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Need a cheaper, more accessible OCD treatment? There’s an app for that.

New system to address disorder that affects 8.2 million Americans shows promise in study


Sabine Wilhelm

Sabine Wilhelm.

Stephanie Mitchell/Harvard Staff Photographer

Health

Need a cheaper, more accessible OCD treatment? There’s an app for that.

New system to address disorder that affects 8.2 million Americans shows promise in study

9 min read

Those who experience the paralyzing psychological and social effects of obsessive-compulsive disorder can often find relief in cognitive behavioral therapy, or CBT. But not everyone who may benefit from the therapy has access to it, and researchers have noted both the barriers and the growing need.

Now, a recent trial of Perspectives, a new CBT-based smartphone app developed at Massachusetts General Hospital, shows promising signs that it may help OCD sufferers overcome the many barriers to treatment.

The need is significant. An estimated one in 40 American adults, or about 8.2 million people, have or will develop OCD in their lifetime. Symptoms include recurring and uncontrollable thoughts, repetitive compulsive behaviors, or both, and they often first appear during the teen years.

In this edited conversation, Sabine Wilhelm, chief of psychology at Mass General Brigham and director of the Center for OCD and Related Disorders at Mass General, spoke to the Gazette about the study and why she and the other members of the app team are so encouraged by the findings.


What are some of the challenges people seeking treatment for OCD typically encounter?

OCD is a very common and severe disorder. Given that there is a major need for treatment, you would think that many therapists would know how to treat it, but actually it’s very challenging to find evidence-based treatment for OCD.

Cognitive-behavioral therapy is the gold standard psychotherapy for OCD and has been shown to achieve good treatment outcomes. It is a structured, skills-based intervention that helps people change the unhelpful thoughts and behaviors that keep OCD going.

CBT has been around for several decades, but despite the good outcomes, there are simply not enough providers who know how to help individuals with OCD.

In cities like Boston, you might be able to find therapists who specialize in OCD treatment, but even here, there are long wait lists for patients. If they can find a provider, they can usually only find one who sees them in their private practice, and that can easily cost several hundred dollars per treatment session. Many people cannot afford this.

“In addition to the provider gap and the cost of care, there are other barriers to treatment as well.”

Sabine Wilhelm

But in addition to the provider gap and the cost of care, there are other barriers to treatment as well. 

For example, traditional CBT usually requires weekly sessions. But it can be challenging to take time off in the middle of the workday to see a therapist, or it might be difficult to arrange childcare, or it can be hard to arrange for transportation to get to treatment sessions.

But even if these logistical barriers can be overcome, many individuals will say that there is too much shame and stigma associated with psychiatric care, and as a result, they might not seek the help they need.

That’s why we thought: “Why don’t we see if we could offer treatment for patients with OCD on a smartphone app?”

In the trial, 120 participants with OCD used one of two treatment apps for 12 weeks. What kinds of improvements did patients show?

We compared Perspectives, which delivers smartphone app-based cognitive behavioral therapy specifically designed for OCD, and HealthWatch, a general internet-based program that provides information about topics like healthy eating and exercise, which we enhanced with a module that teaches patients about OCD.

Both interventions included limited support from a bachelor’s-degree-level coach. Our main question was whether the targeted CBT for OCD app would help people reduce their OCD symptoms more than the HealthWatch program.

Our primary outcome was focused on OCD symptom severity.

Our preregistered treatment endpoint showed a trend toward lower OCD severity in the Perspectives group, and when we analyzed symptom change across the entire treatment period, the Perspectives group showed a clear and statistically significant advantage, with a moderate‑to‑large effect size. That’s a meaningful difference in clinical research.

We also measured treatment response, which was defined as at least 25 percent reduction in OCD symptom severity.

Sixty-five percent of participants using Perspectives met this “treatment responder” threshold, compared to only 41 percent of the patients in the HealthWatch group. What that means is that both treatments worked.

Learning about OCD, as well as learning about other topics such as eating healthy and exercise, and having a coach to interact with, helped. But the targeted CBT-based approach produced stronger results.

We found similar patterns in other areas, like day-to-day functioning and quality of life. Those using the CBT app improved more over the course of treatment, too.

One of the biggest differences was in how much patients liked the treatment.

“One of the biggest differences was in how much patients liked the treatment.”

Sabine Wilhelm

Ninety-one percent of the patients using Perspectives said that they would recommend it to a friend who had similar problems, compared to only 53 percent of the HealthWatch group. Satisfaction with treatment was substantially higher in the Perspectives group as well.

The dropout rate tells the same story: Only 5 percent dropped out of the app-based treatment, which is remarkably low for an app, compared to 23 percent in the HealthWatch group.

Taken together, the stronger clinical outcomes, higher satisfaction, and very low dropout suggest that the OCD‑focused app was not only more effective, but also a much better fit for what patients needed.

Do you have a sense yet of why patients seem to have better results from the CBT-focused app?

The most likely reason why is because it delivers the core components of cognitive behavioral therapy for OCD, especially exposure and response prevention, which means that patients learned to go back into situations that they avoid or endure with high anxiety, while at the same time refrain from rituals.

They also learned cognitive strategies, including stepping back from their thoughts and considering an alternative perspective, as well as mindfulness skills. We know from decades of CBT research that these are the techniques that really help patients with OCD.

“When something feels tailored to your actual problem, you’re more likely to engage with and stick with it, and that is essential for getting better.”

Sabine Wilhelm

The HealthWatch program included some education about OCD and was also supported by a coach, but it didn’t offer the active skills that directly target OCD symptoms.

When something feels tailored to your actual problem, you’re more likely to engage with and stick with it, and that is essential for getting better. And importantly, we built the Perspectives app with the help of patients, clinicians, and researchers and technologists from Koa Health in an interactive, iterative design process, refining the app based on their feedback. That meant the tools, language, and exercises felt personally relevant and engaging from day one.

That combination of targeted CBT content, high credibility, and a design shaped directly by patient users and experts likely explains why patients reported better results with Perspectives.

What conclusions can be fairly drawn at this early stage?

The clearest conclusion is that both programs helped reduce OCD symptoms, but the Perspectives app showed more meaningful clinical benefits and was much better liked by patients.

What feels especially exciting is how scalable this approach could be.

Traditional treatment requires weekly sessions with a licensed clinician, which can be very hard to access. This is especially true for OCD, where specialists are limited, expensive, and often have long wait lists.

In contrast, Perspectives delivered evidence-based CBT with minimal human support: The entire 12-week program required only about 75 minutes of coach time per patient.

Because it requires so little clinician time and is much less expensive, this model has the potential to reach people who live far from specialty clinics or who can’t afford high-cost treatment.

“Patients don’t need to take time off work, arrange childcare, or travel to appointments; they can engage with the treatment privately and on their own schedule.”

Sabine Wilhelm

And importantly, it may fit more easily into people’s lives. Patients don’t need to take time off work, arrange childcare, or travel to appointments; they can engage with the treatment privately and on their own schedule.

For individuals who feel stigma or shame about seeking help for mental health concerns, using an app can also feel more comfortable and accessible. These results make me hopeful that we can eventually offer effective, evidence-based OCD treatment to people nationally, and ultimately internationally, who otherwise would have no access to care.

Are there other aspects of this app that merit future study?

Yes! One important next step for us is to determine how to further personalize the app. We’d like to understand how to tailor the treatment and level of support to each individual’s symptoms and needs.

For example, some people might benefit most from and prefer an app, whereas others might benefit more from seeing a traditional therapist or prefer pharmacotherapy.

Another promising direction we want to explore is adding more adaptive features. These are brief, carefully timed interventions that show up exactly when someone needs extra support.

We’re also interested in understanding why the app works as well as it does — which components are driving the most change, and how people are engaging with the tools day‑to‑day. That kind of insight can help us refine the program.

And finally, we want to test how this model works in real‑world settings. Understanding how best to roll this out more broadly will be an important part of the next phase of research.

So there’s a lot of work ahead. We want to improve personalization, deepen our understanding of what drives change, and study how to bring this kind of treatment to the people who need it most.


What if we used AI to strengthen democracy?

Surveillance, control, propaganda aren’t the only options, says security technologist


Bruce Schneier.

“Democracy has been affected by technology since its beginning,” says Bruce Schneier.

File photo by Niles Singer/Harvard Staff Photographer

Nation & World

What if we used AI to strengthen democracy?

Surveillance, control, propaganda aren’t the only options, says security technologist

7 min read

AI is just the latest technology in a long line of innovations through history that have influenced politics. While many experts fear artificial intelligence will be deployed to weaken democracy, examples abound around the world of it being used to make systems fairer.

“We talk about AI being used as a tool of surveillance, as a tool of control, as a tool of propaganda,” said security technologist Bruce Schneier, co-author of the new book “Rewiring Democracy: How AI Will Transform Our Politics, Government, and Citizenship.” “These are all possible scenarios, but AI can also be used to resist all those things.”

In this interview, which has been edited for clarity and length, the lecturer in public policy at Harvard Kennedy School talks about AI’s potential impact on the democratic process, and the need to both regulate it and create a public option to offset the power of private companies.

Book cover: "Rewiring Democracy."

In your book, you write that democracy is an information system and because of that, it will be affected by AI. Can you explain?

When we say that democracy is an information system, what we mean is that it’s a way of figuring out what people want to do in some fair manner and what a country’s policies should be. It takes information about what people want and combines it together, and the output is some set of policy, some set of actions. AI technology fundamentally processes information, and that is why it’s going to affect democracy. This isn’t new. Democracy has been affected by technology since its beginning. You could think about the voting booth. You can think about the train, television, the internet; all of these things have affected democracy, and AI technology will affect democracy like everything else did.

Will AI have a larger impact on democracy than social media?

Social media has had an extraordinary impact on the process of democracy. But it’s important to say that social media, as it’s currently practiced by the large tech monopolies in the United States, is not really a technology; it is how we have decided to do social media based on surveillance and manipulation for the near-term financial benefit of a few companies that has shaped social media. Similarly, AI is going to be shaped by the corporate environment where it comes from. I don’t think we know how AI will shape democracy at this point. There’s just so many ways. AI is way more than chatbots, way more than generative AI. But the fact that a lot of this technology is being developed for the near-term benefit of a bunch of white male tech billionaires in Silicon Valley will have an extraordinary impact on how it is developed and, ultimately, how it is going to affect the democratic process.

How could a small group of people leading AI companies represent a threat to democracy?

Concentrations of power are always a threat to democracy. They have been since democracy was born. Right now, one of the biggest threats to democracy today are the concentrations of wealth and power in the United States. We worry that AI, as it is practiced, will further concentrate power. It doesn’t have to be that way. AI could be democratizing, and we imagine a future where AI helps distribute power rather than concentrate it. And to me, that’s the future we want to try to move toward.

In which ways could AI be used to further democracy?

In our book, we give many examples from around the world of AI being used to support democracy. We talk about AI being used to help write legislation, and how this makes legislators less dependent on lobbyists, which helps democracy. We talk about AI being used to assist local candidates to run for office, and how this can make it easier for people to run for office, which helps democracy. We talk about AI being used in government administration in ways that are fairer and faster, making democracy better. AI can be used in the court system, too. We can think of ways it could be used badly, but when it’s used well, it can make the courts run smoother and more efficiently. And finally, we talk about AI being used by citizens to help them get information, to help them reach consensus, and to help them engage with their government — which, again, helps with democracy. And these are not just theoretical. These things are happening across the world. We have examples from Europe, Asia, South America, Africa, the United States, and Canada, where these technologies are being used to make democracy better.

What are the scenarios in which AI can be used to harm democracy?

The way to think of it is that AI is a power-enhancing technology. It enhances the power of people in groups who use it. If those people want to further democracy, the technology helps them do that. If those people are autocrats, the technology helps them harm democracy. Either way, it is a tool of the humans who use it. We talk about AI being used as a tool of surveillance, as a tool of control, as a tool of propaganda. These are all possible scenarios, but AI can also be used to resist all those things.

Is it necessary to have regulation for AI to support democracy?

If we don’t want AI solely benefiting the tech monopolies, we need some very strong regulation. We made this mistake with social media. We chose not to regulate it, and now we’re living with all the harms that came from that decision. We could choose a different path today. We can regulate AI technology to ensure that it distributes power, to ensure that the people gain the benefits of the technology. This isn’t impossible. Europe is trying; there is an EU AI Act. We can discuss the good and bad parts of it, but it is trying to regulate the technology. Some states in the U.S. are trying as well. I think we do need more. We need to recognize that this technology broadly affects society in ways that could both be very positive and very negative and regulate it accordingly.

You write that one option is to develop public AI to counterbalance the power of private AI companies. How feasible is this?

In our book, we write about a noncorporate AI option. This would be AI developed not by a corporation, but by a government, or an NGO or a university. When we wrote the book, it was theoretical. We knew it was possible, but it hadn’t happened yet. Two months ago, the government of Switzerland released a public AI model. It’s a large language model, developed in conjunction with ETH Zurich University, and it is a competitive AI core model that is not developed by a corporation with a profit motive; it is for the public good. It’s an amazing development. Now we know it is feasible. This isn’t going to replace corporate AI, but it’s going to be a counterbalance and demonstrate that something else is possible and can be in the ecosystem as a possibility for people and organizations to use.


Harvard University Housing establishes new rents for 2026–2027

Rental rates remain flat for current HUH tenants who extend lease


Campus & Community

Harvard University Housing establishes new rents for 2026–2027

Holden Green is one of 70 properties managed by Harvard University Housing

Holden Green is one of 70 properties managed by Harvard University Housing.

Photo by David Kurtis © 2023

5 min read

Rental rates remain flat for current HUH tenants who extend lease

Harvard University Housing (HUH) manages approximately 3,000 apartments, offering a broad choice of locations, unit types, amenities, and sizes to meet the individual budgets and housing needs of eligible Harvard affiliates (full-time graduate students, faculty members, and employees). Harvard affiliates may apply for Harvard University Housing online at www.huhousing.harvard.edu. The website also provides information about additional housing options and useful Harvard and community resources for incoming and current affiliates.

