRooyen walking with a team of humanitarian doctors in Darfur.

“It’s a gift to work in a place where you truly feel like you are helping people,”

Is the humanitarian field better today?

The humanitarian sector has grown and advanced in its complexity, its use of evidence, and its impact. The sector has grown to meet the needs of hundreds of millions and is a lifeline for people around the world. But the humanitarian sector is facing its own crisis. The elimination of USAID and its mandate sent shock waves across the humanitarian world, forcing many organizations to radically downsize. It has also created a narrative that the vital humanitarian work that we do is somehow less important. Many NGOs and U.N. agencies have had to reduce their efforts. As the humanitarian sector adapts, there will be many unmet needs. HHI has to rethink our next steps in the field and see how we are going to contribute to the future of global aid.

In addition to your HHI work, you’ve led emergency care at the Brigham and you’re now chief of emergency medicine for Mass General Brigham. Take me through that role.

I’m the chief of the MGB system, so now I lead the MGH and BWH and our eight other emergency departments. Before MGB, we were a loose federation of individual emergency departments that operated quite independently. Pulling them all together into one MGB system was complex, but it is gratifying to see them come together and work as a team.

I think it’s important as a leader to stay clinically active, so I work once a week in the ED at MGH. We see everything, all day, every day. My work in the humanitarian sector has always helped me to appreciate working in the ED. After a day of pushing humanitarian issues or creating a strategy for the MGB system, it is so important to take the time to experience the ED and to see patients. I’ve always felt it as a privilege to live in both worlds — to move between large global systems and being a doctor taking care of patients at the bedside. It’s a wonderful gift to be able to do both.


‘Our students are seeking not just to coexist, but to understand’

8 projects win Building Bridges grants to spark constructive dialogue on campus


Campus & Community

‘Our students are seeking not just to coexist, but to understand’

Students talking in Harvard Yard.

Harvard file photo

7 min read

8 projects win Building Bridges grants to spark constructive dialogue on campus

Eight student-led projects that aim to break down campus divisions — through talks, film screenings, and art installations — won funding from the 2025-26 President’s Building Bridges Fund.

The presidential initiative, which seeks to build community across faiths, cultures, and backgrounds, received three times as many applications and is funding twice as many projects as it did in its inaugural round last year. Grantees, led by students from the College and six graduate Schools, were awarded up to $5,000 and will launch projects during winter and spring 2026. 

“There is interest across the University in creating new opportunities to deepen connections, build understanding, and strengthen relationships,” said Harvard President Alan M. Garber. “The threefold increase in Building Bridges applications this year demonstrates students’ eagerness to take risks and to learn from one another. It is an exciting and promising sign of renewal within our community, and I am honored to support an excellent slate of projects.” 

Last year, student project leaders took a variety of approaches to fostering respectful dialogue among their peers on challenging issues. This year is no different. Projects will delve into a diverse set of topics, including exploration of the rural-urban divide, progressive-conservative values, Black and Jewish solidarity, and shared identity through art.

“Our students continue to show that building community across difference is not an abstract aspiration but a daily practice they are eager to pursue,” said Sherri Ann Charleston, chief community and campus life officer at Harvard, whose office administers the program. “From the Law School to the College, our students are seeking not just to coexist, but to understand. These selected projects capture that spirit perfectly, utilizing everything from the arts to structured policy debate to weave a stronger, resilient community at Harvard.”

Summaries of the projects:

Harvard Rurality Forum (Harvard College) 

The Harvard Rurality Forum is a one‑day event aimed at convening Harvard affiliates, invited guests, and partner organizations on campus to examine the rural-urban divide. By placing rural perspectives alongside those shaped by the Boston metropolitan area, the forum aims to highlight differences in culture, economics, and daily realities while creating space for genuine understanding. Through conversations on issues such as agriculture, healthcare, and education, attendees will challenge assumptions, explore policy impacts, and develop the skills needed to engage constructively across cultural lines.  

The Black-Jewish Pluralism Project (Harvard Divinity School) 

This semester‑long dialogue series brings together students, faculty, and staff from across Harvard for monthly, cross‑school conversations on Black-Jewish solidarity in a polarized time. Each gathering will blend theological reflection, historical context, and ethical discussion to help participants examine their assumptions and move beyond performative allyship. The series will conclude with a collective ritual centered on moral responsibility and repair. Its purpose is to cultivate empathy, humility, and a shared commitment to justice across lines of faith, race, and ideology. 

Civil Society at the Cinema: Finding Common Ground Through Film (Harvard Kennedy School) 

Civil Society at the Cinema is a series of free film screenings and roundtable conversations held at the Brattle Theatre in Harvard Square. The program will bring together Harvard students, faculty, filmmakers, and community members to engage with works that probe challenging questions about the human experience. By including directors and speakers from varied backgrounds, the series aims to model how thoughtful disagreement can coexist with empathy, intellectual rigor, and a shared commitment to understanding one another. 

Breaking Bread, Building Bridges (Harvard Law School) 

Breaking Bread, Building Bridges is a six‑session dialogue series designed to bring conservative Christian and progressive leftist students at Harvard Law School into structured, meaningful conversations about urgent social, ethical, and political issues. The series aims to foster empathy, understanding, and honest moral inquiry between communities often perceived to be in conflict. Rather than seeking agreement, the project aims to humanize disagreement by showing how differing moral frameworks can still share commitments to dignity, justice, and the common good.  

From Dissent to Dialogue: Conservative and Progressive Legal Dialogue (Harvard Law School) 

The Federalist Society and the American Constitution Society at the Law School will co‑host a series of lunch talks, bringing members of the Law School community together for conversations that bridge ideological divides. The series aims to create a shared space for thoughtful, good‑faith engagement, encouraging students to question assumptions and learn from contrasting perspectives. By moving beyond siloed programming and placing speakers in direct dialogue with one another, the series will let students engage with high‑profile guests while modeling respectful disagreement and strengthening the culture of open inquiry at the Law School. 

Across the Aisle (Harvard Business School) 

Across the Aisle will provide structured, empathetic spaces for Harvard Business School students to explore differing political and social perspectives. Through facilitated dialogues, story circles, and community dinners held on campus throughout the semester, participants will practice curiosity and reflective inquiry to build trust across ideological lines. Led by the Business School’s Democrats, Liberals, & Progressives Club, the Conservative Club, and the Government & Public Policy Club, the project invites students to engage with one another openly rather than through debate or persuasion. By encouraging students to examine their values, communicate across disagreement, and question assumptions, Across the Aisle aims to strengthen leadership skills essential for navigating complexity.  

Gathering Under the Crest (Harvard Graduate School of Design) 

Gathering Under the Crest is a campus installation of light, triangular pavilions designed to provide participatory communal spaces for the Harvard community. Placed on campus, the 13 pavilions represent each of Harvard’s Schools, sharing a common form with subtle variations that reflect the diversity within the Harvard community. Students from every School will help shape their pavilion, contributing ideas that give each structure its distinct character. By offering welcoming places for people to gather, the project invites the community to see itself both literally and figuratively within a broader whole. 

Whose Genes? (Harvard Kenneth C. Griffin Graduate School of Arts and Sciences) 

Whose Genes? is an online map and conversation space that aims to explore how the Harvard community understands genes and what they can and cannot tell us about identity. Built from 50 interviews with faculty experts, collected questions from the broader Harvard community, and a public panel featuring four scholars with contrasting views, the project will make diverse perspectives on genetics and inheritance accessible in one place. The project aims to deepen public understanding of genetics, challenge deterministic assumptions, and encourage thoughtful engagement with questions about identity, biology, and difference.

Proposals were evaluated based on the potential to bring students together along one or more of the following dimensions: 

  • Building meaningful relationships among affinity groups whose interests or perspectives on important issues may diverge; 
  • Advancing intellectual excellence by listening deeply, navigating tension constructively, and fostering cooperation across differences to solve common problems; 
  • Acting against discrimination, bullying, harassment, and hate; 
  • And fostering dialogue and engagement across differences on campus about interfaith or intercultural issues, or a combination of both. 

The President’s Building Bridges Fund was established as a result of the preliminary recommendations from both the Presidential Task Force on Combating Antisemitism and Anti-Israeli Bias and the Presidential Task Force on Combating Anti-Muslim, Anti-Arab, and Anti-Palestinian Bias, which emphasized the need to provide more opportunities for building community across campus. Students who led and participated in projects last year learned skills necessary to engage in difficult conversations and said they appreciated the additional opportunities to engage with peers with different points of view outside of the classroom.   

“True pluralism is not a given; it is an achievement that requires the intentional construction of bridges where there are none,” said Diana Eck, a member of the Presidential Task Force on Combating Anti-Muslim, Anti-Arab, and Anti-Palestinian Bias, professor of comparative religion and Indian studies, emerita, and Frederic Wertham Research Professor of Law and Psychiatry in Society. “These students have accepted the challenge to move beyond their comfort zones, designing initiatives that replace silence with conversation and assumption with inquiry. By fostering spaces where distinct religious, cultural, and political identities can interact constructively, these grantees are doing the essential work of the University.”


A call for corporate America to step up on homeless crisis

Business School initiative brings together leaders from business, government, academia


Nation & World

A call for corporate America to step up on homeless crisis

Homeless encampments are seen near Washington Circle.

Homeless encampment in August near Washington Circle in D.C.

Kayla Bartkowski/Getty Images

5 min read

Inter-faculty initiative brings together leaders from business, government, academia

Many give much of themselves to help the homeless.

Take Mike Jellison. He knows about drug addiction, familial estrangement, prison, and recovery and brings it all to bear on his work as a recovery coach. And Katherine Koh. The Harvard Medical School assistant professor of psychiatry works with Jellison to help unhoused clients as part of the street team at Boston Healthcare for the Homeless Program.

Program president and founder Jim O’Connell, a physician, HMS assistant professor of medicine, and longtime advocate for Boston’s homeless, praised Jellison and Koh’s work at a conference at Harvard Business School on Friday. But he also noted that solving the crisis was beyond the reach of nonprofits like his, and requires government and corporate America to step up.

“We can take care of people; we can’t cure them,” said O’Connell, whose work with Boston’s homeless people was the subject of author Tracy Kidder’s 2024 book, “Rough Sleepers.” “We want to fix things, but we can’t fix things unless we work with all of you.”

That theme resonated throughout the two-day “Beyond Shelter Deep Dive” hosted by Harvard’s Advanced Leadership Initiative, the Harvard T.H. Chan School of Public Health’s Initiative on Health and Homelessness, and the Bloomberg Center for Cities at Harvard University.

The sessions focused on what business can do to address America’s stubborn problem of homelessness. It brought leaders from business, government, and academia to Harvard Business School and the American Academy of Arts and Sciences in Cambridge for discussions that laid out the dimensions of the problem and its history dating to Colonial times, and explored innovations such as modular housing and efforts like Amazon’s Affordable Housing Fund and Denver’s innovative system of programs, which has helped reduce unsheltered homelessness.

Howard Koh, the Harvey V. Fineberg Professor of the Practice of Public Health Leadership, founder of the Harvard Chan School’s initiative, and co-chair of the event, said it’s time to set aside the idea of homelessness as a fixture in American society.

“We will never be able to make sustained progress unless all of us join together as one to address this public health, humanitarian crisis and reject the status quo as somehow normal or acceptable,” said Koh, who served as Massachusetts’ commissioner of public health and as assistant secretary for health in the Obama administration. “After all, that’s what leadership is all about.”

Howard Koh.

Howard Koh.

Photos by Russ Campbell @russcamphoto

Peter Levesque.
Peter Levesque.

Peter Levesque, event co-chair and a senior fellow at the inter-faculty Advanced Leadership Initiative, said statistics show that 770,000 Americans are homeless on any given night, with 35 percent living on the streets and 65 percent in shelters, cars, and on the sofas of friends.

Even those statistics, he said, don’t capture the true extent of the problem, as many more live in overcrowded housing, just a step away from homelessness. And, while American businesses haven’t caused the problem, Levesque said corporate America has an interest in its solution.

“Corporate America is not on the periphery of these problems. They are instead at the center of it, not as a cause, but as a powerful catalyst for systems change,” Levesque said. “Corporate America has proximity to homelessness and a vested economic interest in solving it. Because to have a healthy economy, you need to have a healthy community, and stable housing is the foundation of a stable workforce.”  

Jeff Olivet, senior adviser to the Chan School’s initiative, said homelessness’ roots go back to Colonial times, when people with physical disabilities and mental illness, along with those displaced by wars, lived on the streets.

The roots of homelessness today date to the 1970s and the end of a massive post-World War II building boom that left the nation with a surplus of 300,000 housing units and little homelessness. That boom faded in the decades that followed and combined with societal trends such as the closing of large mental hospitals, the return of Vietnam veterans, some with severe PTSD, and a disinvestment in housing.

Today, Olivet said, the 300,000 housing unit surplus has become a 7 million unit deficit.

Jeff Olivet speaking at Harvard.

Jeff Olivet.

Photo by Russ Campbell @russcamphoto

That deficit hits those with low incomes hardest. Today, only 35 percent of the nation’s lowest-income residents, and just 50 percent in the next-lowest income category, can find housing they can afford.

More resources are needed, and some of them can come from business, speakers said.

One example is Amazon’s $3.6 billion Affordable Housing Fund, which provides grants and low-interest loans to developers and has already funded 21,000 affordable homes in three areas: Nashville, Washington State’s Puget Sound region, and the Capitol region around Washington, D.C., and Virginia.

Michael Carney, president of the U.S. Chamber of Commerce Foundation, said businesses also have the ear of politicians and, as they have in the past, can work together to sway policy.

During the COVID-19 pandemic, in 2021, for example, the Delta variant hit India first and hard, causing huge amounts of death and suffering. Washington, though, was focused on domestic issues, not India. So the U.S. Chamber of Commerce, the Chamber Foundation, and the Business Roundtable convened a meeting of 45 global CEOs, Carney said.

“It was horrific what was happening. It was so bad that crematoria were melting,” Carney said. “In this Zoom meeting these CEOs came together and said, ‘This is unacceptable.’”

Within a week of that meeting, he said, the U.S. government shifted some attention onto India, and the business group, using corporate contributions, becamethe world’s largest private purchaser of ventilators, which they sent to India.

“That is the power of business,” Carney said, adding that those insights also apply to homelessness. “The big lesson we learned from our experience during COVID was that the-whole-of-society problems require the-whole-of-society solutions.”


Writing like it’s a ‘game of telephone’

Students workshop TV script ideas in course designed as writers room ‘bootcamp’


Arts & Culture

Writing like it’s a ‘game of telephone’

Aiyanna Ojukwu Õ26 (left) and Phillip Howze.

Aiyanna Ojukwu ’26 (left) and Phillip Howze.

Stephanie Mitchell/Harvard Staff Photographer

6 min read

Students workshop TV script ideas in course designed as writers room ‘bootcamp’

In a seminar room in Farkas Hall, senior Aiyanna Ojukwu stood before a rolling whiteboard lined with index cards, each representing a plot point from her TV pilot episode. The story, as she explained to classmates grouped around a nearby table, follows a high school senior whose life takes a turn after an heirloom — a watch her parents gave her — goes missing.

“I think my original idea was it’s a windable watch, and if it gets off time then something bad will happen,” Ojukwu explained. “But if you can think of something better, this heirloom doesn’t need to be a watch. It just needs to be something that can be lost.”

Senior Solomey Alemseged had an idea: “Maybe it doesn’t tell time, but it tells something else.”

Ojukwu liked the proposal. “Maybe it shows how out of line you are, like a compass,” she mused.

“A moral compass,” senior Inseo Yeo added.

The creative volley continued for the College students enrolled in TDM 166H: “TV Writers Room,” who took turns workshopping their projects with the group.

Associate senior lecturer Phillip Howze has been teaching the advanced writing workshop in the Theater, Dance & Media program for the past three years. The technical skills needed for TV writing are different than for plays or film, he said.

“I’m a curious person and thus I’ve worked in a variety of fields. Relatedly, a TV writers room is really about bringing a whole spectrum of experience, personal experiences, ideologies, scholarships, and the multivalent aspects of your personhood, to bear on the story that you are writing collectively with a group of people,” said Howze. “To make a television show is to work incredibly collaboratively, and to risk failure really boldly, over and over again in a serialized, recurrent way. It’s like any creative practice. In order to do it, you need to practice the muscle.”

“A TV writers room is really about bringing a whole spectrum of experience, personal experiences, ideologies, scholarships, and the multivalent aspects of your personhood, to bear on the story that you are writing collectively with a group of people.”

Phillip Howze

Howze, a playwright and screenwriter who has written for shows such as the Netflix series “Mindhunter” and National Geographic’s “Genius: Aretha,” says a TV writers room is a unique environment: a temporary assembly of people who meet daily to craft a story together, where the narrative is ongoing rather than being neatly contained like a movie.

In a professional writers room, Howze explained, the showrunner, or creator, typically brings in an idea that others build upon. There’s usually a “blueskying,” or brainstorming phase. Then writers hone the story until it fits the framework of an episode. He describes his course, a two-hour-and-45-minute seminar that meets once a week, as a “bootcamp” that mimics this process.

Ojukwu, who is concentrating in neuroscience and in Art, Film & Visual Studies with a focus on film production, described the collaboration as a “game of telephone,” where one person has an idea, the next person expands on it, and a third person writes even more.

“Everyone has been doing individual work, but there’s always the thought of ‘my community has chipped in,’” Ojukwu said. “I took this class because I was kind of sick of individualism tied to creativity. As if the only way you can truly be a ‘good creative’ is if you did it yourself with no help. That was kind of exhausting to me. I found that, outside of classes, I had a better time making stuff if it was with other people.”

“I took this class because I was kind of sick of individualism tied to creativity.”

Aiyanna Ojukwu

The course “prioritizes community and collaboration in a way that I’ve never seen anywhere,” added Alemseged, who is concentrating in history of science and Art, Film & Visual Studies. “But there is this preservation of self-reflection and voice while pursuing that. There’s also this passion, like a fire being lit under everyone’s seat. Everyone is very eager to share and to collaborate.”

Outside of class, students write original work each week: scenes, character monologues, episode synopses, and elevator pitches. They often swap in class and take each other’s work home to expand on the ideas. They also watch shows as homework assignments and write responses. The coursework includes several shows primarily created by women and artists of color alongside the creative seeds that inspired them, such as Issa Rae’s web series “The Misadventures of Awkward Black Girl,” which later became the hit HBO show “Insecure;” Phoebe Waller-Bridge’s one-woman play “Fleabag” and its BBC TV adaptation; and the “Homecoming” thriller podcast and its Amazon Prime television version starring Julia Roberts.

Sharing work with peers can be daunting. Howze encourages students to present their writing to the class without disclaimers, and to practice letting go of ego, habits that will aid them in the professional writers room.

“The course really puts forward, to encourage and inspire students, that your lived experience and your unique perspective is not only of use to your own story, it could potentially be of use to Issa Rae, plus anyone else who you might wind up working next to in the context of a writers room,” Howze said.

Claire Liu, a senior concentrating in Theater, Dance & Media and economics, did her first Harvard internship in a writers room: a virtual position for The CW’s “Nancy Drew” show.

“I’m hoping to work in entertainment as a writer, director, and performer, mostly in film and TV,” said Liu. “It’s definitely something that I want to continue after graduation.”

Howze also brings in guest speakers from the television industry. Recently it was Monet Hurst-Mendoza, who was a writer/producer for Seasons 21-24 of NBC’s “Law and Order: SVU.” She watched the students simulate a writers room, working together on Ojukwu’s time-travel pilot, as well as others, including a dream sequence involving a Los Angeles cult and a family of dinosaurs that survived the meteor strike.

Howze hopes students will come away with more confidence and conviction in their creative selves than they had at the start of the semester.

“By the end of the class, I hope students leave prepared to go into a writers room skillfully, but really any collaborative creative space, with a healthy balance of conviction and grace. Not only do we nourish their talents as emerging artists, we also tend to the need for more good citizens of the art world,” Howze said.


Cracking the code of why, when some choose to ‘self-handicap’

New research also offers hints for devising ways to stop students from creating obstacles to success


Yang Xiang.

Yang Xiang.

Stephanie Mitchell/Harvard Staff Photographer

Science & Tech

Cracking the code of why, when some choose to ‘self-handicap’

New research also offers hints for devising ways to stop students from creating obstacles to success

5 min read

Partying the night before a big exam. Preparing last-minute for a work presentation. Running a 5K in a 10-pound Halloween costume. All are examples of what psychologists call “self-handicapping” — creating obstacles to success to order to bolster or protect one’s own reputation.

“It’s actually very common,” said Yang Xiang, a psychology Ph.D. candidate in the Kenneth C. Griffin Graduate School of Arts and Sciences. “There have been many decades of work documenting this behavior.”

Much of the previous research has chalked it up to personality traits, with some publications featuring questionnaires that gauge individual propensity.

Xiang and her co-authors have devised a formal, mathematical model of how the phenomenon works socially. Their “signaling theory of self-handicapping,” recently published in the journal Cognition, identifies the situational factors that motivate the behavior — and charts its impacts on different kinds of observers.

“We’re saying that regardless of what kind of person you are, this can be a very rational thing to do,” Xiang said. “We can predict when you would do it and when you would not do it.”

Xiang, the paper’s lead author, has been researching the cognitive foundations of collaboration for her dissertation.

Her Collaborative Utility Calculus framework explains how individuals navigate the many challenges of working together — from choosing teammates to allocating effort and assigning responsibility — by understanding what others think and recognizing what they can do.

 Advising the project was Professor Samuel J. Gershman, the cognitive psychologist who leads the Computational Cognitive Neuroscience Lab.

“Our experiments show people can make reliable inferences about how competent someone is just by observing one or two events,” Xiang said.

Self-handicapping is an attempt to game those inferences, with hopes of gaining more favorable assessments.

As previous research has shown, the behavior not only enhances perceptions of competence when the morning-after exam gets an A-plus, it can protect perceived competence when the test-taker bombs.

But when, exactly, do people self-handicap? And just who are they likely to sway with this tactic?

Xiang, Gershman, and co-author Tobias Gerstenberg of Stanford University theorized that self-handicapping is the result of recursive reasoning, with actors capable of contemplating how others think of them.

They emphasize that the decision to self-handicap must be made in advance. But it follows a set of logical deliberations regarding one’s own competence and the potential for influencing others.

“You’re doing this because it works,” Xiang said. “You’re doing this because you’re actually aware of what matters to whom.”

The team tested their ideas with two experiments, both designed to mimic a classic TV quiz show. The experiments proceeded in three rounds.

In the first round, 200 participants observed and evaluated a set of active players. Each player was given 20 general knowledge questions, with the threshold for passing at eight correct answers.

Half were judged on responses to all 20 questions, while the other half were evaluated on a random subset of 10.

The second round plunged onlookers into the trivia itself. At the top, study participants were given the opportunity to be judged on a random subset of 10 answers. That is, they could choose in advance to self-handicap.

A final round meant re-evaluating the players from Round 1, with study participants now the wiser to the ways of self-handicapping. Exact scores were never provided. All that was known was whether the player in question had passed — and whether self-handicapping was involved.

As the model confirmed, the behavior occurred most frequently with those least likely to fail — or to succeed.

“If I observe someone self-handicapping, I know they are probably very competent or very incompetent,” Xiang explained. “And if I observe that they didn’t self-handicap when given the choice, I know they’re probably somewhere in the middle.”

Most previous academic accounts have focused on those who exhibit self-handicapping, but the signalizing theory is unique in incorporating observers.

Self-handicappers who passed the quiz were given the highest rankings, just as the model predicted. The behavior also proved to mitigate harsh judgments of those who failed.

However, the sophisticated observers of Round 3 were considerably less generous with failing self-handicappers.

“People who themselves have been self-handicappers are actually more likely to interpret others’ behaviors as intentionally self-handicapping,” Xiang noted.

To be sure, previous studies show self-handicapping can undermine educational goals. It has been linked with lower self-esteem, lower motivation, and declining student performance over time.

 But a subtle difference between the study’s two experiments hints at possible interventions.

Active quiz-takers in the first experiment were instructed to maximize perceived competence, while those in the second were told to maximize success.

While results show players in Experiment 2 were far less likely to self-handicap, they were still most likely to use the tactic when competence was very high or very low.

That means emphasizing success does not, on its own, prevent self-handicapping. What’s needed is an emphasis on learning.

The co-authors suggest educators use this finding in action by focusing on individual progress over student rankings. Also proposed is tailoring assignments to the individual learner, since self-handicapping is less likely to occur when tasks align with competence.

“By formalizing the cognitive underpinnings of this behavior,” Xiang said, “we hope this research illuminates ways to prevent harmful academic self-handicapping.”


How memory works (and doesn’t)

In podcast, scientists explain why remembering is more reconstruction than replay


Science & Tech

‘Harvard Thinking’: How memory works (and doesn’t)

Illustrations by Liz Zonarich/Harvard Staff

long read

In podcast, scientists explain why remembering is more reconstruction than replay

Many people have had the experience of smelling something — maybe a perfume or food — that triggers a memory, often from early childhood. Venki Murthy, a neuroscientist and director of the Center for Brain Science, admits we don’t really know why this happens, but he has some theories.

“There’s just this deep-seated belief that somehow smells evoke these very old autobiographical memories,” Murthy said. Murthy’s lab has learned by observing neural connections in mice that memory comes down to patterns of activity in the brain. But a lot remains unknown.

Margaret O’Connor, an associate professor of neurology at Mass General Brigham, said certain cues, including those from our five senses, can be powerful triggers for memory — especially when combined with something unique. “When I work with patients and I talk about memory strategies, I use the term ‘bizarre is best.’ Distinctiveness matters. If something is unique and it stands out, you tend to remember it better,” she said.

Still, our memories are fallible and open to suggestibility. Dan Schacter, a psychologist and the author of “The Seven Sins of Memory: How the Mind Forgets and Remembers,” said that it’s helpful not to think of memory as a tape recorder or photograph, but rather a constructive process that builds and compresses experiences in a — hopefully — helpful way.

“We’re integrating things we know in general with what happened at a particular time,” he said. “But sometimes it’s in that combination where things can go awry.”

In this episode of “Harvard Thinking,” host Samantha Laine Perfas talks with Murthy, O’Connor, and Schacter about the science of memory — and what we can do to remember better.



Listen on: Spotify Apple YouTube


Venki Murthy: Memory is just not something that’s stored on a tape and it just sits around, right? It’s really astonishing how you can remember anything at all. So for me, this now really brings to the point — where is the stability in the face of this constant onslaught? And that almost seems miraculous, even if it’s flawed.

Samantha Laine Perfas: We rely on our memory for so much. In many ways, it’s the foundation of everything, from our sense of self to how we stay safe to how we build relationships. But it turns out memory is quite fallible, and there’s still a lot we don’t know about how our brains store and retrieve information.

So how do we build our capacity to remember, knowing it might lead us astray?

Welcome to “Harvard Thinking,” a podcast where the life of the mind meets everyday life. Today I’m joined by:

Margaret O’Connor: Dr. Margaret O’Connor, an associate professor of neurology at Mass General Brigham.

Laine Perfas: For many years, she was chair of the medical advisory board of the Alzheimer’s Association and was the past president of the International Neuropsychological Society. Then:

Murthy: Venki Murthy. I’m a professor in the college here in one of the biology departments, and I’m also the director of this entity called Center for Brain Science.

Laine Perfas: His research involves mostly animal models, studying a variety of things related to sensory perception, learning, and memory. And finally:

Dan Schacter: Dan Shachter. I’m a professor in the Harvard Department of Psychology.

Laine Perfas: He studies memory and has written multiple books, including “The Seven Sins of Memory,” which looks at the different ways our memories fail us.

And I’m Samantha Laine Perfas, your host and a writer for The Harvard Gazette. Today we’ll talk about the science of memory, including methods that can help strengthen it.

I think a good place to start the conversation would be, how does memory work?

Schacter: Oh boy. Maybe it’s easiest to start the conversation by saying how it doesn’t work, because that is a common misperception: that our memory is basically something like a video recorder or a photograph that maybe doesn’t capture all of the details, but pretty much lays down a copy of what’s going on. It’s really not like that. Memory is a much more constructive process. So when we remember, for example, a past experience, rather than just literally replaying a photograph or recording as we would do with the physical video recorder, typically we’re combining different elements of different experiences. We’re integrating things we know in general with what happened at a particular time. And often, that combination of our general knowledge of how things work and our specific knowledge emanating from a particular experience will produce an accurate memory for what actually happened. But sometimes it’s in that combination where things can go awry.

O’Connor: And just adding to that, in the context of certain medical problems, the construction and reconstruction of memories can really be quite off target, particularly when someone has a medical problem that affects their frontal lobes. If someone is aging badly, they may be prone to making up memories. The term for that is confabulation, which has some element of truth, some element of the real memory in there. But it’s been detached of the precise temporal and spatial source of the original memory.

Schacter: We know some of the critical structures in the brain that contribute to this constructive process of memory. Most people who study memory are very familiar with the hippocampus, a structure in the middle of the brain that we know is important both for encoding and retrieval of information. We know that when you have damage to this region and some nearby structures in the inner part of the temporal lobe, that you can have a devastating impairment in memory. And most people think that the hippocampus and these related structures are in communication with other parts of the brain. And it’s in this interaction of the hippocampus and the other cortical regions that we can reconstruct past experiences, and one of the reasons why we think of memory as a constructive process.

Murthy: As somebody who studies maybe a bit more granular at the level of populations of neurons and getting into the details of the circuits, it might be worth saying explicitly that all our experiences, and when have memories, it all comes down to patterns of activity in the brain. We think that when you recall a memory, you basically have a pattern of activity that is somewhat similar, sometimes very closely, sometimes somewhat similar, to the thing that happened, and therefore you call it memory. At that granularity, you can understand what Dan and Margaret are saying in the sense like, how can you ever possibly replay the exact same pattern unless everything was profoundly deterministic? All of this recreating construction comes from the fact when you get a memory out, you are basically letting the brain replay the dynamic pattern, and therefore it’s going to be maybe slightly different. If you rehearse it a lot, maybe you can solidify it. So I think for us, in animal models, we have the luxury, if you will, of recording from lots of neurons. Therefore, you see, oh look, that pattern of activity resembled when the animal formed that memory; it was sitting in a cage and was doing something, we made it remember it. Now that’s a pattern. It’s all basically coming to that in terms of the dynamism of what the phenomenon actually is.

Schacter: And we can see some of that activity also that Venki is describing in non-human animals, we can see some of that through neuroimaging studies of people. And we know that reinstating those initial patterns is very important for the experience of remembering.

Laine Perfas: Thinking about that pattern and sort of replaying and retrieving that information, I imagine that plays into the strength of a memory. Why are some memories stronger than others? And Venki, maybe you can kick this off because you actually research smell, which is really interesting, because as we know, there is a really strong connection between our senses, and being able to evoke a very visceral experience from our past.

Murthy: You are exactly right. There’s just this deep-seated belief, if you will, that somehow smells really evoke these very old autobiographical memories. And everybody cites Proust. There are some beautiful poems that I always recite at the beginning of these kinds of talks. I’ll start with the skeptical view, which is that if we really look at the kinds of studies that Dan and Margaret do, if we really do this carefully in the control setting, does this actually hold out? Is it really true? I think there’s some evidence that the regions of the brain that Dan mentioned, like the limbic system, hippocampus, and maybe amygdala, evolutionally, there’s close proximity to the pathways, the neural pathways; they all happen to be in the ventral side of the brain and the geography of brain development is that. So there’s some sense in which maybe there’s a more direct access to those things. But having said that, every part of the brain can access another part with just a few synapses, a few connections. If you were push me to the wall, I would say the one thing that I would love to study — and I think with somebody like Dan — that maybe it’s about when the memory is formed at some point, smells are just a really good provoker of storing something; it somehow gives this amazing saliency signal that you then store that and therefore when the next trigger comes, you’re able to retrieve that. And I just want to finish by saying, all these descriptions, typically the things that people remember are not the smells themselves; it’s about the episodes. If you read Proust, the madeleine that everybody talks about, he goes on and on about the town square, his and his grandmother’s kitchen, this and that, but not necessarily the description of the actual smell.

“There’s just this deep-seated belief, if you will, that somehow smells really evoke these very old autobiographical memories.”

Laine Perfas: I wonder if people are so curious because it’s such a common experience. My example is there’s this very specific brand of shampoo that I never used except when I was at summer camp. So if I use this strawberry scented shampoo, suddenly I’m 8 years old taking a shower in this freezing cold, very outdated bathroom. That smell will just out of nowhere, it just whisks you away.

Murthy: I completely agree, and I think my lament is that it would be amazing to study this in humans because we cannot do the neural basis as easily. In animals, we can do that, but how do I tell a mouse to, in its adolescence, remember something, come back? Not too easy. But, anyway…

O’Connor: I guess I’m wondering, Venki, if what you are saying is that the activation of the limbic lobe may activate, because of the geography of smell, an episodic memory of the hippocampus — whether it’s a serendipitous event, that those two things have just co-activated and, as a result — because of the bind, because of the reverberating circuit — you can smell, can reactivate this complex memory?

When I work with patients, I don’t hear a lot about smell activating past memories, but I do hear the occasional — exactly what Sam said — that this particular memory was evoked by a smell. It doesn’t seem like a frequent event, but it does seem like a powerful event.

Schacter: And I think that it’s that lack of frequency that may contribute to why it may be powerful, that there’s a more general principle of distinctive experiences that stand out being accessible in memory, whether they’re evoked by smells or other cues. And how many memories do you have that are really defined by unique smell? For most people, probably not very many. That’s probably why Margaret doesn’t hear about that very often from patients. I tend to look at it as an example of the more general principle that distinctive events are going to be those that you have a better chance of remembering well over a long period of time, whether they’re evoked by smell or anything else.

I think a couple of other general principles related to that are how one encodes information and how you link it up with things you already know. We know from decades of work in cognitive psychology that when you’re able to use your past knowledge to encode new information in a meaningful way, that makes a huge difference for subsequent memorability. And the act of retrieving information — I ask you a question, you retrieve that information, and if I’m doing a laboratory experiment, I ask you to recall some words or some pictures. That’s how I find out what’s in memory. But it turns out that it’s much more than that, that the act of retrieval probably is one of the best ways of strengthening a memory over time. Sometimes distorting it, but experiences that we have that are very meaningful to us are likely to be the ones that we retrieve and think about after an event has occurred. And that very retrieval further strengthens what’s probably already, to us, a meaningful experience. So you get into kind of a positive feedback cycle: Something that’s meaningful to you, you have a stronger encoding because you’re activating your past knowledge. And then that is probably something you’re more likely to think about and rehash and retrieve. And that is not a neutral act; that is one of the most potent ways of strengthening a memory so it lasts over time.

O’Connor: When I work with patients and I talk about memory strategies. I use the term “bizarre is best.” Distinctiveness matters. If something is unique and it stands out, you tend to remember it better and you may reflect on it more. And as a result of reflection, of doing exactly what Dan was saying, of revisiting a memory, if you revisit it enough, it becomes more stable. Ultimately, it may become independent of the hippocampus. It ultimately may be transferred from something that is hippocampally dependent to a fact that you believe about yourself, which may or may not be representative of a true event, but somehow seems real to you. And I think a lot of our long-term memories, including what we remember about the teachers who taught us during grammar school, have undergone that type of transformation so that they become stable and factually based.

“Distinctiveness matters. If something is unique and it stands out, you tend to remember it better and you may reflect on it more. And as a result of reflection … it becomes more stable.”

Laine Perfas: There’s another type of memory that I think is really fascinating, and that’s the flashbulb memory. The, Where were you when — fill in the blank, this big thing happened? And it is another experience that sometimes feels like you’re teleported back in time. What’s going on with those types of memories?

Schacter: The term flashbulb memory originated in a 1977 paper that actually came out of the Harvard Psychology Department, published by Roger Brown and his graduate student at the time, Kulik. They observed that anybody who was talking, for example, at that time about the Kennedy assassination would say, “I remember exactly where I was and what happened.” I’m old enough that I claim to have a memory of being in my sixth grade class and the dean walking in and telling the teacher, whispering into the teacher’s ear, and we learned of that horrible event. And so based on their study of that event and the Martin Luther King assassination, they came up with the idea that for these highly salient, unexpected, shocking events, that it’s as if a flashbulb went off and you captured that event in full photographic detail. And this is a different kind of memory than any other kind of memory. It took about 15 years, but then Ulric Neisser and his student published a paper in the early ’90s where they did something very interesting. You remember that the Challenger blew up in the 1980s. It was again, a shocking event. And they were ready after that incident happened to ask students to record their memories, within a day or two, with the idea that if they told us what they remember, that would be pretty accurate. So they got these recordings and then they did something very interesting. They came back to the students a year later, a couple years later, and what they found is that while the students were still very confident — “I remember exactly where I was” — they were wildly inaccurate. They had all kinds of details mixed up from what they said a day later. And so then that has led people to view flashbulb memories in a very different light. That even though they give us a strong sense of confidence and maybe transporting back to the original event that they — like other memories — are very much products of constructive processes and we’re just not aware for the most part of the possible distortions that get introduced.

Murthy: Maybe to just say this explicitly — I think we’ve all been implying this in some sense — a lot of perception and recognizing events and encoding involves a lot of compression. You’re not basically, as Dan said, recording. You just can’t, we don’t have the bandwidth, you don’t have enough bits and bytes to do it. This process of sort of compression can put things in —  but they may be ambiguous — for later retrieval. They keep getting modified. I think that may be really a key point about when we think of memory being stored: It’s not the thing that hits the eyes or the ears, but it’s something that the brain just decided, this is the compressed version of this.

“A lot of perception and recognizing events and encoding involves a lot of compression. You’re not recording. You just can’t, we don’t have the bandwidth, you don’t have enough bits and bytes to do it.”

Laine Perfas: It’s so interesting that you can have the experience of a situation and, in recalling it, you’re so confident. And then it turns out that your brain and your memory totally led you astray. So, what are other common mistakes our brains make when it comes to memory? What is it going to twist and recreate?

Schacter: I’ll say, one of the most important ones involves eyewitness misidentification, where we know that based on DNA evidence, wrongful convictions of people who were put in jail for allegedly committing crimes that they did not actually commit, and then were exonerated based on DNA evidence, that somewhere in the neighborhood of 70 percent of those individuals were put in jail initially by an eyewitness misidentification, a mistake in memory. Our memories are very flexible, and we use that flexibility for some constructive purposes, putting together bits and pieces of our past to think about the future. That’s something that we’ve studied in our lab quite a bit. Because our memories are flexible and we want a flexible memory that allows us to access the past in a flexible manner, we can sometimes miscombine elements of experience.

Some people will be old enough to remember back in 1995, the Oklahoma City bombing — a terrible event. People were killed in the Murrah Building in Oklahoma City. And shortly after that, there was a nationwide manhunt for two individuals. John Doe Number One and John Doe Number Two. John Doe Number One was Timothy McVeigh, who was ultimately convicted and executed for his role in the bombing. John Doe Number Two was never found. Was there a search for John Doe Number Two? It’s because of an eyewitness memory of a person. His name was Tom Kessinger, who was at the body shop where McVeigh rented the van that he used to carry out the bombing. And this fellow Kessinger said, there were two people there, McVeigh, who he described very accurately, and this other guy. The other guy turned out to be an innocent man, a private in the army by the name of Todd Bunting, who was at that body shop. The problem was he was there the next day with somebody who looked like McVeigh and Kessinger mis-combined these two elements and had a very confident memory of having seen the two together because he had actually experienced those two events. What he didn’t realize is that they were from separate episodes. So that’s what we call in memory research a source misattribution, where you recall some aspect of an event correctly, but you get the source wrong. It’s a consequence of having a flexible memory where you can mix up these different elements of experience. So one bleeds into the other. I think that’s one fairly common memory error with sometimes grave consequences.

O’Connor: And one of the areas that Dan has contributed to a lot is the role of bias. Sort of what you think of upfront, how you approach a new event. In a study that I did many years ago, I looked at whether people with severe depression were more likely to see negative words that were presented on a computer screen for 17 milliseconds very quickly. And the answer was yes. And later on, they remembered the negative words more, showing that a depressed mood in and of itself affects what is taken in and what is later retrieved. Bias has a tremendous effect on what people see and therefore what they remember.

Schacter: Yeah, I would agree with that. And in fact, we’ve covered two of the three distortion-related sins I refer to: misattribution we just talked about, and what Margaret just mentioned, bias. And the third of the distortion-related sins I talk about is suggestibility, where suggestions about what might have happened to you can alter your memory of what actually did happen in ways, again, that can have very severe consequences in the legal domain. And we know that when people are questioned about their past experiences, if they’re given suggestions about what might have happened, that can increase their confidence in a memory that’s actually wrong and sometimes lead to some of those wrongful convictions that we talked about earlier.

Murthy: When you first hear about it and study it, it’s pretty shocking to find that the degree of confidence often can be quite uncorrelated with the actual factual perception or decision. And even in rats and mice, if you query something like confidence, by how often will they take a second chance? If you give them a second chance or some indirect way of querying confidence, it’s shocking how they will get it wrong, but then the confidence is super high.

O’Connor: And, at one end of the spectrum in the clinical world, we see people who have delusions. And that’s the ultimate sort of form of the uncoupling of confidence and accurate memories that someone comes to believe for one reason or another that — I don’t know, their husband is cheating on them or their neighbor is spying on them — when in actuality it’s not true and they don’t really have evidence. But perhaps they saw a television show, perhaps they had a dream. Who knows what fragment of a memory penetrated that? But they’ve come to believe it with such confidence that it can become a real problem in their lives.

Laine Perfas: I’m going to change gears a little bit, but I wanted to talk about how we remember and how that can change or evolve throughout the human lifespan. I have a toddler, and it’s just amazing to me what he absorbs and what he remembers and recalls. But later in life, our ability to retain information starts to fade away.

O’Connor: I will talk a little bit about the early development of memory and childhood and the period of what is known as infantile amnesia, which really varies for different people. There are some people who think that they can retrieve very well-articulated memories very early in life. My first memory is around age 6 or so. And I have always attributed that to the fact that I came from a very large family, 11 children in my family. So my parents didn’t talk to us a lot about our day. They talked to us about brushing your teeth and washing your hands and having dinner. And there is literature on exactly that point, that the way that you talk to your child from a young age has an effect on their development of autobiographical memories. Because you reinforce that from a young age and people who have parents who talk to them in that elaborative way tend to create better autobiographical memories for their children. So from an early age, the development of memory varies a great deal among different people. And then there’s a period of your teenage years, and Dan can probably speak to this better than I can, but there’s a period of time from age 15 to age 25 when people feel that they have much better memories over the course of their lifespan. It’s called the reminiscence bump, and the underpinnings of that are not entirely clear. I’d be very interested in hearing what you think about the reminiscence bump, Dan.

Schacter: I think it’s a real thing. It’s been shown in many studies of autobiographical memory that when you ask people to reflect on the past, there is this bump, this disproportionate recall of experiences from a particular time in your life. We still don’t have a complete understanding of exactly why it occurs.

Murthy: Actually the one piece of fully controlled, done experiment is this group from Sweden. Maria Larsson has a series of studies where they asked people in their 70s and 80s — they would give them prompts and they say, “OK, does it evoke some old memory? And if so, what age were you and what was it?” So it’s very narrative. And exactly what I think Dan and Margaret were referring to in the second decade of life is when people remember a lot of verbal and visually evoked memories. Of course, the most recent, like if they’re 75, what happened in the last decade, of course they remember, but the earliest bump. So smell, it turns out, doesn’t evoke memories as often as Dan alluded to, but if they did, they actually did in the first decade.

Again, it goes back to this idea that things are stored very long-term. If there’s something distinctive and salient and in the first decade, weirdly smells seem to impact. And that may also relate to, if at all we have an aha, amazing experience, it tends to be from very early childhood.

Laine Perfas: If memory is such this fluid thing that we still don’t fully understand, how do we improve it? How do we get better at remembering things and remembering them accurately, not just confidently?

O’Connor: I run a lot of memory strategies programs for people, and most of the strategies that are somewhat effective focus on encoding. They focus on intake. They focus on the management of new information as it comes in, because we have a narrow bandwidth. Too much information is a real problem for us as we get older, but also in the context of medications and all sorts of other things.

So I teach them ways to chunk, a way of organizing information or the use of visual memory. Visual memory is really underrated, and it’s very important in terms of making memory stronger. It allows you to integrate disparate information, make it smaller, so you organize it better. But some of the strategies that we focus on also are on spaced repetition. And that’s something that we have known for a century from Ebbinghaus and others: that if you expose yourself to information at spaced time intervals, and in particular if you hear from multiple sources rather than one source, you tend to have a more robust representation of that information.

“Visual memory is really underrated and it’s very important in terms of making memory stronger. It allows you to integrate disparate information, make it smaller, so you organize it better.”

And that partly has to do with something Dan was talking about earlier. The distinctiveness. If you revisit something three times in a row, it loses its distinctiveness. Whereas if you space it out over the course of a week, every time you’re exposed to it, it’s more distinctive. So those are some of the things that are internal memory strategies. There’s lots of acronyms and other things. But I also encourage people to use their iPhones, to use the camera as a photographic journal to capture their daily events.

Murthy: The other point I wanted to make — for those of us studying neural activity at a very detailed, granular level, if you create, let’s say, new associations in an animal model, like here are some smells that are good, here’s some smells I’m going punish you for, right? You can show that mice remember that. But even though the mice remember this perfectly well, they perform perfectly well, the pattern of activity evoked by those seems to constantly change. So there is this really puzzling phenomenon. But it fits with this idea that memory is just not something that’s stored on a tape and it just sits around, right? It’s really astonishing how you can remember anything at all. So for me, this now really brings to the point — where is the stability in the face of this constant onslaught? And that almost seems miraculous, even if it’s flawed.

Laine Perfas: Thank you all for joining me for this conversation.

Schacter: Thank you.

O’Connor: Thanks for inviting us.

Murthy: Thank you.

Laine Perfas: Thanks for listening. To find a transcript of this episode and to listen to all of our other episodes, visit harvard.edu/thinking. This episode was hosted and produced by me, Samantha Laine Perfas, with additional production and editing support from Sarah Lamodi. Additional editing by Ryan Mulcahy, Paul Makishima, and Max Larkin. Original music and sound design by Noel Flatt, produced by Harvard University. Copyright 2025.



Roy Parviz Mottahedeh, 84

At a meeting of the Faculty of Arts and Sciences on Dec. 2, 2025, the following tribute to the life and service of the late Roy Parviz Mottahedeh was spread upon the permanent records of the Faculty.


Roy Parviz Mottahedeh

Roy Parviz Mottahedeh.

Harvard file photo

Campus & Community

Roy Parviz Mottahedeh, 84

Memorial Minute — Faculty of Arts and Sciences

6 min read

At a meeting of the Faculty of Arts and Sciences on Dec. 2, 2025, the following tribute to the life and service of the late Roy Parviz Mottahedeh was spread upon the permanent records of the Faculty.

Roy Parviz Mottahedeh, Gurney Professor of History, Emeritus, passed away on July 30, 2024, after a distinguished career of teaching and service at Harvard University. He was a towering figure as a historian, medievalist, and student of Islamic societies.

While Mottahedeh spent only the first 14 years of his life in New York, where he was born in 1940, he always considered himself “essentially a New Yorker” and Central Park “still the best place for a walk.” His family background in the Bahá’í faith and his early education in Quaker schools made him particularly sensitive to different approaches to religion in multicultural societies. Regular weekend visits to the Metropolitan Museum of Art with his parents, renowned collectors of “Oriental” porcelain, enabled him to spend much time in the Near East rooms there.

Mottahedeh received his first college degree from Harvard, where he wrote his honors thesis on a medieval Iranian intellectual under the guidance of his revered teacher Sir Hamilton Gibb, before graduating magna cum laude in 1960. Granted a Harvard fellowship to travel for a year, he chose to spend much of it in Persian-speaking Afghanistan, since he could not obtain a visa for Iran. He then studied Arabic and Persian for his second degree at the University of Cambridge, England, before returning to Harvard as a graduate student.

Reflecting on his career decades later, Mottahedeh wrote: “For anyone like me of Iranian background, the problem of sectarianism and the occasional rejection of pluralism seems a central issue in the history of the Islamic Middle East. Consequently, in my research I was attracted to the history of the 10th and 11th centuries partly because it was a period of greater toleration in religious matters in the Middle East.”

Always a man of his own times, Mottahedeh added: “I still dearly hope for growing acceptance in the Middle East of the variety of belief and advocacy that has been so important to the societies in which it exists.”

Mottahedeh knew well that scholarship is not a matter of belief and advocacy, of pieties and “good” politics. Whatever one’s sources of concern and inspiration, they had to be cultivated with deep study and critical thinking.  Deep study entailed an approach toward languages that was expected to go far beyond functional acquisition and proficiency since there is no substitute for reading the primary source texts through in their original language, be they medieval or modern sources, with their distinct registers.

Mottahedeh was widely renowned for his remarkable range across Arabic and Persian history and texts. Endowed with a gifted touch in interpreting texts in their historical context, he was a virtuoso in using them to illuminate that very context. Those of us who had the good fortune of co-teaching with him — he was always generous toward his younger colleagues in that regard — learned a good deal from his rigorous yet gentle pedagogy.

Starting his teaching career in 1970 at Princeton, Mottahedeh quickly developed a reputation as a mentor whose love of teaching and dedication to his students were exemplary. During his 16 years there, Mottahedeh achieved the highest levels of recognition in the academic world. His first book, “Loyalty and Leadership in an Early Islamic Society,” led to his Guggenheim Fellowship and his inclusion in the first cohort of MacArthur Fellows in 1981. A masterpiece of the historian’s craft, the book examined medieval Islamic social structures through the categories of thought that prevailed in the medieval Muslim societies, rather than imposing categories like ethnicity, nation, or class as we now understand them.

Mottahedeh returned to Harvard at a turbulent moment for the Center for Middle Eastern Studies (CMES), which had been shaken by the use of undisclosed funds from the CIA for a CMES-sponsored conference. As the new director of CMES, Mottahedeh re-oriented its vision. The new CMES was to be rooted in the rigorous disciplines of the social and human sciences and centered around history, rather than area studies of the type that proliferated during the Cold War era. It was this vision that restored universal respectability to Middle East studies at Harvard and soon attracted the best and the brightest of young minds for graduate work. At Harvard, Mottahedeh also turned out to be an exceptionally successful institution builder, in collaboration with like-minded colleagues.  His legacy includes his initiatives in or contribution toward the creation of numerous positions: Ottoman and modern Middle Eastern history; the Alwaleed Islamic Studies Program; and the Shawwaf visiting professorship for supplemental teaching in Islamic and Arabic studies. He also attracted new funds and teachers to build the Arabic and Turkish language programs and raised support for advanced study of Persian sources.

Much of this achievement was due to Mottahedeh’s unequalled standing as an intellectual. For almost every article of his on the medieval Islamic world, the word “seminal” rings true and has been used repeatedly. Mottahedeh also intervened in contemporary debates at times, such as in his landmark critique of Samuel Huntington’s “clash of civilizations” thesis.

Among Mottahedeh’s books, “The Mantle of the Prophet” is widely recognized as a masterly, ground-breaking contribution to the broader republic of letters and public culture ever since it was published in 1985. Written in Mottahedeh’s trademark prose of inimitable simplicity that subtly masked his prodigious learning, the Mantle wove strands from two millennia of Iranian history into a thoroughly enlightening look at contemporary Iran — precisely what the public needed after the Islamic revolution there.

All who counted themselves among Mottahedeh’s colleagues, students, and friends knew that he was in a league of his own, yet this was not the most remarkable thing; it was rather how Mottahedeh carried that standing with inexhaustible reserves of generosity, as well as with intellectual and personal elegance. It is one thing to be brilliant, yet another to be brilliant with grace and graciousness, which is how he will be remembered.

Mottahedeh is survived by his wife, Patricia Erhart Mottahedeh, two sons, and two grandchildren.

Respectfully submitted,

William Graham Jr.
William Granara
Charles Maier
Intisar Rabb
Cemal Kafadar, Chair


Portions of this Minute were previously published: Richard W. Bulliet, “Roy P. Mottahedeh (1940–2024),” Journal of Persianate Studies 17, No. 1-2 (2024): 195–200, https://doi.org/10.1163/18747167-bja10050 [accessed Nov. 18, 2025].


Karel Frederik Liem, 73

At a meeting of the Faculty of Arts and Sciences on Dec. 2, 2025, the following tribute to the life and service of the late Karel Frederik Liem was spread upon the permanent records of the Faculty.


Museum of Comparative Zoology at Harvard.

The Museum of Comparative Zoology at Harvard University.

Harvard file photo

Campus & Community

Karel Frederik Liem, 73

Memorial Minute — Faculty of Arts and Sciences

6 min read

At a meeting of the Faculty of Arts and Sciences on Dec. 2, 2025, the following tribute to the life and service of the late Karel Frederik Liem was spread upon the permanent records of the Faculty.

The first thing visitors noticed when opening the door to Karel Frederik Liem’s laboratory in the Museum of Comparative Zoology (MCZ) was the sound of laughter emanating from his office. During his 37 years as a Harvard faculty member, Liem kept his students and colleagues laughing with him. His practical jokes and office memos had everyone on their toes, never quite sure if his latest communication was real or if he was trying to tell them that they were taking themselves too seriously.

Liem was born in Jakarta, Indonesia, in 1935. He received B.S. and M.S. degrees from the University of Indonesia and a Ph.D. in zoology from the University of Illinois Urbana-Champaign in 1961. He taught at Leiden University, the University of Illinois, and the University of Chicago and was Associate Curator of Vertebrate Anatomy at Chicago’s Field Museum of Natural History. As a Harvard faculty member from 1972 until 2009, Liem was the Henry Bryant Bigelow Professor, Professor of Biology, and Curator of Ichthyology in the MCZ. Together with his wife, Hetty, he was faculty dean of Dunster House for twelve years. He was also a visiting scholar at the Woods Hole Oceanographic Institution (WHOI), the University of Hawaiʻi, the University of Washington, the University of Vienna, and Wageningen University in the Netherlands. Liem received two Guggenheim Foundation Fellowships and was a Fellow of the Linnean Society of London.

Liem was an exceptional teacher. His enthusiasm and unpretentious approach to interacting with students, coupled with numerous jokes and stories about his life during class, meant that students, ranging from freshmen to advanced postdoctoral fellows, felt comfortable learning from him. Liem enjoyed being disagreed with and relished academic discussions, especially when there was a chance of overturning conventional wisdom and dogma.

For many summers between 1985 and 1997, Liem taught part of the fish biology class at the Friday Harbor Laboratory of the University of Washington. He relished his time in the San Juan Islands and took great pleasure in supervising the original research projects of students in this class. Incorporation of student-led projects was a key part of Liem’s teaching philosophy, and, for many years, this was an important component of his Biology of Fishes course at Harvard, which launched many former undergraduates into academia.

Liem also played an active role in numerous scientific societies, serving as President of the American Society of Zoologists and as an editor of eight journals.

When, in 1972, Liem took over as Curator of the fish biodiversity collection in the MCZ, the collection was in a sorry state. Liem acquired funds from the National Science Foundation and began a substantial multi-year renovation of collection infrastructure. This renovation included improving specimen storage and curation, hiring staff, implementing computer-based record keeping, modernizing the facilities, adding over 500,000 specimens, and incorporating a priceless collection of larval fishes donated by WHOI. This effort resulted in greatly increased usage of the collection, which has led to Harvard becoming one of the world’s leading centers for aquatic biodiversity research.

Liem’s research focused on the morphological and functional diversity of fishes. He played a foundational role in establishing cichlid fishes of the African Great Lakes as a model system for studying evolutionary biology. These fishes, which have speciated to a remarkable degree within only a few thousand years, have become a textbook example of how speciation occurs and of the genetic, ecological, and morphological underpinnings of biological diversification. Liem described and named several new cichlid species in a series of publications that focused particular attention on some of the group’s more remarkable specializations, such as species that feed by eating the scales of other fishes. Liem was the first to explore the functional diversity of cichlid fishes, focusing on how their jaw morphology and the function of the feeding mechanism allow resource partitioning among species. He identified plasticity of neuromuscular physiology as a critical feature that allows cichlid fishes to exploit a diversity of resources and he argued that such key innovations were an important factor in facilitating morphological diversification.

In the 1970s, analyses of animal morphology and evolution were based primarily on static anatomy. Liem was a leader in applying newly developed experimental techniques in physiology and image acquisition to such studies. He quantitatively measured the activity of head muscles during prey capture by using the technique of electromyography, used pressure transducers to directly measure hydrodynamic performance of the fish feeding system, and used high-speed video and x-ray cinematography to understand how the bones of the head function during prey capture and respiration. Use of the MCZ x-ray imaging facility allowed, for the first time, an analysis of air-breathing mechanisms in a wide variety of fish species. Through these studies, Liem revealed a remarkable diversity of respiratory function in air-breathing fishes and provided insight into the evolution of aspiration breathing in early land-dwelling vertebrates. Liem’s analysis of larval fish respiration demonstrated how some small fishes use their entire body as a countercurrent exchanger to aid oxygen intake in hypoxic environments.

An additional interest of Liem’s was the ecology and evolution of fishes that change sex as adults; he studied the remarkable synbranchid eels of Asia as examples of this phenomenon. Because these fishes also are capable of extensive overland excursions, Liem conducted a series of experimental studies of movement and feeding by fishes on land, a topic that is of considerable contemporary interest.

Liem’s research was not limited to fish biology. During the early years of his career, he studied the biology of amphibians and reptiles, publishing on frog reproductive biology and the anatomy of snakes and crocodiles.

Liem embodied warmth, humor, and a deep commitment to the welfare of his students. He is survived by his wife, Hetty; his daughter, Erika; and his son, Karel, Jr.

Respectfully submitted,

James Hanken
Farish A. Jenkins, Jr.†
Robert M. Woollacott
George V. Lauder, Chair


Anxious about retirement savings? Avoid these mistakes. 

Complexity of finance system sets up many for failure, argues economics professor


Work & Economy

Anxious about retirement savings? Avoid these mistakes. 

Complexity of finance system sets up many for failure, argues economics professor

7 min read
Trader working on the floor of the New York Stock Exchange.

Michael M. Santiago/Getty Images

More than half of middle-income older adults in the U.S. believe that their savings won’t last them through retirement, according to findings published in November by the Pew Research Center. John Y. Campbell, the Morton L. and Carole S. Olshan Professor of Economics, isn’t surprised that people are worried.

“What does concern me is that it’s not always the right people who are worried,” said Campbell, co-author of the new book “Fixed: Why Personal Finance is Broken and How to Make it Work for Everyone.”

In the book, Campbell and Tarun Ramadorai (Ph.D. ’03) of Imperial College London argue that the financial system acts as a “reverse Robin Hood,” setting the most vulnerable up for failure. In an interview edited for clarity and length, Campbell broke down the challenges of saving for retirement and what can be done to fix them.

"Fixed" book cover and author John Campbell.

Why is it so hard to save for retirement these days? 

Life expectancy is high; if you retire at 65, you’re going to need to fund potentially decades of living expenses. A great many people underestimate how much they need to accumulate in a 401(k) or an IRA to fund a retirement of that length. People also tend to have smaller families and fewer people to rely on. And housing and higher education are so expensive — for many people going to college in this country, higher education imposes quite a debt burden on them, which makes saving for retirement much harder. 

But there’s also a challenge that comes from the complexity of the financial system itself. If you feel confused and you don’t know what you’re doing, you naturally become very anxious. Unfortunately, one very natural human reaction is to ignore the problem, tell yourself you’ll deal with it later. That’s a very big mistake.

You argue in the book that the complexity of the financial system perpetuates inequality. How so? 

Some inequality in the financial services sector is inevitable: For example, there are fixed costs to providing a financial service, and those fixed costs are going to be a bigger proportional drag on return for a small saver.