In accordance with the University’s rent policy, Harvard University Housing charges market rents*. To establish the proposed rents for 2026–2027, Jayendu Patel of Economic, Financial & Statistical Consulting Services performed and endorsed the results of a regression analysis on three years of market rents for approximately 14,000 apartments. The data on apartments included in the analysis were obtained from a variety of sources, including rentals posted on the HUH Off-Campus Housing website by private-market property owners, information supplied by a real estate appraisal firm, and various non-Harvard rental websites, in order to provide comparable private rental market listings for competing apartment complexes in Cambridge, Boston, and Somerville. As always, all revenues generated by Harvard University Housing in excess of operating expenses and debt service are used to fund capital improvements and renewal of the facilities in HUH’s existing residential portfolio.

The rents noted in this article have been reviewed and endorsed by the Faculty Advisory Committee on Harvard University Housing and will take effect for the 2026-2027 leasing season. Written comments on the proposed rents may be sent to the Faculty Advisory Committee on Harvard University Housing, c/o Harvard University Housing, Richard A. and Susan F. Smith Campus Center, 1350 Massachusetts Ave., Room 827, Cambridge, MA 02138. Comments to the committee may also be sent via email to leasing@harvard.edu. Any written comments should be submitted by Feb. 6.

Rents for continuing HUH tenants

Current HUH tenants who choose to extend their lease, rental rates will remain flat. Heat, hot water, electricity, and gas, where applicable, are included in all Harvard University Housing apartment rents; internet service and air conditioning may also be included where available.

Harvard University Housing tenants will receive an email in March 2026 with instructions on how to submit a request to either extend or terminate their current lease. Tenants who would like additional information or help in determining their continuing rental rates for 2026–2027 may call the HUH Leasing Office at 617-495-1459.

Rents for new HUH tenants for the 2026-2027 leasing season

The results of this market analysis and of other market research indicate that Harvard University Housing 2026–2027 market rents will be as listed below. Heat, hot water, electricity, and gas, where applicable, are included in all Harvard University Housing apartment rents; internet service and air conditioning may also be included, where available.

  • 10 Akron Street: studios $2,340–$2,700; one bedroom convertibles $2,964–$3,312.
  • 18 Banks Street: one bedrooms $2,820–$3,204; two bedrooms $3,420–$3,588.
  • Beckwith Circle: three bedrooms $3,204–$4,164; four bedrooms $3,624–$4,500.
  • Botanic Gardens: one bedrooms $2,868–$3,012; two bedrooms $3,384–$3,540; three bedrooms $3,924–$4,164.
  • 472–474 Broadway: one bedrooms $2,760–$2,832.
  • 5 Cowperthwaite Street: studios $2,496–$2,904; one bedrooms $3,012–$3,024; one bedroom convertibles $2,964–$3,228; two bedrooms $3,468–$4,236.
  • 27 Everett Street: one bedrooms $3,156–$3,228; three bedrooms $4,248–$4,956.
  • 29 Garden Street: studios $2,172–$2,520; one bedroom convertibles $2,748–$2,784; two bedroom efficiencies $3,084–$3,624; two bedrooms $3,468–$3,552; three bedrooms $4,776–$5,016.
  • Harvard @ Trilogy: suite $1,956- $2,196; studios $2,376–$2,604; one bedroom convertibles$3,060–$3,276; two bedroom efficiencies $3,696–$3,948.
  • Haskins Hall: studios $2,364–$2,460; one bedrooms $2,628–$2,904.
  • Holden Green: one bedrooms $2,508–$2,880; two bedrooms $2,880–$4,056; three bedrooms $3,768–$3,852.
  • 2 Holyoke Street: one bedrooms $2,856–$3,024.
  • Kirkland Court: one bedrooms $2,532–$3,000; two bedrooms $3,336–$3,588; three bedrooms $4,296–$4,596.
  • 8A Mt. Auburn Street: one bedrooms $2,856–$3,024.
  • Peabody Terrace: studios $2,316–$2,976; one bedrooms $2,796–$3,312; two bedrooms $3,228–$3,852; three bedrooms $4,740–$5,160.
  • 16 Prescott Street: studios $2,316–$2,472; one bedrooms $2,676–$2,880.
  • 18 Prescott Street: studios $2,256–$2,328; one bedrooms $2,664–$2,928.
  • 85–95 Prescott Street: studios $2,376–$2,628; one bedrooms $2,688–$3,132; two bedrooms $3,144.
  • Shaler Lane: one bedrooms $2,544–$2,736; two bedrooms $2,904–$3,444.
  • Soldiers Field Park: studios $2,772–$3,264; one bedrooms $3,192–$3,648; two bedrooms $3,912–$4,932; three bedrooms $4,332–$5,668; four bedrooms $5,688-$5,856.
  • Terry Terrace: studios $2,448–$2,532; one bedrooms $2,700–$3,000; two bedrooms $3,336–$3,372.
  • 9–13A Ware Street: studios $2,352–$2,496; one bedrooms $2,664–$2,988; two bedrooms $3,324–$3,348.
  • 15 Ware Street: studios $2,580; one bedrooms $3,504; two bedrooms $4,080.
  • 19 Ware Street: two bedrooms $3,876–$3,924; three bedrooms $4,164.
  • One Western Avenue: studios $2,532–$2,820; one bedrooms $2,724–$3,180; two bedrooms $3,192–$3,984; three bedrooms $4,608–$4,980.
  • Wood Frame Buildings: studios $1,728–$2,448; one bedrooms $2,496–$3,468; two bedrooms $3,132–$4,800; three bedrooms $3,504–$6,384; four bedrooms $5,400–$6,000.

The comments received will be reviewed by the Faculty Advisory Committee, which includes: Suzanne Cooper, Edith M. Stokey Senior Lecturer in Public Policy, Harvard Kennedy School; Nancy Hill, Charles Bigelow Professor of Education, Harvard Graduate School of Education; Howell Jackson, James S. Reid Jr. Professor of Law, Harvard Law School; Jerold S. Kayden, Frank Backus Williams Professor of Urban Planning and Design, Graduate School of Design; John Macomber, Gloria A. Dauten Real Estate Fellow, senior lecturer, Harvard Business School; Daniel P. Schrag, Sturgis Hooper Professor of Geology and professor of environmental science and engineering, Faculty of Arts and Sciences; and Sean Caron, vice president for Campus Services (chair), Office of Executive Vice President for Administration.

* The rents for tenants of Harvard University Housing are set at prevailing market rates, in keeping with the University’s affiliated housing rent policy. This policy was established in 1983 by President Derek Bok based on recommendations from a study led by Professor Archibald Cox and the Committee on Affiliated Housing. The original faculty committee determined that market rate pricing was the fairest method of allocating apartments and that setting rents for Harvard University Housing below market rate would be a form of financial aid, which should be determined by each individual school, not via the rent setting process. Additionally, the cost of housing should be considered when financial aid is determined.


What do Whoopi Goldberg, Tony Kushner, and Yo-Yo Ma have in common?

They all visited Harvard as part of arts program kicking off 50th year with talk by Robert Carlock, Tina Fey


Whoopi Goldberg (clockwise from top), Yo-Yo Ma, and Tony Kushner are just a few of the artists who’ve visited Harvard over the past 50 years via the Learning from Performers program.

Photo illustration by Liz Zonarich/Harvard Staff; Harvard file photos

Arts & Culture

What do Whoopi Goldberg, Tony Kushner, and Yo-Yo Ma have in common?

5 min read

They all visited Harvard as part of arts program kicking off 50th year with talk by Robert Carlock, Tina Fey

Eric Cheng had just landed the role of Song Liling in the Harvard Radcliffe Dramatic Club’s 2019 production of “M. Butterfly,” when the senior got a bit of advice from the ultimate expert.

Actor BD Wong, who originated Song Liling on Broadway in 1988, visited Harvard for two days in 2020 as part of the Office for the Arts’ Learning from Performers program. Wong did a master class with students, spoke to an English class, and attended an “M. Butterfly” rehearsal. He ended up helping Cheng workshop the first love scene between the two main characters.

“I remember showing him around the Harvard campus and just having a conversation,” recalled Cheng, now a content creator and podcast host living in Los Angeles. “There was something to be said about just being with this person proximally — seeing the life of a successful actor and performer — that was exciting and hopeful. I didn’t necessarily have access to many successful people in the arts, so that was really important.”

This year the Office for the Arts is celebrating the 50th anniversary of the Learning from Performers program. The initiative brings professional artists to campus for events with students that range from lunchtime discussions to workshops, residencies, classes, seminars, and coaching.

“Learning from Performers gives students the opportunity to interact with world-class artists from across disciplines and understand that what they learn here at Harvard — in traditional classrooms as well as on stages and in studios — can translate into extraordinary careers that define fields and help shape the world,” said the office’s director, Fiona Coffey. “When the OFA operates as a space that has one foot in the professional arts world and one foot in an educational setting, when we can bridge those two worlds together, that’s when our students encounter and understand the full power of the arts.”

The anniversary celebrations kick off Jan. 30 with an event at Sanders Theatre featuring Robert Carlock ’95 and Tina Fey. The comedy A-listers have worked together on “Saturday Night Live,” “30 Rock,” and more. They will share insights about their creative collaboration with an audience of students and community members.

“More than 50 years of Learning from Performers have taught us that often the most daring and impactful art is really rarely a solo act,” Coffey said. “It’s a very collaborative process.”

“More than 50 years of Learning from Performers have taught us that often the most daring and impactful art is really rarely a solo act.”

Fiona Coffey

Learning from Performers, launched in 1975, was the brainchild of then-student Jerold Kayden ’75.

Kayden, who is now Frank Backus Williams Professor of Urban Planning and Design at the Graduate School of Design, said the idea came during his senior year while he was serving as president of the Harvard-Radcliffe Orchestra. He invited cellist János Starker to perform as a guest artist with the ensemble when the cellist’s agent suggested a master class for an additional fee.

“He did a master class that I found very compelling with several student cellists,” Kayden said. “It struck me at the time, ‘This is interesting. I wonder if we could do more of that?’”

With the support of Myra Mayman, the OFA’s founding director, Learning from Performers was born the following fall. Kayden oversaw the program for its first year, when they hosted 19 artists including pianist Les McCann, composer Stephen Sondheim, and vocalist Sarah Vaughan. A program advisory committee formed over the same period that included dancer Alvin Ailey and jazz musicians Dave Brubeck, Cannonball Adderley, and Count Basie.

“It began as a series of conversations, it grew into conversations and workshops, then to something like the BD Wong residency, visiting classrooms and working behind the scenes with students in real time,” said Alicia Anstead, who leads the program as OFA’s Associate Director for Creative Productions and Producer of Harvard Arts Festival. “It continues to morph as we envision new ways of bringing art-making and grounding artists and students together at Harvard.”

“It continues to morph as we envision new ways of bringing art-making and grounding artists and students together at Harvard.”

Alicia Anstead

Other notable artists to participate in the program include actors Mel Gibson, Whoopi Goldberg, and Laura Linney; musicians Quincy Jones, Bobby McFerrin, and Yo-Yo Ma; playwright Tony Kushner; and artist Maurice Sendak.

Kayden said it is gratifying to see the program he founded as an undergraduate now entering its 50th year. He encourages current students to take similar risks with their own creative projects.

“Taking advantage of what Harvard offers to all of us is a great gift, and the combination of an idea and the convening power of Harvard made this work,” Kayden said. “My advice to students is: If you dream it, you can do it.”


Updike’s life in letters

From teen penning fan mail on family farm to Pulitzer Prize-winning author: ‘He needed to write the way most of us need to breathe or eat’


Arts & Culture

Updike’s life in letters

John Updike

Author John Updike at his home in Massachusetts in November 1978.

Photo by Jack Mitchell/Getty Images

5 min read

From teen penning fan mail on family farm to Pulitzer Prize-winning author: ‘He needed to write the way most of us need to breathe or eat’

It started with a letter.

In the late 1980s, when James Schiff was a graduate student, he wrote a letter to John Updike ’54, the prominent American literary figure who was the subject of his dissertation and an author he had long admired. A few days later, he received a response in the mail.

“I was astonished,” said Schiff, a professor of English at the University of Cincinnati. “I didn’t even think I would get a response, and not only did I get a response, but given the timing, he probably got the letter on a Tuesday, and then he had the response in the mail to me on Wednesday with all my questions answered.”

Updike, it turns out, wrote a lot of letters. According to Schiff, who recently published the edited book “Selected Letters of John Updike,” Updike wrote more than 25,000 of them in his lifetime. The volume spans 60 years of the writer’s correspondence, which Schiff considers “an integral part” of Updike’s “astonishing literary output.”

John Updike’s “Letters to Plowville” from Houghton Library’s collections.

Photos by Veasey Conway/Harvard Staff Photographer

A prolific and versatile author, Updike wrote more than 60 books along with nearly 2,000 short stories, poetry collections, and thousands of essays and pieces of literary criticism. He won the Pulitzer Prize for Fiction in 1981 and again in 1990 for two novels from his “Rabbit” series. When Updike died in 2009 at age 76, a New York Times obituary called him a “lyrical writer of the middle-class man.”

Updike’s depiction of small-town, middle-class America appealed to Schiff, who grew up in Cincinnati feeling he “needed to live in Hemingway’s Paris or Tolstoy’s Russia.” Reading Updike changed his mind. “Updike made the mundane, quotidian life of middle America so beautiful, interesting, and mysterious,” said Schiff.

Unlike other writers, Updike didn’t keep journals or diaries, said Schiff, who is now working on a biography of the author. Writing letters was common among Updike’s generation and was a way to record what was going on in his life. “He needed to write the way most of us need to breathe or eat,” said Schiff, a cofounder of the John Updike Society and founding editor of the John Updike Review.

Updike started writing letters as a teen, when he sent fan notes to cartoonists and artists he admired or submissions to magazines from his family farm in Plowville, Pennsylvania. His love for words was inspired by his mother, an aspiring writer. During his years at Harvard, between 1950 and 1954, Updike wrote about 150 letters to his parents about his courses, his roommates, and life in general. His letters from Hollis Hall show a writer with a keen eye and an already precise and refined writing style.