But there are also differences that arise because many financial products require skill to manage. If you’re unskilled, you’re going to make mistakes that generate fee revenue for the financial service providers. They may pocket some of that as profit, but they’re also competing for business, so part of that will get passed on in the form of lower prices up front. 

As a result, if I know what I’m doing, I’m going to get a cheap product that’s only cheap because of the revenue that comes in from other people — often poorer, less-educated people — making mistakes. 

Let me give you some examples. If you pay a late fee because you forgot to pay your credit card bill, that’s revenue the credit card company can then use to offer airline miles or cash-back rewards that savvier consumers benefit from. Or mortgages: Richer, better-educated consumers are more likely to refinance a fixed-rate mortgage at a beneficial time and end up paying much less over time. Essentially, it adds up to a reverse Robin Hood maneuver in which money is taken from poorer people and given to rich people. 

It’s tempting to spend that extra $5 on a coffee instead of saving it for later. How much of the challenge of saving for retirement is caused by human psychology? 

The challenge is really in the interaction between human psychology and the financial system. The market forces of capitalism meet the demand that’s being expressed, as opposed to the demand that would be expressed if people knew what they were doing. 

But it’s not determinative. People hate to shop around for financial products because they find personal finance confusing, so they just stick with whatever bank they know. That’s a huge mistake. People can really alter their fortunes by just putting in a little more effort to look around. And of course you can make small changes like setting up some money to automatically transfer into savings from each paycheck.

“Essentially, it adds up to a reverse Robin Hood maneuver in which money is taken from poorer people and given to rich people.” 

What are the consequences when the financial system does a poor job of setting people up for retirement?

As people have become aware of the inequalities, they’ve become very suspicious of financial institutions. Under these conditions, some people seek out alternatives to formal finance. They might keep their money under the mattress and miss out on earning interest; they might borrow from friends and family or turn to loan sharks; or they might invest in cryptocurrency. That’s jumping out of the frying pan and into the fire. 

We need formal finance; it’s safer than the alternatives, and it funds investments in the future. That’s why we’re not revolutionaries: We want to reform the system and preserve traditional institutions. 

You propose a financial “starter kit” to help people navigate the system. Can you explain that? 

We push for a regulatory intervention to promote a set of straightforward, well-designed financial products that most people can start with. 

An example might be access to 401(k) plans, which are currently available to people who work for large employers, but not so much for smaller employers and the self-employed. And when you move jobs, you may end up with multiple 401(k) plans that you have to remember to roll over into one another and so on. 

Our starter kit would include a 401(k) plan that you’re offered when you work your first job, even if you’re a teenager bagging groceries at the supermarket, and it should carry with you for your lifetime. I would argue it should have a Roth structure, but that’s a technical detail. The main point is broader and simpler access to a retirement savings product for the retirement problem. 

What are some practical ways to gauge the health of your retirement fund? 

It’s always best to consult with a financial adviser. But as a rule of thumb, you want to retire with six years of income saved up. At 50, you should have about four years of income saved up, and plan to accumulate the remaining two years of income in the last 15 years or so of your working life. 

But that number depends in part on the rate of return you can earn on that money, because in retirement, you’re not just spending the principal you’ve saved, but also the investment income. The inflation-indexed bond yield is a good proxy for a safe rate of return. For much of the 2010s and into the pandemic, that rate of return was zero or even negative, implying that you wouldn’t earn any safe investment return at all after correcting for inflation. Recently that has come up a lot, which is great news for investment savers. Now the inflation index bond yield is about 2 percent, which is about the historical average. 

Many people do, and many people should, own significant stock investments as well. You can get a good idea of the long-term return on stock investments by looking at how expensive the stock market is in relation to earnings over 10 years, what’s called the cyclically adjusted price-to-earnings ratio. The record was 45 during the dot-com boom of the late 1990s, and right now it’s at 40, the highest it’s been at any time since. So if you’re an aggressive stock investor trying to take some risks and get a higher return, this is a rather daunting environment, because stocks are so expensive. But if you’re a conservative bond investor just trying to keep your money safe, things are better than they were a couple of years ago. 


You’re not the only one who’s bored

‘Blank Space’ author says pop culture of 21st century has mostly been a dud


W. David Marx.

W. David Marx.

Photo by Seishi Shirakawa

Arts & Culture

You’re not the only one who’s bored

‘Blank Space’ author says pop culture of 21st century has mostly been a dud

6 min read

Pop culture of the 21st century has mostly been a bore, full of reboots, mashups, and flash trends but very little in the way of truly innovative art.

That’s according to W. David Marx ’01, author of the new book “Blank Space: A Cultural History of the Twenty-First Century.” 

“Culture has been central to the narrative of the last 25 years — but merely as entertainment, commerce, and politics,” Marx writes. “We can feel what’s missing — there is a conspicuous blank space where art and creativity used to be. For all the energy invested in culture today, little has emerged that feels new at a symbolic level.” 

In this edited conversation, Marx looks deep into the void — and explains how we might escape it.


In the book, you describe the 21st-century mainstream as an omnivorous monoculture. Can you explain what you mean by that? 

The term monoculture describes what it feels like when culture is really controlled by a small group of people, so the format is more or less conventional, and you can’t really bend from it. And the omnivorous part started in the ’80s and ’90s among sophisticated, cosmopolitan consumers, where you’re no longer only consuming high art, but it becomes a higher-status thing to consume all art — highbrow, middle brow, lowbrow, global, local. 

So to say we’re living in an omnivorous monoculture is to say everyone is consuming everything, and yet there are still very few people who are rising to the top. In Taylor Swift’s case, it’s almost 20 years without being dislodged, which is quite rare compared to artists in the 20th century. But then you have someone like Lil Nas X, who rose through a combination of hip-hop and country, and by that point, there were really very few genres that it was surprising to mix and match anymore. So this is different from monocultures of the past in the sense that there’s a wider range of what’s allowed inside, but it’s still kind of all operating under the same set of formulaic principles. 

Book Cover: "Blank Space."

Courtesy Penguin Random House

Is your argument that there hasn’t been as much creative innovation in the 21st century? 

Oh, there has certainly been creative innovation. In fact, more people are creating things than ever before in the history of the world. I’m more worried about a crisis of valuation. 

Previously, innovations that came from the margins used to sweep through and bring these giant changes. That’s become much less frequent. 

The trap genre is a good example of where a big change did happen and can still happen. You have this very localized form of hip-hop coming out of Atlanta that has a very specific sound that’s different from previous sound, and it rises up the charts. All the major artists start changing their beats to sound more like trap. Country music starts sounding like trap. You can point to songs from that time and say, “That’s so 2014,” because the songs have a very specific feel to them. That’s rare in the 21st century; we just see fewer sweeping changes. Now we tend to see cultural innovations that might be novelties, in the sense that they’re new, but they’re not really considerably different and they don’t inspire a whole new generation of innovative ideas. 

How has technology shaped that trend? 

Historically, the only way to reach a large number of people was through newspapers or magazines, and those had gatekeepers — editors who decided what they were going to report on. The major change in technology is that we no longer have gatekeepers: Every single person has the ability to broadcast. 

Digital platforms found that not curating — letting the audience vote with their views — was a much better financial strategy. Because these are monetizable platforms based on views, ad impressions, and clicks, they’re going to optimize for whatever is the most popular. It’s a completely different way of choosing culture. 

If social media is the main entity making the choices, then it’s going to choose what is already popular. It’s going to over-index for things that are immediately understandable and relatable, and then you’re going to have a whole generation of creators who know they can make a living creating content for it. The medium itself really becomes the content; creatives are now working backwards from how to make money, rather than from pure creative expression.

Right. It used to be that “selling out” was the worst thing an artist could do, and that’s just not the case anymore. What changed? 

Part of it is that omnivorous thinking. If you start from, OK, if Britney Spears is popular, that means there must be some sort of democratic groundswell and we need to figure out what it is about Britney Spears that appeals to people, and try to bring that into our criteria of artistic excellence. Then one of the proof points that this music is good is that it’s also a business success, and business success itself becomes a heroic act. 

Jay-Z is one of the most famous examples. He famously had the line, “I’m not a businessman, I’m a business, man.” He’s saying that at a time when hip-hop artistry is seamlessly becoming this entrepreneurial pathway to being not just a multimillionaire but a billionaire.

Taylor Swift is another example. Harvard’s own Stephanie Burt argues in her book that Taylor Swift is a poetic genius and a business genius at the same time. Her argument is that Swift really knows how to connect with her audience, which is something that you’d also say about an entrepreneur: They know what the customer wants. So judging something for its artistry becomes inseparable from business logic. 

Where do we go from here?

I want to be clear that there aren’t easy fixes. But if people who really care about culture come together and start believing that cultural invention is a social good, then it becomes something we should all be championing, rather than just going through the motions of “There’s another thing coming, I should comment on it.” We need people who care about cultural invention to create their own little worlds that are separate from the market forces that are often quite damaging to it. 


Why stress can make your hair fall out

Closer look at two-part reaction may offer researchers insights into autoimmune disease


Health

Why stress can make your hair fall out

Hair loss problem concept.
4 min read

Closer look at two-part reaction may offer researchers insights into autoimmune disease

It’s well known that stress can trigger hair loss. A new paper explores how this happens and how our response to stress can have long-term consequences for our scalps, research that may eventually yield insights into autoimmune diseases.

In research published in Cell, Ya-chieh Hsu, professor of stem cell and regenerative biology, and her lab found that the hair loss resulted from a two-part reaction.

The first part, the immediate loss of hair, was simple. “Stress has an immediate impact through the activation of the sympathetic nervous system,” explained Hsu, who is also a principal faculty member of the Harvard Stem Cell Institute.

She said that it begins with our natural “fight or flight” response, which releases norepinephrine, a neurotransmitter that — among other effects — kills highly proliferating cells in the hair follicle when the level is too high.

Hair loss in such circumstances is usually temporary.

Ya-Chieh Hsu.

Ya-Chieh Hsu, a professor of stem cell and regenerative biology.

Photos by Veasey Conway/Harvard Staff Photographer

Postdoctoral fellows Emily Scott-Solomon (from left), Shlomi Brielle, and Alexander Mann.
Postdoctoral fellows in Hsu’s lab include Emily Scott-Solomon (from left), Shlomi Brielle, and Alexander Mann.

“Because stem cells are spared in this case, you could regenerate the hair follicle, so you will have temporal hair loss, but then your stem cells are going to get activated to regenerate new hair,” said Hsu.

However, imaging by co-author H. Amalia Pasolli, an electromicroscopy biologist, revealed additional, more far-reaching details. The Rockefeller University professor found that the hair follicles that had been killed by the norepinephrine “looked like hydrochloric acid had been poured on them” and had died by necrosis, said Emily Scott-Solomon, a postdoc in Hsu’s lab who led the work.

This surprising finding prompted Scott-Solomon to take a closer look at the tissue, leading to the discovery of a secondary reaction.

Following the release of norepinephrine, the researchers found, the body perceives inflamed or necrotic tissue as a hostile invader.

That, in turn, triggers a “cascade” of immune reactions to activate autoreactive CD8+ T cells, according to Hsu. These T cells, which typically work to protect healthy cells, “now see hair follicles as a foreign object they should attack,” she said.

Graphic of hair loss study.

Courtesy of Hsu Lab

This secondary attack can have lingering effects, as the overreactive T cells can trigger recurrent autoimmune attacks on the hair follicle when additional stressors occur.

That possibility has opened avenues of exploration to understand other autoimmune diseases, such as Type 1 diabetes, lupus, or multiple sclerosis. With autoimmune diseases, Hsu said, “You always need a trigger, and the trigger is not necessarily genetics.”

Because of its broad range, she continued, such work requires considerable cross-disciplinary collaboration.

Her three co-first authors on this paper include postdocs Scott-Solomon, who trained as a neurobiologist; Shlomi Brielle, who handled bioinformatic analyses; and Alexander Mann, an immunologist.

Hsu also credited Dana Farber Cancer Institute’s Judith Agudo, an expert in immune attack and tolerance, as a crucial collaborator.

“A study like this is important both for its findings and for how it was conducted,” said Mann, who works in the Department of Stem Cell and Regenerative Biology and Department of Immunology at the Harvard Medical School lab of Assistant Professor Ruth Franklin, an expert on inflammation and another key contributor.

“First, it is really a great example of interdisciplinary collaboration, bringing together neuroscience, stem cell biology, and immunology. It highlights how much new biology can be discovered when researchers with different expertise work together,” Mann said. “On the immunology side, this study demonstrates one way that autoimmune diseases can be triggered and raises many more questions about the causes of autoimmunity.”

The impact of our lived experiences on our bodies is a topic that has long entranced Hsu, who is also involved in the Biology of Adversity project at the Broad Institute, which looks at how adverse experiences reshape our tissues and drive disease.

“My lab has been really fascinated by how our experiences in this world regulate tissue,” said Hsu, noting their other ongoing studies on the impact of stressors on the body, such as what role external stressors have in recurrent T-cell attacks.

“I find it fascinating to see that how we live our life has the same impact on our tissues as many of our genes,” said Hsu. “In stem cell and tissue biology, we tend to focus heavily on the genes we carry.”

 Equally important, she points outs, “is to think about how lifestyle and stress shape us.”


This research was partially supported by the National Institutes of Health, including awards from the National Institute of Arthritis and Musculoskeletal and Skin Diseases, the National Cancer Institute, and the National Institute of Diabetes and Digestive and Kidney Diseases.


Nighttime exposure to light may raise cardiovascular risk by up to 50%

New research suggests that it disrupts biological clock


Health

Nighttime exposure to light may raise cardiovascular risk by up to 50%

Ambient light coming through bedroom window.
5 min read

New research suggests that it disrupts biological clock

Exposure to light at night raises cardiovascular disease risk by up to 50 percent over sleeping in the dark, new research shows. But scientists say the effect isn’t from lack of sleep, but from disruption of the body’s master biological clock, the circadian rhythm.

Angus Burns, a postdoctoral fellow at Harvard Medical School and Brigham and Women’s Hospital, said the work highlights the potency of our circadian rhythm, which not only regulates sleep, but also independently affects nearly every organ in the body, changing how they function when we nod off.

For those experiencing the brightest nights, the research showed increased risk of between 30 percent and 50 percent for heart attack, stroke, heart failure, atrial fibrillation, and coronary artery disease.

“The reason it’s exciting is it adds light exposure as a novel risk factor for cardiovascular disease, and that’s something you can recommend to patients quite easily,” Burns said. “I think it should be added to guidelines about reducing risk for these cardiovascular outcomes.”

Burns and colleagues almost missed the chance to conduct the study.

Burns was intrigued when he learned of the UK Biobank database, which used biosensor-loaded wristwatches to track more than 100,000 participants, night and day, for a week. The resulting database is the largest known of physiological information related to participants’ sleep and wake habits.

But even though the schematics said the devices contained light sensors, the data downloaded from the watches didn’t include exposure to nighttime light sources.

So Burns reached out to the engineer who designed the watches, who told him the light exposure data was there, but had to be extracted separately.

“We find that sleep regularity, which captures circadian disruption, is a stronger predictor of mortality than sleep duration.”

Daniel Windred

The data did include light intensity but unfortunately provided no information about sources, such as streetlights, cellphone screens, nightlights, and television.

The resulting study analyzes data from 88,905 participants. In an article posted to JAMA Network Open in October, Burns, co-first author Daniel Windred from Australia’s Flinders University, and colleagues compared data on nighttime light exposure to health outcomes over the next 9½ years, using information from electronic medical records.   

The researchers spent several years figuring out the best way to analyze the enormous data trove that resulted. The effort has been fruitful, and earlier publications linked light exposure patterns to higher risks of premature mortality, Type 2 diabetes, and psychiatric disorders, including depression, anxiety, schizophrenia, and bipolar disorder.

“I think the general public are certainly beginning to appreciate the health impacts of lack of sleep, but appreciation for the health impacts of disrupting circadian rhythm falls behind,” Windred said. “Much of our recent work shows that markers and determinants of circadian disruption, like bright night light exposure, are strong predictors of poor health outcomes. For example, we find that sleep regularity, which captures circadian disruption, is a stronger predictor of mortality than sleep duration.”

The current research highlights the sensitivity of the body’s circadian clock to disruption. Our bodies reach peak sensitivity to light stimulus between midnight and 6 a.m. Exposure in that period, particularly to bright light, causes your body clock to begin to reset, sending signals throughout the body, Burns said.

The study found a dose-response relationship between nighttime light exposure and cardiovascular disease risk.

For heart attack, for example, compared with those in the darkest 50th percentile, those who experienced some nighttime light — in the 51st to 70th percentile — had a 20 percent increased risk of heart attack.

Those who experienced more light, in the 71st to 90th percentile, had a 27 percent increased risk.

And those who experienced the most nighttime light, in the 91st to 100th percentile, had a 47 percent higher risk.

“There are various risk factors that predict cardiovascular disease, including smoking, alcohol, diet, physical activity, and sleep,” Windred said. “It was interesting to find that night light exposure predicted cardiovascular disease risks independently of these known risk factors. Light exposure appears to be an additional dimension of our lifestyle that we should be paying close attention to for optimal health.”

Modern life can work against a well-functioning circadian clock, Burns said.

Today, not only are our nights not as dark as in the past, but for many of us our days are not as bright. We evolved outdoors where sunlight sends a strong daytime signal that helps set our circadian clocks. Today, we spend 90 percent of our time indoors under weak artificial light.

Though we may perceive that as adequate for our chores, office light gives off 200 to 400 lux — a measure of illumination — while the sun generates 10,000 lux even on a cloudy day.

The result, Burns said, can be a weak circadian signal, resulting in things like feeling sluggish during the day yet too awake at night to sleep at a reasonable hour.

“There’s strong evolutionary pressure for a period of activity and a period of quiescence for your whole body,” Burns said. “Unfortunately, modern life is a challenge to that biology, as I’m sure most people really appreciate.”


Research was funded by the National Institutes of Health and the Australian Research Council.


Think the viral meme of that legislator is funny?

Political philosopher says rampant schadenfreude among electorate poses risk to democracy


Nation & World

Think the viral meme of that legislator is funny?

Man surrounded by laughing fake teeth.

Illustration by Gary Waters/Ikon Images

4 min read

Political philosopher says rampant schadenfreude among electorate poses risk to democracy

Schadenfreude seems to permeate American politics these days as viral clips and memes of politicians making real or AI-generated gaffes and off-color remarks are gleefully shared by ideological foes.

The German word, which means taking delight in another’s misfortune, describes a response that was once taboo to express openly. Now it’s been embraced by partisans as a powerful weapon to reinforce political support and group identity.

In this edited conversation, Susanna Siegel, the Edgar Pierce Professor of Philosophy, who has written about this dark side of American politics, explains how reveling in someone else’s setbacks — or accusing others of doing so — is poisonous to democracy.


How do scholars look at schadenfreude and its use in politics?

Schadenfreude is the celebration of someone else’s pain or other negative condition. Schopenhauer compared it to cruelty. Like many emotions, it can play out in politics. We saw this happen with the slogan “own the libs.” Owning the libs is celebrating the pain, offense, or fury of a political opponent.

Schadenfreude can operate as a kind of psychic dynamite.

We see this most clearly when we look at attributions of it. Would you sign up for a cooperative venture with someone who celebrates your pain? Probably not. Would you be a more likely to be indifferent to their pain, or even to feel glad about it, if they were celebrating yours? Quite possibly.

In these ways, accusations of schadenfreude, if they stick, get in the way of building civic communion. 

Some believe there’s a big difference between reveling in the misfortunes of a stranger or a generic group, like New York Yankees fans, and celebrating a co-worker’s failure or police shutting down the neighbors’ noisy party. Is one type of schadenfreude less “bad” than another?

I don’t see a sliding scale of badness; I see a difference in kind. There’s an important difference between the interpersonal context and the public or political context.

Consider a classic trope in slapstick comedy — the klutz. If while engaged in deep conversation with a friend I accidentally walk into a pole, my friend may laugh, amused by the collision. Yet their reaction isn’t cruel. Why not? Because amusement is not the only way my friend relates to me. They’re also disposed to care whether I am injured, would help me if I needed help, and so on.

By contrast, if someone posted a picture of the collision on social media with the caption “Can you believe what this incompetent woman did?” it’d be much different because there is no surrounding relationship.

Discussions on social media can easily go south because they lack surrounding cues (tone of voice, gesture, the world of embodied signals) that can modulate what people hear in the words they read.

This difference between embodied and decontextualized messages has important upshots for politics.

When memes, tropes, or talking points convey via social media that political opponents are celebrating your pain, these messages are crafted to seem complete without any surrounding context. They can give the impression that you don’t have to know anything else to orient yourself to the accused. And that’s part of what gives them power to propagate.

It’s what [philosopher and psychologist] John Dewey called “sensationalism.” Sensational messages make an impact in isolation from broader context. Sensationalism underlies virality.

Sports team rivalry is a red herring in this context. Teams are there to compete. Games of all kinds are a circumscribed context in which aggression, competition, the energizing quality of attack and defense have an outlet.

How do we break out of this downward spiral schadenfreude seems to cause — accusing others, sometimes falsely, of doing it to justify our hostility toward political opponents?

Since attributions of schadenfreude are a way to create enemies, schadenfreude is a key form of political communication for politics that rely on vilification, politics that replace diplomacy and institutionalized norms with arbitrary impositions of will, and politics that operate through patronage, kickbacks, and other interpersonal forms of power.

When schadenfreude infuses politics of this kind, the important point of intervention isn’t on the psychological feeling. It’s on the vilification narratives that make the psychic dynamite explode.


Why childhood obesity endures, grows

Issues are complex, touch on lifestyle, culture, genetics, economy, policy


Health

Why childhood obesity endures, grows

Rachel Whooten, Erica Kenney, Steve Gortmaker, Lauren Fiechtner, and Margaret Stefater-Richards.

Veasey Conway/Harvard Staff Photographer; Niles Singer/Harvard Staff Photographer

long read

Issues are complex, touch on lifestyle, culture, genetics, economy, policy

A series exploring how research is rising to major challenges in health and society

Forty years after Steven Gortmaker first sounded the alarm, clinicians, patients and researchers are still struggling with childhood obesity. In fact, it has gotten worse over the decades.

All along, the broad outlines of the problem have been apparent: America’s kids eat more and move less than earlier generations. It has also been apparent, however, that basic formulation is misleadingly simple. The issues are complex and thorny and touch on lifestyle, culture, genetics, economy, and more.

“We’re one of the world leaders, watching obesity grow,” said Gortmaker of the situation in the U.S. The emeritus professor at the Harvard T.H. Chan School of Public Health added that the government has been reluctant to take steps that might blunt the epidemic, such as sugary beverage taxes and bans on food advertising to children. “It’s hard to make a dent in some of the drivers here.”

Steve Gortmaker.

Veasey Conway/Harvard Staff Photographer

So the problem endures, even with decades of research to guide treatment and prevention programs. Physicians are hoping that recent advances, including surgical procedures and new potent anti-obesity drugs, will help the nation gain ground — or at least stop losing it — on a major public health issue.  

There is much at stake for the nation’s children and teens.

Weight problems are associated with greater risk of high blood pressure, prediabetes, Type 2 diabetes, polycystic ovary syndrome, chronic liver disease, kidney problems, cardiovascular disease, joint and movement problems, and social stigmatization.

Obesity rates among children and adolescents were around 5 percent in the 1960s. They began rising in the mid-1970s until 2020, when some 20 percent of U.S. children and adolescents — 14.7 million kids — qualified as obese.

In addition, another 16.1 percent of children and teens have a BMI in the overweight category, meaning that more than one in three U.S. children and adolescents are considered either overweight or obese.

Experts await the latest numbers, but say obesity rates spiked during the pandemic and there’s been little evidence of a decline since then.

In fact, the opposite might be true. A 2025 study shows numbers rising among youth in the two highest BMI classifications, which increased 2.5 times between 2008 and 2023.

Gortmaker is a decadeslong veteran of the battle against pediatric obesity.

In 1985, he and colleagues tied childhood obesity risk to TV watching. Every hour of television per week was associated with a 2 percent rise in obesity.

A few years later, in 1987, he and colleagues identified rising obesity among U.S. children as a serious national problem, one, they said, that the medical profession should no longer ignore.

And in 2001, Gortmaker and colleagues, including Professor of Pediatrics at Harvard Medical School and Boston Children’s Hospital David Ludwig, linked increased consumption of sugar-sweetened beverages to obesity among children.

Diet and lifestyle are undeniably important, but there are other factors.

Thinking about food and nutrition has shifted dramatically over the years. For decades, science erroneously backed low-fat diets, which promoted meals low in satiating fats but ignored the role of refined carbs like sugary beverages in promoting excess weight gain.

And, while consensus seems to have formed around the benefits of eating a diet rich in whole foods — fruits and vegetables, healthy fats, and healthy proteins — it ignores the fact that those foods and their preparation can cost more, which drives financially struggling families toward cheaper, highly processed foods that can promote weight gain.

Even that complex landscape misses the significant variation that exists between individuals, both in genetic background and in everyday life circumstances.

Disadvantaged families experience additional stress that studies have shown is associated with disordered eating behavior among children, like sneaking food and eating when not hungry.

Genetic background is also significant, and some people gain weight more easily than others. And, adding pounds can prompt physiological changes that make them harder to lose.

“For sure, many elements of our environment in modern society are contributory, but I don’t think that’s the whole picture,” said Margaret Stefater-Richards, medical director of the EMPOWER Program at Boston Children’s Hospital and an assistant professor at Harvard Medical School. “Even when weight gain is related largely to the environment, that creates a physical change that can make treating the disease much harder than just changing the environment.”

Margaret Stefater-Richards.

Veasey Conway/Harvard Staff Photographer

The battle against pediatric obesity is largely being waged on two levels: individual and societal.

Children and teens with obesity engage with specialists who today provide multidisciplinary care that acknowledges the condition’s complexity by addressing several aspects of a child’s life.

Ensuring a healthy lifestyle and nutrition are central pillars. But care can also address mental health issues and, beginning at 12 or 13, can include more intensive interventions such as bariatric surgery and GLP-1 medications, which have proven effective in reducing body weight by 10 to 20 percent.

Lauren Fiechtner, director of nutrition at Mass General Brigham for Children and HMS associate professor of pediatrics, spent 15 years developing one such program. The multidisciplinary Healthy Weight Clinic teams pediatricians, dietitians, and community health workers to guide children and their families through a yearlong treatment program addressing both lifestyle change and social determinants of health.

Lauren Fiechtner.

Niles Singer/Harvard Staff Photographer

The clinic involves 30 hours of direct contact, occurring every other week for the first six months, then monthly thereafter. Those face-to-face or telephone sessions are augmented by multiple weekly educational texts about weight control and making healthy lifestyle changes and community resources in the area. It is one of six family healthy weight programs recognized by the U.S. Centers for Disease Control and Prevention.

A randomized control trial showed it is effective at reducing BMI, binge eating, and improving quality of life. Today, Fiechtner said, it is being used in nine states, with additional expansion and training of other pediatric practices planned.

Such intensive lifestyle interventions are part of what experts describe as a layered approach to obesity in children and adolescents. While a healthy diet and increased physical activity are key elements, experts say that many patients need more support.

“Physical activity  — while it has many health benefits, including weight maintenance — is actually not great for weight loss,” said Rachel Whooten, assistant professor of pediatrics at HMS and a specialist in pediatric endocrinology and obesity medicine at Mass General Brigham for Children.

For many patients, struggling with weight has been a constant for years, Whooten said. Many have experienced bullying, social ostracization, and have a negative self-image. So Whooten often doesn’t focus on a numerical weight goal but rather on improving their ability to do things they enjoy in life. 

Rachel Whooten.

Niles Singer/Harvard Staff Photographer

“We have to establish what success is,” Whooten said. “We try to move away from a number on a scale and instead feel happy, healthy, well-supported, and able to do what you want to with good energy.”

Bariatric surgery is considered an effective and long-term way to reduce weight and is available for youth with severe obesity who are age 13 or older.

GLP-1 medications, two of which — Wegovy and Saxenda — have been approved for children 12 and older with severe obesity, are another powerful tool, clinicians say. Those medicines, however, may soon be harder to get, with insurers expected to reduce coverage in January for obesity alone, leaving the drugs available to those with diabetes or diabetes and obesity.

A wild card in that scenario is the deal President Trump announced in November with drug makers Eli Lilly and Novo Nordisk to reduce the cost of two popular GLP-1 drugs, Wegovy and Zepbound, as well as two obesity pills expected to soon gain regulatory approval.

New research into obesity’s genetic roots has the potential to further individualize treatment. Stefater-Richards is growing gut organoids in the lab from tissue taken during bariatric surgery in hopes of better understanding the biological processes at work and identifying new drug targets.

“We know how these medications work, but clearly GLP-1 is not the only mechanism regulating body weight,” said Stefater-Richards, who was the first author of a review article on GLP-1 medications in April in the journal Pediatrics. “There are other types of medications out there that may be developed to produce a bigger effect.”

Erica Kenney.

Veasey Conway/Harvard Staff Photographer

While clinicians and medical researchers focus on the patient, public health researchers like Gortmaker and Erica Kenney, associate professor of public health nutrition, have been focusing their efforts at a community and societal level, developing and deploying programs to prevent obesity and turn the epidemic around.

Kenney’s research focuses on improving food quality and access to disadvantaged children. She’s also looking hard at food marketing to children, particularly campaigns that target youth on social media.

Kenney has also worked with Gortmaker on the Harvard Chan School’s Childhood Obesity Intervention Cost-Effectiveness Study, CHOICES. Founded by Gortmaker, the study’s researchers focus on policy implementation, using microsimulation modeling to compare costs and outcomes of policies and programs to determine bang for the buck.

The group has created a National Action Kit, which outlines 19 different programs and policies that would reduce childhood obesity across four broad areas: at school, early childcare and out-of-school community, government, and clinical.

Some of the suggestions have already been enacted and have been shown to make a difference.

One policy change led to improved foods available in WIC, the government’s major food aid program for low-income mothers and children, leading to less juice, more whole grains, and more fruits and vegetables purchased. Enacted in 2009, Gortmaker said the changes have been shown to reduce obesity among kids.

Efforts toward a similar change to the government’s largest food program, SNAP, or the Supplemental Nutrition Assistance Program — which serves some 42 million Americans — are now just being initiated. Waivers effective in January have been granted to 12 states, allowing them to exclude certain foods, such as sugary beverages, from SNAP benefits.

Another policy in the CHOICES National Action Kit, adopted in 2018, requires calorie counts on fast food restaurant menus. CHOICES estimates that saves $22.60 in healthcare costs for every dollar invested in implementing this change.

One early and obvious target — reducing consumption of sugary beverages — has proven anything but easy. One victory removed soft drinks from schools, which CHOICES is following up with a push to ensure that water is available on school lunch lines — another cost-effective strategy to prevent excess weight gain.

Efforts to reduce sugary beverage consumption more broadly, through increased taxes, has been a tougher sell. They’ve been adopted in major municipalities, such as San Francisco, Seattle, and Philadelphia, but not at the state or national level in the U.S.

Experience shows, though, that they can be effective, with consumption declines of up to 20 percent in Seattle and Philadelphia, along with evidence for impact on weight.

Another recommendation from Gortmaker and Kenney is to improve both food and physical activity environments in all school settings — early care, primary and secondary schools, and out-of-school time — along with improved nutrition education programming, which is very limited.

A lack of such programs, Gortmaker said, leaves food industry advertising as a major influence on children’s and adolescents’ food choices.

“If children aren’t getting nutrition education in schools, they are certainly getting tons of nutrition marketing from the food industry,” Gortmaker said. “It’s driving profits for these industries.”


‘Goodnight, sweet prince’

New holiday film reimagines couple’s searing grief over death of young son, how it inspired creation of ‘Hamlet’


Campus & Community

‘Goodnight, sweet prince’

shadows and skull

Illustration by Liz Zonarich/Harvard Staff

5 min read

New holiday film reimagines couple’s searing grief over death of young son, how it inspired creation of ‘Hamlet’

William Shakespeare is the most celebrated playwright in the English language, but we really know so little about him.

He wrote 154 poems and about 39 plays between 1592 and 1612. But he didn’t leave diaries, journals, or any other biographical record, so his “passionate life — his access through personal experience and observation to the intense emotions he represents — is almost completely mysterious,” according to Stephen Greenblatt, John Cogan University Professor of the Humanities and one of the foremost experts on the Bard of Avon.

Scholars agree that this much is known: Shakespeare was born in Stratford, England, in 1564 and died in 1616. At 18, he married Anne (also known as Agnes) Hathaway, who was 26 years old. They had three children: Susanna, and twins Judith and Hamnet, who died at 11 of an unrecorded cause. The family lived in Stratford and Shakespeare in London, where he plied his trade for two decades.

The upcoming holiday season film “Hamnet,” based on a 2020 bestselling novel by Maggie O’Farrell, fills in some of the gaps in Shakespeare’s life with marvels of historical fiction. O’Farrell’s book reimagines the life of Shakespeare’s family and delves into the grief and loss over the death of the young boy and how it led to the creation of one of the playwright’s greatest works.

image from upcoming movie Hamnet of William Shakespeare and his wife

Jessie Buckley stars as Agnes and Paul Mescal as William Shakespeare in director Chloé Zhao’s Hamnet, a Focus Features release.

Photo by Agata Grzybowska – © 2025 – Focus Features

It is “a story of deep loss,” Greenblatt wrote in a 2021 review of O’Farrell’s book, “and its impact upon a marriage that was already buckling under almost intolerable strain.” He added, “With her touching fiction O’Farrell has not only painted a vivid portrait of the shadowy Agnes Hathaway Shakespeare but also found a way to suggest that Hamnet was William Shakespeare’s best piece of poetry.”

“With her touching fiction O’Farrell has not only painted a vivid portrait of the shadowy Agnes Hathaway Shakespeare but also found a way to suggest that Hamnet was William Shakespeare’s best piece of poetry.”

Stephen Greenblatt

Moviegoers who insist on verifiable historical accuracy, be forewarned: In the new telling, written by O’Farrell and Oscar-winning director Chloé Zhao, Hamnet dies of the plague, which according to Greenblatt, seems a “reasonable hypothesis,” since the disease was commonplace in 17th-century England.

Also, in O’Farrell’s story, the love between Shakespeare and his wife survives their son’s death. For Greenblatt, that is a surprising plot twist. “I have a very different account of the relationship between Shakespeare and his wife,” Greenblatt said.

In his review, Greenblatt wrote that “scattered archival traces” suggest an “unhappy marriage.” He pointed to Shakespeare’s will, which lacks “any significant bequest to his wife of 34 years,” or any terms of endearment, which was customary at that time. Shakespeare bequeathed his wife his “second best bed with the furniture.”

Greenblatt continued, “There is no evidence that the busy playwright shared his rich inner world with his wife or that he involved himself in the daily lives of his offspring.”

But there is a point of agreement between the scholar and the fiction writer: the possible link between Hamnet’s death and the writing of “Hamlet.”

In the 2004 article “The Death of Hamnet and the Making of ‘Hamlet,’” Greenblatt argues that “Hamlet” could be traced to Shakespeare’s “personal experience of grief” over his son’s death.

The play was written in or around 1600, four years after Hamnet’s death, and is among “one of the deepest explorations of grief and loss ever written,” Greenblatt said.

For her part, O’Farrell said, in a 2020 interview with the Folger Shakespeare Library, that she believes it unlikely that “without [Hamnet’s] death, we would have the play ‘Hamlet.’” She said she first heard about Hamnet in high school from an English teacher and she had always been intrigued by “the link between this lost boy and this stupendous tragic play.”

In Greenblatt’s view, “Hamlet” must have been fueled by Shakespeare’s own heartache and the “accidental conjunction of names” because Hamnet and Hamlet were interchangeable in Stratford records of the era.

Stephen Greenblatt

Stephen Greenblatt.

Stephanie Mitchell/Harvard Staff Photographer

“Most interesting, of course, is that among Shakespeare’s Stratford friends was a couple, Hamnet and Judith Sadler,” Greenblatt said. “When Shakespeare and his wife had twins, they named them Hamnet and Judith. Elizabethan spelling being quite irregular — names were spelled in a startling range of ways — it was not difficult to confound the names Hamnet and its close cousin Hamlet.”

The legend of Hamlet, a Danish prince, and his revenge for the murder of his father had been around for centuries, said Greenblatt. Shakespeare’s principal source of inspiration for his “Hamlet” was an account by a French writer, François de Belleforest, he said.

Scholars agree that a play about Hamlet had been performed on the English stage and was likely authored by Thomas Kyd, an English playwright and Shakespeare’s contemporary. The play didn’t survive.

“Scholars call the lost play the Ur-‘Hamlet,’ that is, the ‘original’ ‘Hamlet,’ but there was nothing original about it,” said Greenblatt.

It is likely that as the leading playwright in a theater company of which he was a shareholder, Shakespeare decided to take on ‘Hamlet.’

“If the so-called Ur-‘Hamlet’ was exciting the London public, then Shakespeare may have decided — or been pressured by his colleagues — to do his own version,” said Greenblatt.

“The trouble, of course, for everyone else is that Shakespeare was an astonishing genius. We know almost nothing about the Ur-‘Hamlet’ except that whoever wrote it seems to have come up with the idea of the ghost who calls for revenge — that was not part of the legend. In other words, the ghost was not Shakespeare’s own idea. But just think of what Shakespeare did with it.”


Looking to build muscle? Lose weight? Need more protein, right? Probably not.

Forget influencers, nutritionist says. Here’s how much you really need, why too much can actually hurt you


Foods that contain high protein values.
Health

Looking to build muscle? Lose weight? Need more protein, right? Probably not.

Forget influencers, nutritionist says. Here’s how much you really need, why too much can actually hurt you

8 min read

High-protein diets are having a moment — maybe too much so. Recommended by influencers and athletes, these diets suggest that upping your intake can help build muscle, promote weight loss, and even regulate your hormones.

Marc O’Meara, a senior nutritionist in the Nutrition and Wellness Service at the Brigham and Women’s Outpatient Department, said that while there are health benefits to protein, it’s important to recognize there can be too much of a good thing.

In this edited interview with the Gazette, O’Meara discusses how much you really need and when enough is enough.


Why are so many drawn to high-protein diets?

Protein is important for health and wellness, and it is an important part of weight loss. It’s the one part of any meal that tells your brain that you’re full. It makes us feel full longer.

It also controls our blood sugars. You can think of protein as setting up a dam at the end of your digestive tract, holding back any sugars that you ate. They’re slowed down and enter the bloodstream over several hours, giving us more hours to burn through those calories.

A lot of social media content has to do with muscle building.

You do need protein for building muscle, but social media has taken that and just added lots of extras on top of what the recommendations are. I often see a recommendation to eat 200 grams of protein every single day, which is way over what most people need.

Recently, I’ve had clients who were shooting for that and their kidneys were negatively affected. Your kidneys process all the extra nitrogen from the protein, and when you’re eating 200 grams a day, sometimes they just can’t keep up and they get stressed.

“You do need protein for building muscle, but social media has taken that and just added lots of extras on top of what the recommendations are.”

Marc O'Mara.
Marc O’Meara

Could you talk a little bit more about the consequences of over consuming protein?

Beyond negatively affecting the kidneys, protein is high in calories. I have clients who eat large protein portions at their meals, and they’re not losing weight like they hoped. They heard, “Oh, protein’s good for weight loss,” but too much will still turn to fat.

Protein is way higher in calories than vegetables — about six times more for the same volume of food. That’s a lot of extra calories that you have to burn.

How much protein do we actually need?

A general rule of thumb I give is to use your body weight (in pounds) times 0.36 (for the lower end) and 0.45 (for the higher end) and the resulting number would be grams of protein per day. For example, a 110-pound woman would need right around 45 grams of protein per day.

Another trick is to use the palm of your hand as a reference for how big a portion of chicken or fish should be at your meal. That would be about 20 to 25 grams of protein. So if she just ate two portions like that in a day, maybe an egg in the morning, a light protein snack, she’s already around 60 grams.

Some people go a little bit above the goals, and that’s OK, but if you’re doubling or tripling the recommendation, that’s where kidneys start to fight back.

Does the recommendation change if you’re an athlete or someone with a high level of physical activity?

Yes, there should definitely be an increase in protein consumption. But the increase in protein isn’t quite as much as people often think. It might be an additional 50 percent from that baseline calculation.

That same 110-pound female, if she was an athlete, I’d add an additional 20-25 grams of protein to her diet. If you’re someone who regularly does intense workouts and your goal is to build muscle or get toned, you would fit in that same category.

Another group of people that have different protein needs are women who are pregnant or breastfeeding. What recommendation would you give them?

They need more too, because they’re literally feeding another human. Generally, I’d recommend about 1.25 times the baseline recommendation for pregnant or breastfeeding women (which is also the recommendation for elderly populations).

I take care of a lot of pregnant women who have twins at the hospital, and most of them fall in the range of needing about 100 grams per day. They’re trying to get 50 grams for themselves, then an additional 25 grams for each fetus.

Say a little more about elderly populations.

The over-age-65 group often gets overlooked in protein conversations. But protein helps them stay strong, prevents falls, and keeps the muscles and bones healthy.

A lot of us start losing muscle mass after the age of 40 so strength training is important. You can’t just add muscle by eating more protein. You also need strength training, at least two to three times a week.

Protein can be sourced from both animals and plants. Does it make a difference?

The Nurses’ Health Study had a paper come out that showed that people who were mainly eating protein from beans, nuts, and dairy products had much lower risk of chronic diseases during the rest of their life. That seems like it’s a good thing.

You get a lot of nutrients in addition to the protein when you eat certain plants, like fiber, phytonutrients, vitamins, and minerals. Many animal proteins don’t have those. Also, some studies show plant protein is easier on the kidneys.

I hear a lot from like my patients that their doctors want them to eat a more plant-based diet, but they’re concerned about protein. It’s just a matter of focusing on the foods that have plant proteins and trying to get the right amounts.

Some just can’t do it, so they might have a protein shake. The key thing there is to avoid the brands that have heavy metals in them, especially if you’re pregnant.

What are your thoughts on the protein products? Yes, there are shakes, but there are also other products like bars, snacks, or even cookies that claim to be high in protein.

There are some products that are highly processed with many added, fake ingredients.

My patient showed me a protein bar recently, and I looked at it and was like, “Oh my gosh. I’ve never seen a protein bar that had four different sugar substitutes in it.” But it was marketed as a keto bar with no carbs in it.

Protein is the hot thing right now so food companies are just marketing around that. I was a nutritionist in the ’90s during the “fat free” decade, and it was the same thing. A lot of those products got axed during the 2000s because we realized that eating fat free wasn’t healthy either.

We’d rather have our clients eating more Mediterranean style with healthy fats. We at the Brigham always encourage our clients to cook more, use all natural foods as much as possible, and try to steer away from processed foods.

What if you’re crunched for time?

Try to choose foods that have balance. There are some brands of protein bars that have a really good balance of protein and carbs.

It’s like if you had a piece of chicken and a serving of rice: If they’re the same size on the plate visually, that’s what we would recommend. So choose a bar or shake that has real food ingredients and a balance of carbs and protein.

What are your top recommendations for folks who want to shift their diet to more appropriately incorporate protein?

Eat some protein every single time you eat. Whether it’s a meal or snack, protein needs to be a part of it.

And the order you eat your food does matter.

Have your vegetables or salad first; that gives you volume in your belly so you feel full. Then eat your protein; that signals fullness to your brain and sets up that dam to slow everything down. And the carb or sugar comes last for the best blood sugar control.

Another tip: Some of my clients love to eat desserts. You really want to have them right at the end of your meal so the protein can help moderate the sugar.

If you wait until 9:30 p.m. when you’re watching TV, then all the protein from dinner is gone, digested, and processed. There’s no more wall, so you’ll see a sugar spike that can turn into fat while you sleep.


How AI is disrupting classroom, curriculum at community colleges   

Conference examines ways to deal with unique vocational, educational challenges


Nation & World

How AI is disrupting classroom, curriculum at community colleges   

Conference examines ways to deal with unique vocational, educational challenges

4 min read
Lisa Gevelber (left) and Joseph Fuller.

Joseph Fuller, faculty co-director of the Project on Workforce at HBS, with Lisa Gevelber, the chief marketing officer for Gemini, Google’s AI product.

Photos by Stephanie Mitchell/Harvard Staff Photographer

Community colleges are scrambling to adjust to the many disruptive changes AI is bringing both to the classroom and to how the institutions need to think about preparing students for the future.

That was the subject of a Harvard Business School conference focused on overcoming the unique financial, administrative, and curricula challenges facing the schools, which offer both vocational training and an option for the first two years of a bachelor’s degree program.

What has become clear is that AI cannot be ignored.

“More than 70 percent of employers say they’d rather hire someone with less experience but who understands AI than someone with more experience. That’s a big change,” said Lisa Gevelber, chief marketing officer for Gemini, Google’s AI product.

The daylong conference was organized by the Project on Workforce at HBS, the Education Design Lab, and Axim Collaborative, a Harvard-MIT nonprofit that supports organizations that help students overcome obstacles that keep them from completing a community college education. It featured leaders from both the public and private sectors as well as community college administrators and scholars.

“More than 70 percent of employers say they’d rather hire someone with less experience but who understands AI than someone with more experience.”

Lisa Gevelber

Schools get free access to Google AI for Education, where they can find AI training for students, faculty, and staff, as well as a career certification program. They can also share best practices with other schools. Understanding how to use AI will help students land not only a good job, but meaningful work for the rest of their lives, said Gevelber. “And that’s really our goal.”

To avoid creating a new digital divide, it will be “very, very important that we create an AI-literate generation of people up and down the income distribution across the country,” said Joseph Fuller, faculty co-director of the Project on Workforce at HBS. “If we can give them the social and hard skills that will allow them to consider entrepreneurship, that can unlock a lot of dynamism and have a great impact on income inequality issues.”

“We know that not all postsecondary pathways look the same, so we are focused on making sure everybody has an educational opportunity to thrive in a changing economy. Community colleges provide critical pathways to work and four-year degrees, so we were honored to support this important work,” said Stephanie Khurana, Axim chief executive.

Besides helping students with classes and preparing for the future, AI can also help inform curriculum.

It’s not enough to tell people struggling to finish community college what opportunities for education and training are out there, said Deniece Thomas, commissioner of the Tennessee Department of Labor and Workforce Development. They need to be shown practical pathways that make it possible for them to complete their studies.

In order to overcome the frequent disconnect between state agencies and local education officials, Tennessee works closely with a wide range of institutions to ensure residents get clear, up-to-date information about the assistance available to them, she said.

Mike Flores (from left), Deniece Thomas, Christopher Reber, and moderator Paul Fain.
Mike Flores (from left), Deniece Thomas, Christopher Reber, and moderator Paul Fain.

Getting accurate and timely labor market data, and insights into what industry sectors are looking for so students learn marketable skills, historically has been a huge challenge for community colleges. Now, AI tools can extract data and interpret market information to help bridge that gap.

“Credentials of value to us are critical,” said Mike Flores, chancellor of the Alamo Colleges District in San Antonio, Texas. “And that our students come in and are able to exit with a credential that’s going to provide them with a family-sustaining wage, or they’re able to transfer to the University” and graduate with a bachelor’s degree that provides them with that salary.

As more firms eliminate jobs because of AI, especially at the entry level, community colleges need to “be realistic” about which jobs will still exist and which skills still marketable, said Fuller.

According to the project’s research, 12 percent of jobs today are being done more productively by AI than by human workers. However, in about 17 percent of jobs, AI can take over tasks that once required specialized training or credentials, opening those positions to a broader range of the workforce.

“So, this is not all doom and gloom,” said Fuller. “We just have to be realistic.”

Outside of the tech community and the academy, at the moment most people are only dabbling with AI and learning what it can do. That’s fine for individuals, but it’s not a winning strategy for community colleges, Gevelber advised school administrators.


From the kitchen to the stage 

A.R.T. plans ‘immersive’ adaptation of bestseller about African American cuisine


Arts & Culture

From the kitchen to the stage 

Jessica B. Harris speaking during the event.

Jessica B. Harris discusses the adaptation of her book, “High on the Hog,” along with fellow panelists Dayron J. Miles (from left), Mayté Natalio, and Charles M. Blow.

Photos by Niles Singer/Harvard Staff Photographer

4 min read

A.R.T. plans ‘immersive’ adaptation of bestseller about African American cuisine

Food can tell stories that the history books leave out. 

That was the message of an A.R.T.-hosted conversation about a forthcoming stage adaptation of Jessica B. Harris’ book “High on the Hog: A Culinary Journey from Africa to America.” 

The production, conceived by American Repertory Theater Associate Artistic Director Dayron J. Miles and co-created by movement-based artist Mayté Natalio, aims to bring the history of African American cuisine to life through all five senses. Miles and Natalio were joined on the Nov. 20 panel by Harris and moderator Charles M. Blow.

“Food, like theater, tells stories of history, memory, and connection,” said Blow, a journalist and the inaugural Langston Hughes Fellow at the Hutchins Center for African & African American Research.

The show, which is still in development, will be a tactile, immersive experience, Natalio said. “I want moments of people actually putting their hands into black-eyed peas or putting their hands into rice. … There’s that concept of lineage and passing down that we’re trying to do subtly.” 

The performance will drop audience members into critical moments in African American history, from slave ships crossing the Atlantic to Revolution-era Philadelphia to the Great Migration.

But food will be the centerpiece. Audience members will sample the recipes brought to life on stage, then take part in a family-style meal. 

“At the A.R.T., our mission is to expand the bounds of theater, always including the audience as a partner,” Miles said. “We want to transcend the opportunity of building community into communion, going to that next level and sharing food.” 

The creators lit up in anticipation of dramatizing some of the historical figures in Harris’ book, including Hercules Posey and James Hemings, enslaved chefs who cooked for George Washington and Thomas Jefferson. 

Dayron J. Miles
“At the A.R.T., our mission is to expand the bounds of theater, always including the audience as a partner,” said Miles.

“They existed at the same time,” Miles said. “They lived blocks away from each other in federal Philadelphia. We don’t know if they ever met, but they probably met. What was that conversation like? What was that exchange?”

Food was also a part of the panel discussion. Audience members enjoyed gumbo and Hoppin’ John prepared by Chef Lambert Givens of Hunter’s Kitchen & Bar in South Boston. 

Black-eyed peas, a key ingredient in Hoppin’ John, originated on the African continent and were brought to America on slave ships as sustenance for the enslaved passengers, according to Harris.

“You’re not doing much fresh anything, because it’s not going to last,” she explained. “You’ve got to have something that is going to be nutritionally nourishing enough to keep your cargo alive, so black-eyed peas fit the bill.” 

The humble pea continues to have a rich role in cuisine throughout the Americas, from acarajé, a classic street food in parts of Brazil, to rice and bean dishes eaten throughout the Caribbean. In some parts of the U.S., black-eyed peas remain a New Year’s staple for good luck. 

Harris’ best-seller inspired a Netflix docuseries by the same name. It was the show that first inspired Miles to develop a theatrical experience for A.R.T. 

“We, as descendants of Africa who were taken, can only [trace our roots] back so far,” Miles said. “I think I’ve always longed for that bigger and deeper and more ancient connection.” 

Watching the docuseries gave him that feeling. He called A.R.T. Artistic Director Diane Paulus as soon as he saw it. 

Miles and Natalio have been developing “High on the Hog” through the Harvard ArtLab faculty in residence program. 

The show is expected to be one of the first A.R.T. productions to be staged in the David E. and Stacey L. Goel Center for Creativity & Performance, which is scheduled to open in the fall of 2026. 

“As we were designing the building and working with our architects, we already knew that we were going to do this show,” Miles said. “This show was like the North Star. It was the challenge, the assignment that we gave our architects. We were like, [the building] needs to be able to facilitate immersive experience.”

The event was co-presented by A.R.T., the ArtLab at Harvard, and Harvard University’s Committee for the Arts (HUCA), which sponsors the ArtsThursday program.


Girls fell further behind in math during, after pandemic

Leading sociologist says emotional, family, social disruptions likelier cause than school closures


Nation & World

Girls fell further behind in math during, after pandemic

5 min read

Leading sociologist says emotional, family, social disruptions likelier cause than school closures

It’s no secret that the COVID-19 pandemic was a seismic event for the nation’s schoolchildren.

But the disruption wasn’t evenly distributed. And scholars are only now beginning to understand the differential effects.

Sean Reardon, a renowned sociologist of education and inequality at Stanford, brought one such pattern to campus last week: Girls’ math scores suffered more than boys’ during and after the pandemic, and lower-income girls now face steeper “gender gaps” in math than do those in more affluent communities, all for reasons that are less than completely clear.

The public seminar was held last Tuesday evening by the Center for Education Policy Research. It was a homecoming for Reardon, who earned his masters’ and doctorate at Harvard Graduate School of Education (HGSE) in the 1990s.

At a packed lecture hall in HGSE’s Longfellow Building, Reardon previewed unpublished results developed alongside two of his graduate students, Sadie Richardson and Sofia Wilson. They’re based on an ongoing analysis of the nation’s educational recovery from COVID-19, conducted at Stanford’s Education Opportunity Project, where Reardon is faculty director.

That project has established a clearinghouse of American education data, bearing on segregation and inequality of opportunity as well as COVID-related learning loss. And, even with the peak of the pandemic still in recent memory, the amount of data available is massive, Reardon noted, because of its granularity.

Sean Reardon speaking to audience member

Sean Reardon.

Niles Singer/Harvard Staff Photographer

At each of 7,000 school districts across 41 states, he said, “We might have up to 336 observations: 14 years, six grades, two subjects, two genders [under study].” In the end, that means the analysis weighed roughly 320 million test scores altogether.

That data — skewed as it is by geography, test type, and availability of data — requires statistical massaging before sociologists can make fair comparisons. Still, its scale allows for rigorous insight.

Reardon said: “You know the old joke: The couple comes out of the restaurant and the wife says, ‘The food was terrible!’ And the guy says, ‘Yeah, but at least there was a lot of it.’ Our data is imperfect, but there’s a lot of it.”

The scale allowed for what Reardon dryly called “a difference-in-difference-in-difference-in-difference analysis … a four-way interaction” between pandemic effects, individual school districts, time, and gender.

The Stanford model anticipated that girls’ math scores would lag behind boys’, as they’ve done historically (though the opposite is true in reading). And, after a period of tightening, it showed that the math gender gap was arguably widening again even before 2019.

But with the most recent data subjected to a large and complex multivariate model, Reardon’s early conclusion is that the setback the pandemic dealt to American girls’ achievement in math was unexpectedly large — and difficult to explain.

One hypothesis, Reardon said, is “that girls were expected to take on more caregiving roles during the pandemic. Younger kids are at home, they can’t go to childcare, and so older girls might have less time to spend on school.”

There’s some evidence to suggest that uneven uptick in non-school responsibilities was real for girls around the world, but Reardon noted that on its own it likely wouldn’t explain a relative decline in math or affect third- through eighth-graders as profoundly.

Reardon’s lab has also weighed a related theory that the pandemic, which some argue caused a reversion to traditional gender roles, saw girls “given a message that maybe math isn’t as important,” or — separately — a possibility that girls were more affected by the psychic toll of loss and lockdowns.

Though Reardon’s model had millions of scores to work with, his team also included other variables. Notably, that included an array of socioeconomic and political measures from a school district’s poverty rates and COVID-19 mortality to an index of “social connectedness” derived from Facebook data.

With those factors added, the conclusions became even more surprising, Reardon noted.

First of all, actual pandemic-related disruption (time spent in remote schooling and local rates of temporary joblessness or remote work) didn’t seem to affect the gap. But other things did.

“Prior to the pandemic, this is the pattern: Score gaps are more boy-favoring in math in affluent places and less so are reversed in poor places,” Reardon said. But in this preliminary study, his team found that, between 2019 and 2024, the pattern flipped: Girls fell behind boys by more in districts with fewer resources.

And they define “resources” broadly. Gaps tended to grow more in communities with low levels of wealth, high rates of COVID mortality, low levels of school staff, or low social capital.

Taken together, Reardon’s team proposes that the widening gender gap in math appears to have been driven by “non-school” factors.

The disruption of community life, feelings of threat and grief that accompanied the pandemic, Reardon concluded, led to “more social isolation, more anxiety and depression, maybe a reversion to traditional gender roles … or more caregiving,” which in turn may have taken a toll on girls’ progress in particular.

Reardon’s talk kicked off CEPR’s annual series of public seminars, part of its Partnering in Education Research program. The next event is scheduled for Dec. 2, with education economist Mahounan Yedomiffi.


In the grip of ‘horror and anger,’ Gawande grows more determined

As global health suffers, his focus on patient-first systems feels more urgent than ever


Health

In the grip of ‘horror and anger,’ Gawande grows more determined

Atul Gawande.

Veasey Conway/Harvard Staff Photographer

6 min read

As global health suffers, his commitment to patient-first systems takes on new urgency

“I see the admissions are up,” says Atul Gawande. 

He’s looking at a chart on the wall at Clinic 7, a medical center that primarily serves South Sudanese refugees in Kenya. In the clinic around him, mothers do their best to soothe malnourished babies. 

“The World Food Program cuts started in February, so it’s two months of a lack of food, and now we’re starting to see the surge.” 

The moment is captured in “Rovina’s Choice,” a 22-minute New Yorker documentary from the New Yorker that follows Gawande, professor of the practice of surgery at Brigham and Women’s Hospital and Harvard Medical School, as he investigates the fallout of the Trump administration’s cuts to USAID. 

In public health, “You don’t let problems simply be statistical,” Gawande said in an interview with the Gazette. “You identify where the problems are, you shine a light on them, and you find approaches that remedy the situation in a systemic way that turns things around.” 

For more than two decades, Gawande, who is also an acclaimed writer, has been applying that framework to surgical patients, to end-of-life care, and to global health through his work at USAID during the Biden administration and with Ariadne Labs, a center for health systems innovation that he launched in 2012. His foundational belief: Humans are the only species to have figured out how to double their own lifespan, but work remains to deliver those advances to everyone. 

Gawande’s focus on systemic improvements began at the Harvard T.H. Chan School of Public Health and in his surgical training at the Brigham. A series of studies, some of which he conducted, had shown that two-thirds of adverse outcomes in hospital settings — causing disability or death — were due to a lack of execution, not a lack of knowledge. 

Gawande wasn’t satisfied with publishing the findings in a medical journal: He wanted to save lives. He led the development of the World Health Organization’s two-minute safe surgery checklist, launched in 2008, which was shown to cut the rate of surgical death by more than 40 percent.

The checklist includes basic questions — What is the anticipated blood loss? Are there any patient-specific concerns? Are there any equipment issues? — that may go uncommunicated or be forgotten under pressure.

“Most of the difficulty is good clinicians, good people in healthcare who are achieving poor outcomes, often due to errors or incoordination,” he said. “Punishment and more training were not going to solve the problem. Instead, you need systems.” 

The work led to Ariadne Labs, a joint center between BWH and the Chan School. The lab develops simple tools that improve the delivery of care for patients around the world. Its safe childbirth checklist was found to have reduced intrapartum stillbirth by 11 percent in a meta-analysis of studies involving 300,000 births worldwide.

Even as his research, public health leadership, and writing took up more of his bandwidth, Gawande remained committed to practicing surgery. It required careful balance of his time, but it kept him up to date on what doctors really faced in the operating room. (It also kept him up to date on music. He often curated playlists to buoy his team through 12- to 14-hour surgeries, and the playlists had to have a little something for everyone.) It also served as an escape.

“There’s no email,” he said. “You don’t get interrupted. You can focus on one thing. Nobody’s allowed to have a bad day; you have to leave it at the door, and if you can’t leave it at the door, then you have to go out the door. We’re all there, focused on one thing together.”