In the first letter he sent home from Harvard, dated Sept. 25, 1950, Updike wrote “Harvard is a difficult place in which to write a letter. … I’m rather frightened by the immensity of intelligence and variety of talents displayed here.” In another letter, a month later, he wrote, “I’m delighted by the way the Yard looks on a sunny day, and the way the front of Widener Library lights up at night. … I revel in the abundance of food, of independence, of thought.”

In other missives, Updike wrote about the fun he had at the Harvard Lampoon as cartoonist, editor, and president, how sad he was when he was “booted out” of an English class, feeling that “his literary career reached its nadir,” and the joy of falling in love with a Radcliffe student who would become his wife at the end of his junior year. “Harvard is a contradictory place,” he wrote. “Nowhere are you allowed so much freedom and given so little time to enjoy it.”

Schiff said the John Updike Archive at Harvard was “crucial” to his research. Over the years, Updike had donated portions of his papers to the University, and after his death in 2009 Harvard acquired the full collection, which includes manuscripts, personal correspondence including rejection letters, drawings and sketches, articles, and two bound volumes titled “Letters to Plowville” assembled by Updike’s mother. The documents, housed at Houghton Library, represent the largest collection of Updike papers, said Leslie Morris, Gore Vidal Curator of Modern Books and Manuscripts at Houghton.

“Almost all of John’s manuscripts and papers, which are voluminous, are held at Harvard,” said Schiff. “Many of his best letters come from that collection, including those letters written to his family.”

Schiff’s volume includes Updike’s letters to his parents, his first and second wives, his children, friends, writers, editors, and colleagues. It took eight years to complete.

Updike’s letters were “seldom boring or perfunctory,” said Schiff, and not only display the “intellectual finesse, wit, and eloquence found in his fictions and essays,” but also attest to his generosity and conscientiousness.

“For somebody who was an artist of such a high stature, he was remarkably open and generous to others.”

James Schiff

“For somebody who was an artist of such a high stature, he was remarkably open and generous to others,” said Schiff, who over the years exchanged correspondence with Updike and met him on several occasions, including in Cincinnati. “Letters had been so important to him as a teenager, when he wrote fan mail to cartoonists he admired … Perhaps because of those cartoonists who were kind to him when he was a teenager, he felt a need to respond to people who wrote to him. I think that was part of his conscientious nature. For the most part, the volume of his letters indicates he enjoyed writing to people.”


‘Gifted’  

Rooted in values, scorned as elitist, and now, in the age of AI, about to go extinct?


Illustration of a brain wrapped in a giftbox.

Illustration by Liz Zonarich/Harvard Staff

Nation & World

‘Gifted’  

Rooted in values, scorned as elitist, and now, in the age of AI, about to go extinct?

4 min read

Ellen Winner is a senior research associate at Project Zero at the Harvard Graduate School of Education and author of “Gifted Children: Myths and Realities.” For our new series “One Word Answer,” we asked to her discuss the history and connotations of “gifted.”


“Gifted” is a loaded term. A “gift” connotes something bestowed rather than achieved — and a label of gifted may sound elitist. Some people reject the very idea of giftedness. Instead, they offer the “feel-good” view that all children are gifted, or that giftedness is not inherent but just a matter of hard work and intensive practice.

When the concept of giftedness is embraced, what follows depends on what the culture values. In hunter-gatherer societies, sharp eyesight and bodily endurance are valued. In Polynesia, where navigators travelled the seas without instruments, spatial intelligence was prized. In the Jewish tradition, the ability to read sacred texts was recognized, and those who could do so at an early age might be selected to become rabbis or scholars. In the Catholic tradition, those with behavioral traits of reverence and humility might be selected to enter the priesthood.

With the rise of industrialization and mass schooling in the late 19th century, giftedness came to mean school smarts. The IQ test was invented in 1905 by Alfred Binet to help the French government recognize children who would need special help in school, though now it is used equally to identify giftedness.

Most people would agree that there are many non-academic areas in which one can be gifted — art, music, athletics, dance, understanding others, and more. Nonetheless, when we hear the term “gifted child,” we think school-gifted — and that means getting high grades and scoring way above average on standardized or IQ tests.

In most societies, schools are designed for the typical child, and gifted children are atypical.

Gifted children typically have what I call a “rage to master,” and this is true of those gifted in scholastic as well as non-scholastic domains. They are intensely internally driven. And they are often bored in school, becoming restless or disruptive or simply tuning out. What should be done?

Schools in the U.S. have tried a number of approaches to differentiated instruction for gifted children (typically identified by standardized test scores). One solution is grade-skipping. That might work for one or two grades, but some profoundly gifted kids are five, six years ahead — there are cases of children who go to college at 11. I’m not sure that’s a very good thing to do, socially or psychologically.

A less radical solution is to allow a child gifted in math, for example, to stay chiefly in their assigned class but take a math class that’s several grades higher — but this only works if the school is willing to make accommodations, and if the schedule aligns. Additionally, there are pull-out programs — after-school enrichment where gifted children get to be with others like themselves. But these programs do not solve the problem of boredom and lack of challenge when these students go back to their classrooms.

None of these solutions is perfect. In most societies, schools are designed for the typical child, and gifted children are atypical.

Some worry that gifted programs contribute to perfectionism in children, accompanied by fear of failure. It’s true that perfectionism can be a problem among gifted children because they push themselves to attain high standards, and sometimes their parents are pushing them, too. But it’s not necessarily the programs themselves that are the problem.

There is good news ahead. In this era of AI, education can be radically individualized, with children getting their own tutor bot tailored to their level. Children would not need to be labelled as gifted; they would simply advance at their own level. Finally, gifted children might get the education that they deserve, and concerns about elitism would likely dissipate.

One final thought. In an age in which machines seem to be able to do everything better than humans, it is hard to know whether there will be such a concept of giftedness, and if so, what it will mean.

— As told to Sy Boles/Harvard Staff Writer


Your brain on advanced meditation

Where do science and ancient wisdom align? Take our quiz to find out.


Health

Your brain on advanced meditation

Illustration of a group of people meditating.

Illustrations by Liz Zonarich/Harvard Staff

1 min read

Where do science and ancient wisdom align? Take our quiz to find out.

Mindfulness has gone mainstream, with the top 10 smartphone apps for meditation cumulatively reaching some 300 million downloads worldwide. The practice, research suggests, reduces stress and anxiety and improves mood and emotional regulation. 

Advanced meditation may offer even greater benefits — potentially leading to transcendent states of mind and awareness, according to scientists at the Massachusetts General Hospital Meditation Research Program who are pioneering studies in the field.

Matthew Sacchet, the program’s director and an associate professor in the Harvard Medical School Department of Psychiatry, helped us develop the following quiz on what scientists are only beginning to learn about these deeper practices.


Step 1 of 7

1. What percentage of Americans say they meditate at least a few times a month?


How did that cancer cell become drug-resistant?

Researchers find way to create microscopic archives of gene activity to gain insights into how, why changes happen


Science & Tech

How did that cancer cell become drug-resistant?

Kevin Yu-Kai Chao (left) and Fei Chen

Kevin Yu-Kai Chao (left) and Fei Chen.

Niles Singer/Harvard Staff Photographer

5 min read

Researchers find way to create microscopic archives of gene activity to gain insights into how, why changes happen

Harvard scientists have invented a way to create a tiny “time capsule” in cells, one that preserves an archival record of gene expression that can be retrieved long after it normally disappears.

“It’s like a time machine for the cell,” said Fei Chen, associate professor of stem cell and regenerative biology and a core member of the Broad Institute of MIT and Harvard, who led the new study. “You can look at a cell now to see how its past influences the present — for example, what genes were turned on in the past to cause a cancer cell to become resistant to drugs.”

Dubbed “TimeVault,” the new technique was published Jan. 15 in Science. It aims to surmount a longstanding limitation in cell research and offer a new tool for studying topics such as cell differentiation, response to stress, adaptation, or drug resistance.

Biologists have long sought methods to study the life history of cells and the molecular changes that unfold during processes such as development and disease.

But most existing techniques cannot measure these processes over time. For example, RNA sequencing provides only a one-moment snapshot of gene expression and destroys the cell.

Numerous other technologies offer different glimpses of cellular activity, but none compile an ongoing record.

To overcome this hurdle, the Chen Lab sought to build a way to record gene activity, store the information within living cells, and later recover it to see how past events influenced the fate of the cell.

The researchers first experimented with bacteria proteins called encapsulins, but they did not perform well. Then they read an article about mysterious structures known as vaults.

Vaults — so named because early researchers likened them to vaulted cathedral ceilings — are enigmatic structures naturally occurring inside cells. Although smaller than the membrane-enclosed organelles such as the nucleus or mitochondria, vaults are the largest particles made by human cells and among the most abundant, with about 10,000 in most cells and up to 100,000 in some immune cells.

First discovered 40 years ago, their function remains unknown. Vaguely resembling footballs or hand grenades, vaults are mostly hollow — meaning they could be engineered to store other molecules. Better yet, they do not trigger an immune response because they already exist within cells.

“The first time we tried it, it just worked so much better than encapsulins — approximately 10 times better,” said Chen. “So we immediately shifted our approach to using vaults.”

First, the method assembles a “transcriptome,” or an inventory of all the messenger RNA (mRNA) produced by the cell at that moment. (Most cells contain complete copies of the genome, but only certain genes are expressed at any given time and thus produce the mRNA instructions to build proteins.)

The system uses poly(A) binding proteins, which naturally bind to mRNA and are widely employed to produce transcripts of gene activity. With bioengineering, researchers attached these proteins to others that naturally form vaults. When the vault takes shape and closes up, the transcript information becomes enclosed within.

“It’s like a magnet for RNA,” explained Kevin Yu-Kai Chao, a Ph.D. student in chemical physics in the Kenneth C. Griffin Graduate School of Arts and Sciences and lead author of the paper. “Then the vault will capture the magnet.”

“It’s like a magnet for RNA. Then the vault will capture the magnet.”

Kevin Yu-Kai Chao

The vaults act like protective containers and shield the RNA from normal degradation by enzymes.

In experiments, the researchers found that the TimeVaults extended RNA preservation more than sevenfold — from a half-life of about 17 hours in the cell cytoplasm to 132 hours inside the vaults.

This information is even inherited by daughter cells. When cells divide, the vaults are divided between the offspring cells.

Next, researchers used chemical techniques to dissolve the vaults and assemble transcriptome snapshots of past activity, which can be compared with other snapshots taken later.

“It’s a link between past and future,” said Chao. “Previously there was no link.”

The researchers tested the method by subjecting cells to heat shock and mimicking hypoxia (low oxygen), two stressors with well-established effects on gene expression. In both cases, the TimeVaults preserved evidence of the classic cellular responses long after it had vanished from the main body of the cell.

In another experiment, the team used the method to examine why some cancer cells became resistant to therapeutic drugs.

Thus far, the researchers have only used the method to record a single time point, but they hope it can be adapted to record multiple time points — and perhaps someday take scientists closer to a cellular version of a “black box” flight recorder.

“It’s the first way to actually look at the history of a cell and connect it to the future.”

Fei Chen

“It’s the first way to actually look at the history of a cell and connect it to the future,” said Chen. “We believe there probably will be a lot of cool applications from a research and potentially therapeutic standpoint. We’re actually very excited to share this with the scientific community.”

One colleague, a pioneering biologist known as “The Vault Guy,” is already excited. Leonard Rome, a Distinguished Professor at the David Geffen School of Medicine at UCLA whose team first discovered vaults in 1986, applauded the new method for its innovative engineering of the still-mysterious structures. “Frankly, I’m delighted that Dr. Chen has been able to exploit the properties of the vault particle in this way and by doing so deliver an entirely new method for probing a cell’s history,” he said.


How COVID-era trick may transform drug, chemical discovery

Harvard chemists, inspired by group-testing strategy, develop faster way to identify useful catalyst combinations


Health

How COVID-era trick may transform drug, chemical discovery

Marcus Sak (left) and Eric Jacobsen.

Veasey Conway/Harvard Staff Photographer

5 min read

Harvard chemists, inspired by group-testing strategy, develop faster way to identify useful catalyst combinations

Laboratories turned to a smart workaround when COVID‑19 testing kits became scarce in 2020.

They mixed samples from several patients and ran a single test. If the test came back negative, everyone in it was cleared at once. If it was positive, follow-up tests would zero in on who was infected. That strategy, known as group testing, saved valuable time, money, and resources.

Now, a team of Harvard chemists in collaboration with Merck scientists has adapted the same basic idea to speed up production of drugs and other valuable chemicals.

In a new Nature paper, a team led by Eric Jacobsen, Sheldon Emery Professor of Chemistry in the Department of Chemistry and Chemical Biology, described an experimental and computational framework that uses pooled tests to hunt for cooperative interactions between catalysts, substances that can speed reactions and reduce the energy needed for reactants to transform into products.

This approach dramatically cuts down the number of reactions chemists need to run while still revealing which combinations perform well together.

“This idea of bringing two different catalysts together and seeing if the combination might do something especially powerful — either in a reactivity context or a selectivity context — has been interesting to me and many other chemists for a long time,” Jacobsen said. “We’ve now found an efficient approach to uncovering unanticipated manifestations of cooperativity.” 

“We’ve now found an efficient approach to uncovering unanticipated manifestations of cooperativity.”

Eric Jacobsen

Chemists have long known that two catalysts can sometimes cooperate to give higher yields or cleaner products, or to enable milder conditions than any single component can manage alone.

However, even testing a small set of potential candidates, the math quickly becomes brutal: A panel of 50 potential catalysts, for example, contains more than 1,200 unique pairs, not to mention three‑way or four‑way combinations.

To overcome that limitation, the researchers took inspiration from group testing.

In public health, the goal is to identify as many infected individuals as possible using as few tests as possible. In this new research, the tests are looking for catalyst pairs that make a reaction unusually efficient or selective.

“We landed on this idea that comes from COVID testing.”

Marcus Sak

“We landed on this idea that comes from COVID testing,” said Marcus Sak, lead author on this study and a graduate student at the Kenneth C. Griffin Graduate School of Arts and Sciences. “Can we use simple math and statistics to create an algorithm for discovery that needs to know very little — or even nothing — about the chemical features of the system?”

Instead of testing each pair individually, the team designed pooled experiments: Each reaction contained multiple catalyst candidates in a specific pattern. A custom algorithm then examined how each pool performed and used that information to infer which specific pairings must have been responsible for any boost — or drop — in performance.

“It’s not just a matter of pooling and testing. There’s a lot of statistical analysis,” Jacobsen said. “We were able to develop code to predict the best pooling strategies for evaluating different combinations of catalysts.”

“We were able to develop code to predict the best pooling strategies for evaluating different combinations of catalysts.”

Eric Jacobsen

There was a key challenge, though: Unlike COVID tests, where a sample is either positive or negative, real chemical systems are messy and complex. Some catalysts help, others hinder, and many can do both, depending on what else is in the flask. 

“Catalysts can cooperate with each other, but they can also inhibit each other,” Jacobsen said. “You could just ask, ‘If cooperativity is so important, why don’t you just throw every catalyst in one flask and see if that soup does better than the individuals?’ The problem is, if you add all the catalysts you know in a soup, you’re guaranteed to get mud. They cancel each other out.”

To make sure their pooling–deconvolution strategy was accurate, the researchers first tested it on simulated data. The algorithm consistently identified the true cooperative pairs while ignoring misleading signals.

Encouraged, the team employed a real-world challenge identified by co-author Richard Liu, assistant professor of chemistry and chemical biology: a palladium‑catalyzed decarbonylative cross‑coupling reaction. These reactions are essential tools for building complex molecules, including potential drug candidates.

The algorithm identified several ligand pairs that outperformed individual ligands on their own. 

Reducing catalyst loading and energy use are key goals for sustainable chemistry, especially when precious metals are involved. But the authors emphasized that the value of their framework goes well beyond any single transformation.

“I think it’s a very complementary approach to what you might consider the more rational design approach of using our mechanistic understanding to impose the effects we’re looking for,” Jacobsen said. 

Looking ahead, the researchers hope to push beyond pairs to ternary and higher‑order cooperativity, where three or more catalysts or ligands act together.

“Coming up with powerful strategies for looking for interesting chemistry, in this case cooperativity, through high‑throughput experimentation and really strategic analysis can open up an enormous amount,” Jacobsen said. “We’re going to learn a lot of chemistry in the coming years.”

This research was partially funded with grants from the National Institutes of Health and the National Science Foundation.


Inequality and location, location, location

Inaugural Martin Feldstein Professor of Economics studies interaction of geography with housing, labor markets


Work & Economy

Inequality and location, location, location

Inaugural Martin Feldstein Professor of Economics studies interaction of geography with housing, labor markets

8 min read
Rebecca Diamond

Rebecca Diamond.

Stephanie Mitchell/Harvard Staff Photographer

Rebecca Diamond’s research touches on some of today’s most pressing issues: Gender pay disparities. Immigrants and innovation. The long-term impacts of rent control.

“I’m getting a lot of emails from reporters about that one right now,” the labor economist said.

Diamond, M.A. ’11, Ph.D. ’13, joined the faculty this fall as the inaugural Martin Feldstein Professor of Economics.

Feldstein, who died in 2019, was a public finance expert, adviser to presidents of both political parties, and president emeritus of the influential National Bureau of Economic Research. He taught at Harvard for five decades and presided for 18 years over the “Ec 10” introductory course.

Known for innovative uses of data and advanced econometric modeling, Diamond honors Feldstein’s legacy by lending empirical rigor to research with real-world impact.

In an interview with the Gazette, edited for length and clarity, Diamond recalled how the economics department shaped her studies and unique research approach.


As a graduate student, your advisers included Edward Glaeser, Lawrence Katz, and Ariel Pakes. How did they shape your path?

I learned empirical methodology in Ariel’s industrial organization course, while Larry’s labor course was much more topic-based. We had to write a term paper for Larry’s class, and he had given a lecture on spatial differences in local labor markets.

Meanwhile, I learned some techniques in Ariel’s class that I thought would be useful for thinking about how people decide where to live and how to quantify the value of different characteristics of cities.

I put those two methodologies together, and that was the beginning of … everything.

It turned into your 2016 American Economic Review paper on U.S. workers’ location choices. Can you offer a summary?

That paper was trying to understand the combination of two key facts.

One, from 1980 to 2000 the college wage premium went way up, with college-educated workers earning a lot more than those without bachelor’s degrees. At the same time, we saw an increase in what is called “spatial segregation,” where college-educated workers chose to settle in different cities than those without college degrees.

College-educated workers were specifically living in cities that were increasingly high-wage but also had increasingly high housing costs. On the one hand, you might think these housing costs eroded the consumption value of their higher wages.

“I found that a lot of the increase in spatial inequality was driven by changes in labor demand.”

Rebecca Diamond

On the other, why are college-educated workers choosing to live in these expensive places? Maybe some of the city’s desirable amenities were compensating them for the high housing costs. And if that’s the case, the increase in wage inequality could actually understate the extent of the total increase in inequality.

I found that a lot of the increase in spatial inequality was driven by changes in labor demand.

But I also found a snowball effect. When you get a higher share of college-educated workers in an area, you get more variety in restaurants and salons. You get lower crime, you get better schools, you get better air quality. That furthers segregation because college-educated workers are willing to pay more for better amenities.

Can you say more about the method you used to study these phenomena?

The part of my model that quantifies how people decide which city to live in, and how they trade off different characteristics — say, higher wages with higher housing costs — came from one of Ariel’s methods for estimating how people buy cars. Why do they buy a Ford over a BMW?

There are a lot of parallels. With cars, the model includes how much people value miles per gallon, how much people value air conditioning. With cities, my model included how much people value low crime, how much do people value air quality or school quality.

What do you see as the throughline connecting your work?

“A lot of what I focus on is the role of geographic location and interactions with the housing or labor market that lead to heterogenous welfare effects for different groups of people.”

Rebecca Diamond

A lot of what I focus on is the role of geographic location and interactions with the housing or labor market that lead to heterogenous welfare effects for different groups of people. And then there are random papers that pick up what seems like important questions.

Like your 2021 paper on the gender pay gap for Uber drivers?

My co-author Paul Oyer, one of my colleagues at Stanford, came into my office one day and said, “I think I can get Uber data. What’s the coolest thing we could study?”

As a labor economic, I saw a unique setting for studying the gender wage gap. You know there can’t be discrimination in how the company is setting pay, because they use a formula.

What did you end up finding?

Despite the formulaic pay, there was still a 7 percent gender pay gap. Women tended to drive fewer hours per week than men, and that mechanically created large disparities.

We could estimate a learning curve separately for men and women and show they were identical. It’s not like women were learning slower. It’s just that they had spent less time driving. They were not as far up the learning curve.

And we were able to estimate the returns of learning. As you drive more, you get better at knowing peak pricing hours. You get better at knowing which neighborhoods to pick up in.

Part of it also had to do with the neighborhoods men and the women lived in. People usually pick up close to home. And for whatever reason, female Uber drivers tended to live in neighborhoods with slightly lower demand.

Men also drive faster, and Uber drivers get paid per mile.

You’ve studied another topic we’re hearing a lot about right now: rent control.

My co-authors and I looked at an expansion of rent control in San Francisco in the mid ’90s. A law, passed in 1979, gave rent control to all properties built as of that year with five units or more. In 1994, that was expanded to include buildings with two to four units. But because they were adding on to the old law, it was only buildings with two to four units built prior to ’79.

That created this nice treatment control. We could look at buildings with two to four units built in the ’70s relative to other two-to-four-unit buildings in the same neighborhood that were built in the ’80s. We could track the outcomes for tenants who lived in the properties when rent control was implemented. We could also track what happened to the properties over time.

What did you learn?

It does provide stability for those lucky enough to live in a building that suddenly gets rent control. We found they stayed in their apartments longer; they stayed in San Francisco longer than they would have. This was especially true for racial minorities.

But owners found ways to switch their properties to the owner-occupied market, where they can still command full market value. It just took a long time. It’s pretty challenging for owners in San Francisco to evict their rent-control tenants; they usually need to wait for them to move out on their own accord.

“So over the long run, the supply of rent-controlled housing dropped 25 percent. So those who were renters when the law passed benefitted, but it hurt the next generation.”

Rebecca Diamond

So over the long run, the supply of rent-controlled housing dropped 25 percent. So those who were renters when the law passed benefitted, but it hurt the next generation. They had fewer properties to choose from — and their rents were much higher.

Can you talk about your working paper concerning immigrants and innovation?

My co-authors and I used some clever data linkages to observe, for the universe of U.S. patents since 1990, which inventors are immigrants versus U.S.-born.

Something like 10 percent of the population in our dataset identified as immigrants. But they comprised 16 percent of inventors, and their share of patents was 23 percent. The average immigrant inventor is producing way more patents than the average American inventor.

Because most patents are not written by one person, just like with academic papers, we were also curious about externalities through collaboration.

To study this, you would ideally randomly force people to write a patent together and then study how that affects their subsequent careers. But we were able to approximate that by looking at untimely, early deaths of inventors and measuring the subsequent productivity of their collaborators.

We can do this separately for when the dying inventor is an immigrant versus when the dying inventor is U.S.-born. Both show substantial collaboration externalities, but they’re about twice as big for the immigrant inventors.

Putting that all together, we find that 32 percent of all innovation can be attributed to immigrants once you account for the fact that some patents by those born in the U.S. can be indirectly attributed to these collaborations.


Missed opportunities to catch cases of domestic abuse

Study finds orthopedists, who treat kind of injuries that result from partner violence, refer patients to programs at very low rates


Health

Missed opportunities to catch cases of domestic abuse

Study finds orthopedists, who treat kind of injuries that result from partner violence, refer patients to programs at very low rates 

4 min read
Ophelie Lavoie-Gagne

Ophelie Lavoie-Gagne.

Veasey Conway/Harvard Staff Photographer

Musculoskeletal injuries are the secondmost-common physical manifestation of intimate partner violence. But orthopedic surgeons, who typically treat those types of injuries, refer patients to domestic violence programs at a much lower rate than providers in other specialties. 

That’s according to a recent paper by researchers at Harvard Medical School, Mass General Hospital, and Brigham and Women’s Hospital. The JB & JS Open Access article concluded that the disconnect highlights a missed opportunity for intervention by medical personnel.

“This research shows we have an opportunity to support patients in a way that can be just as important as the surgery itself.”

Ophelie Lavoie-Gagne

“This research shows we have an opportunity to support patients in a way that can be just as important as the surgery itself,” said Ophelie Lavoie-Gagne, a clinical fellow in Orthopedic Surgery at Mass General and lead author of the study. 

In the U.S., more than one in three women and one in four men have experienced intimate partner violence (IPV) in their lifetimes, according to the National Domestic Violence Hotline. After injuries to the head and neck, musculoskeletal injuries are the most common physical manifestation of domestic violence, Lavoie-Gagne said. 

To perform their analysis Lavoie-Gagne and co-authors examined 24 years of data representing 11,227 patients referred to two unidentified, in-hospital, domestic-abuse intervention programs (DAIPs).

The researchers found that emergency departments referred 3,292, or 29.3 percent, of the patients, followed by behavioral health (18.1 percent), self-referral (14.8 percent), OB/GYN (8.4 percent), and primary care (5.2 percent). Orthopedic referrals made up the lowest relative rate across all departments at 0.3 percent. 

Screening for the violence can be as simple as asking a patient whether they feel safe at home. In certain specialties and institutions, clinicians are required to screen every patient. But in others, screening is only recommended, and clinicians aren’t always trained on what to do if a patient discloses abuse. 

The American Academy of Orthopaedic Surgeons lists common representations of domestic violence, including injuries that are disproportionate to the explanation of the cause, wounds of varying ages, and those that reflecta substantial delay before treatment was sought.

Lavoie-Gagne said surgeons who see many patients over the course of a day may miss some of the subtler signs of abuse. 

To encourage more screening, Harvard Medical School associate professor Bharti Khurana, a senior author on the paper, has been working on an artificial intelligence tool to help clinicians decide whether a patient might benefit from one.

The tool, called AIRS (Automated IPV Risk Support System), processes all of a patient’s health information and assigns a risk score. A higher score could spur a clinician to do a screening. A pilot study examining AIRS’ efficacy is underway across several departments at Harvard-affiliated hospitals. 

“IPV often leaves physical traces that show up repeatedly in the medical record long before a patient ever discloses abuse.”

Bharti Khurana

“IPV often leaves physical traces that show up repeatedly in the medical record long before a patient ever discloses abuse,” said Khurana. “The opportunity for AI, and for AIRS specifically, is to recognize those patterns early and objectively, using information the healthcare system already has.”

Lavoie-Gagne hopes her research helps orthopedic providers feel more comfortable screening patients more often — and understand that there are resources available.

“The intervention is not necessarily to convince someone to leave their partner; only they can decide that,” she said. “Sometimes the intervention is just to empower someone, to say that what’s happening to them at home is not okay.”

This study was funded in part by the National Institutes of Health. If you are impacted by intimate partner violence, you can call the National Domestic Violence Hotline at 1 (800) 799-7233 or text START to 88788.


Alumni committee names candidates for Harvard board elections

Voting for Board of Overseers and HAA elected directors begins April 1


Campus & Community

Alumni committee names candidates for Harvard board elections

Harvard campus.

Harvard file photo

6 min read

Voting for Overseers and HAA elected directors begins April 1

The Harvard Alumni Association nominating committee has announced its candidates for the spring 2026 elections of the Harvard Board of Overseers and elected directors of the Harvard Alumni Association.

The nominating committee brings together 13 alumni with varied backgrounds and includes three current or former Overseers who have direct experience with the workings and needs of the board. The committee invites and receives suggestions about possible candidates from across the alumni community and reviews information on hundreds of prospective candidates as part of extensive deliberations throughout the fall term.