Gawande had to pause his practice in 2022 when he accepted President Joe Biden’s nomination to the role of assistant administrator for global health at USAID, which Gawande described as “the best job in medicine you’ve never heard of.” 

“We work to make the human consequences more visible as a first step to address and rectify what’s happened.”

Although he worried that by leaving the operating room he’d lose access to the most exciting innovations in medicine, he found that he gained access to new worlds of medical experience. He managed a team of 2,500 supporting healthcare systems in 65 countries on a budget of about $8 billion a year — as he saw it, delivering arguably the greatest impact of any U.S. agency.

“It amounted to $24 per American taxpayer, out of the $15,000 per taxpayer that goes to the U.S. government. It was a tiny fraction, and they reached hundreds of millions of people.” 

According to an analysis in The Lancet, USAID’s work saved about 92 million lives over two decades.

Gawande stepped down from his post at USAID at 11:59 p.m. on Jan. 19, the day before President Trump’s inauguration. The same week, Trump signed an executive order halting U.S. foreign assistance. USAID was ultimately dismantled.

“The current estimate is about 600,000 lives lost so far” as a result of those cuts, Gawande said. 

Gawande returned to Harvard just as the federal government began imposing deep cuts to research funding, hindering efforts by Ariadne Labs to make surgery safer and improve primary care around the world.

“My feelings are a mix of feelings of horror and anger,” he said. “But also determination. We work to make the human consequences more visible as a first step to address and rectify what’s happened.” 

It was that determination that took Gawande to Clinic 7 at the Kakuma Refugee Camp in Kenya earlier this year. Kakuma was one of many settings where USAID had scaled up public health approaches shown to cut the death rate of severe acute malnutrition in children from 20 percent to less than 1 percent. But funding cuts had sacrificed community health workers, nutrition staff, supplies, and food aid, leaving refugees with just one meal a day. A system that had succeeded had now collapsed.

Gawande followed Rovina Naboi, who had fled war-torn South Sudan and was raising her children in Kakuma. Rovina took her young daughter, Jane Sunday, to the faraway Clinic 7 for life-threatening complications of malnutrition. But resource shortages due to aid cuts forced her to make a terrible decision.

“We’re seeing a massive level of loss,” Gawande said. “It’s horrifying. But I think we can get back on the path of holding accountability, making the loss visible, and beginning to move forward in a way that could help rectify what’s happened.” 

Back at Harvard, Gawande could eventually return to the operating room, and the idea appeals to him: He’s eager to see firsthand how artificial intelligence is working in hospital settings. But right now he’s focused on answering a more urgent call.

“At the current moment, the biggest threat to advancing human life expectancy is the government itself,” he said. “So that’s where I’m concentrating.”


Mapping our deep-rooted relationship with medicinal plants

Regions with longer histories of human settlement tend to have greater variety, study finds


Science & Tech

Mapping our deep-rooted relationship with medicinal plants

Images via Nicolás Baresch Uribe, WA USA, Nawal Shrestha; illustration by Liz Zonarich/Harvard Staff

5 min read

Regions with longer histories of human settlement tend to have greater variety, study finds

Long before modern pharmaceuticals, our ancestors turned to plants to find cures for ailments from infections to parasites to fevers. A new study by Harvard researchers reveals the deep roots of that relationship: Several hot spots of medicinal plant diversity correspond to regions with long histories of human occupation and ancient medicinal traditions.

“It seems to be a relatively straightforward effect of the time in which humans had to experiment on these new landscapes that they settled in,” said co-author Charles C. Davis, professor of organismic and evolutionary biology and curator of vascular plants in the Harvard University Herbaria. “Human ingenuity takes time — and I think that that’s what we’re seeing. As humans were exploring the flora, they were identifying which plants might actually be useful for medicinal purposes.”

In the study, published in Current Biology, Davis and his colleagues tallied the number of plants used in regions around the world as medicines, lotions, fragrances, intoxicants, and other non-nutritional uses. Those numbers were compared against a baseline of overall floral diversity in 369 regions around the globe.

The analysis included more than 32,000 medicinal plants among more than 357,000 vascular plant species, suggesting that about 9 percent had some kind of documented therapeutic use. The study included only vascular plants — which comprise the great majority of land plants — and did not include mosses, hornworts, and liverworts.

In general, diversity is lowest at high latitudes and increases toward the equator — and that pattern held true for medicinal plants. Not surprisingly, tropical regions with higher plant diversity had more types with documented medicinal uses.

Diversity of medicinal plants

Global map of locations with medicinal plants. African and south east asian regions have the most amount of medicinal plants.

Yet a few regions showed intriguing departures from this trend. The researchers discovered hot spots where the numbers of medicinal plants were relatively high compared to the baseline floristic diversity — particularly India, Nepal, Myanmar, and China. Not coincidentally, these regions also have ancient medicinal plant practices, such as Ayurveda of India and Nepal and traditional Chinese medicine.

“It seems that centuries to millennia of cultural knowledge and human interaction with plants have helped build and maintain this rich diversity,” said lead author Nawal Shrestha, research associate in organismic and evolutionary biology and currently assistant professor at Kathmandu University in Nepal.

Conversely, a few “cold spots” had lower-than-expected numbers of medicinal plants including the Andes, the Cape Provinces at the southern tip of Africa, Madagascar, Western Australia, and New Guinea. Surprisingly, some of these are megadiverse regions with abundant varieties of plants. But the authors acknowledged that the relative paucity of medicinal plants in these areas may reflect incomplete ethnobotanical documentation or heritages wiped out by colonialism.

“Many of these areas have rich local knowledge that has not yet been systematically recorded or incorporated into global databases,” said Shrestha. “It really highlights the need to work with local communities and revive traditional knowledge to better capture these resources.”

Overall, plant biodiversity turned out to be the strongest predictor of the regional diversity of medicinal plants. Strikingly, the second leading predictor was the time of settlement by modern humans — a dynamic not explored in previous studies. Regions with longer histories of human occupation tended to have more plants harvested by humans for medicinal purposes. For example, much of sub-Saharan Africa (the continent with the longest record of human presence) had more plants used for medicinal purposes, while similar latitudes of South America (settled between 25,000 and 15,000 years ago) had relatively fewer.

Plants lie at the root of our healing traditions. At least 25 percent of modern prescription drugs contain ingredients derived from plants. Fever bark (Cinchona lancifolia) was the original source of the antimalarial medicine quinine; foxglove (Digitalis purpurea) contains compounds used in heart medications; Madagascar periwinkle (Catharanthus roseus) was the source of the chemotherapy drugs vincristine and vinblastine; while the Pacific yew (Taxus brevifolia) provided the anticancer drug paclitaxel, otherwise known as Taxol.

Charles Davis

Charles Davis.

Harvard file photo

Nawal Shrestha.

Photo courtesy of Nawal Shrestha

Numerous studies have documented our ape cousins using plants for medicinal purposes such as wound healing or lotions. Traces of medicinal plants such as yarrow and chamomile have been recovered from dental plaque of hominin fossils.

The earliest known written documentation of medicinal plants comes from a 5,000-year-old clay tablet from ancient Sumer, which recorded drug recipes from more than 250 plant ingredients. References to medicinal plants also appear in ancient texts such as the Bible, the Talmud, the “Iliad,” and the “Odyssey.” Hippocrates — the so-called “founding father” of medicine — recommended some 300 plant remedies such as wormwood for fever, garlic for intestinal parasites, and opium as a narcotic.

But today this ancient heritage is threatened by global losses of biodiversity. Davis said the new study underscored the urgency of conservation and noted that somewhere amid the verdant biodiversity scientists may find “the next great cure.”

“Our findings reveal areas where not just biodiversity, but priceless traditional and local medical knowledge are at risk,” he said. “They must be prioritized for conservation and revitalization — and for future public health benefits to humanity.” The study was conducted with researchers from the Missouri Botanical Garden, New York Botanical Garden, VinUniversity in Vietnam, and LVMH Recherche.


Our self-evident truths

New book takes as focus ‘greatest sentence ever written,’ how it may help a riven nation recall common values


Nation & World

Our self-evident truths

Walter Isaacson.

Courtesy of Tulane University

8 min read

New book takes as focus ‘greatest sentence ever written,’ how it may help a riven nation recall common values

On July 4, 1776, a band of revolutionaries that included Thomas Jefferson, Benjamin Franklin, and John Adams announced the birth of a new nation in a bold assertion of national identity known as the Declaration of Independence.

Walter Isaacson’s new book, “The Greatest Sentence Ever Written,” takes as its focal point the document’s second line: “We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the Pursuit of Happiness.”

In this edited conversation, Isaacson ’74, a journalist and author of best-selling biographies of Benjamin Franklin (2003) and Steve Jobs (2011), digs into the story behind the drafting of the sentence, explains why he believes it is so foundational, and argues that a re-examination of the ideas could remind our riven nation of the common values to which we aspire.


What makes this particular sentence “the greatest”? 

I think it’s a sentence that gives the mission statement for what our country can be.

We’re about to enter our 250th birthday, and we’re so polarized that we’re not in the mood for a birthday party. And I think it’s important for people to focus on what’s the mission of our country, what common values do we share, and maybe that’ll lower some of the temperature at least for a year, so that we can have a 250th celebration.

I also think there’s a philosophical depth and beauty to the “We hold these truths to be self-evident” sentence — every word of it.

I go back to my Harvard days when political philosophers John Rawls and Robert Nozick taught John Locke and Thomas Hobbes and Jean-Jacques Rousseau, and what do we mean by “we”? What is a social contract? What is common ground, and how did the commons develop from private property?

I just felt going back to those concepts would be a way for people to have a slightly deeper appreciation for a sentence most of us know almost by heart, but we haven’t reflected on what each word means and how we can live up to the aspiration.

Cover: “The Greatest Sentence Ever Written.”

The drafting committee made a number of important edits to the original text. Which ones were particularly meaningful?

Jefferson writes the first draft. He sends it over to Benjamin Franklin on Market Street in Philadelphia, and said, “Would the good Dr. Franklin, with his great wisdom, help improve this?”

Jefferson had started that second sentence by saying, “We hold these truths to be sacred.” And you see on that draft, the dark black slashes that Benjamin Franklin used when he was editing documents, and he changes “sacred” to “self-evident.” They were trying to create a new type of nation in which our rights were based on rationality, not on the dictates or dogma of a religion.

But then, Jefferson says that they’re “endowed with certain rights,” and John Adams puts “endowed by their Creator.” So, you can see just in those edits, our founders balancing the role of divine providence and the role of rationality in creating our rights.

I also went back to figure out what did Franklin mean by “self-evident”? You think, “Maybe that’s just a fancy way to say obvious?” No. Franklin had just been staying in Scotland at the home of David Hume, who had come up with the concept of certain truths that were true by reason or by definition, like “all bachelors are unmarried,” and those self-evident truths he built a philosophy on by contrasting them with synthetic truths, like “Philadelphia is bigger than Charleston.”

And so, you can see when they say people are equal, they don’t mean that they surveyed different people and said, “They’re all equal.” They say, it’s self-evident they’re equal because of the way we enter the social contract. Those were the things I was trying to explore.

I think it gives us some sense of common values that may make our discussion of history a little bit less disputatious, to use Franklin’s word.

The phrase “all men are created equal” referred only to land-owning white men. Indeed, 41 of 56 of the signers enslaved people. How aware were the signers of the contradiction between this lofty statement and their own reality?

They were very aware of the contradiction, even Jefferson, who enslaved more than 400 people and didn’t free most of his slaves even when he died.

But I think they understood the sentence would not only endure, it would grow. It was an aspirational sentence. And of course, the horrible contradiction in the sentence is that Jefferson can write “all men are created equal” and still be an enslaver.

But that sentence does set in motion 250 years of an unfinished project to make the ideals of that sentence real.

That unfinished project, four score and seven years later, is Lincoln at the cemetery at Gettysburg quoting that sentence and saying, “dedicated to the proposition that all men are created equal.” So that’s part of the process — the Civil War dead all the way through the Civil Rights movements, including women and others, in that phrase.

Jefferson in particular, but also Franklin, think about that sentence as something that has to be made true. It just doesn’t become true on its own.

Franklin, who had once owned two or three slaves when he was a young printer in Philadelphia, becomes appalled at the notion of slavery and becomes, near the end of his life, the president of the Society for the Abolition of Slavery in Pennsylvania.

So that moral growth you see in Franklin is in some way analogous to our nation’s moral growth, in fits and starts, in the subsequent 249 years.

Did the founders anticipate that the guarantees of “life, liberty and the pursuit of happiness” might someday be interpreted to include issues that they could not foresee, such as same-sex marriage or universal suffrage?

Yes. One of the things you see, both in the Declaration and 11 years later in the Constitution, is certain phrases that have the potential to grow and gain meanings as society changes.

The notion of life, liberty, and the pursuit of happiness: In the book, I talk about how that defines common ground and the American Dream, which were based on individual rights in the founding of our country.

That sentence talks about the nation being individuals who come together, but it also talks about what we put into the commons. That includes the pursuit of happiness, which in their minds also meant a place of opportunity where each generation could do better.

They’re saying, “What do we put in the commons? What type of services do we put in common — police, health care, schools, defense, fire corps?”

That whole concept of life, liberty, and the pursuit of happiness is how do we both give rights to the individual and respect the type of things that have to be shared in common, and how that together allows each generation the chance to succeed.

With the nation’s political climate so polarized, you write, “One way to restore stability to our politics is to look at issues through the two ideals at the heart of the Declaration’s key sentence, common ground in the pursuit of the American dream.” What do you mean by that?

We get so polarized in our fight, say, over healthcare in the past month or so, that we have to remember that it’s simply about a balance of what goods and services should be totally in the realm of the private individual, and what should be shared in commons.

Benjamin Franklin serves as a guide to this because on healthcare, he says let’s have a public-private partnership for a hospital that will serve all the people of Philadelphia. They decide whether there should be a widows and orphans fund in Philadelphia. They decide that whether the firefighting corps should be paid for by individuals, and only those people should get fire protection, or whether it should be some service that is shared in commons.

They create a balance. Some things get shared in Commons and some things remain or get put in the private realm. Those are the type of fights we’re having now.

But if we looked at it through the notion of the importance of common ground, why our common ground and common shared services give everybody a stake in the health of our democracy and give everybody a foundation for opportunity, for them and their children, then I think we can say these aren’t existential arguments. They’re just a question of getting the balance right.

And that’s what the founders, especially Franklin and Jefferson, who were scientists, understood by studying Newton, by helping understand the flow of electricity, the notion of balances, pluses and minuses, equilibrium and contending forces. And if we could just get back to that sense of what is our common ground, then maybe some of these fights wouldn’t be so bitter.


Tracy K. Smith thinks poetry could help bring us together, if we let it

Two-time U.S. poet laureate recalls her national project to encourage ‘notion that your life must be as important to you as mine is to me’


Arts & Culture

Tracy K. Smith thinks poetry could help bring us together, if we let it

Two-time U.S. poet laureate recalls her national project to encourage ‘notion that your life must be as important to you as mine is to me’

long read
Tracy K. Smith.

Photo by Andrew Kelly

Reprinted from “Fear Less: Poetry in Perilous Times” by Tracy K. Smith ’94, Boylston Professor of Rhetoric and Oratory, professor of African and African American Studies, Susan S. and Kenneth L. Wallach Professor at the Harvard Radcliffe Institute.

In 2017, I was appointed poet laureate of the United States by Librarian of Congress Carla Hayden. The opportunity to act as an ambassador between the art form I practice and the nation to which I belong came at a delicate time in American history. Maybe all times are delicate, but by 2017 we’d come to find ourselves in a climate of language — I’d call it a national vocabulary — grounded in fear, derision, and the notion of an intractably divided nation. The guardrails of courtesy were gone, and the limits of shame — or was it shamelessness? — had been set further out than almost ever before. Or so it felt. At the same time, so much talk — on podcasts and radio and TV — added unceasing fodder to the rumor that unless we lived in the same place and prayed to the same deity and voted the same way, we in this country had nothing whatsoever to say to one another. It was a bruise on the collective imagination, a threat to the sense of hope and possibility.

But I thought about the poems my students and I discussed with one another each week. The near-holy hush in the room as we read aloud from the work of poets like Elizabeth Bishop, Gwendolyn Brooks, Robert Hayden, and contemporaries Claudia Rankine, Natalie Diaz, Patrick Rosal, and others. It wasn’t only delight that held us in such a state; it was the desire to listen at the widest possible angle, and the proper tilt of the imagination, in order to catch what the voice on the page was asking us to hear, feel, see, remember, and recognize. At such a pitch of attention — which is not passive but active — so much of your energy is invested in maintaining the signal that another voice is transmitting. You may have questions. Doubts, eventually, too. But in good listeners, those things emerge as the result of having first submitted fully to the voice and the imagination before you. Considered in this way, the audience of a poem is undertaking something like a trust-fall. Come what may, we are ideally willing to say to the poem, I’m here, I’m in your hands.

This isn’t, generally speaking, the mode in which we dwell. It’s not the way we go about gathering the information that informs so many of our small and large decisions. It’s certainly not the way we tend to take in another person’s opinion about sports or parenting or politics, where our listening is tense as we await the chance to launch our own argument or defense. Almost daily during the long and histrionic news cycle leading up to the 2016 election, I had found myself thinking, Poetry wouldn’t allow us to behave this way. I just knew that poetry, a kind of mother to so many, would find a way to jostle us out of our rote engagement with one another. Poetry would insist that our listening be permitted to lead us, even briefly, out of our rigid stances, our staunchest habits. Already I could hear Mother Poetry saying: Come. Sit. Calm yourselves and attend more generously to one another. So when the opportunity arose to create a national poetry project with the Library of Congress, I determined to push back against the inescapable narrative of America as a divided nation — the narrative that says people in the rural heartland have next to nothing in common with those of us in urban centers, and that differences of race, class, religion, and citizenship status had sawed us into a puzzle that would never be pieced back together.

I also wanted to test out my own theory that Americans of all backgrounds might have something quietly urgent and humanizing to offer to one another, if only we could turn down the volume on all the many sources seeking to sell us on the notion of an unmendable divide — to hook us on a product, which is strife. In order to get to community, we have to go quiet, slow down, allow ourselves to be both vulnerable and brave, and approach one another with an idea as simple as, I’m me, you’re you, we are not the same, and yet perhaps we can feel safe here together talking about something as simple as a poem, which encourages the notion that your life must be as important to you as mine is to me. If we let them, poems also encourage the more difficult notion that your life ought to be as important to me as my own life is; that I can only truly honor and protect myself by honoring and protecting you.

That was my theory. And what I found, on each of the trips making up the national poetry project, which we ended up calling American Conversations, was wildly heartening. We hosted events in public libraries, community centers, rehab facilities, detention centers, churches, retirement homes, and theaters in Alaska, Kentucky, Louisiana, Maine, New Mexico, South Carolina, and South Dakota. We passed out copies of American Journal, the anthology I edited for just such a purpose during my time in the laureateship. And then, we’d do the simplest thing: We’d read poems to each other and talk about what we noticed, remembered, wondered, and felt. And we found our way to a counter narrative of careful listening and mutual respect as fostered by poetry. Poems proved to be amazing tools for reminding us of the things we share while also highlighting the differences between us, advocating implicitly for the validity of our differing perspectives.

Cover of Tracy K Smith book

A nine-year-old girl in New Haven, Kentucky, came by herself to a Saturday morning conversation at her local public library, her home away from home. She sat in the front row with a house key on a string around her neck. She stared up toward the seam between the ceiling and the wall the way children sometimes do when they’re thinking. Or she’d look down at her feet or her lap, but not idly; there was still a kind of attention operating within her body. When she turned to face whoever was speaking, it was as if she wanted to make sure nothing was lost or intercepted on its way to her. Adult women spoke frankly about their memories and their hopes. It was different there now than it had been for them growing up. That this is true of most every place doesn’t solve the dilemma of how to accept change, and whether or when to push back. How to mourn a loss that comes as an effect of opportunity. What to hope for your kids. When finally she raised her hand, the little girl asked, “When did you realize you had stories to tell?” I told her I was just about her age when I wrote my first poem. Then I asked her, “Do you feel like you have stories to tell?” She nodded and told us one about a teacher in her school. A story — perhaps she realized this then, or has by now, or soon will — about change and loss, pain and need. “You can grow up to be a writer if you want to,” I told her. And she nodded, then went back to her listening, which, now that I’m telling it, was exactly how a writer listens.

After an event at Old Summerton High School in South Carolina, one of the public schools desegregated by the US Supreme Court’s 1954 Brown v. Board of Education decision, Black members of the first integrated graduating class described how they had written poetry back when they were students, and how the poems we’d read and the experience of talking about them with each other had inspired them to reclaim the practice. “I used to fill notebooks,” one woman said, and her hands floated up toward her chest as if she was holding one again. How much gets poured onto a page, into a notebook? And how much realer to herself might a person become on the heels of such an act?

A man in the audience at a similar session I was invited to host in Jackson, Wyoming, raised his hand midway through a conversation to nearly shout, “I get it! When you read a poem, you’re just kind of pouring it through your own filter to see what gets caught there. My filter is different from your filter. And different things will get caught in your filter at different times, depending on who and where you are when you read the poem.”

Soon after we’d handed out copies of American Journal in a juvenile detention center near Juneau, Alaska, a teenager interrupted to ask if we could please read a poem called “Reverse Suicide” by Matt Rasmussen. Just a few moments with the volume in his hands, and it was as if the poem itself had sought him out, offering to provide a fresh vocabulary for talking about the hardest parts of a life.

I will never forget the profound uncertainty I felt at a home for veterans and pioneers about an hour outside of Anchorage, Alaska. Apart from one or two members of the audience, nobody volunteered to speak. I would read a poem, and it would be followed by a longer-than-was- comfortable silence. Sometimes as I was reading, an audience member would audibly groan. It wasn’t a reaction I was used to, and it was difficult at times to sit with the long stretches of wordlessness. But afterward, staff members were elated. It turned out that a sizeable portion of the audience was made up of nonverbal residents of the facility’s Alzheimer’s unit. Those moans and the inaudible movements that accompanied them were concrete indicators of the ways poems had spoken to and gotten through to audience members. Without realizing it, I had been in the presence of a remarkable response to the power of poetry. One thing that has stayed with me from that evening is the realization that the success of such a project didn’t hinge upon me performing well or hitting it off with people in these different places; rather, it was about giving people space to engage with poems in their own ways and in the terms most meaningful for them.

There is no formula for reading and responding to poetry. How could there be when the lyric tradition exists in celebration of the individual self and its singular experience of the world? The earliest lyric poems were songs for a single voice. Not the sweeping epics of heroes at war or stranded at sea, but intimate accounts of life’s most memorable feelings. Sappho, whose ancient Greek fragments survive from as early as the 7th century BCE, and who would have sung them to the accompaniment of a lyre, bears witness to the particular terms and dimensions of an individual life within the frame of a single moment:

A Girl in Love

“Oh, my sweet mother, ’tis in vain,
I cannot weave as once I wove,
So ’wildered is my heart and brain
With thinking of that youth I love.”

Perhaps a detail like “I cannot weave as once I wove” offers you just enough of a window into the young speaker’s life for you to recognize her hands idle at the loom, and her thoughts adrift in new longing. Whatever it is that draws you in, this momentary brush with a stranger’s experience also gifts you with a remembered or an imagined or a wished-for piece of your own. Her heart racing with anticipation carries over for a moment into you.

Almost three thousand years later, it is still a poem’s speaker who calls to us from the frame of their singular experience. And what we seek in granting them our attention is decidedly not the formulaic, unthinking motions of a prescribed and unchanging rite. No, even when delivering verse in its most methodical traditional forms, like the sestina or the haiku, poetry resists the formulaic in its bid to reawaken us to the miracle and the mystery of our lives. But much of the anxiety surrounding the art form seems to stem from the worry that there exists an authorized way in which a poem ought to be read, and that to set out without such a code of conduct is to be doomed from the outset. One of my hopes is to help put such a notion to rest.

How, then, should you go about reading poems? As you might read a letter from a friend, paying eager attention and trusting that much rides on each word. As someone who has lived most of my life reading, writing, and thinking about poetry, I know there are many points of entry for every poem. Trust the one that speaks to you, and follow where it leads.

Having witnessed how the simple act of reading and talking about poems with others can lead to a sense of trust and ease with one another, I’m left wishing we could make more space for exactly that in our classrooms, in our day-to-day lives, and in the culture we steward together. I wish we could let go some of the need for certainty and the desire to demonstrate our own authority in our interactions with the world. I wish we could abandon the impulse to judge, rate, and rank like incorrigible consumers and instead, together in whatever versions of community we can muster, allow ourselves to wander the wilderness of new feelings — and old feelings in new forms.

Copyright (c) 2025 by Tracy K. Smith Used with permission of the publisher, W. W. Norton & Company, Inc. All rights reserved.


On the sea or in the lab, Olivia Hogan-Lopez knows the value of perseverance

Senior is researching how PFAS chemicals impact humans and the environment


Campus & Community

On the sea or in the lab, Olivia Hogan-Lopez knows the value of perseverance

Olivia Hogan-Lopez in the lab.

Olivia Hogan-Lopez.

Photos by Eddie Monigan IV/Harvard Athletics

3 min read

Senior is researching how PFAS chemicals impact humans and the environment

Olivia Hogan-Lopez ’26 learned some important lessons sailing on the ocean as a girl. One was to keep her eyes open.

“When you’re on the water for so long, you notice it changing from oil and gas spills in the harbor,” said Hogan-Lopez, of Gloucester, Massachusetts, and a member of the Harvard sailing team since 2022. “In more recent years there’s also been a notable increase in red tides and bacteria blooms which negatively impact our beaches and local aquatic systems.”

Over the past several months, Hogan-Lopez, an environmental science and engineering concentrator, has researched the impact of per- and polyfluoroalkyl substances on humans and the environment. A broad class of chemicals, PFAS are found in everyday products ranging from rain jackets to water bottles and nonstick cooking pans.

Known as “forever chemicals,” PFAS are extremely persistent in the environment, and some have long half-lives in humans, said Elsie Sunderland, the Fred Kavli Professor of Environmental Chemistry and professor of Earth and planetary sciences. “They have been statistically associated with increased incidences of a wide range of chronic diseases that indicate adverse impacts on immune health, cardiovascular health, inflammation, and risks of certain cancers. Our lab focuses on better characterizing sources of PFAS exposures and interventions that can help people reduce their exposures to these chemicals.”

Olivia Hogan-Lopez sailing on the Charles.
Hogan-Lopez sailing on the Charles.

According to a study conducted by the Journal of the National Cancer Institute, PFAS can be found in the blood streams of 98 percent of the U.S. population.

“We don’t really know how it accumulates and bioaccumulates in people,” said Hogan-Lopez. “That is a big part of my research. I’m really interested in figuring out how and what organs it stays in and how that might be linked later to different cancers.”

“We have been so happy to have Olivia in the lab for the last couple of years,” Sunderland said. “During her first year working with us, she mainly worked as a research assistant. This past year she has branched out and is now pursuing her own personal research toward a thesis project examining how PFAS partition and accumulate in different tissues.”

Inspired by environmental toxicology courses, such as “Introduction to Environmental Toxicology,” Hogan-Lopez switched her research focus from mercury to PFAS. Using fish organs and several different types of PFAS, she watches how the chemicals interact with uncontaminated fish organs, clocking the time it takes for them to contaminate the organs.

“I’m really pleased with how it’s turning out, and I have high hopes for the project, but I think, in science, you always have to be careful,” said Hogan-Lopez. “My experiments have been working and I’m really proud and excited to see where it goes. There have been bumps along the road, but it’s a great learning process.”

Another key lab lesson is one she’d already learned sailing: perseverance.

 “Sailing is very similar in that when you’re having a tough time you keep pushing through,” she said. “The coaches are so great, and they tell it to you so many times and then it finally clicks.”

Now a senior, Hogan-Lopez hopes to make the most of the time she has left at Harvard.

“I’m really excited about my thesis and learning through this experience,” Hogan-Lopez said. “I’m really excited about sailing. I want to learn as much as I can before I go.”


Technically, it’s possible. Ethically, it’s complicated.

Surge in AI use heightens demand for Harvard program that examines social consequences of computer science work


Science & Tech

Technically, it’s possible. Ethically, it’s complicated.

Matthew Kopec.

“Students are basically getting a flavor of humanistic education inside their computer science courses,” said Matthew Kopec, program director for Embedded EthiCS.

Stephanie Mitchell/Harvard Staff Photographer

7 min read

Surge in AI use heightens demand for Harvard program that examines social consequences of computer science work

A San Francisco pedestrian was severely injured in 2023 when a driver struck her, throwing her in the path of a self-driving car that dragged her 20 feet while attempting to pull over. In the complex circumstances and legal fallout of the crash, educators saw a learning opportunity for future engineers to grapple with the ethical challenges of emerging technologies.

“We framed the case as a cautionary tale and a challenge for improving design in cases where collisions are unavoidable,” said Michael Pope, who led a discussion on the crash for students in “Planning and Learning Methods in AI,” a course in the John A. Paulson School of Engineering and Applied Sciences. “How should we design systems for these kinds of unpredictable scenarios? How should we think about the training regime and the learning models we’re using in these systems?”

Pope is a postdoctoral fellow with Embedded EthiCS, a program launched in 2017 that brings philosophy scholars into computer science classrooms to help students grapple with the ethical and social implications of their work. This year brings new emphasis on ethics of AI.

“Students are basically getting a flavor of humanistic education inside their computer science courses,” said Matthew Kopec, program director for Embedded EthiCS. “Having conversations in the computer science classroom about these topics that anchor into their core values, where they can actually talk with each other, learn that different individuals have different values, and defend their values. That’s not something that usually happens in a computer science classroom.”

‘I’m just building a robot here’

Courses tackle a range of issues. An ethics module from “Introduction to Computational Linguistics and Natural-Language Processing” had students discuss the responsibilities of companies that create AI chatbots. In “Introduction to Robotics,” they debated the future of work as automation and AI replace certain jobs. In “Advanced Computer Vision” last year, students examined deepfakes and how the same AI technology that’s used to create online misinformation could also be used to authenticate content and restore digital trust.