“The process of identifying candidates for Overseer and HAA elected director once again underscored the extraordinary breadth of experience and commitment found across the Harvard alumni community,” said Robert N. Shapiro ’72, J.D. ’78, chair of the nominating committee, former Overseer, and past president of both the Harvard Alumni Association and the Harvard Law School Association. “These candidates bring a wide range of professional accomplishments, life experiences, and points of view. They share a deep interest in Harvard’s academic excellence and broad institutional mission, and a strong sense of responsibility to the University and its future.”

The committee seeks to develop a set of Overseer candidates that takes account of the board’s present composition and the University’s future needs. The committee considers experience and accomplishment in an academic or professional domain important to the University; interest in and concern for higher education and for Harvard University as a whole; commitment to the overall quality and continual improvement of Harvard’s programs of education and research; readiness to invest significant time in the visitation process, standing committees, advisory functions, and plenary deliberations of the board; understanding of complex organizations, and leadership and consensus-building skills.

“I’m grateful to my fellow committee members for the care and judgment they brought to this work,” Shapiro said. “And we are thankful to the candidates themselves for their willingness to devote the time and energy required for thoughtful and effective service to Harvard and the broader community it serves.”

Overseer candidates

Salvo Arena, L.L.M. ’00
J.D. ’93, Ph.D. ’99, University of Catania; Partner, Chiomenti
New York

Nisha Kumar Behringer ’91, magna cum laude, M.B.A. ’95
Independent Director and Audit Committee Chair, Birkenstock Holding PLC
Greenwich, Connecticut

Clive Chang, M.B.A. ’11
B.Mus. ’07 with honors, B.Com. ’07, McGill University; M.F.A. ’09, New York University; President and CEO, YoungArts: The National Foundation for the Advancement of Artists
Miami

Teresa Hillary Clarke ’84, cum laude, J.D. ’89, M.B.A. ’89
Chair and Executive Editor, Africa.com; Former Managing Director, Goldman Sachs & Co.
Miami

Arti Garg, Ph.D. ’08
A.B./B.S. ’99, M.S. ’01, Stanford University; M.S. ’02, University of Washington; EVP and Chief Technologist, AVEVA
Hayward, California

Trey Grayson ’94, cum laude
J.D. ’98, M.B.A. ’98, University of Kentucky; Partner, FBT Gibbons; Former Secretary of State, Commonwealth of Kentucky
Walton, Kentucky

Alfredo Gutiérrez Ortiz Mena,L.L.M. ’98
J.D. ’95, Universidad Nacional Autónoma de México; Former Justice, Supreme Court of Justice of the Nation (Mexico)
Mexico City, Mexico

Nadine Burke Harris, M.P.H. ’02
B.A. ’96, University of California, Berkeley; M.D. ’01, University of California, Davis; Pediatrician and Former Surgeon General of California
Sebastopol, California

Philip L. Harrison ’86, magna cum laude, M.A.R. ’93 with distinction
Chief Executive Officer, Perkins&Will
Atlanta

HAA elected director candidates

Mia Esther Alpert ’99 cum laude
Founder and President Emerita, Harvardwood
Los Angeles

Jimmy Biblarz ’14, magna cum laude, J.D. ’21, cum laude, Ph.D. ’23
Attorney, Hueston Hennigan; Lecturer in Law, UCLA School of Law
Los Angeles

Allison Charney Epstein ’89, magna cum laude with highest honors
M.M. ’91, A.D. ’94, Peabody Institute of the Johns Hopkins University; Opera Singer, Producer
New York

Medha Gargeya ’14, magna cum laude, J.D. ’19
Senior Associate, WilmerHale; Lecturer on Law, Harvard Law School; Captain, U.S. Air Force Reserves
Washington, D.C.

Jakob Haesler, M.P.A. ’99
M.Sc. ’97, University of St. Gallen; Global Head of Consulting, Forvis Mazars Group
Paris, France

David G. Lefer ’93, cum laude
M.Sc. ’95, Columbia University; Director of the Innovation and Technology Forum and Industry Associate Professor, New York University
New York

Margarita Montoto-Escalera ’78, M.B.A. ’85
Consultant, Reichard & Escalera LLC
San Juan, Puerto Rico

Yoshiko “June” Nagao ’96 cum, laude
Private Investor
Tokyo, Japan

Jeffrey H. Tignor ’96 cum laude
J.D. ’99, Duke University; Attorney-Adviser, Federal Communications Commission; Senior Lecturing Fellow, Duke University School of Law
Washington, D.C.

Candidates for Overseer may also be nominated by petition, by obtaining a required number of signatures from eligible voters. The deadline to submit petitions for the 2026 Overseers election is Jan. 29. Find more information on the nomination and election process here.

The election begins April 1. Completed ballots will be accepted until 5 p.m. on May 19. Harvard degree holders can vote online or by paper ballot for six anticipated vacancies on the Board of Overseers and for six openings among the HAA elected directors. This year the committee has nominated nine candidates for Overseer, rather than the usual eight, in light of an additional vacancy on the board due to the resignation of Vikas Sukhatme, M.D. ’79, Robert W. Woodruff Professor of Medicine at Emory University. The sixth-place finisher will complete the remaining two years of Sukhatme’s term.

All Harvard degree holders as of Jan. 1, except for officers of instruction and government at Harvard and members of the Harvard Corporation, are eligible to vote for Overseer candidates. All Harvard degree holders as of Jan. 1 may vote for HAA elected directors.

The Board of Overseers is one of Harvard’s two governing boards, along with the President and Fellows, also known as the Corporation. Formally established in 1642, the board plays an integral role in the governance of the University, complementing the Corporation’s work as Harvard’s principal fiduciary board. As a central part of its work, the Board of Overseers directs the visitation process, the primary means for periodic external assessment of Harvard’s Schools and departments. Through its array of standing committees, and the roughly 50 visiting committees that report to them, the board probes the quality of Harvard’s programs and assures that the University remains true to its charter as a place of learning, bringing broad, informed perspective to issues of academic excellence, long-term planning, and institutional priorities. More generally, drawing on its members’ diverse experience and expertise, the board provides counsel to the University’s leadership on priorities, plans, and strategic initiatives, helping to inform decision-making across the University. The board also has the power of consent to certain actions, such as the election of Corporation members. The current membership of the board is listed here.

The HAA board, including its elected directors, is an advisory board that aims to foster a sense of community, engagement, and University citizenship among Harvard alumni around the world. The work focuses on developing volunteer leadership and increasing and deepening alumni engagement through an array of programs that support alumni communities worldwide. In recent years, the board’s priorities have included strengthening outreach to recent graduates and graduate school alumni and continuing to build and promote inclusive communities.


‘Talent can be a great hindrance … It’s really about endurance’

MacArthur-winning poet, novelist Ocean Vuong offers advice to young writers at Eliot Memorial Reading


Campus & Community

‘Talent can be a great hindrance … It’s really about endurance’

Ocean Vuong

Ocean Vuong.

Photos by Stephanie Mitchell/Harvard Staff Photographer

4 min read

MacArthur-winning poet, novelist Ocean Vuong offers advice to young writers at Eliot Memorial Reading

Many young writers think the first step is finding a voice.

Ocean Vuong shakes his head at this. Spending time searching for a distinctive style could limit your growth as an author, he says. Better to focus on developing and shaping it along the way.

“It makes sense that in our culture of gain and scarcity that [finding a voice] should be a hunt or search or possession, but I don’t think that’s true,” said Vuong, an award-winning poet, novelist, and the featured speaker at the recent annual Eliot Memorial Reading. “I don’t think one finds a voice … I think one develops it throughout one’s life … I’m still discovering mine.”

“I don’t think one finds a voice … I think one develops it throughout one’s life … I’m still discovering mine.”

Ocean Vuong

“We all have a thumbprint; it’s idiosyncratic to us,” he said at the event presented by the Woodberry Poetry Room and funded by the T.S. Eliot Foundation. “Language syntax, how you arrange your words; that’s the thumbprint of an inner life, and that could be replicated, shifted and grown inexhaustibly.” 

The author of several poetry collections, Vuong wrote “On Earth We’re Briefly Gorgeous,” a New York Times best-selling book that has sold more than a million copies and has been translated to 40 languages since its publication in 2019.

A recipient of a MacArthur “Genius Grant,” Vuong was born in Vietnam and immigrated to the U.S. at age 2 as a refugee with his mother and other relatives. He grew up in Hartford, Connecticut, and teaches modern poetry and poetics in the M.F.A. program at NYU.

Ocean Vuong on stage
Ocean Vuong speaks from the podium in the Carpenter Center at Harvard University.

The event was dedicated to the poet, novelist, and activist Fanny Howe, who was to be this year’s speaker but fell ill and died in July. Christina Davis, Curator of Poetry of the Woodberry Poetry Room, reached out to Vuong, who agreed to fill in. Davis noted that six years ago Howe had replaced Vuong, who had to cancel because of his mother’s failing health.

“Could it be, I wonder, that this reading might be a chance for the kindness she [Howe] once bestowed on Ocean to experience a form of eternal return?” Davis told the audience. “It seemed so unlikely, given Ocean’s notoriously packed schedule … but all I had to do was speak three words: For Fanny Howe …”

After paying tribute to Howe, Vuong read several new poems of his own, among them one about his 12-year-old dog named Tofu, another about President Abraham Lincoln, and an ode to the last dinosaur.

In a Q&A period, Vuong shared pieces of advice to aspiring writers. He told them to work seriously on their craft because perseverance is more important than talent.

“Talent is real, but a lot of times, talent can be a great hindrance,” said Vuong. “It’s not a marker of a successful writer. It’s really about endurance … Because everything outside of your desk, outside of your home, conspires to destroy you.”

“It’s not a marker of a successful writer. It’s really about endurance … Because everything outside of your desk, outside of your home, conspires to destroy you.”

Ocean Vuong

Asked if he writes out of anger and how he manages to remain hopeful, Vuong said his Buddhist practice helps him manage his emotions and focus on writing not out of anger, but out of care, which he describes as the “afterlife of anger.”

Hope is a guiding principle in his work and life, he said.

“I’m angry often, but I’ve never written out of anger,” said Vuong. “Anger is not useful for me because I destroy myself as I use it. It’s a radioactive energy for me; it wounds as it’s being wielded, and it’s only a matter of time before it sputters out … To me, the most productive work comes out of care and then compassion.”


After the disaster, living for today

Study looks at why risky behavior surged in wake of 2011 tsunami, earthquake


Health

After the disaster, living for today

Ichiro Kawachi

Ichiro Kawachi.

Niles Singer/Harvard Staff Photographer

4 min read

Study looks at why risky behavior surged in wake of 2011 tsunami, earthquake

When Ichiro Kawachi established a cohort study in Iwanuma, Japan, in 2010, he thought he would be researching the predictors of healthy aging. 

But seven months later, his plans changed when a magnitude 9.1 earthquake, the fourth most powerful since 1900, struck 50 miles from his field site, triggering a massive tsunami and widespread destruction. 

“We had this unusual natural experiment where we had all the information about people’s lifestyle and health behaviors before the earthquake, and we could track people afterwards,” said Kawachi, the John L. Loeb and Frances Lehman Loeb Professor of Social Epidemiology at the T.H. Chan School of Public Health. “It turned into a follow-up study of disaster survivors.”

In a paper in Communications Psychology, Kawachi and co-authors, including lead author Yasuyuki Sawada of the University of Tokyo, found a significant increase in obesity and metabolic syndrome (a cluster of conditions associated with cardiovascular disease, stroke, and Type 2 diabetes) among people who suffered housing damage or destruction in the March 11, 2011, disaster. 

“Overweight and obesity rates increased from 25 percent before the earthquake to 35 percent among people who lost their homes, whereas it remained pretty much level among people who did not experience this kind of asset loss,” Kawachi explained. “That was a big surprise for us.” 

“Overweight and obesity rates increased from 25 percent before the earthquake to 35 percent among people who lost their homes, whereas it remained pretty much level among people who did not experience this kind of asset loss.”

Ichiro Kawachi

Rates of drinking and smoking also increased for people who experienced heavy damage to their homes. 

This might not be surprising to epidemiologists, who have consistently found that people who have survived natural disasters tend to engage in risky health behaviors at higher rates than peers who have not. What’s novel in Kawachi’s research is the underlying mechanism: present bias, also known as hyperbolic discounting, brought about by exposure to scarcity. Present bias is the tendency to prefer immediate rewards over larger, future benefits, even when the benefits of waiting are clear.

The researchers analyzed data from 337 participants from parts of Iwanuma that had recorded a large variation in home damage on each block, about three years after the quake. They collected an additional round of data in 2017. 

They supplemented data from Iwanuma with that of 187 survivors of a separate natural disaster — torrential rain and typhoon-like flooding that struck a village south of Manila in the Philippines in 2012. 

“We set this up as an independent sample of people who have experienced asset loss,” Kawachi said. “In that location, they also saw an increase in poor dietary habits, hypertension, and metabolic problems.” 

Unhealthy behaviors and increased present bias both persisted six years after the disaster. 

To identify present bias as the mechanism behind the increase in unhealthy behaviors, Kawachi and his team created a version of the psychology experiment on delayed gratification known as the marshmallow test. Participants we re asked if they would like to receive a sum of money today or a larger sum of money at a later date. 

“From the choices they make in different scenarios, we can quantify their internal discount rate. Thus we can show that there’s a dose response between the extent of people’s housing damage and the extent to which they discount future benefit for present gain.” 

All of the behaviors recommended by public health officials — healthy eating, drinking in moderation, exercising, getting a good night’s sleep — involve what researchers call the intertemporal choice problem: The benefits of the behavior and the cost of the behavior fall in different time periods. 

“When we fall under the sway of present bias, it becomes much more difficult to invest for future health gain,” Kawachi said. 

Interestingly, he added, the paper found that participants’ tolerance for risk did not change as a result of housing damage or housing loss. “This is a very specific mechanism about people’s ability to forgo gratification, to invest for the future, and that’s another way of trying to think about these risk behaviors.” 