In “CS50: Introduction to Computer Science,” where engaging in full-group discussions is difficult due to the class size, philosophers worked with the teaching team to insert short ethics explainers and reflection questions into problem sets. One problem set asked students to build a website that included a blurb about ADA accessibility. Another about filtering and recovering file data had a question about why it might be necessary to blur images; students were then asked to describe a scenario in which data recovery might violate someone’s privacy, and how that work could be done responsibly.

“From simple things like building emojis all the way up to large language models, self-driving cars, and autonomous weapon systems, you name it, we’ll come up with some social, ethical implications.”

Huzeyfe Demirtas

David Malan, who teaches the popular entry-level course, said his motivation for incorporating ethics material was to get students thinking about whether the fact that they can do certain things, technologically, means that they should.

“Too often our students, even after they graduate and are in the industry, are perhaps put in situations where they’re asked to do something by their manager or by the company and they don’t necessarily feel they’re in a position to question or challenge it,” Malan said. “What we wanted to do within the class is create an environment in which students are prompted to think well in advance about how and whether to solve certain problems now that they have the technical savvy to do so.”

Huzeyfe Demirtas, a philosophy postdoctoral fellow in Embedded EthiCS, said many of his computer science students are excited to engage with the philosophy curriculum. But some still view computer science as separate from ethics or social responsibility. Those are the students he’s particularly interested in reaching.

“It’s not so infrequently that we hear things like, ‘Well, I’m just coding’ or ‘I’m just building a robot here,’” said Demirtas, whose own research focuses on questions of moral responsibility, free will, and the metaphysics of causation. “That’s a bit misguided. From simple things like building emojis all the way up to large language models, self-driving cars, and autonomous weapon systems, you name it, we’ll come up with some social, ethical implications.”

Demirtas taught an ethics module this month for the computer science course “Systems Security,” in which students discussed how a company should respond to an attack on its system from an outside hacker. Is it morally OK to booby-trap your own data with a bug that would destroy a hacker’s mainframe? What are the ethics of hacking the hacker to retrieve stolen data?

Demand explodes with ChatGPT use

Kopec said interest in Embedded EthiCS has skyrocketed among computer science faculty. In the early days of the program, it took considerable effort on behalf of co-founders Barbara Grosz and Alison Simmons to convince computer science faculty to add a philosophy module to their already-packed curriculums, he said. Now, demand outweighs the capacity of Embedded EthiCS to run them.

“I haven’t run into a CS professor who doesn’t think that computer science has ethical implications anymore,” Kopec said. “Because of the rapid change with ChatGPT and how it upended everybody’s life, everybody is now convinced that we need to rush to get more ethical reasoning skills and more ethical reflection into the student populations, especially students who are learning computer science. Now the question is, ‘How do you do it, and how do you do it quickly?’”

“Because of the rapid change with ChatGPT … everybody is now convinced that we need to rush to get more ethical reasoning skills and more ethical reflection into the student populations.”

Matthew Kopec

It’s a question that other colleges and universities are considering as well. Embedded EthiCS has helped other institutions, including Stanford University, University of Toronto, Technion – Israel Institute of Technology, and University of Nebraska–Lincoln, launch responsible computing programs. With National Science Foundation funding, Harvard has also helped nine members of The Computing Alliance of Hispanic-Serving Institutions, including two California State University campuses and New Mexico State University, pilot ethics programs focused on AI.

Kopec recommends the model of inserting ethics modules in pre-existing computer science curricula because it can be implemented fast to keep pace with AI development without having to wait for a faculty hiring, curriculum building, or course approvals process.

“Over the course of one week we can get all these teams together, train them up really quickly on what an approach like ours is, and then they can leave with all the tools that they need to get a program like that up and running at their own institution,” he said.

While the program gives computer science students a new perspective, it also offers an opportunity for the philosophy researchers to discover new areas of interest. Demirtas’ forthcoming paper examines the so-called “Explainable AI” problem: We often don’t know how complex AI systems make decisions, so what are the ethical implications when those enigmatic “black boxes,” are used to make policing or healthcare decisions?

“I think it’s definitely a two-way street. The research in tech ethics is just getting better overall. Research in philosophy is definitely improving the more we interact with computer scientists,” Kopec said. “I also think that various areas of computer science research will be better informed, because those computer scientists are interacting with philosophers when they’re doing the research.”


How do you make a game-winning field goal?

It’s all in the preparation, Crimson kicker says. And don’t worry. Either way, you’re only as good (or bad) as your last kick.


Campus & Community

How do you make a game-winning field goal?

Kiernan Corr during the last 5 seconds of the Harvard-Penn game.

Kieran Corr preparing to kick his game-winning field goal.

Harvard Athletics

3 min read

It’s all in the preparation, Crimson kicker says. And don’t worry. Either way, you’re only as good (or bad) as your last kick.

A series of random questions answered by Harvard experts.

Crimson kicker Kieran Corr secured a 45-43 win over Penn last Saturday by hitting a 53-yard field goal with just five seconds on the clock. We asked the sophomore: How do you stay cool under pressure?

Take a deep breath and just trust in your abilities and stay confident.

For kicking, you kick 1,000 balls over a season in practice, and then how many field goal attempts do you actually get? Maybe 15 or 20, if you’re lucky. You just have to be ready no matter what opportunity comes to you at any point in the game.

I’m not trying to teach myself how to kick the ball — like have your foot at this angle and swing this hard. I’m really just trying to keep it simple and trust my abilities. My mindset is if I just do everything I’ve been doing, this should go in, not that I need to change anything or rise to the occasion or do anything special.

When I run out there on the field, I try to get out there first or just run toward the upright. I’m just trying to focus on the kick and not anything else beforehand.

It really just comes down to trying to keep my body loose — doing practice moves and then taking my steps back the same way every time. Three steps back, two to the left. Then getting my feet in good position. I look up, and I give the holder a nod when I feel ready.

It’s just a routine at that point, trying to minimize the distraction, not thinking about anything else. Just follow through.

That was my first game-winning kick. So the game was just over after that kick, which was such a weird feeling to me. As soon as I saw it go in, my instant reaction was, “All right, let’s make the next one.” I was just instantly thinking about the next kick. I’m always just thinking about making the next kick.

And right now, that’s my mentality. How can I focus on the next kick at Yale?

A big thing with kicking is that you’re never as good as they say you are, and you’re never as bad as they say you are, because you’re only as good as your last kick.

Nothing we do during the game is going to radically change how we’re going to perform, because all that work has been put in prior.

It’s exactly like an exam, because you study and you do all the work beforehand, and then that might be like 95 percent and then 5 percent is your actual performance on the exam. You put in so much work just to show a tiny bit of results.

There’s nothing you can do to affect the outcome of the kick, other than just kicking the ball. So there’s no point in worrying about external things. Just control your thoughts, and then the results will follow.

As told to Anna Lamb/Harvard Staff Writer


How immigrant doctors fill critical gap in U.S. healthcare system

Science historian explores roots of American physician shortage and how to fix it


Health

How immigrant doctors fill critical gap in U.S. healthcare system

7 min read

Science historian explores roots of American physician shortage and how to fix it

In the 60 years since the U.S. government began allowing immigrant physicians into the country to solve the U.S. shortage, foreign doctors have become the invisible foundation of American medicine. Nearly one quarter of the physicians in the country are international medical graduates, according a 2023 report by the American Association of Medical Colleges.

In her new book, “The Care of Foreigners: How Immigrant Physicians Changed U.S. Healthcare,” Eram Alam, an associate professor of the history of science, explores the history of the migration of foreign physicians to the U.S. In this interview, edited for clarity and length, Alam discusses how foreign physicians ended up tending to millions of American patients in rural and underserved urban communities and how they have changed U.S. healthcare.

Eram Alam and her book cover

Nearly one in four doctors in the U.S. are foreign medical graduates. How did the U.S. become so dependent on foreign physicians to provide healthcare to Americans?

It all really started with the Hart-Celler Immigration and Nationality Act of 1965. Three months prior to this legislation, Medicare and Medicaid passed in the United States, and almost overnight, 20 million people had health coverage. The problem was, there weren’t enough doctors to take care of everyone. Part of this bill was designed with attention to the physician scarcity in the U.S., especially in what are called “shortage areas” across the nation. These are urban and rural communities that lack a sufficient number of healthcare workers, and where hospitals tend to be under-resourced, and a large number of patients are on Medicare and Medicaid. These aren’t usually the kinds of places that appeal to most American-trained doctors. If you have options, you might not jump at the chance to practice medicine in a small rural town in Arkansas, for example. So, immigrant physicians were and still are invited to work in these shortage areas.

U.S. physicians by medical school

What are the root causes of the physician shortage in the U.S. and what are the possible solutions?

This has been a problem since the early 1900s, when U.S. medical professionals worked hard to keep the field socially exclusive. They promoted medicine as a white, male, elite profession — one reserved for the wealthy and well-connected. For the first half of the 20th century, organized medicine actively limited entry, keeping the profession small and making it difficult for women and minorities to join. Then, in the post-World War II years, the landscape began to shift. The population was growing, the Civil Rights and women’s movements were gaining momentum, and more people began to see healthcare not as a luxury but as a right. So the population boom, the physician shortage, and the rise in medical demand all came together at the same time and it was clear that the U.S. was simply not equipped to meet this new level of need.

“Experts have said that to end the doctor shortage in the U.S. more work needs to be done to recruit talent from different communities, and to offer loan forgiveness programs so that people can become physicians without incurring massive debt.”

Experts have said that to end the doctor shortage in the U.S. more work needs to be done to recruit talent from different communities, and to offer loan forgiveness programs so that people can become physicians without incurring massive debt. Also, there is a need to reorganize the way that U.S. healthcare functions by using physician assistants and nurse practitioners, and reintroducing community health workers into the picture. Finally, as the wealthiest country in the world and the one that spends the most on healthcare, the U.S. should invest in training and producing enough doctors so that it can share medical expertise globally, rather than relying on importing physicians from abroad.

By some accounts, there are more than 200,000 foreign-born physicians in the U.S. Where do they come from, what specialties do they practice, and where do they go?

The numbers are a little bit vague. There may be 200,000 to 300,000 foreign-born physicians in the United States, and many practice in primary care, the front line of the health system, and other specialties considered the least prestigious and least lucrative in this country. They work in underserved urban and rural areas, where there’s often just one physician for every 3,500 residents. A large number come from India, followed by Pakistan and the Philippines, and, more recently, from Nigeria.

One downside to relying on foreign-born physicians is that many of them receive their medical training in their home countries, often at schools that are funded by local taxpayers. When these doctors move to the United States to practice, it means that the investment made by their own countries benefits the U.S. instead. As a result, their home countries are left with fewer doctors to care for their own populations.

You interviewed many immigrant doctors for your book. What’s the common thread in their experiences working in the U.S.?

Early on, many of the physicians said they felt like they were on the margins of the profession. They explained although they understood the medical sciences, it was the social and cultural side of medicine that took longer to learn. Many of them work in places where they’re often the only doctors around, caring for people at their most vulnerable. That creates a complicated dynamic: They’re the ones providing essential care, yet they’re also very different from the communities they serve. They frequently mentioned that learning to navigate those social and cultural landscapes took time.

“They explained although they understood the medical sciences, it was the social and cultural side of medicine that took longer to learn.”

But 60 years after they started coming to this country, the public image of the South Asian physician changed over the years. How so?

It has evolved a lot. Back in the 1960s, South Asian physicians were just starting to arrive in the U.S., and many people thought of them as outsiders or newcomers to the medical scene. And today, they are a prominent and visible part of the profession, both as first- and second-generation immigrants. We see this not only in the ubiquity of physicians of South Asian origin in hospitals and clinics, but also in mainstream media, from well-known figures like Deepak Chopra, Sanjay Gupta, and Vivek Murthy, to fictional characters on television and in film.

That’s a huge shift — from being largely invisible or unfamiliar in the 1960s to someone like Ashish Jha leading the White House COVID response. Over time, as more first-generation South Asian doctors arrived and established themselves, they became crucial to the healthcare system. They also started to recognize their collective power, organizing and speaking out about issues like workplace discrimination. That growth — from simply being present to actively shaping policy and public perception — played a big part in how they moved into the mainstream and gained wider acceptance and respect. The first immigrant wave really paved the way for the second generation.

Finally, what impact do you think the recent restrictions on the H-1B skilled labor visa program will have on the U.S. healthcare labor force?

Many foreign-trained physicians come on this H-1B visa and they work in underserved hospitals, which tend to be underfunded. Before, the hospitals had to pay approximately $5,000 to sponsor a physician’s visa to work in the United States. Now, they’d have to pay $100,000 per physician. That is a massive increase. In many of these hospitals, especially in rural communities, 100 percent of the physicians are immigrant physicians. These institutions won’t be able to absorb the cost, and the consequences will be that they have fewer physicians, which will affect health outcomes dramatically. The American Medical Association and other organizations have petitioned the administration to make an exception for physicians because immigrant physicians provide vital care to millions of Americans.


How children learn to be good

One tip for parents: Tell them about your mistakes


Health

How children learn to be good

LIttle boy comforting his friend.
3 min read

One tip for parents: Tell them about your mistakes

A series of random questions answered by Harvard experts.

Richard Weissbourd and Kiran Bhai are part of the leadership team at Making Caring Common, a Harvard Ed School initiative focused on making moral and social development a priority in child-raising.

Can we become better people — more caring, generous, honest, and just?

The idea that our moral capacities are fixed seems to be deep in the American psyche. At family gatherings, in the playground or classroom, children are often labeled “good” or “bad.” Many Americans are even more inclined to see adults’ moral qualities as set in stone. 

But research indicates that both children and adults have a great capacity for moral growth, and the cost of assuming their morality is fixed is high. Children have nuanced combinations of moral strengths and weaknesses that can evolve in different directions over time — and categorizing a child as bad can cause us to treat them in ways that lead them to fulfill our negative expectations.

When it comes to moral development, we need to adopt what psychologist Carol Dweck calls a “growth mindset:” a belief in our own capacity, and the capacity of the children we interact with, to continually become more able to be and do good. A child may struggle to share, but that doesn’t mean they’re selfish. It means they’re not able to share yet and they need support and guidance in developing this ability.

Research indicates that both children and adults have a great capacity for moral growth, and the cost of assuming their morality is fixed is high.

There is much that adults can do to support a child’s moral growth, including modeling care, respect, and fairness, guiding children in thinking hard from many perspectives about moral dilemmas, and helping them manage emotions that can cause them to harm others.

Parents and educators can encourage children to be caring — to reach out to a friendless kid on the playground, say, or to be respectful with others even when they’re in a bad mood — and provide them with opportunities to practice caring day to day, whether pitching in around the house or classroom, helping an elderly neighbor, or taking care of a pet.

At the same time, parents and educators can work to expand both their own and their children’s circle of care to include not only their family and friends but those who may drop off their radar — a bus driver, for instance, or a server in a restaurant, or the school custodian.

Crucially, parents can advance children’s moral development — and directly model a growth mindset — by talking openly to them about their moral mistakes and how they plan to avoid repeating them. Through these actions, parents can cultivate a family identity that centers on adding value to others, a powerful way that children internalize a deep and lasting commitment to caring and fairness. 

Our belief in moral growth is no trivial matter. Our country these days often seems to be in a moral free fall. Individualism often eclipses concern for the common good, and Americans of different political stripes are at each other’s throats. We can reverse these trends, but we’ll need to start by believing that we can and must be better.

As told to Sy Boles/Harvard Staff Writer


Why the Mediterranean diet works

In podcast, experts break down universal appeal, research-backed benefits of a health trend that adds more than it takes away


Health

‘Harvard Thinking’: Why the Mediterranean diet works

empty plate

Illustrations by Liz Zonarich/Harvard Staff

long read

In podcast, experts break down universal appeal, research-backed benefits of a health trend that adds more than it takes away

Diet fads come and go. But at least according to research, it appears the Mediterranean diet is here to stay.

“There is no doubt whatsoever that the Mediterranean diet is able to bring down the rates of heart disease and diabetes,” said Miguel Ángel Martínez González, an adjunct professor of nutrition at the T.H. Chan School of Public Health. “We also saw reductions in breast cancer, positive beneficial changes in cognitive function — and also premature death is reduced, so longevity is improved with the Mediterranean diet.”

In many ways, the word “diet” is a misnomer. People hear the word and assume it means restricted, short-term eating habits with the sole goal of losing weight. That’s not the case, said Uma Naidoo, the director of nutritional, lifestyle, and metabolic psychiatry at Massachusetts General Hospital and Harvard Medical School.

“We have to move Americans away from this obsession with their waistline,” she said. “What I notice in my clinic is that many people will by chance and unexpectedly lose weight because they’re actually eating healthier … I much prefer to make the focus how you can add these healthy foods to your diet than take anything away.”

In this episode of “Harvard Thinking,” host Samantha Laine Perfas talks with Naidoo and Martínez González about the evidence-based benefits of adopting the principles of the Mediterranean diet.



Listen on: Spotify Apple YouTube


Uma Naidoo: People feel better if they can add things to their diet rather than restrict things. So I think that the abundance of the Mediterranean diet and the number of things you can do — that also leads to the fact that you don’t feel, “I’m giving up something” and “I can’t eat something” — that’s a very important thing psychologically.

Samantha Laine Perfas: There’s been no shortage of studies about just how beneficial the Mediterranean diet can be. It’s been shown to increase life expectancy, decrease risk for dementia, improve mental health and cognitive function, and even lower the risk of heart disease. The Mediterranean diet has shown positive results for nearly every demographic.

What is it that makes the diet so great?

Welcome to “Harvard Thinking,” a podcast where the life of the mind meets everyday life. Today I’m joined by:

Naidoo: I’m Dr. Uma Naidoo. I’m the director of nutritional, lifestyle, and metabolic psychiatry at Massachusetts General Hospital, Harvard Medical School.

Laine Perfas: She’s a trained psychiatrist, chef, and nutritional biologist. She’s also written two books, “This Is Your Brain on Food” and “Calm Your Mind with Food.” Then:

Miguel Ángel Martínez González: Miguel Martínez González. I am an adjunct professor at the Department of Nutrition at the Harvard School of Public Health, and I am a professor of public health at the University of Navarra in Spain.

Laine Perfas: He’s been the principal investigator for PREDIMED and PREDIMED-Plus, two large trials studying the relationship between the Mediterranean diet and the risk of cardiovascular disease.

And I’m Samantha Laine Perfas, your host and a writer for The Harvard Gazette. Today we’ll explore not just what makes the Mediterranean diet so popular, but how people can make nutritional changes that work for them day to day.

So what exactly is the Mediterranean diet?

Martínez González: When we say Mediterranean diet, we are not thinking of a slimming diet. We are thinking of an overall food pattern that is mainly plant-forward, but it is not exclusively from vegetal origin. So you can include small amounts of poultry or fish or eggs without any problem. It is a gentle push toward something similar to a vegetarian diet but without being fully vegetarian. The main dishes are salads with a lot of extra virgin olive oil. Extra virgin olive oil is very important in the Mediterranean diet because it is not a refined oil. It is the natural juice of the olives, so it has a lot of anti-inflammatory properties. The consumption of olive oil can represent almost 20 to 25 percent of the total calories that people are intaking. Another element of the Mediterranean diet that is very important is fresh fruit, fresh vegetables. We recommend two servings of vegetables and three pieces of fruit a day. So you can eat fruit for breakfast, lunch, and dinner. This provides a lot of bioactive compounds with antioxidant and anti-inflammatory properties.

fruits and veggies

Laine Perfas: What are the benefits of this diet, and what is it about the food that brings those benefits?

Martínez González: There is no doubt whatsoever that the Mediterranean diet is able to bring down the rates of heart disease and diabetes. PREDIMED was instrumental in showing a 30 percent reduction in cardiovascular disease with an intervention promoting the Mediterranean diet as compared to another control group that was advised to follow a low-fat diet. We also saw reductions in breast cancer, positive beneficial changes in cognitive function, and also premature death is reduced, so longevity is improved with the Mediterranean diet.

Naidoo: PREDIMED-Plus really helped us understand, on a deeper level, the intersection between mental health and metabolic health. The reduced risk of depression, the improved cognitive performance in memory. Overall lower systemic inflammation and the improvement of dysbiosis in the microbiome balance were extremely helpful in terms of mental health conditions.

“Inflammation is such an underlying driving factor of conditions like depression, anxiety, and cognitive disorders. And the Mediterranean diet is an easy way to start fending off that inflammation.”

One of the things we’re understanding about mental health is that inflammation is such an underlying driving factor of conditions like depression, anxiety, and cognitive disorders. And the Mediterranean diet is an easy way to start fending off that inflammation.

Laine Perfas:  And to be specific, olive oil plays a large part in that, correct?

Martínez González: Extra virgin olive oil is able to provide some components like oleocanthal, hydroxytyrosol that have anti-inflammatory properties. These components are antioxidant. They prevent the LDL particles, the bad cholesterol, to be oxidized. Also, the monounsaturated fat in olive oil and the minor components of the extra virgin olive oil that are not present in canola oil or other kinds of oil are able to improve the sensitivity to insulin. This reduces the risk of diabetes and insulin resistance.

We have seen that the blood pressure does not go up with age if, instead of consuming ultraprocessed foods, you are consuming natural foods. Because the problem with ultraprocessed foods is that you don’t recognize what is in that product. Ultraprocessed foods have many additives that are able to raise blood pressure, so hypertension, high blood pressure, is a big problem prevented with the Mediterranean diet. So we have advantages in terms of anti-inflammatory, antioxidant, insulin sensitivity, and reduction of hypertension. All this together is very powerful.


Laine Perfas: Uma, you’ve written a lot about the gut-brain connection. Can you tell us about how that works, and how does that connection affect us psychologically?

Naidoo: You know, the gut-brain connection is one of the mechanisms in nutritional psychiatry that I like to say explains that mood-food connection. By consuming the foods that Miguel outlined and those types of dietary ingredients, you’re really nurturing the gut microbiome. You are feeding the gut microbes with healthy plant-forward food and fiber, which they need. When they are in balance and they are fending off inflammation with polyphenols from all the different colors of plant foods, etc., their breakdown products are very healthy and very good for the gut microbiome. That is when, clinically, in mental health, I see an improvement of symptoms. On the other hand, if someone has made a sudden switch — maybe it’s a job change, maybe it’s stress — and they suddenly start eating less healthy food, the opposite happens. So let’s say something that is really not in line with the Mediterranean diet and more processed, ultraprocessed foods, the hydrogenated oils and trans fats, the gut microbiome goes into what is called dysbiosis or an imbalance, where the negative, nasty microbes are being fed food that they like: extra sugar, unhealthy foods. That’s when inflammation is set up and clinically that tends to correlate with an uptick of symptoms like, say, anxiety and depression.

Laine Perfas: I think many people, when we think about diets like the Mediterranean diet or other diets out there, we’re often associating them with something as simple as just losing weight. Why would it benefit us to think more broadly about diets as to not just be something about how much we weigh, but really about how we fuel all aspects of our bodies?

Naidoo: What I notice in my clinic is that many people will by chance and unexpectedly lose weight because they’re actually eating healthier. And when they’re eating satiating foods, which are filling, they are less likely to need candy and cake and snacks and ice cream, they really are full and satiated after a meal, and they start to also adopt healthier habits as they feel better; they start to walk a little bit more, exercise a little bit more. So I much prefer to make the focus how you can add these healthy foods to your diet than take anything away. That really starts to become a pathway, because I know someone’s going to feel better, lose weight, and be emotionally a lot better.

We have to move Americans away from this obsession with their waistline. I’m not saying it’s not important, it’s very important. It’s very important for cardiac disease, Type 2 diabetes, mental health, all of it. But I think what we tend to do is watch a number on a scale instead of: What can we do every day in our eating habits to be bringing in healthier foods? And I think that is something I would ask people to rethink in their daily lives.

“We have to move Americans away from this obsession with their waistline. What I notice in my clinic is that many people will by chance and unexpectedly lose weight because they’re actually eating healthier.”

Martínez González: When I see in the U.S. how the salads are dressed, it is like sprinkling drops of olive oil. It is not the case in the traditional Mediterranean diet. The vegetables, the lettuces are literally swimming in olive oil. It is very tasty. It is very pleasant. It is not a tortured diet. What we have seen in our studies is that the adherence, the compliance, is very good. People are enjoying the Mediterranean diet; once they adopt the Mediterranean diet, they keep the Mediterranean diet forever. So this is very good for prevention because it is tasty, it is palatable. You are adding health and pleasure at the same time.

“It is very tasty. It is very pleasant. It is not a tortured diet. … You are adding health and pleasure at the same time.”

Laine Perfas: I like that note that it’s not a tortured diet, it is a tasty diet.

Naidoo: People feel better if they can add things to their diet rather than restrict things. So I think that the abundance of the Mediterranean diet and the number of things you can do — that also leads to the fact that you don’t feel, “I’m giving up something” and “I can’t eat something” — that’s a very important thing psychologically.

I’m also excited that, culturally, there have been a couple of studies out of India looking at an Indian-adapted Mediterranean diet — smaller groups, and of course we need more research to be done, but taking those basic principles and trying to adapt it to a slightly different diet, but still, really convey healthy eating.

Laine Perfas: I’d love to hear a little bit more about that. One question I’ve had with the Mediterranean diet is if it really can be for all groups of people. Is it possible to have a one-size-fits-all diet like this, or should it be shaped to be appropriate for different groups of people or different palettes?

plate

Naidoo: As a young attending, it was called out by a very smart Harvard medical student when I was teaching — we were talking about the Mediterranean diet, and she said to me, “Dr. Naidoo, I don’t understand, all you doctors talk about the Mediterranean diet, but I’m Chinese and we don’t eat chickpeas. In fact, it’s not part of our culture.” It was a great conversation, and I learned so much. I’ve always felt the importance of having some cultural adaptations as you are practically offering advice to people. So, you know, chickpeas are – if you go to an Indian restaurant, they’re called chole, or if you’re speaking to someone who is of East Asian or Chinese culture, it could be mung beans or edamame and black beans and other things that they might be consuming. Unless it’s traditional American baked beans, which have a lot of sugar, a lot of other legumes and beans are pretty healthy. So I do think one factor is adapting it to the culture that’s relevant to that individual, so they understand the principles of what’s been tested in the research.

The other factor is that the studies in the Indian-adapted Mediterranean diet were very small, so these are new. Most of the ones that I saw were this year. And some of them had very few women participants as well, but they were looking at an improvement of things like heart disease, which I think are relevant. So what I’m hopeful about is those can be extended in bigger trials to offer better health outcomes for those populations and others.

Martínez González: I think that the Mediterranean diet needs to be adapted to different cultures, and it is not so difficult. We are helping to conduct a randomized trial in Singapore. It is straightforward to adapt the Mediterranean diet. You can do an adaptation with the main principles. There are many varieties of tree nuts, of legumes, many different varieties of fish or seafood. You can combine the traditional elements of the local culture with those of the Mediterranean diet, following these lines: preferring fish instead of meat, preferring poultry instead of red meat, putting a lot of salads and fresh fruits, the typical fruits of the region. So this can be very easily adapted to many cultures.

“You can combine the traditional elements of the local culture with those of the Mediterranean diet, following these lines: preferring fish instead of meat, preferring poultry instead of red meat, a lot of salads, and fresh fruits.”

Laine Perfas: I’m hearing that one of the major values of the Mediterranean diet is that it provides a set of principles to follow, and that within those principles, there’s actually a lot of flexibility. That makes me wonder if then the Mediterranean diet is really all that unique, or is it simply a different way of saying: Eat real food?

Naidoo: I think that you are correct that we are talking about healthy eating principles, but here’s the thing: Most people know what healthy eating is, but they don’t tend to do it. I think where you take healthy principles, and you do study those principles across multiple disease profiles, large groups of studies that are randomized control, and replicated in different cultures in different parts of the world, it helps to give research structure but also helps to guide people. It still doesn’t necessarily mean they’re going to follow it, but there is flexibility and an understanding that you can really add things into your diet. Especially if they are of this region, because these ingredients have been studied to be healthy.

I also think when it comes to mental health — for the trials that, say, took principles of the Mediterranean diet and tried to look at healthy eating principles in people to make it more specific to mental health — they would’ve done and have done things like anxiety scales, HAM-A or PHQ-9, to see, did they change some eating principles? Did they actually improve and feel better? That’s where it gets to be a little bit more niche when it comes to nutritional psychiatry. But I also feel like some structure and guidance around how to eat healthy, where there’s so much noise in the world — often “eat this, not that” mentality — is very helpful from principles of the Mediterranean diet.

Martínez González: There are several things that are unique in the Mediterranean diet. The way of dressing the salads or preparing the chicken or the fish is not with a lot of salt, it is always with aromatic herbs, with a special dressing that is natural, that is not processed. The culinary practices make it very tasty and also very healthy because they come from natural ingredients. In fact, the Culinary Institute of America is promoting the Mediterranean diet all over the world. People are learning how to cook in the Mediterranean way, and this is one of the secrets of the Mediterranean diet. What we see in the experimental studies we are doing with thousands of people is that they get used to cooking like that. They learn to cook. They are never consuming ultraprocessed foods. This is very important because in nutrition, a key issue is the replacement.

For example, in PREDIMED-Plus, when we designed the study at Harvard in 2012, we estimated, according to the equations for risk and so on, that about 10 percent of our participants in six years will have a heart attack. The reality after six years of intervention was 3 percent. I think that most of the effect comes from replacing the bad things with good things. Keeping on track. Keeping always on track for six years, that is not so easy. If you speak of intermittent fasting, extreme diets, keto diet, people cannot afford six years of that diet. Never.

Naidoo: They’re not sustainable. A lot of those are not sustainable. Some people who are very committed will do it, but most people cannot sustain them.

Laine Perfas: I think a lot of diets, including some of the ones you mentioned, haven’t been studied that much. What makes the Mediterranean diet different, and does that give it a little bit more sticking power than some of these other diets?