Kawachi sees implications for the research beyond natural disasters. “There was widespread asset loss and scarcity during COVID,” he said. “And we also know that during COVID, all sorts of bad behavior increased: There was a rise in alcoholic cirrhosis, a rise in opioid poisoning. Some of that could be because of an interruption in access to services for treatment, but you could also put a kind of scarcity spin on what was happening at the population level.” 

The study described in this story was funded in part by the National Institutes of Health.


Is a chatbot therapist better than nothing?

Experts discuss role of AI and other technology in future of mental health care


Health

Is a chatbot therapist better than nothing?

Experts discuss role of AI and other technology in future of mental health care

long read
Person holding a smartphone in the dark.

Recent reports suggest we are experiencing a loneliness epidemic and mental health crisis. Suicide rates in the U.S. have risen over the past two decades; a recent surgeon general’s report flagged troubling statistics on the well-being of American youth; and more than a billion people globally have a mental health condition, according to new World Health Organization data.

Technologies such as smartphones, social media, and chatbots inevitably come up in any discussion about mental health — often as forces for harm. But could these same tools be used to help?

In a recent symposium hosted by the Faculty of Arts and Sciences, four Harvard experts on depression, anxiety, and trauma — Karestan Koenen, Elizabeth Lunbeck, Matthew Nock, and Jordan Smoller — discuss the potential risks and rewards of using tools such as chatbots to narrow the gap between need and treatment access. Gazette senior science writer Alvin Powell moderated the following conversation, condensed for clarity and length. Watch the video for the full conversation.


Whenever mental health comes up, inevitably technology becomes part of the conversation. AI-powered chatbots are powerful tools, clearly. Several cases have grabbed headlines, though, of potentially negative impacts — they’ve even been accused of encouraging suicide. How closely do we need to monitor these chatbots for harmful interactions?

Nock: As I think about new technologies, I think about old technologies. A lot of the conversations that we’re having now about chatbots we had a few years ago about social media, we’ve had about TV and telephones, and so on. They are tools. For each of them, we’ve got to figure out how do we use them in a way that maximizes the good and that minimizes the harm.

Lunbeck: I appreciate the nod to history. I’ll bring up another data point. The first chatbot for mental health was the ELIZA machine, which was set up by Joseph Weizenbaum, a computer scientist at MIT, and he found immediately that people reacted to the chatbot as if it were a person. And there’s an apocryphal story of him — his secretary was using it in the interface and asked him to leave the room because she was having a private conversation with the chatbot. And even his colleagues who were computer scientists, he complained that they should have known better. There’s something very alluring about this technology that we don’t fully understand yet all these years later.

Smoller: Chatbots are increasingly good at tapping into some of the machinery that we have ourselves in terms of identifying a connection with something and then anthropomorphizing it.

Lunbeck: People talk about it — them hacking our attachment system.

There’s been a lot of focus on the sycophancy, the way that they are primed to agree with us, to mirror us. A recent study was just reported that the “yes” answers from ChatGPT outnumbered the “no” by 10 to 1.

Nock: But what are we comparing them to? How I learned to do therapy in the room as human to human, I say “yes” a lot more than I say “no.” I do a lot more validating. We’re trained, and the evidence suggests, there’s benefit to validating a person’s experience — “yes and…” I rarely, when I do therapy, say, “No, you’re wrong, and don’t do that.”

Lunbeck: Well, Freud said the analyst should be as a mirror to the patient. And now, we complain about chatbots mirroring, but that is part of what therapists do.

Nock: I think we should acknowledge the positive here. There are a lot of people who have mental disorders and don’t have the access to care. And here comes a technology that not everyone but a lot more people have access to. The possibility, the upside here is incredible.

Panelists discuss AI in mental health care.
Alvin Powell (from left), Elizabeth Lunbeck, Karestan Koenen, Jordan Smoller, and Matthew Nock.

It seems you are in agreement that there’s great promise here, but are these tools ready for prime time when we hear about these troublesome cases?

Lunbeck: Well, you can talk about suicide. Obviously, we need better guardrails. For a long time we’ve known that relationship is the key to effective psychotherapy. People have said, well, it’s not a relationship with a human, but I’m more focused on what’s the nature of that relationship people are forming with the chatbot? In what ways does it matter, in what ways doesn’t it matter that it’s not human? If it’s giving you something useful that you didn’t have before, who are we to say…?

Koenen: Is that better than nothing?

Lunbeck: If it’s preventing you from seeking help, that’s a problem. If it’s responding to your suicidal ideation with, “yay, go girl,” that’s terrible.

Nock: I see this, as in many areas of health and medicine, there’s an iteration that has to happen, and we think about: Are we ready? Is the treatment ready? There are people dying now. Let’s get the best treatment we can in the hands of people, test it out through the scientific process, see what works, and see if we can make it more effective.

The same approach is needed here. A lot of these platforms weren’t designed to provide therapy, but people are using them for a pseudo-therapeutic kind of relationship. I’d love to see more collaboration between industry and independent scientists to iteratively improve these technologies in ways that improve the health of society.

Lunbeck: I don’t want to lose sight of the dangers, though, because you did start with that. There has to be more attention to regulation and more pressure on the companies. It’s kind of a semantic question. What’s therapy, and what’s emotional support? There are ways to build in some guardrails — if you’ve been on it for five hours, for the bot to say, “maybe you should take a break” or something like that — and we just have to keep pressure on the companies to do that.

Would it be preferable if we boosted human connection?

Smoller: One of the things that we’ve studied is looking for the factors that are likely to be causally protective against developing things like depression. And over and over, two things come up: physical activity and social connection. During the pandemic, we had a study in which people who had good social and emotional support early in the pandemic had half the rate of developing significant depression.

So I think, absolutely. It’s a difficult thing to do. Our society is being structured in the opposite direction too much.

Koenen: And you’ve had studies, I know, where you’ve looked at people at high genetic risk of depression in the military, and found that those in units with high support, high conviction in their military units, even though they had high risk of depression genetically, had less new depression later. So even with high genetic risk, the social support and connection can buffer against that.

“Freud said the analyst should be as a mirror to the patient. And now, we complain about chatbots mirroring, but that is part of what therapists do.”

Elizabeth Lunbeck

We’ve talked about large language models, but what about cellphones? Are there innovative things going on in that area?

Nock: We did a study at Harvard a few years back where we interviewed teens who were getting psychiatric treatment, and we asked them about their social media use and what is helpful, what is harmful. Everyone said there are aspects of it that I love: I connect with other people, I see what the new trends are, I learn skills that I can use for my mental health. And on the negative side, I do social comparison, and I feel lonely, and I feel like I don’t have enough, and kids bully me, and so on.

Kids are using social media. This is the world they’re living in. How do we find out how to maximize health and minimize harm?

Smoller: Social media is not going away. The numbers I’ve seen are that 75 percent of young people get mental health information from social media, and there’s room for raising the game there. I worry about that because there’s so much misinformation and investment in psychiatric illness as being an important part of people’s development, and a lot of expression of distress through the labels of psychiatric illness, often inappropriately. It’s another thing we have to keep our eye on because that’s where people are getting their information, and it’s not always good.

Lunbeck: I couldn’t agree more. It’s become a marker of identity. Through TikTok, there are whole communities around entities that aren’t in the Diagnostic and Statistical Manual of Mental Disorders, but that have been named by users. We have to think about other ways for people to express their emotional vulnerabilities and concerns.

Nock: We teamed up with an industry partner who developed an algorithm to find people on social media platforms who were in distress, and then we experimented with how do we get them to crisis services. And we found that through a little tweak, we could boost use of crisis services by about 25 percent.

I worked with another platform to find blog posts that people found helpful and inspiring, and then randomized people to get those versus not. And found that people who got these blog posts had a significant decrease in their suicidal thinking, and they felt more hopeful, more optimistic, more connected with others. There are ways to use platforms and new technology in ways that boost people’s mental health rather than decline it.

Koenen: We have a study where we’re doing an app-based treatment in Kenya for PTSD. I was a little skeptical but we’re finding positive effects. People’s PTSD symptoms are really going down with this mainly app-based treatment, and they meet occasionally with a facilitator.

That’s by people’s smartphones, not something we could have done a decade ago. And it’s reaching many more people than we could have reached if we were waiting for a therapist trained in the specific evidence-based treatment to see individual patients in their office.

How do you see mental health care changing in 10 years?

Smoller: The problem with mental health care that dwarfs most others is access to care. We have to solve that problem. People with serious mental illness, psychotic illness actually have a shortened lifespan of 10 to 15 years.

My hope also is that we’re going to advance into this possibility of more precise, personalized treatment that’s more effective. And, I hope, a much bigger focus on prevention and early detection because most of what we do now is reactive.

Lunbeck: For years, it’s been the case that about half of the people who seek psychotherapy do not meet the criteria for any diagnosable mental disease. They go for support, for advice, for companionship, for changing oneself, a whole range of reasons.

From where I sit in therapy communities, there’s a lot of worry, will therapists survive this, the new technology? Will there be a role for actual human-to-human interaction? And I’m a big proponent of things happening when people actually talk to each other.

Nock: Thinking about suicide, half of people who die by suicide saw a clinician in the four weeks before they died. So they’re getting to care. One of my biggest questions is — and this is a focus of the center that Jordan and I lead at Harvard MGH — how can we use new technologies to provide better round-the-clock care, reach people when they need it, not in the absence of humans, but in addition to their human connections?

Koenen: And I think the other piece that we need to think about is the brain doesn’t exist separate from the rest of the body. As Jordan mentioned, there is good evidence that exercise can prevent depression.

There’s recently been large clinical trials where they’ve compared a cognitive behavioral therapy — that’s the gold standard for people with PTSD — against trauma-informed yoga. Randomized. They had the similar effects on PTSD symptoms, and there was less dropout from the yoga.

I would have said you can’t recover from PTSD without talking about your trauma. There was no talk about the trauma in the trauma-informed yoga. So what’s going on there? I don’t know, but there is this place for other things besides talking.

Maybe it was the community of doing yoga in the group. I don’t want to trivialize people with psychotic disorders or suffering from severe mental illness and say that yoga is going to cure them, but I think there are a lot of exciting developments in mind and body that we don’t really understand that could also help address this.

So it may be that a future Dr. Chatbot tells you to shut off the chatbot and go for a run, preferably with a whole group of people.

Koenen: Exactly.


What karaoke taught Elizabeth McCracken about fiction

In new guide to writing, novelist details value of being able to live with failure — and why she no longer sings in public


Elizabeth McCracken.

Elizabeth McCracken.

Photo by Edward Carey

Arts & Culture

What karaoke taught Elizabeth McCracken about fiction

In new guide to writing, novelist details value of being able to live with failure — and why she no longer sings in public

9 min read

Excerpted from “A Long Game” by Elizabeth McCracken, Radcliffe fellow ’08

Once at an excellent weekend writers’ conference, I gave a craft talk. It was called “On Failure” and at least partly concerned why I refused to participate in karaoke. In the car from the airport to the conference site, one of my fellow writers had asked me what my go-to karaoke song was. I didn’t have one. Everyone else in the car — two fellow faculty and the conference’s organizer — seemed shocked. I tried to explain my own limitations — I don’t like people and I don’t like fun and I don’t like being the physical center of attention, or playing pretend, or ordinary competition — but the truth was more complicated.

I am in my late fifties. Most of the odd mental habits of my teenage years are behind me. I no longer think that an article of clothing might change my life. I don’t believe I can transform my bad habits in the course of a summer in such a way as to cause my enemies pain. I don’t memorize long poems under the delusion that someday I will be at a party where the ability to recite much of “The Ballad of Reading Gaol” will come in handy. But when I hear a song I love, late at night or driving alone, I sing along, con brio, pretending that I’m in front of a small adoring crowd, just as I did when I was 14, that much yearning and delusion.

There are plenty of talents I’d like to have: painting, acting, close-up magic. I’d like to tap-dance. To dance in general. To draw. To lecture off the top of my head. But I’m fine not doing any of these things. Perhaps I even believe I could, if I applied myself; perhaps one day I’ll take lessons. I’ll be a diligent student. I will practice, as I never did the flute. Would I trade writing for sculpture or grace on the dance floor? Of course not.

Would I trade it for the ability to sing really well in front of people? I’m not talking about a career as a vocalist, just the ability to floor a local audience, a room full of astounded listeners, a song in which I specifically command people to love me and they do. (The subtext of all my writing is love me.)

“Treat me like a fool, treat me mean and cruel …”

“We didn’t know she could do this,” my dream audience thinks. “We didn’t understand.”

But I can’t trade, can’t sing, and so I write on.

To generalize: most fiction writers wish they were really vocalists, and some fiction writers love karaoke because it allows them to live out their dreams. I save that longing for my fiction. I edit by reading aloud; I imagine myself in a packed theater, houselights down, no specific face in the audience visible. Man, do I knock ’em dead …

Book cover of Long Game.

One of the karaoke-performing writers at the conference — she owned a karaoke machine, so she’d given it some thought — told me that karaoke is about confronting your mortal self. (Karaoke is a kind of mirror.) What I think she meant: you put yourself in peril and you push through doubt and survive. The centerpiece of my craft talk on failure was my one experience attempting karaoke, during which I did think I might die. It took place in Provincetown, Massachusetts, a place I have made important, improving mistakes. I’d gone to Drag Queen Karaoke at the Governor Bradford, not intending, never intending, to perform, when I decided to sing a truly awful, retrograde, sexist song: “A Hundred Pounds of Clay.” It’s about God creating “a woman and a-lots of lovin’ for a man.” Perhaps you’ve never heard of this song. Nobody at Drag Queen Karaoke had, nor anyone years later at the craft talk.

“I prefer failure to doubt. Doubt’s a wavering thing, never solid underfoot. It’s tough to launch from the bog of doubt. Failure is hard, motivating.”

Even now I don’t know why I decided to sing it, other than it was on the menu of available songs and I recognized it from the oldies station. Perhaps I thought the oddity of the choice would mask my inability to carry a tune. In other words, I had no connection to my material, and I hated my narrator, and I hadn’t considered whether my audience would have any interest at all.

I know exactly nothing about music, but “A Hundred Pounds of Clay” wasn’t in my range, no matter how you define “range.” I made it one line in, or three. If I recall correctly, the drag queens did nothing to stop me from bailing. Some failures aren’t worth watching, even by those in the business of mockery.

What I discovered singing three lines of karaoke was that I didn’t have the stomach for failing at it. To do anything, and enjoy it and improve, you have to have the stomach — the heart — for failure. “This is painful. I’m awful at it. A flop. Better not quit.”

I prefer failure to doubt. Doubt’s a wavering thing, never solid underfoot. It’s tough to launch from the bog of doubt. Failure is hard, motivating. Those kinetic swings between delusions of grandeur and extreme self-loathing are how I get anything at all done. If you suffer from these extremes, they will afflict you all your life. At least, they have me: I require the momentum, which means I must accept sometimes that I’ve absolutely failed. Otherwise, I’m in the quivering zone of uncertainty, where I might be okay and might not. Quivering is movement without progress.

“A Hundred Pounds of Clay” was the last time I sang in public. The time before that was in the eighth grade, when I decided to try out for the school production of “Oliver!” My best friend had a piano, and we flipped through her family sheet music and discussed what we might choose for our auditions, in the way that we readied ourselves together for school dances, curling and feathering our hair and wondering what we might dance to. I was aware that my friend was more musical than me, though like most 13-year-olds I still had one foot in fairyland; I thought it was possible that I had a beautiful singing voice that I’d managed to keep secret from everyone, myself included, like a birthmark that proved I was royalty.

I have always been given to fits of honesty over things about to become self-evident. In Paris, I declare, “Je ne parle Français trés bien.” At the “Oliver!” audition, I stood in front of the assembled music teachers and said, “I can’t really sing.”

The song that I’d chosen, which I had practiced alone and in front of my friend, was “The Theme from M*A*S*H.” Perhaps you didn’t know that “The Theme from M*A*S*H” has lyrics. It grieves me to report that it does. Not only is it a challenging piece of music, covering octaves and key changes, but its actual title is “Suicide is Painless.”

It was this that I had decided to belt out in front of my junior high school music teachers, hoping to land the part of a plucky orphan.

“Congratulations,” the nicest of them said when I had finished. “Most kids don’t know they can’t sing. You do!”

What’s the moral of this story? For years I took the congratulations to heart. “Know thyself.” I never again tried out for anything musical.

Now I think it’s a story about ambition and longing. What I didn’t tell those teachers, or my friend: I was obsessed with “Oliver!” When I felt misunderstood by my family I would go into the book-lined spare room we grandly called The Library, which also housed the hi-fi and the convertible sofa upholstered in an ugly, durable fabric called Herculon, and I would put on our copy of the cast album. I knew every word of every song. I was particularly devoted to “Where Is Love?,” the eponymous Oliver demanding: “Love me.” I would sit under a table and mouth the words with passion and hand gestures.

The “where” of “Where Is Love?” is five syllables long, and I knew better than to sing that for the teachers, but I might have managed a painless “Consider Yourself.” Painless for both me and the teachers. Instead, I chose an unrelated song, because I dreaded the judgment of grown-ups, not about my voice, but my longing. I didn’t want them to know how much I cared.

I have written a lot of bad fiction in my time, not wanting to reveal my own longing to the world. I have worried about what I’m good at in writing and what I’m bad at, and every second of that worry has been wasted.

The most difficult thing for ambitious writers is to dismiss thoughts of what other people think. It’s a paradox. You write because you want people to read what you’ve written and swoon or weep or even fling the book across the room. At the same time, you cannot care. Fiction writers are particularly liable to be control freaks, will want to manage reader interpretations. This is the reason for 97 percent of misused adverbs.

You have to write the best work you can and cede all interpretive control. Readers will think what they want, goddammit, God love them.

Why do I write these days? I want to be loved. But I don’t care whether anybody approves of me.

Copyright © 2025 by Elizabeth McCracken. Excerpted by permission of Ecco, an imprint of HarperCollins Publishers.


Taking a fresh look at definition of autism

Some families, activists say term is too broad, masks unique issues of most severe cases as surging rates, federal plans turn spotlight on disorder


Health

Taking a fresh look at definition of autism

Illustration of a child psychologist watching a little boy with toys.
6 min read

Some families, activists say term is too broad, masks unique issues of most severe cases as surging rates, federal plans turn spotlight on disorder

A wider public conversation has arisen over whether it’s time for a shift in how we think about categories of autism, amid rising interest in the disorder across the country.

For instance, some op-eds, written in recent weeks by parents and activists, argue the current definition of the condition as a unified spectrum comprising several subtypes is too broad, and the unique issues and intensive needs of the most severe cases get lost.

It’s an argument that sits poorly with Ari Ne’eman, assistant professor of health policy and management at the T.H. Chan School of Public Health and a longtime disability rights activist. He worries that creating a high-needs category risks a return to segregation and neglect — though he doesn’t rule out the possibility that other subdivisions may make more sense. 

“The concern is this is a reboot of that fight, with this ‘profound autism’ construct as a new vehicle for litigating fights about inclusion that took place a generation ago around intellectual disability,” said Ne’eman, who was an adviser to the working group responsible for creating the umbrella term Autism Spectrum Disorder more than a dozen years ago.

“I worry that the ‘profound autism’ construct is a political category designed to justify more segregated services, more than a scientific one — there is not really a clear reason to believe the different groups it combines belong in a distinct diagnosis,” he said 

Ari Ne’eman.

“I worry that the ‘profound autism’ construct is a political category … more than a scientific one,” says Ari Ne’eman, assistant professor of health policy and management.

Veasey Conway/Harvard Staff Photographer

The disagreement emerges as a national spotlight has been turned on the disorder. With autism rates surging in the nation, federal officials have recently announced moves to respond to it.

According to the CDC, about one in 31 8-year-olds has been diagnosed with the condition across 16 surveillance programs nationwide, a rate more than four times higher than when the CDC began tracking in 2000.

It is a condition that includes both individuals with minimal or no verbal ability who require round-the-clock care, along with others like activist Greta Thunberg and academic and author Temple Grandin.

In a September press release calling autism an “epidemic,” President Trump and Health and Human Services Secretary Robert F. Kennedy Jr. called attention to contested links between autism and acetaminophen and announced investments into research into potential environmental, nutritional, and medical causes.

On Nov. 19, the CDC updated its website, noting that HHS would be looking at possible causes of autism, including possibly vaccines.

Dozens of scientific studies have failed to find evidence of such a link. Scientists say most of the current research suggests the causes of autism are overwhelmingly genetic. 

The overall rise in diagnosis, Ne’eman explained, is likely due in large part to greater awareness on the parts of schools, parents, and clinicians. In addition, the medical establishment has been refining diagnostic criteria, changing who would qualify as autistic.  

Tara Eicher

“Major factors contributing to the increase in autism diagnoses include diagnostic substitution and the broadening of the autism criteria,” says Tara Eicher, a postdoctoral research fellow.

Stephanie Mitchell/Harvard Staff Photographer

The American Psychiatric Association’s official handbook is called the Diagnostic and Statistical Manual of Mental Disorders, or DSM, first published in 1952. Autism was officially recognized as a separate disorder in the DSM-III revision released in 1980. Prior to that, it was considered a form of schizophrenia.

A later edition also added a condition called Pervasive Developmental Disorder-Not Otherwise Specified, or PDD-NOS.

Those conditions were later consolidated. In 2013, the DSM-5 — which Ne’eman advised on — further changed the game, including adding sensory issues to the diagnostic criteria and instigating a three-tiered categorization to distinguish between levels of support needs. 

“Major factors contributing to the increase in autism diagnoses include diagnostic substitution and the broadening of the autism criteria,” said Tara Eicher, a postdoctoral research fellow at the Chan School. “Both of these changes are overall positive, because they result in more people receiving the services they need.” 

Eicher’s work focuses on identifying genetic causes of autism. To date, hundreds of genetic mutations have been implicated in autism, with more expected to be identified in the future, and in many cases the interactions between genetic mutations, gene expressions, and behavior remain unclear. 

As calls for a new “profound” category grow louder, Ne’eman worries that such a category risks a return to problems surrounding care. In the 1970s through the 1990s, he explained, advocates in the field of intellectual disability rights successfully campaigned against institutionalization and sheltered workshop jobs at subminimum wages, which were common practices at the time. 

But with more people who might once have been labelled intellectually disabled now diagnosed as autistic, Ne’eman fears the table could be reset.

Combining very different kinds of severe impairment — communication and cognition — into a single catch-all category could result in segregation of some patients and a shift away from community living, he argued. 

Michael Stein.

“Ultimately, it’s how scrupulous and thoughtful the clinicians and social policymakers are as far as how these individuals are treated and supported, rather than what label we place on them,” says visiting professor of law Michael Stein.

Harvard file photo

Still, Ne’eman empathizes with the families of those with severe impairment who don’t feel seen by the current system. 

“I do have a lot of sympathy for families who say, ‘Listen, I want to be able to talk about the challenges around severe impairment,’ and to have a language for that, to recognize that things are often quite a bit harder than for people who can talk or don’t have an intellectual disability.” 

That nuance is one reason Michael Stein, visiting professor of law at the Harvard Law School and executive director of the Harvard Law School Project on Disability, says the terms themselves matter less than how they’re used. 

“Whether the category is broader or whether it’s narrower, ultimately, it’s how scrupulous and thoughtful the clinicians and social policymakers are as far as how these individuals are treated and supported, rather than what label we place on them,” he said.


Why it seems like everyone has the flu this year 

Immunologist says it’s not too late to get vaccinated


man sick in bed
Health

Why it seems like everyone has the flu this year 

Immunologist says it’s not too late to get vaccinated

6 min read

The U.S. is facing its worst flu season in 25 years, according to the Centers for Disease Control and Prevention, which estimates that as of Jan. 3 there have been at least 15 million illnesses, 180,000 hospitalizations, and 7,400 deaths.

Part of the problem may be a new virus strain called subclade K, which has “antigenic differences” from strains used in this year’s vaccine, says Yonatan Grad, professor of immunology and infectious diseases at the Harvard T.H. Chan School of Public Health and the director of the Center for Communicable Disease Dynamics. In the following interview edited for clarity and length, Grad explains why some flu seasons are nastier than others and what we can do to stay safe. 


Why are some flu seasons worse than others? 

The variation in incidence is a function of a couple of things. The first is how much of the population is susceptible to the circulating strain of influenza virus. Immune protection comes from both past infection and vaccination, but both can wane with time and offer less protection as the virus evolves antigenically.

The second is people’s behavior, how much they’re interacting in ways that allow the virus to spread. If you look back at the year of COVID-19 lockdowns, when there was little interaction and little opportunity for the virus to spread, there wasn’t much influenza at all.

What should we know about the strain we’re seeing this year? 

The two main classes of influenza are influenza A and B. There used to be two strains of influenza B that circulated each year, one from a lineage called Victoria, another from a lineage called Yamagata. Yamagata seems to have gone extinct during the pandemic.

“Usually, one influenza A subtype dominates in a season, with influenza B circulating as well. This year, H3N2 is dominating.”

Yonatan Grad

Within influenza A, H3N2 and H1N1 are the two subtypes that have been circulating for nearly 50 years.

Over the past 100 years or so, a few different subtypes of influenza A have circulated in people. The 1918 flu pandemic was the H1N1 subtype. It circulated seasonally until 1957, when there was an H2N2 pandemic, with H2N2 replacing H1N1 as the seasonal influenza virus. In 1968, an H3N2 pandemic then resulted in that subtype becoming the seasonal flu, in turn replacing H2N2, which we have not seen since. In 1977, H1N1 reappeared, but rather than taking over, it has been co-circulating with H3N2 ever since.

Usually, one influenza A subtype dominates in a season, with influenza B circulating as well. This year, H3N2 is dominating. Flu B tends to be milder, though it can still cause severe disease. And while H3N2 is thought to be more severe, we don’t really know why.

I went through the history of flu A because there’s some indication that the first flu you’re exposed to may influence your flu responses all your life. So one hypothesis for why H3N2 appears more severe is that people born before 1968, when H3N2 started circulating, may on average have less protection against that strain of that subtype.

When we hear that this year’s flu vaccine didn’t match up well with the composition of the flu that’s circulating this year, what does that actually mean? 

The H3N2 strain used in the vaccine, a subclade J.2 virus, appears antigenically distant from the circulating H3N2, which is from subclade K, raising concern that the antibodies elicited by the vaccine might not offer as much protection against what’s circulating. 

But a very recent paper shows that the vaccine is not as much of a miss as has been described: It seems people do develop responses to subclade K in response to vaccination. Moreover, the early estimate for flu vaccine effectiveness this season is about where we see it for H3N2 strains regularly. 

How do researchers decide what strains of the flu to use in the year’s vaccine? 

The decision about which strains to include in the vaccine takes place many months before the flu season; for the northern hemisphere, it’s usually in February. The reason it’s so early is that it takes a long time to grow the year’s stockpile of vaccines in chicken eggs, which is how most of our seasonal influenza vaccines are manufactured. Subclade K emerged in the spring of 2025, after the strains for the season’s vaccines were set.

This raises the question of whether technologies that can make influenza vaccines faster could help us avoid this kind of situation by allowing vaccine strain selection later in the year. MRNA vaccines for influenza might have been one potential solution, but federal support for mRNA vaccine research has been cut, so we likely won’t know any time soon.

Is it too late to get a flu shot this year? 

No, it’s not too late, especially as we expect the flu to stick around through the next few months. It’s worth noting that it takes about two weeks after vaccination for the protection to kick in, and then protection wanes over the course of the following four to six months or so. We usually recommend getting vaccinated around Halloween to maximize protection through the peak of the flu season, which is usually mid-winter.

“To reduce your chances of getting the flu, I also recommend the general precautions for protection against respiratory viruses that many have become familiar with from COVID-19.”

Yonatan Grad

To reduce your chances of getting the flu, I also recommend the general precautions for protection against respiratory viruses that many have become familiar with from COVID-19: masking, hand hygiene, and avoiding crowded, poorly ventilated spaces. 