Martínez González: The low-fat diet was investigated very deeply in the largest trial that was ever conducted in the United States for nutrition: the Women’s Health Initiative dietary trial, published in 2006. And they found after following, for eight years, almost 50,000 women with visits with dieticians every three months, they found nothing with regard to the prevention of heart attacks or early mortality. So we do have good research on the low-fat diet, but it was null. At the same time that these results of the Women’s Health Initiative dietary intervention trial were published, we were conducting the PREDIMED trial. For a long time, it was the recommendation by the American Heart Association: Follow a low-fat diet. It was a simplifying message to say, “Well, all fat is bad.” But we were providing extra olive oil that it is 100 percent fat! And nuts, these are 60 percent fat. That was what we were providing in the PREDIMED, and it was, like, the opposite.

Naidoo: And I think the other point about this is — where the food industry and marketing of food becomes involved — there is a certain amount of messaging to the public that impacts what they eat. So if you say to people, “Well, fats are bad and you have to eat low-fat,” then everything in the food industry, they cut the fat, it’s low-fat, it’s nonfat. But fat is flavor. So when they remove the fat, they put in sugar in various forms through a higher carbohydrate level in those nonfat, low-fat products. And that unfortunately really tipped our health balance as well. Because people started eating low-fat, but they were then not healthy in other parameters. So I think one of the things we have to acknowledge is the interaction between a certain guideline from — whether it’s the American Heart Association, whichever one it is, but then what the food industry does with it, because that’s a whole other level of marketing and level of innovation that doesn’t necessarily serve our health. I will often say to people, the food industry and the food marketing aspects of that are not there to take care of our health. We are in charge of that.

Laine Perfas: How feasible is it to make the switch to the Mediterranean diet? How do you incorporate some of those principles and foods into your diet in a way that doesn’t feel restrictive or like you have to completely start from scratch in your kitchen and reimagine all of your meals?

olive oil, nuts, veggies, and meat

Naidoo: For me, the way to help people toward this path is breaking down or chunking down the principles of what it is. Maybe you can start by, what fat are you cooking your vegetables in? It could be an unhealthy fat. Let’s start to switch it to olive oil. We make the assumption that people know that olive oil is a healthy fat and should be eating it; that may not be the case in all parts of the U.S. Another easy thing to mention is: Why not add healthy nuts to your snacks? Give them a measure of what those amounts should be so that people are not snacking on two cups of nuts. Very different calorie counts there, and probably too calorie-dense for what their everyday diet should be. Can they add one to three more servings of vegetables every day? And then once they get used to that, can they add those servings of vegetables to each meal? Remember, these don’t have to be huge servings portions that go with whatever else they’re eating.

What type of proteins are you eating? Can you include more beans, legumes, those nuts and seeds that I mentioned, and poultry, whatever beef you’re eating or whatever it is — but it’s a plant slant, right? It’s plant-forward. Adding leafy greens — really healthy habit, low calorie, satiating, and high in vitamin B9, which is folate, and low folate decades ago was shown to be associated with a low mood. So I think it’s taking what may seem to someone as a complex diet and breaking down a few principles that they can start with and then dive deeper into that eating pattern.

Martínez González: There are challenges in moving the American population toward the Mediterranean diet because the American population is used to cooking with a lot of meat, sausages, burgers, fast food, and sweet desserts full of sugar and cream, using butter mainly instead of oil for bread, for breakfast, for everything. So there are many challenges.

Professor Walter Willett at the Department of Nutrition is doing a great job with the Culinary Institute of America to train people responsible for restaurants, to train people in the hospital, to have teaching kitchens in the hospitals and to train a lot of people. They are learning. And more and more people are incorporating these principles. Willett did a lot in this regard because he was the first to contradict the message of the low-fat diet that was very prevalent in the ’90s and the early 2000s. He always said the quality of fat and the quality of carbohydrates are more important than the quantity of fat and the quantity of carbohydrates.

Laine Perfas: What is your number one tip you would give someone who’s listening to this podcast and wants to try to adjust to the Mediterranean diet?

Martínez González: So I will say to adopt the pattern of fruit as the usual dessert. Keep the sweet, the creamy, sugary desserts only for special days, but on a daily basis, try to switch to eating fruit as the usual dessert. This is very powerful. This is a very important change that gives you a lot of advantages in terms of a healthier diet.

Naidoo: I think that I usually like to ask everyone or someone who’s talking to me: What’s one unhealthy habit — food or beverage or habit in general, usually I would prefer that it’s food or beverage — that you’ve picked up that you’re unhappy about? Because most people know what it is. And they will be talking about it and regretting having the ice cream or whatever it might be, and because they have mental awareness of it, I asked them to stop there. That habit, if they can just switch that one thing, because they’re aware of it, you can offer easy solutions. You can make an ice cream made from fruit. You can make an ice cream made from bananas and even make it chocolate-flavored. I have the recipe in my book, “This Is Your Brain on Food.” Or you can, for Thanksgiving, have those special desserts, but for your everyday life, have a clementine, have some blueberries, pair that with some nuts. Making simple dietary changes, introducing the Mediterranean principles from the Mediterranean diet into our everyday eating, are much more sustainable than whatever is happening on the news cycle around what we should eat, what we shouldn’t eat, and whatever the current headline is.

Laine Perfas: Thank you both for talking to me today.

Naidoo: Thank you. Thank you for having us. Thank you, Miguel.

Laine Perfas: Thanks for listening. If you’d like to see a transcript of this episode or listen to our other episodes, visit harvard.edu/thinking. To support us, rate us on Apple Podcasts and Spotify, or share this episode with a friend or colleague. This episode was hosted and produced by me, Samantha Laine Perfas, with production support and editing by Sarah Lamodi. Additional editing by Ryan Mulcahy, Paul Makishima, and Max Larkin. Original music and sound design by Noel Flatt, produced by Harvard University. Copyright 2025.


Steven Pinker wants to hear your ideas – even the bad ones

Psychologist takes issue with cancel culture in ‘common knowledge’ conversation at the IOP


Nation & World

Steven Pinker wants to hear your ideas – even the bad ones

Steven Pinker.

Steven Pinker.

Photos by Michael DeStefano

4 min read

Psychologist takes issue with cancel culture in ‘common knowledge’ conversation at the IOP

Steven Pinker, Johnstone Family Professor of Psychology, explained how “common knowledge” operates on campuses, in politics, and across the wider culture in a conversation with the Kennedy School’s Jennifer Lerner Wednesday at the IOP Forum.

“I know something. You know it. I know that you know it. You know that I know it. I know that you know that I know that you know it, and so on ad infinitum,” said Pinker, defining the term at the center of his latest book, “When Everyone Knows That Everyone Knows…: Common Knowledge and the Mysteries of Money, Power, and Everyday Life.”

Common knowledge undergirds all sorts of human affairs and social conventions including language and currency, helping shape everything from stock market booms and busts to the formation of political movements, he said.

“Why does a word mean what it means? It’s not because any panel of dictionary editors legislated what the correct meaning of a word is,” Pinker said. “A word means what it means because everyone knows that everyone knows that everyone knows that that’s what it means.”

Lerner and Pinker spoke about how norms, which are a kind of common knowledge, affect higher education. Pinker, who serves on the Council for Academic Freedom, an association of University faculty that promotes free inquiry, intellectual diversity, and civil discourse on campus, said he’s fascinated by the psychology behind “cancel culture,” especially at colleges.

“Contrary to what ought to be the ethos of academia, namely that only by expressing an idea can we find out whether it’s any good, why is there an urge that certain ideas not be expressed at all?” Pinker wondered.

Steven Pinker and Jennifer Lerner.
Pinker and Jennifer Lerner.

That state of affairs is not in anyone’s interest, especially at colleges and universities, where students and faculty ought to be free to evaluate hypotheses without judgment or intimidation, he argued.

“In academia, people often treat opinions as signs of internal moral worth,” he said. “You’re a good person or a bad person according to what you believe.”

Asked whether highly objectionable speech in the classroom deserves to be restricted, Pinker said no, the content of someone’s ideas, no matter how odious, shouldn’t lead them to be punished.

“Yeah, it hurts when someone criticizes one of your ideas,” but “too bad,” he said. “If you’re part of this community, you’ve got to sign on to the agreement that your ideas are fair game and that you don’t have any proprietary interest in them not being criticized.”

Today’s media fragmentation and political news silos — along with the emergence of social media figures who amplify conspiracies in order to make money — have made it more difficult for society to identify commonly held objective truths, Pinker noted.

It’s not that common knowledge is in decline, he said. Human beings have mostly fallen short of consensus on life’s biggest questions. What’s changed is that academics, journalists, and others in liberal democracies have started to believe that objective answers to these questions exist and that tools like science and scholarship can lead us to the truth.

“These are deeply weird beliefs in the context of human history,” where it hasn’t been possible until recently to find ‘true’ answers to these questions, he said.

“And so what we’re seeing, I think, is a regression to the way that people always have dealt with big questions that are outside the realm of immediate experience. Namely, why would anyone think there’s a true or false answer to begin with?

“I think what we need to do is not ask the question, why are people no longer believing in the truth, but what is it that ever gets people to sign on to the idea that there is a truth these big questions in the first place?”


How habits in your 20s shape your heart for life

Young adulthood offers critical window to greatly reduce future risk of cardiovascular disease, according to new study


Health

How habits in your 20s shape your heart for life

Man and woman healthy eating salad after exercise at fitness gym.
3 min read

Young adulthood offers critical window to greatly reduce future risk of cardiovascular disease, according to new study

Patterns of cardiovascular health during young adulthood strongly predict the risk of heart disease, stroke, and death decades later, according to a new study led in part by Harvard-affiliated Beth Israel Deaconess Medical Center.

Using data from the long-running Coronary Artery Risk Development in Young Adults study, which has followed more than 5,000 adults across the U.S. over the past 35 years, researchers found that individuals whose cardiovascular health declined between their 20s and 40s were up to ten times more likely to develop heart disease by their 60s than those who maintained or improved their heart health. The study’s results are published in JAMA Network Open.

“In short, our study suggests that change matters: Improvements in cardiovascular health can decrease future heart disease risk and the earlier good habits and heart health are obtained and maintained, the better,” said lead author James Guo, a resident physician of internal medicine at BIDMC and a clinical fellow at Harvard Medical School.

Investigators assessed participants’ heart health using the American Heart Association’s Life’s Essential 8 (LE8), a measure that combines eight key factors known to support and define cardiovascular well-being (diet, physical activity, sleep, body mass index, blood cholesterol, blood sugar, blood pressure, and avoiding tobacco exposure) into a single score ranging from 0 to 100. A higher score reflects better cardiovascular health.

The team identified four distinct longitudinal trajectories of cardiovascular health that tracked cardiovascular health measured by LE8 through the participants’ young adulthood, between their 20s to 40s: persistently high, persistently moderate, moderately declining, and moderate-to-low declining. While all four patterns showed decline in cardiovascular health, some trajectories demonstrated steeper declines than others.

Compared with those maintaining persistently optimal heart health, individuals with poorer cardiovascular health trajectories during young adulthood faced significantly higher risks — ranging from two to ten times greater — of developing cardiovascular disease later in life, including heart attacks, strokes, heart failure, the need for coronary revascularization, and cardiovascular-related death. Even modest declines in LE8 scores were consequential: for every 10-point drop out of 100 points between participants’ 20s and 40s, the risk of developing cardiovascular disease later in life increased by 53 percent.

Young adulthood is a time of transitions: finishing school, starting careers, forming families, and navigating changes in healthcare. It is also a period when heart health often fluctuates. This makes the early years of adulthood an ideal window for what researchers call primordial prevention, building and sustaining healthy behaviors before heart disease risk factors like high blood pressure or diabetes appear.

“These findings highlight a broader public health message: Investing in risk factor prevention through health promotion during young adulthood can yield lifelong benefits, reducing the overall burden of heart disease for future generations,” said Guo. “I believe strongly in the adage attributed to Benjamin Franklin, that an ounce of prevention is worth a pound of cure. Cardiovascular disease prevention starts with cardiovascular health promotion in early life.”


This study was supported in part by the American Heart Association and the National Heart, Lung, and Blood Institute.


An animal obsession, singing gadget, and secret accessory

Psychology professor defies the cold with cuddly, hearty, cozy things


Campus & Community

An animal obsession, singing gadget, and secret accessory

Photo illustration of penguin, bowl of rice, and tights.

Photo illustration by Liz Zonarich/Harvard Staff

2 min read

Psychology professor defies the cold with cuddly, hearty, cozy things

Recommendations from Harvard faculty

Elika Bergelson is the John L. Loeb Associate Professor of the Social Sciences in the Department of Psychology. She also identifies as a cold person (physically if not emotionally).


One fascinating aspect of the human mind is that there are many ways in which information gets encoded, stored, and retrieved. That is, you can “look things up” in different ways: Think of words that start with B! Name all the fruits you’ve ever eaten! This made it hard — but fun — to try to sort by “favorite things.” Here are my top three … all of which happen to be proficient at keeping warm.

An animal obsession

Penguins

Starting around sixth grade, my parents encouraged me to read magazines like National Geographic every weekend, find 20 words I didn’t know, and memorize their definitions and etymology. One article I read was about emperor penguins, and I got obsessed with the whole species from there. When they slide on their bellies, it’s called “tobogganing”; they’re stylishly dressed; and their young huddle together to stay warm and be cared for communally in what are called crèches. Wait ’til you hear about some species’ mating behaviors. 10/10.

A kitchen gadget

Zojirushi rice cooker

This is an amazing kitchen gadget, well worth its weight in counter space. You just add however many cups of rice you want, fill up to the right line with water, press a button, and go. It sings you a song when you start it and another one when it’s ready! It has a programmable timer so you can schedule your rice to be done when you get home … and if you’re late, it will just keep it warm for you. And it’s not just for rice: We use it for steel-cut oats overnight all winter. We even made a cheesecake in it once! 11/10. 

A survival tip

Fleece-lined tights

I am a cold person (mostly physically). I am also a dedicated all-weather bike commuter, and I firmly believe that there’s no reason to feel cold if you just dress right. Fleece-lined tights are awesome because they’re relatively thin but warm, and you can be secretly wearing them under your pants from November through March, and only you will know. Win-win. 9.5/10 for surviving winter in New England.


— As told to Sy Boles/Harvard Staff Writer


Life and times of ‘the birth certificate of the U.S.’

First-years spend semester delving into 1770s texts, influences that shaped nation, its founding document


Campus & Community

Life and times of ‘the birth certificate of the U.S.’

Professor David Armitage with Anne Sun ’29, Sarah Jiang ’29, Yasmim Barros ’29 at Houghton Library.

Professor David Armitage with Anne Sun ’29, Sarah Jiang ’29, and Yasmim Barros ’29 at Houghton Library.

Photos by Stephanie Mitchell/Harvard Staff Photographer

7 min read

First-years spend semester delving into 1770s texts, influences that shaped nation, its founding document

“We can call it the birth certificate of the U.S.”

David Armitage, Lloyd C. Blankfein Professor of History, was guiding students back to the world of 1776 as part of his “Declarations of Independence” course, which turns a wide-angle lens on the one-page document that revolutionized global politics, starting in the very nation it announced.

Armitage, author of “The Declaration of Independence: A Global History” (2007), situates the document on a continuum of international calls for rebellion, secession, and natural rights. His syllabus traces its intellectual forebears to the 14th century. The first-year seminar also features analyses and appreciations dated as recently as 2015.

“A birth certificate is an official document which includes the name of the new baby,” Armitage continued. “This is the first public printed document in which the very words ‘United States of America’ appear.”

“This is the first public printed document in which the very words ‘United States of America’ appear.”

David Armitage
Declaration of Independence.

The semester’s first few weeks were spent digging into letters, pamphlets, and addresses produced around the time the U.S. took its first breaths as an independent republic.

The “Declaration of the Causes and Necessity for Taking Up Arms,” published by the Continental Congress in July 1775, outlines the familiar grievances — on taxes, trade, and military aggression — that had driven the colonists to violence in Lexington and Concord earlier that year.

Soon, the congressmen were logging 12-hour days from their base in Philadelphia, running a military campaign against the world’s leading superpower while laying the foundations for an entirely new way of governing.

“Today we think the outcome was inevitable,” Armitage said in an interview. “But it all could have gone badly wrong. I try to recover that sense of impending doom at the same time as flourishing possibility.”

The founding of the U.S. is top of mind as the country nears a big milestone in 2026. “I wondered about teaching this course in the spring,” shared Armitage, who last offered the curriculum to College first-years about 10 years ago. “But now these students can be experts in time for the 250th birthday next year.”

At the course’s first session, 11 first-years shared their motivations for applying to the course.

Air Force ROTC student Anne Sun ’29 of San Marcos, California, was among those expressing an interest in government and democratic stewardship.

“Knowing my service to the country, I really wanted to understand its roots and ideals,” she later said.

Others were primed by 21st-century cultural products. Credited as inspiration were Nathan Hale’s “Hazardous Tales” graphic novels, the PBS animated series “Liberty’s Kids,” and of course, the Broadway musical “Hamilton,” which just celebrated its 10th anniversary.

“‘Hamilton’ has been vital in animating a sense of how alive and current and engaging the founding period can be,” Armitage said.

The British-born, naturalized U.S. citizen first turned his attention to the Declaration of Independence circa 2003, a time of increased isolationism in U.S. politics.

“I felt very strongly that it was imperative to globalize American history,” Armitage said. “My claim was that if you could show that for the single most important, prestigious, and resonant statement of American values at the very moment of the United States’ birth, then you could globalize pretty much any other aspect of American history.”

His scholarship showed Thomas Jefferson, primary drafter of the Declaration of Independence, to be an adherent of a style typical of the era’s diplomats. Residents of the 13 colonies saw their belonging in a world of deeply interconnected trade and empire. The document’s assertion of state rights would have been paramount.

Eighteenth-century white Americans were less concerned with the “self-evident” truths that helped propel later struggles for racial and gender equality, though African Americans of the time were quick to see the promise.

“The document’s major purpose was putting up a shingle to the rest of the world and saying three things,” Armitage explained. “No. 1, we’re open for business. Two, you can make alliances with us. Third, we are going to be good members of the international community, and we will respect its laws and its rules.”

The 1,400-word Declaration is arranged into five sections, with its poetic statements on liberty and equality situated in the second. The third and longest section functions as a charge-sheet against King George III. As Armitage explains in his book, the climactic accusation concerning “domestic insurrections” features coded 18th-century language suggesting the monarch had encouraged uprisings by enslaved Black populations. It’s packaged with more overtly racist phrasing condemning Britain’s alliances with Indigenous North Americans.

“They did consciously profess liberty, justice, and equality while still hindering the liberty and equality of people of color,” observed Chuka Okwumabua ’29 of Atlanta. “But they recognized this hypocrisy; they were not naïve. Jefferson talked about the fact that in the future there would be more progress and equality for all.”

Learning about 1776, in the language of 1776, upends romanticized notions of U.S. history.

“I had no idea that the colonists thought of themselves as fellow British citizens who really wanted reconciliation before independence,” Sun said. “I didn’t know that the British king forfeited his right to rule, that he was the one who declared Americans to be rebellious.”

The uneven reach of Europe’s great Enlightenment-era thinkers also surprises.

“I always thought the Founding Fathers were all reading the same texts,” Okwumabua said. “In actuality, there was a societal consciousness being developed across mankind during this period, with people from all around the world coming to share certain ideas.”

The U.S. may have formalized the world’s first Declaration of Independence. But it was hardly the last. Armitage’s quest to globalize American history has also meant tracking the document’s impact across five continents.

“I’ve found about 140 or 150 other declarations of independence,” he told the class. “In fact, more than half of the countries now represented at the United Nations have a document they call a declaration of independence.”

Students saw for themselves during a whirlwind visit to Philadelphia to catch the Museum of the American Revolution’s “The Declaration’s Journey” exhibit, for which Armitage served as a consultant.

The show, mounted in celebration of next year’s 250th, features an original 1776 broadside as well as objects connected with declarations of independence for Haiti (1804), Chile (1818), Mexico (1821), India (1947), and more.

“To see that the formatting, the wording, was almost a direct replica of our Declaration of Independence was incredibly inspiring,” Sun shared.

A special viewing was also arranged at Houghton Library, which holds one of 24 known surviving copies from the Declaration’s original printing.

Also displayed for the class were other Revolution-era objects, including a first edition of Thomas Paine’s pro-independence “Common Sense” pamphlet and John Hancock’s July 6, 1776, letter to a Boston-based general, instructing him to read the Declaration to troops on Cambridge Common.

The general public will be able to see some of these treasures when Houghton opens its own semiquincentennial exhibit next summer.

“I like to introduce my students to the physical forms in which these ideas and documents originally circulated,” Armitage explained. “I want them to see, oh, a broadside, single sheet of the Declaration is very different from a little book.”

America’s birth certificate appeared downright modest, its proportions akin to a placemat. A burst of rust-color stains cloud the document’s title. Wrinkles show where it was once folded, perhaps for placement in a pocket.

Yet the ideas it articulates, in tiny lettering, keep changing the world.

“It’s sobering to realize that the founders weren’t these gods, these deities who created a perfect nation from scratch,” Okwumabua said. “They put some of the pieces in place. But we, as contemporary Americans, have equal power to continue that legacy.”


8 trajectories for long COVID

Study captures variability of a condition that affects millions


Silhouette of a person holding their head in their hands and rubbing their eyes.

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Health

8 trajectories for long COVID

Study captures variability of a condition that affects millions

3 min read

Millions of patients have developed long COVID, a chronic condition that involves a range of symptoms, including fatigue, brain fog, dizziness, and palpitations, that persist for at least three months after infection. In a new analysis of adult participants in an initiative called Researching COVID to Enhance Recovery, or RECOVER, Mass General Brigham researchers identified eight different trajectories that long COVID can take, depending on severity, duration, and whether symptoms improve or worsen. Their findings are published in Nature Communications.

“This study addresses an urgent need to define the differing long COVID trajectories,” said senior author Bruce Levy of Mass General Brigham’s Department of Medicine and Division of Pulmonary and Critical Care Medicine, and the Hersey Professor of the Theory and Practice of Physic at Harvard Medical School. “Our findings will help determine what resources are needed for clinical and public health support of individuals with long COVID and will also inform efforts to understand long COVID’s biological basis.”

10.3% Of patients overall had long COVID symptoms 3 months after infection

To identify long COVID trajectories, the researchers followed 3,659 adult participants in the RECOVER initiative who first contracted SARS-CoV-2 during the Omicron variant era, after Dec. 1, 2021. The participants completed a comprehensive symptom questionnaire in three-month intervals up to 15 months post-infection to track changes over time. Then, the researchers identified patients with long COVID using the long COVID research index, a symptom-based tool that was previously developed by Mass General Brigham researchers.

Overall, 10.3 percent of patients had long COVID symptoms three months after infection, and 81 percent of these patients continued to experience persistent or intermittent symptoms a year later. Female patients and those who had been hospitalized with an acute infection were likelier to develop persistently severe long COVID symptoms.

The researchers identified eight different long COVID trajectories. Some of these trajectories included persistently severe symptoms, intermittently severe symptoms, gradually improving symptoms, gradually worsening symptoms, and mild symptoms that only appeared after 15 months. 

“The variability we identified will enable future studies to evaluate risk factors and biomarkers that could explain why patients vary in time of recovery, and help identify potential therapeutic targets,” said first author Tanayott Thaweethai, an assistant professor of medicine at the Medical School and an assistant professor in the Department of Biostatistics at the Harvard T.H. Chan School of Public Health.


This research was funded by the National Institutes of Health.


Building momentum on open inquiry

Schools implement recommendations to foster more, better conversations on tough topics around campus


Campus & Community

Building momentum on open inquiry

Schools implement recommendations to foster more, better conversations on tough topics around campus

long read
Neil Gross, Tomiko Brown-Nagin, and Eitan Hersh.

Tomiko Brown-Nagin (center) and other scholars discuss intellectual diversity in higher education as part of Radcliffe in the Round, one of several new initiatives that aim to nurture a culture of open inquiry on campus.

Kevin Grady/Harvard Radcliffe Institute

Professor of Government Eric Beerbohm asked a packed Sanders Theatre audience of first-years to debate a provocative question: How do we value our friends who disagree with us?

The question stemmed from a dining hall conversation he had with a student in Quincy House, where he serves as faculty dean, about how to maintain a friendship given a profound divide in political views.

Beerbohm shared the anecdote as part of a larger conversation with first-years during this fall’s Class of 2029 orientation. He went on to detail the Aristotelian, Kantian, and Emersonian views of friendship.

He was impressed watching as students passionately, yet thoughtfully and respectfully, wrestled with various perspectives.

“I was struck by how the students modeled both the intellectual and emotional virtues that make disagreement meaningful,” Beerbohm said. “It was a lively, joyful kind of argument — the kind of exchange that makes a university a university.”

Eric Beerbohm.

“The ultimate test is that this isn’t a special project anymore. It’s the air we breathe — in classrooms, in Houses, and in the ways we talk and listen to one another,” said Eric Beerbohm, co-chair of Harvard’s Open Inquiry and Constructive Dialogue Working Group.

Stephanie Mitchell/Harvard Staff Photographer

As co-chairs of Harvard’s Open Inquiry and Constructive Dialogue Working Group appointed by President Alan Garber and Provost John Manning in April 2024, Beerbohm and Tomiko Brown-Nagin, Harvard Radcliffe Institute dean, have been working together to promote these kinds of conversations across campus.

The orientation discussion was one of many that have sprung from the working group’s report last year. While the report detailed numerous existing University efforts to encourage dialogue and enliven learning communities, it also examined the degree to which community members felt constrained in their ability to share their views. The report concluded with recommendations to continue to nurture and reinforce a culture of open inquiry.

“When many people talk about the state of our campuses, there tends to be a sense that these problems are intractable and unsolvable,” Brown-Nagin said. “In fact, they are not unsolvable. We can acquire skills that help us engage dissent and disagree more agreeably, and I’m greatly encouraged that so many efforts have been undertaken across campus to do just that.”

Ari Kohn, a senior in Leverett House who co-founded the Intellectual Vitality Student Advisory Board in 2024 and serves as co-chair, said that while widespread cultural change will require organic support from students, she thinks that the University has identified an issue that resonates with students.

“No matter where you fall on the political spectrum,” Kohn said, “I think you’d be hard pressed to find someone who feels like their experience of Harvard wouldn’t be better with more opportunities for authentic dialogue.”

Enabling more candid conversations

The University has taken several steps to create more of these opportunities.

Brown-Nagin highlighted the widespread adoption of the Chatham House rule, which prohibits students from attributing comments to specific classmates outside of the classroom, as one example of how the community has implemented the working group’s recommendations. Since last October, the Faculty of Arts and Sciences, Divinity School, Graduate School of Design, and Medical School have adopted this non-attribution policy, with three other Schools weighing similar changes. The Kennedy School, Business School, and Law School had non-attribution policies before the report was released.

The report’s call to train students to disagree constructively has also been taken up enthusiastically across campus.

“I don’t know if I came into Harvard with all the skills that you need to have College-level discussions about important issues. I hope that the fact that now every House has something like this can really help people.” 

Jacqueline Metzger, junior

At the beginning of the school year, first-years now take six modules from social psychologist Jonathan Haidt’s Constructive Dialogue Institute, a nonprofit that helps students communicate across differences and strengthen constructive conversations. The School of Dental Medicine, Medical School, and School of Public Health have instituted orientation programming that highlights these skills as critical to their educational experience and eventual careers in medicine and public health.

On top of its existing training for 1L students, Zero-L, which emphasizes productive disagreement, the Law School added a three-part “cultivating community” series that explores, among other topics, the role of civil discourse in and out of the classroom. Starting with the Class of 2026, every Law School student must take a negotiation class before graduation.

Similar efforts are underway at other Schools to help students practice effective communication on charged topics.

“I’ve heard really great things from my buddies in their first year and sophomore year who found the perspectives module really powerful,” said Kohn, explaining how it gave new students the language to discuss a core academic principle — open inquiry and constructive dialogue — that is sometimes hard to articulate. “Realizing it’s a key ethic of the University was, for many of them, inspiring and has been a North Star in their understanding of what they want out of this experience.”

Quincy House junior Jacqueline Metzger, whose dining hall conversation with Beerbohm helped spur his orientation talk, said she was encouraged by how the Houses have used University guidance and resources to start discussion groups that tease out complex issues.

She said her experience participating in Quincy House’s interfaith group Big Questions helped her find community and a place where she could be comfortable sharing her ideas. Lately, she said, “I think there’s a very clear attempt to shift the culture toward more open conversation and open dialogue.”

The skills students can pick up in these groups, she said, can be invaluable. “I don’t know if I came into Harvard with all the skills that you need to have College-level discussions about important issues,” she said. “I hope that the fact that now every House has something like this can really help people.” 

Training the trainers

These initiatives have reached instructors, too.

Within the office of the vice provost for advances in learning, the Harvard Initiative for Learning and Teaching (HILT) has centered constructive dialogue in its efforts to nurture innovative and effective pedagogy.

Shortly before the release of the working group report in fall 2024, Beerbohm and Brown-Nagin kicked off the 2024 HILT conference, which convened students, faculty, and staff from across campus, around the theme “Open Minds in Dialogue.”

In FAS, The Derek Bok Center for Teaching and Learning offers training on how to promote healthy classroom dialogue on divisive topics. The course is now required for teaching fellows in FAS, with the center offering special trainings at different Schools. Brown-Nagin encouraged faculty from across Harvard to explore the center’s resources.

Tomiko Brown-Nagin.

There’s a “tremendous gap between our campus culture and how it is characterized — or even caricatured — by some of our critics,” said co-chair Brown-Nagin.

Photo by Melissa Blackall

Beerbohm stressed the importance of building programs based on the expertise of faculty members across the University. He cited the working group’s collaboration with Julia Minson, the Kennedy School professor of public policy who runs the Constructive Disagreement Lab. The group, he said, is building a research-backed online module that will help students practice productive disagreement and help Schools evaluate improvements over time. Expected to launch in the summer of 2026, the tool will support future orientations and provide refreshers throughout the year.

Beerbohm and Brown-Nagin identified collaborations like this as especially promising developments after the report.

“When we went from School to School, what was most striking was that we had, although somewhat siloed, the world’s leading experts on questions of disagreement and facilitation,” Beerbohm said. “What this project will do is leverage all that research and then create an evidence-backed orientation for new and returning students.”

In addition to building upon faculty expertise, many Schools and centers have built programs related to open inquiry over the years, efforts which have been buoyed since the release of the report. For example, the Constructive Disagreement Lab was built on the foundations of the events and curricular changes associated with the Candid & Constructive Conversations initiative launched in 2022.

Necessary skills across disciplines

Both co-chairs emphasized that their continuing interest in promoting open dialogue on campus reflects their own academic research.

Brown-Nagin, with dual professorship appointments at the Law School and Faculty of Arts and Sciences, said her commitment to open inquiry, academic freedom, and freedom of expression is grounded in her scholarship on constitutional law and the legal history of the American Civil Rights Movement.

“Both demonstrate that in a diverse constitutional democracy, the ability of institutions to evolve — and of individuals to flourish — depends on listening to dissenters, managing conflict among constituencies, and responding to legitimate calls for reform,” she said.

Brown-Nagin noted Harvard Radcliffe Institute’s efforts to make academic freedom and open inquiry key parts of the organization’s mission.

“We’re threading that focus throughout all of our endeavors,” she said, “The point of it is to explore and educate the public about what academic freedom actually means and why it matters, and also to explore the variety of threats to academic freedom and open inquiry in our world today.”

The institute has established an annual lecture on academic freedom, the first of which was delivered by Michael Sandel, Robert M. Bass Professor of Government, about his book “The Tyranny of Merit: Can We Find the Common Good?” Another effort, called Radcliffe in the Round, is a series of roundtable discussions where scholars and other experts across ideologies and disciplines discuss contentious topics like how to increase intellectual diversity in higher education. (The conversations add to the growing number of campus events aimed at promoting and modeling campus discourse, including those through the Law School’s Rappaport Forum, launched in 2020.)

The institute is also providing financial resources for interdisciplinary faculty research related to academic freedom and connecting across difference.

Beerbohm, whose ongoing book project is called “How to Disagree: From Friendship to Politics,” discussed ongoing work at the Edmond & Lily Safra Center for Ethics, which he directs.

The center launched a disagreement lab, which serves as a research hub and design studio. The work coming from this new lab, he said, has been used to create simulations and case studies that are already being used in the training of teaching fellows and in faculty development workshops.

In addition, the center will host an Ethics Center Expo this semester designed to showcase the research and leading measurements across the professional Schools and at FAS. This year, the center announced its third year of the fellowship in values engagement, which trains and supports residential staff to help undergraduate students hold more productive and meaningful conversations.

Continuing to scale constructive dialogue work

Beerbohm points out that just over a year after the working group’s report was released, the scale of the response has been larger than he could have hoped.

“We’ve identified so many leaders in and outside of the classroom who are working on constructive dialogue in some way or another,” he said. “We have this group that is far beyond the initiative.”

While Kohn believes there’s much more room for students to promote robust civil discourse on campus, she said that students have a much better awareness for what has been lacking in their campus experience and have taken much more interest in filling that gap.

“I wouldn’t be involved in this work if I didn’t really believe in it,” she said. “I want to be part of helping to shape it, and I think we’re heading in the right direction.”

Brown-Nagin agreed that there is still plenty of work to be done.

“Culture change takes a long time,” she said. “What I would like to see over a three-to-five-year period is that we’re moving in the right direction. And I think we will see that, because we are all dedicated to this work, and we want to be the best teachers and leaders that we possibly can for our students and colleagues.”

And while there are improvements to be made, Brown-Nagin pointed out that there’s a “tremendous gap between our campus culture and how it is characterized — or even caricatured — by some of our critics.”

“I interact with students in a variety of contexts, whether I’m teaching them or hearing about their ambitions during office hours, or even meeting with them to address concerns. I find them to be smart, reasonable, and fully capable of engaging with different perspectives and managing conflicts.”

Beerbohm hopes that the emphasis on shared norms, repeated practice, and measurable gains creates a “flywheel loop” for openness and humility across campus.

“The ultimate test,” Beerbohm said, “is that this isn’t a special project anymore. It’s the air we breathe — in classrooms, in Houses, and in the ways we talk and listen to one another.”


What unites Americans?

Civil Discourse panelists debate how to strengthen national ties


Panelists sit in front of an audience.

Desireé Melonas (from left), Harris Mylonas, Silvia Foster-Frau, and Connor Flynn.

Veasey Conway/Harvard Staff Photographer

Nation & World

What unites Americans?

Civil Discourse panelists debate how to strengthen national ties

5 min read

What ties a nation together?

The question, simple but provocative, launched a conversation last week hosted by the Edmond & Lily Safra Center for Ethics. Its Civil Discourse initiative invites academics, journalists, and public servants to model thoughtful disagreement on politically charged questions. Past installments in the series have centered on abortion and the ethics of extreme wealth.

This year’s topic couldn’t be more urgent, said Ethics Center Director Eric Beerbohm, the Alfred and Rebecca Lin Professor of Government. “As someone who works in democratic theory, I’ve been struck by how quickly discussions of national identity have veered away from civic ideals — sometimes toward rhetoric of ancestry, exclusion.”

Moderator Nien-hê Hsieh, the Kim B. Clark Professor of Business Administration at Harvard Business School, led the event’s search for more productive national ties. Are citizens and residents bound by aspirational values? Shared geography? Rallying against a common threat?

One theory came from panelist Harris Mylonas, an associate professor of political science at George Washington University.

“The way you get your independence, the way your founding moment operates … determines what unites your people,” he argued. Mylonas went on to compare the origin stories of the U.S. and his birth country. The foundations of modern Greece, a majority Christian society, centers on its long struggle against the Ottoman Empire, where the official religion was Islam, he said. The fissure came down to faith.

“But if you read the Declaration of Independence, the claim was that the law was not applied the same way in the colonies as it was in the [British] mainland,” Mylonas said. “The fight was over the enforcement of law.”

This has served to attract people from other parts of the world who hold the law in high regard, he said. “Many people who come from Kenya, from Greece, we come because in our country the law is not respected.”

“Oftentimes, it’s about stripping back language that clearly triggers reactions in one camp or another. When you really clear that out and talk to people, it’s amazing how much people have in common.”

Silvia Foster-Frau

The issue of immigration proved a compelling throughline. “A lot of the critique about immigrants and immigration in this country is about whether or not they’re contributing to society,” said Washington Post investigative reporter and 2026 Nieman Fellow Silvia Foster-Frau.

Desireé Melonas, an assistant professor of Black studies and political science at University of California, Riverside, registered skepticism with assessing citizenship in these terms. She cited work by the 19th-century author and educator Anna Julia Cooper, who addressed the denial of Black Americans’ material contributions following emancipation.

“How can we deny that Black people have for so long added their labor?” Melonas said. “She’s like, the problem is that we don’t value the contributions because we don’t value these people.”

Connor Flynn, an infantry officer in the Marine Corps, has naturalized 150 service members over 15 years as an officer and helps oversee a citizenship program for the enlisted.

“About 5 percent of our military rank-and-file were immigrants at some point,” said Flynn. “I don’t think these folks stepped up to serve our country for the benefits. I think it is this drive, this ambition to be a part of that vision of a free society, one that ideally places the needs of others ahead of themselves.”

Citing her own reporting, Foster-Frau noted how many legal immigrants go on to resist expanding pathways to citizenship.

“There is this psychological mechanism of closing the door behind me,” Mylonas said. “When an immigrant makes it and becomes naturalized … there is a disassociation that sometimes has to do with status, sometimes has to do with competition.”

Melonas wondered whether the phenomenon stemmed from shared values, after all — specifically with “accepting the sort of individualism that we associate with being an American.”

As the conversation progressed, panelists drew contrasting pictures of national cohesion following the attacks of Sept. 11, 2001.

“American flags were hoisted out the backs of trucks driving all over town. People were helping one another. There wasn’t any sort of partisanship,” recalled Flynn, a middle-schooler at the time. “I think those were some of my proudest moments of being an American because of how compassionate, empathetic Americans were toward one another.”

Evoking the era’s rising Islamophobia, Melonas countered: “There are people in America who experienced an entirely different America from that moment.”

Hsieh cited rising concerns of a second U.S. civil war, and solicited the speakers’ ideas on strengthening national ties.

“It’s on all of us to turn the temperature down, to commit ourselves to having open minds and encouraging dialogue,” Flynn said. He implored Americans to “find a Socratic way to get to truth … because often the truth is somewhere in the middle.”

Ringing a hopeful note, Foster-Frau testified to the power of reaching across political difference in clear, accessible terms.

“Oftentimes, it’s about stripping back some of the buzzwords associated with certain topics — stripping back language that clearly triggers reactions in one camp or another,” she said of her experiences reporting across the country. “When you really clear that out and talk to people, it’s amazing how much people have in common.”


6 more Harvard students named Rhodes Scholars

3 U.S. winners among recipients of full support for graduate studies at Oxford


Campus & Community

6 more Harvard students named Rhodes Scholars

Aerial view of Oxford University.

Getty Images

3 min read

3 U.S. winners among recipients of full support for graduate studies at Oxford

Three Harvard College seniors are among the 32 U.S. Rhodes Scholars selected for 2026, a tie with three other schools for the highest number of U.S. awardees. Three newly announced international students have also won Rhodes Scholarships this year, adding to two previously named from Australia and Pakistan.

The scholarship, established in 1902 through the will of Cecil Rhodes, provides full financial support for two to three years of postgraduate work at Oxford for students focused on exemplary academic study and public service. The eight students from Harvard will start at Oxford in the fall, pursuing graduate studies in a diversity of fields — from computer science to comparative literature.

Sazi Bongwe is an English concentrator from Johannesburg, South Africa. He has served as a writer and editor for the Harvard Crimson and Harvard Advocate. His work has also appeared in media outlets such as The Nation and Africa is a Country. At Oxford, he hopes to pursue two one-year master’s degrees, one in literature and another in visual arts.

Anil Cacodcar, of Lafayette, Louisiana, is a double concentrator in economics and human developmental and regenerative biology. His senior thesis uses news coverage of fentanyl and its relationship to overdose deaths to examine the role of fear in regulating human behavior during epidemics. As chair of the Harvard Public Opinion Project, he leads a group of researchers producing the nation’s largest survey on political attitudes of young Americans. He also volunteers with Boston Healthcare for the Homeless. He plans to continue studying economics at Oxford.

Jay Chooi, of Malaysia, is a joint computer science and mathematics concentrator. At Harvard, he has worked on AI preparedness and safety. His recent investigation with the MIT Technology Review found that OpenAI products Sora and Chat GPT-5 reproduced caste-based biases widely experienced in India.

Emma Finn, of Annapolis, Maryland, is a dual concentrator in mathematics and classics, completing theses in both disciplines. She will also earn a master’s in statistics this spring via the Harvard Kenneth C. Griffin Graduate School of Arts and Sciences. Finn plans to spend her first year at Oxford exploring how creativity emerges in biological and mechanical systems while completing a project-based research in statistics course. Her second year will be spent pursuing a master’s in statistics and machine learning.

Yael S. Goldstein, from Barrington, Rhode Island, is a philosophy concentrator whose senior thesis examines the human right to housing. Goldstein has volunteered with the Harvard Square Homeless Shelter, and as a host for WHRB, Harvard’s student radio station. The accomplished classical musician performs oboe and English horn with the Harvard Bach Society Orchestra. At Oxford, Goldstein plans to continue studying philosophy.

Helen He, from China, is a joint concentrator in computer science and East Asian studies, with an interest in using technology to tell stories about human history. She plans to spend her first year at Oxford pursuing a master’s degree in computer science. For her second year, she is considering graduate-level studies in the Traditional China department, devoted to the philosophy, culture, and history of pre-modern and early modern China.


Solving mystery at tip of South America

Study finds previously unknown ancient lineage of indigenous people, which gave rise to surprisingly diverse mix of cultures


Science & Tech

Solving mystery at tip of South America

David Reich (left) and lead author Javier Maravall-Lopez.

David Reich (left) and Javier Maravall Lopez.

Stephanie Mitchell/Harvard Staff Photographer

5 min read

Study finds previously unknown ancient lineage of indigenous people, which gave rise to surprisingly diverse mix of cultures

The southern tip of South America was one of the last regions of the world to be populated by modern humans, but the early history of settlement has remained murky.

A new study by Harvard researchers sheds new light on this mystery with the discovery of a previously unknown ancient lineage that endured for more than eight millennia and gave rise to a surprisingly diverse mix of indigenous cultures.

“We found this new lineage, a new group of people we didn’t know about before, that has persisted as the main ancestry component for at least the last 8,000 years up to the present day.”

Javier Maravall López

“We found this new lineage, a new group of people we didn’t know about before, that has persisted as the main ancestry component for at least the last 8,000 years up to the present day,” said Javier Maravall López, lead author of the new paper and a Ph.D. student studying human evolutionary biology at the Kenneth C. Griffin Graduate School of Arts and Sciences. “It’s a major episode of the history of the continent that we just weren’t aware of.”

In a paper published in Nature, a team of international researchers analyzed DNA from more than 230 ancient people going back 10,000 years in the central Southern Cone of South America, an area roughly bounded by the Andes Mountains, Amazon rainforest, and the grassy plains of the Pampas. Most of the DNA samples came from modern-day Argentina.

The southern tip of the Americas was one of the last corners of the globe reached by the diaspora of modern humans. The oldest firmly established evidence of human presence in the region is an archaeological site about 14,000 years old at Arroyo Seco in the Pampas of Argentina (when it was settled remains a hotly contested topic, and some scholars contend that the region was populated thousands of years earlier).

Previous genetic studies have shown that by 9,000 years ago Native Americans had begun to differentiate into three identifiable groups: one in the central Andes, another in the tropical lowlands of Amazonia, and a third to the south in the Pampas, Chile, and Patagonia. But much of the population history remained unknown, and studies of ancient DNA have lagged behind efforts in Europe and Asia.

“This part of the world was almost a blank spot on the map,” said David Reich, professor of genetics at Harvard Medical School, professor of human evolutionary biology, and senior author of the new paper. “Like most of South America, there was very little data.”

In the new study — a collaboration of 68 co-authors across the globe — researchers obtained new samples of ancient DNA from bones and teeth of 238 indigenous individuals up to 10,000 years old.

“This part of the world was almost a blank spot on the map.”

David Reich

The new study boosted the number of ancient DNA samples from the central Southern Cone more than 10-fold. These new data were combined with existing ancient DNA from 588 other indigenous people from across the Americas who lived from 12,000 years ago up to the time of European contact.

Researchers sequenced the ancient DNA and focused on a select set of 2 million positions on the genome known as single-nucleotide polymorphisms (SNPs), which vary between humans. With statistical analysis, researchers can make inferences about the genetic relationships among the individuals — and identify which ones shared common ancestry and which were more distantly related.

They discovered a lineage that appeared by 8,500 years ago and became the core component of the ancestry of central Argentina, mixing with other populations on its edges.

This finding is intriguing because the people of that region developed a diverse array of languages and cultures. Apparently, that diversity grew on home soil among largely homogeneous populations — not from migrations by other peoples.

“People with the same ancestry, in an archipelago-like fashion, were developing distinctive cultures and languages while being biologically isolated,” said Maravall López.

All told, the researchers found the region hosted at least three “deep lineages”: the newly discovered one in central Argentina, another present in the Andes by about 9,000 years ago, and a third established in the Pampas by 7,700 years ago.

This newly identified central Argentina lineage expanded to the south, mixed with the Pampas population 3,300 years ago or earlier, and, eventually, became the dominant ancestry.

In the northwest, the central lineage interbred with another ancient population from the Andes region, possibly by 4,600 years ago.

Researchers also found hints of the common ancestors of all these populations.

One person who lived in the Pampas about 10,000 years ago belonged to a population that already had become distinct from others in the Andes and Amazonia — and had genetic similarities to all later peoples in the Southern Cone.

In future studies, researchers hope to fill in the remaining gaps in the timeline and geography of these ancient Americans. In Europe, Central Asia, and China, researchers are building large databases with increasingly dense samples from specific places and time periods.

Reich hopes similar databases will be assembled in South America.

“With large ancient DNA sample sizes it is possible to learn details about the questions that really matter to many archaeologists — questions about how people are related to each other at a fine scale within archaeological sites as well as regionally,” he said. “With ancient DNA data technology now, it is possible to build refined maps of population size change and migration, as now exist in rich detail in Europe, and as this study begins to do for Argentina. Such maps are transformative for our understanding of how people lived long ago, revealing demographic information about the past that was simply inaccessible before.”


Odds of surviving cancer drop drastically when credit score dips

Study explores links between financial stress, mortality risk


Health

Odds of surviving cancer drop drastically when credit score dips

Benjamin C. James

Benjamin James.

Stephanie Mitchell/Harvard Staff Photographer

9 min read

Study explores links between financial stress, mortality risk

While past studies have explored how cancer patients’ financial health influenced their risk of mortality, new research digs in deeper by zeroing in on objective data: credit scores. It found that when a cancer patient’s credit score drops — regardless of where it started pre-diagnosis — odds of survival decrease drastically. The findings were presented earlier this month at the American College of Surgeons Clinical Congress and have not been peer-reviewed.

Previous research relied on self-reports of financial burden, according to study author Benjamin James, chief of general surgery at Beth Israel Deaconess Medical Center and an associate professor of surgery at Harvard Medical School. While helpful for understanding patients’ subjective experiences, such reports are prone to recall bias. It’s incredibly difficult to gather objective measures, James says, because clinical and financial data are housed by separate institutions with different privacy rules.

After years of negotiation, James and his team received deidentified clinical data from roughly 90,000 cancer patients in the Massachusetts Cancer Registry alongside financial information from a national credit bureau. The researchers adjusted for mortality-dependent variables, such as cancer type and stage, socioeconomic status, and race, and divided the credit scores into tiers (300-600, 600-660, 660-780, and 780-850). They found that patients who experienced a drop of two tiers within a year were 29 percent more likely to die. For those who experienced a two-tier drop within six months, that number increased to 63 percent.

In this conversation edited for clarity and length, James explained the implications of his team’s findings.


You focused on credit scores — why is that?

A credit score is a really good marker of somebody’s overall financial health. And, crucially, it changes over time. The crux of the question that we’re asking in this study is: What is the impact on patients’ long-term survival if they’re experiencing financial toxicity? If you get a medical bill that you can’t pay, or you can pay it but it means you’re going to have to refinance your home, is that more likely to cause you to die of your cancer than if you didn’t have that debt?

So, what did you find?

We looked at three main things. First: What is somebody’s mortality from their cancer diagnosis based on where their credit score started? What we found is that patients with a lower credit score at baseline were more likely to die. Now, that’s actually not very surprising, because that relates to social determinants of health. The literature has shown time and again that patients that are in lower economic status, that are of minority race — in general, they’re more likely to die. Sadly, that’s not a new finding.

The second question, though, was new: Regardless of where the credit score starts, if that score drops or increases in the 12 months after diagnosis, how does that impact their mortality? We adjusted for all those social determinants of health and just looked at the credit score. What we noted was that when a patient’s credit score dropped by two tiers, their mortality increased by nearly 30 percent.

And finally, when we looked at how the credit score changed over time on the six-month timescale, we actually saw an even bigger change. In this case, a two-tier drop was associated with a 63 percent increase in mortality. In other words, somebody getting the exact same cancer diagnosis has a 63 percent higher likelihood of dying just based on how their credit score is dropping.

You found an association between credit score declines and mortality. What might be the reason for the link?

I think there are lots of potential reasons. The obvious one, which may or may not be true, is that somebody is obtaining less care because they can’t afford it. And if they’re obtaining less care because they can’t afford it, they may be more likely to die of that diagnosis. The assumption is that if somebody is sick and they have cancer, we’re going to treat them. And that’s just not true. There are plenty of people out there who have to make financial choices that ultimately impact their survival. They may look at a family of four and say, I can either get this additional chemotherapy to improve my survival, or, you know, decide that I can’t cause this amount of financial hardship to my family. 

“The assumption is that if somebody is sick and they have cancer, we’re going to treat them. And that’s just not true. There are plenty of people out there who have to make financial choices that ultimately impact their survival.”

The other explanation, which I’m less convinced by, is that, as somebody is more likely to die, their credit score is more likely to go down — say, you stop pursuing treatment and you’re in palliative care, not paying anything, and then your credit score goes down. It’s chicken or egg: Are you more likely to die because your credit score is going down, or is your credit score going down because you’re dying? I don’t believe the latter is the main cause of what we’re seeing, however, because the vast majority of patients in the study do not have end-stage disease.

We can’t tease out the causes in this current data set, but we’re currently doing a prospective study where we’re surveying patients over time and collecting their financial data at the end of the study. So it’s a combination of both objective and subjective financial toxicity, in order to understand how they correlate with each other. We’re at the very beginning stages of that research, but that’s ultimately the way we’ll find out what’s really going on.

What about if a person’s credit score increases? Does that have a protective effect, where a person is less likely to die?

No, it doesn’t. The way I view it: Those who are able to pay things are able to pay things. So regardless of whether their credit score goes up, they’ll just continue to be able to pay for treatment. But at this point, we don’t really have a good explanation for why improving somebody’s financial health, particularly if they started at a lower tier, doesn’t seem to make a difference in their survival.

How can cancer patients protect themselves from this huge increased mortality risk? Are there any ways to intervene?

I think it all comes down to policy reform. That’s ultimately what we can do about this. I don’t personally believe that when people have medical debt that they can’t pay, that that should translate into an impact on their credit score. And so, there’s legislation out there about saying that medical debt shouldn’t be included in credit health. I think we also need to stop the aggressive, predatory collection agency practices of coming after you for your medical debt. There’s a bill that’s sitting with the Massachusetts legislature right now that makes the argument that we should not allow hospitals to sell medical debt to collection agencies. They should have to negotiate that on their own with the patient, as opposed to selling it.

“I think it all comes down to policy reform. That’s ultimately what we can do about this.”

Also, providing people with financial navigators at the start of their diagnosis is important. It’s very hard as a provider to have cost conversations with patients when they get diagnosed. We as providers don’t feel comfortable doing it because it’s a hard conversation to have, and it can feel like it’s not our responsibility; plus, we don’t know what the financial implications of their diagnoses are. But if I published this study, and a provider can look at this and say, “Wow, my breast cancer patient is more likely to die if their credit score goes down,” they may use that information as an awareness tool for their patients moving forward, which might allow patients to plan better for their diagnosis. You walk into the office, you get a cancer diagnosis, and you’re told that you have to start thinking about the finances of this as well, because it will impact your long-term survival.

This research was conducted in Massachusetts, where 97-98 percent of the population has healthcare insurance coverage — one of the highest coverage rates in the country. Could these associations between financial health and mortality look even worse in other states where more people are uninsured?

Whatever our findings are in Massachusetts, we have to assume that they would be substantially worse in most other states. If we are showing that patients are more likely to die as their credit score goes down, in a state where the majority of patients have health insurance, you can only imagine what would happen in other states that don’t have that kind of coverage.

That’s especially pertinent right now as we’re on the verge of 25 million Americans losing their health insurance coverage, depending on which way things go. These 25 million are the exact patients who are already at risk given their socioeconomic status, and most won’t be able to afford private insurance.

Even being insured doesn’t mean you don’t have out-of-pocket costs. Co-payments are going up dramatically. We know that 11 percent of people’s spending is on healthcare costs. And we know that of the $200 billion spent annually on cancer care, $21 billion of that is paid out of pocket by patients. People are making choices: Are they going to go into debt, or are they going to choose to not have the medical care that they need?


Researchers link ultraprocessed foods to precancerous polyps

Results come amid rise in under-50 colorectal cancer cases


Health

Study links ultraprocessed foods to precancerous polyps in younger women

Ultra-Processed Food filling a bag.
4 min read

Risk aligns with quantity in research that might offer clue to rise in under-50 cancer cases

Colorectal cancer diagnoses have become increasingly common in adults 50 or younger in recent years, particularly in high-income countries like the U.S. The drivers of the trend are unclear, but a new study led by Harvard and Mass General Brigham researchers, as part of the Cancer Grand Challenges PROSPECT team, suggests an important link to ultraprocessed foods.

By analyzing diets and endoscopy results, the study of almost 30,000 women found that participants who consumed the highest levels of ultraprocessed foods had a 45 percent higher risk of developing adenomas, which can be precursors of early-onset colorectal cancer, compared with participants who consumed the lowest levels. The results are published in JAMA Oncology.

“Our findings support the importance of reducing the intake of ultraprocessed foods as a strategy to mitigate the rising burden of early-onset colorectal cancer,” said senior author Andrew Chan, a gastroenterologist at the Mass General Brigham Cancer Institute and a professor at Harvard Medical School. “The increased risk seems to be fairly linear, meaning that the more ultraprocessed foods you eat, the more potential that it could lead to colon polyps.”

The consumption of ultraprocessed foods — ready-to-eat foods that often contain high levels of sugar, salt, saturated fat, and food additives — has risen in parallel to the rise of early-onset colorectal cancer. Chan’s research group previously found an association between ultraprocessed foods and colorectal cancer more broadly, but this is the first study to link ultraprocessed foods with early-onset colorectal cancer.

“Even after accounting for all these other risk factors, the association with ultraprocessed foods still held up.”

Andrew Chan
Andrew Chan.

The researchers analyzed data from the Nurses’ Health Study II, a long-term prospective study of female nurses who were born between 1947 and 1964 — a generation that is known to be at elevated risk for early-onset colorectal cancer. They analyzed 24 years’ worth of data from 29,105 female nurses who received at least two lower endoscopies before they turned 50 to screen for colorectal cancer precursors. The participants also completed dietary surveys every four years, from which the researchers estimated their average daily intake of ultraprocessed food. Though diet was self-reported, this type of survey has been validated for its ability to accurately reflect a person’s dietary patterns.

On average, participants consumed 5.7 servings of ultraprocessed foods per day, which amounted to 35 percent of their total daily calories — slightly lower than the national average in the U.S.

From the endoscopy results, the researchers identified 2,787 participants who developed precursor polyps for colorectal cancer. Women who consumed the highest amounts of ultraprocessed foods — 10 servings per day on average — had a 45 percent higher risk of developing conventional adenomas, the precursor most associated with early-onset colorectal cancer, compared with those who consumed the lowest amounts (three servings per day on average). There was no association between ultraprocessed food intake and serrated lesions, another type of precursor, but one that develops more slowly and is less commonly associated with early-onset colorectal cancer.

“One of the strengths of our study was that we had detailed information about other colorectal cancer risk factors in the participants, such as such as body mass index, Type 2 diabetes, and low fiber intake,” said Chan. “Even after accounting for all these other risk factors, the association with ultraprocessed foods still held up.”

The authors noted that ultraprocessed foods do not fully explain the rise in early-onset colorectal cancer, and that they are working to identify other risk factors. They’re also working on ways to better categorize ultraprocessed foods, since some foods in this category might be more harmful than others.

“Diet isn’t a complete explanation for why we’re seeing this trend — we see many individuals in our clinic with early-onset colon cancer who eat very healthy diets,” said Chan. “Identifying other risk factors for early-onset colorectal cancer is one of the focuses of the work that we’re leading here at the Mass General Brigham Cancer Institute.”


The research described in this article received funding from the National Cancer Institute.


Local fun, a beach retreat, and a treat for your brain

Sleep scientist shares tips on recreation and rest


Campus & Community

Local fun, a beach retreat, and a treat for your brain

Collage of historic building, ocean, person sleeping.

Photo illustration by Liz Zonarich/Harvard Staff

3 min read

Sleep scientist shares tips on recreation and rest

Recommendations from Harvard faculty

Tony Cunningham is an assistant professor of psychiatry at Harvard Medical School and the director of the Center for Sleep and Cognition and the Behavioral Sleep Medicine Clinic at Beth Israel Deaconess Medical Center.


Favorite local community activity

Thursdays in JP

Every Thursday evening of the summer and now into the fall, our neighborhood gathers on the lawn of the historic Loring Greenough House in Jamaica Plain for food trucks, local brews, music, and activities hosted by local groups and organizations. It’s an easy, joyful way to spend time outdoors with friends and family, and — having small children — it’s a great chance for them to work out some energy while we actually get to engage in conversation with fellow adults. We feel incredibly lucky to have such a vibrant community tradition just down the street (and the beer trucks don’t hurt). Don’t let the promise of kids in attendance scare you, either, it’s well worth a Thursday afternoon trip down to JP to experience for yourself!

Favorite getaway

Ogunquit, Maine

Few places recharge me and my family quite like Ogunquit, Maine. Only about a 90-minute drive from Boston, the beach is gorgeous, with soft sand and huge waves. At low tide, mini tide pools form that warm up quickly, even in the colder months, and are a ton of fun to splash around in and hunt for sea life. The ocean views along the Marginal Way are spectacular in every season, and the town itself has a welcoming, inclusive energy. My family has celebrated many milestones there over the years, usually over an incredible meal from one of Ogunquit’s many standout restaurants. Between the scenery, the food, and the people, it’s one of our favorite places to be!

Favorite ‘research’

Catching up on sleep

As both a sleep researcher and a sleep clinician, sleep is my passion — and also one of my favorite pastimes when I can get enough of it. I spend my days (and some nights) studying how sleep shapes emotion, memory, and mental health, and helping others find the rest they need. Researching the sleeping brain is kind of like studying the ocean or outer space — there is a lot more unknown than known. While I do my best to prioritize sleep whenever I can, with young kids at home I’m often daydreaming about catching up on some much-needed “fieldwork” someday. Until then, I’ll keep making sure everyone else sleeps a little better, and maybe sneak in a nap when I can!

Looking to get a bit more sleep yourself? Here’s a tip: Caffeine has a six-hour half-life, which means that half of the caffeine in that 6 p.m. energy drink or Frappuccino will still be floating around your brain at midnight — not super helpful when you’re hoping to get the sleep needed to retain everything you learned that day!


— As told to Sy Boles/Harvard Staff Writer