There was a small uptick in COVID in early fall this year, but it hasn’t surged as much this winter. What do you make of that trend? 

It’s likely due to the level of population protection against the circulating strains of SARS-CoV-2, reflecting past infections and vaccination, much like for the flu. I would expect that as population immunity wanes and new variants of SARS-CoV-2 emerge, we’ll be at risk for another wave of COVID-19, and we’ll move into a pattern of periodic surges.


AI is speeding into healthcare. Who should regulate it?

Medical ethicist details need to balance thoughtful limits while avoiding unnecessary hurdles as industry groups issue guidelines


 I. Glenn Cohen.

I. Glenn Cohen.

File photo by Niles Singer/Harvard Staff Photographer

Health

AI is speeding into healthcare. Who should regulate it?

Medical ethicist details need to balance thoughtful limits while avoiding unnecessary hurdles as industry groups issue guidelines

8 min read

AI is moving quickly into healthcare, bringing potential benefits but also possible pitfalls such as bias that drives unequal care and burnout of physicians and other healthcare workers. It remains undecided how it should be regulated in the U.S.

In September, the hospital-accrediting Joint Commission and the Coalition for Health AI issued recommendations for implementing artificial intelligence in medical care, with the burden for compliance falling largely on individual facilities.

I. Glenn Cohen, faculty director of Harvard Law School’s Petrie-Flom Center for Health Law, Biotechnology, and Bioethics, and colleagues suggested in the Journal of the American Medical Association that the guidelines are a good start, but changes to ease likely regulatory and financial burdens — particularly on small hospital systems — are needed.

In this edited conversation, Cohen, the James A. Attwood and Leslie Williams Professor of Law, discussed the difficulty of balancing thoughtful regulation with avoiding unnecessary roadblocks to game-changing innovation amid rapid adoption.


Is it clear that AI in healthcare needs regulation?

Whenever medical AI handles anything with medium to high risk, you want regulation: internal self-regulation or external governmental regulation. It’s mostly been internal thus far, and there are differences in how each hospital system validates, reviews, and monitors healthcare AI.

When done on a hospital-by-hospital basis like this, costs to do this kind of evaluation and monitoring can be significant, which means some hospitals can do this, and some can’t. By contrast, top-down regulation is slower — maybe too slow for some forms of progress in this space.

There’s also a complicated mix of AI products going into hospitals. Some may assist with things like internal purchasing and review, but many more are clinical or clinically adjacent.

Some medical AI products interface directly with consumers, such as chatbots that people might be using for their mental health. For that, we don’t even have internal hospital review, and the need for regulation is much clearer.

With technology moving so fast, is speed important even in regulation?

This is an innovation ecosystem that has a lot of startup energy, which is great. But you’re talking about something that can scale extremely quickly, without a lot of internal review.

Whenever you enter what I call a “race dynamic,” there is a risk that ethics is left behind pretty quickly. Whether the race is to be the first to develop something, a race for a startup against money running out, or a national race between countries trying to develop artificial intelligence, the pressures of time and urgency make it easier to overlook ethical issues.

The vast majority of medical AI is never reviewed by a federal regulator — and probably no state regulator. We want to have standards for healthcare AI and an incentive to adopt standards.

But putting everything through the rigorous FDA process for drugs or even the one for medical devices would in many cases be prohibitively expensive and prohibitively slow for those enamored with the rate of development in Silicon Valley.

On the flip side, if they perform badly, many of these technologies are a much greater risk to the general populace than the average device on the market.

If you take an aspirin or a statin, there are differences in how they work in different people, but to a large extent we can characterize those differences ahead of time. When medical AI is reading an X-ray or doing something in the mental health space, how it’s implemented is key to its performance.

You might get very different results in different hospital systems, based on resources, staffing, training, and the experience and age of people using them, so one has to study implementation very carefully. This would create an unusual challenge for an agency like FDA — which often says it does not regulate the practice of medicine — because where the approval of an AI system stops and the practice of medicine begins is complicated.

Your study examines a regulatory system suggested by the Joint Commission, a hospital accreditor, and the Coalition for Health AI. Would an accreditor naturally be something that hospitals would — or would have to — pay attention to?

Exactly. In almost every state, in order to be able to bill Medicare and Medicaid you need to be accredited by the Joint Commission. This is a huge part of almost every hospital’s business.

There is a robust process to qualify for accreditation, and every so often you are re-evaluated. It’s serious business.

The Joint Commission hasn’t yet said that these AI rules are going to be part of our next accreditation, but these guidelines are a sign that they may be going in that direction.

“I speak about legal and ethical issues in this space, but I’m an optimist about this. I think that, in 10 years, the world will be significantly better off because of medical artificial intelligence.”

Do you find some of the recommendations wanting?

Some are more demanding than I expected, but I actually think they’re pretty good.

Requiring that — when appropriate — patients should be notified when AI directly impacts their care and that — when relevant — consent to use an AI agent should be obtained, is a strong position to take.

A lot of scholars and other organizations don’t take the position that medical AI should always be disclosed when it directly impacts care, let alone that informed consent should always be sought.

The guidelines also require ongoing quality monitoring and continual testing, validation, and monitoring of AI performance.

Monitoring frequency would scale to risk levels in patient care. These are good things to do, but difficult and expensive. You’ll have to assemble multidisciplinary AI committees and constantly measure for accuracy, errors, adverse events, equity, and bias across populations.

If taken seriously, it will probably be infeasible for many hospital systems in the U.S. They will have to make a threshold decision whether they’re going to be AI adopters.

You point out in your JAMA article that most hospitals in the U.S. are small community hospitals, and that resources are a major issue.

I am told by people in major hospital systems that already do this that to properly vet a complex new algorithm and its implementation can cost $300,000 to half a million dollars. That’s simply out of reach for many hospital systems.

There are actually going to be things in the implementation that are specific to each hospital, but there are also going to be things that might be valuable to know that are common for many hospital systems. The idea that we’d do the evaluation repeatedly, in multiple places, and not share what’s learned seems like a real waste.

If the answer is, “If you can’t play in the big leagues, you shouldn’t step up to bat,” that creates a have/have-not distribution in terms of healthcare access. We already have that as to healthcare generally in this country, but this would further that dynamic at the hospital level.

Your access to AI that helps medical care would be determined by whether you’re in networks of large academic medical centers that proliferate in places like Boston or San Francisco, rather than other parts of the country that don’t have that kind of medical infrastructure.

The goal, ideally, would be more centralization and more sharing of information, but these recommendations put a lot of the onus on individual hospitals.

Doesn’t a system where some hospitals can’t participate negate the potential benefits from this latest generation of AI, which can assist places that are resource-poor by providing expertise that might be missing or hard to find?

It would be a shame if you’ve got a great AI that’s helping people and might do the most benefit in lower-resource settings, and yet those settings are unable to meet the regulatory requirements in order to implement.

It would also be a sad reality, as an ethical matter, if it turns out that we’re training these models on data from patients across the country, and many of those patients will never get the benefit of these models.

If the answer is that the vetting and monitoring of medical AI should be done by a larger entity, is that the government?

The Biden administration’s idea was to have “assurance labs” — private-sector organizations that in partnership with the government could vet the algorithms under agreed-upon standards such that healthcare organizations could rely on them.

The Trump administration agrees on the problem but has signaled that they don’t like the approach. They have yet to fully indicate what their vision is.

It sounds like a complex landscape, as well as a fast-moving one.

Complex, but also challenging and interesting.

I speak about legal and ethical issues in this space, but I’m an optimist about this. I think that, in 10 years, the world will be significantly better off because of medical artificial intelligence.

The diffusion of those technologies to less-resourced settings is very exciting, but only if we align the incentives appropriately. That doesn’t happen by accident, and it is important that these distributional concerns be part of any attempt to legislate in the area.


How to get stronger

If you’re not failing all the time, you’re doing it wrong, says fitness expert


Illustration by Liz Zonarich/Harvard Staff

Health

How to get stronger

If you’re not failing all the time, you’re doing it wrong, says fitness expert

4 min read

A series of random questions answered by Harvard experts.

Edward Phillips is an associate professor of physical medicine and rehabilitation at Harvard Medical School and the Whole Health Medical Director at VA Boston Healthcare System.

As Americans, we’re in miserable shape. Only about half the U.S. population meets the Physical Activity Guidelines for cardiovascular activity, which is 150 minutes of moderate-intensity exercise per week, and even fewer, less than one in three, meet the recommendations for resistance training, which are to engage in strengthening activities involving all muscle groups at least two days per week. We have much less physical demand in our day-to-day life than we did decades ago, which means we need to be more intentional about physical activity. 

But most people haven’t gotten the proper training on how to lift weights, and form does matter. You can get some pretty good instructions just from YouTube videos. I also often refer to physical therapists (who are licensed professionals and usually covered by your health insurance). You can also find a certified strength and conditioning specialist or exercise physiologist, who can meet you where you’re at and prescribe you a course of training. 


Here are some tips to get you going: 

Anything is better than nothing.

Your body doesn’t know how much money you spent on a gym membership or a personal trainer or if you’re wearing Lululemon: Any stress that you put on your body that it’s not accustomed to, your body will respond and get stronger. It doesn’t have to be dumbbells. Many parts of a standard yoga workout — holding a plank, or a standing pose — are great resistance exercises. Bodyweight exercises, things like squats, push-ups, or heel-raises, can be done at home with no equipment. 

Work to failure.

The most scientifically accurate advice is also the worst for marketing: Work to failure. We’re success-oriented creatures; nobody wants to work to failure. But to see maximal results, you want to work to the point where you would not be able to do any more reps. You should aim to be able to do eight to 12 reps before you have to stop. If you can’t make it to eight reps, you probably need to modify your movement or use lighter weights; if you make it to 12 reps and you’re still not struggling, you’re ready to use heavier weights. Another way to look at it is cadence: If you’re slowing down by more than 20 percent, you’re reaching your limit. 

Sore? Congratulations. 

Now, what if you get delayed onset muscle soreness (DOMS)? Good job! That means you’ve successfully worked out. For relief, try heat or cold, compression garments, and over-the-counter analgesics. You can still work out, though maybe at a lesser intensity — or take DOMS as a cue to do a different kind of exercise. Get in the pool, get on a bike, or go for a walk instead. 

Both cardio and resistance training are important parts of overall physical health, but there are benefits from resistance training that you won’t get from cardio. People don’t like to hear it, but the natural diminution of muscle mass begins in our 30s, and a stronger body is better able to do fun things, like pick up a grandchild, and to stay independent later in life. Additionally, if you’re on a GLP-1 agonist or on a diet, it’s imperative to do resistance training to mitigate the loss of muscle mass as you lose weight.

Your body is an adaptation machine: The way you stress it is the way that it will respond. So if you want to run faster, you need to run faster. If you want to get stronger, you need to produce stress that is not usual for your body, and your body will respond by getting stronger. In short, the more you do, the more you can do.

— As told to Sy Boles, Harvard Staff Writer


Dramatizing genius

Pop culture portrayals tend to favor the lone mastermind. These faculty faves are more realistic.


collage of Mozart, Hawking, Gallieo, Nightingale

Illustration by Liz Zonarich/Harvard Staff

Arts & Culture

Dramatizing genius

Pop culture portrayals tend to favor the lone mastermind. These faculty faves are more realistic.

6 min read

To be a genius requires extraordinary intellect and talent, but also hard work and persistence. And although the mythology of genius can be problematic because it reduces the collective work that goes into developing scientific breakthroughs to extraordinary individual accomplishments, portrayals of genius in film and literature succeed in dazzling popular audiences. The Gazette asked faculty — including two historians of science, a physicist, and a professor of medicine — to share their favorite portrayals of brilliance and breakthroughs in film and literature. The interviews have been edited for length and clarity.


Gabriela Soto-Laveaga

Gabriela Soto Laveaga.

Harvard file photo

‘Science is not about a lone genius but rather about collaboration’

Gabriela Soto Laveaga

Professor of the History of Science, Antonio Madero Professor for the Study of Mexico

I would highlight “The Edge of All We Know” (2020) produced by our own Professor Peter Galison, my colleague and a genuine genius himself.

The film documents the quest to take a picture of a black hole, something that had never been done before. In order to achieve this, across the globe groups of physicists worked with computer scientists and others to attempt to image the unknown and — until then — invisible. Featured prominently is physicist Stephen Hawking, and though he may be the most well-known scientist at the time, it is clear that science is not about a lone genius but rather about collaboration among scientists both junior and senior, and of all genders, nationalities, and ages. It is an extraordinary film about the thrill of discovery, about the beauty of how to do science, and the excitement of creating new ways of thinking. Though it is about what was needed to better understand the universe — observatories, satellites, computers, and hundreds of people on every continent, to name just a few — at its core it is an ode to the joy of producing knowledge and humans’ ability to communicate and pursue truth.


Howard Georgi with Bandit.

Harvard file photo

‘Most of the geniuses I know would not be such interesting subjects’

Howard Georgi

Mallinckrodt Professor of Physics, Emeritus

My favorite by far is Mozart in “Amadeus.” I like it because there is at least an attempt to show his genius — but also because it is such a clear example of the genre. A musical genius is a familiar notion, and most people have some idea of what this means (though not always the same because it is different for performers and composers). My favorite scene is Mozart picking apart and improving one of Salieri’s pieces and I think most viewers will have some sense of what this means.

What makes it interesting is not his genius but the flawed and very unusual human being in whom the genius resides. Theoretical physicists Richard Feynman and Stephen Hawking show up in similar (though I think less successful) portrayals. Most viewers will have absolutely no idea what scientific genius means, and the portrayals usually focus on other things (like Hawking’s medical issues).

Most of the geniuses I know would not be such interesting subjects. The obvious example is Edward Witten, who is arguably the greatest living theoretical physicist. Ed doesn’t play bongo drums or have a debilitating disease. In fact, he seems like a pretty normal guy until he starts talking about string theory and mathematics and making connections that seem magical even to other outstanding physicists. The point is that to understand how extraordinary his thinking is, you have to be outstanding yourself — like Salieri to his Mozart.


Hannah Marcus

Hannah Marcus.

Stephanie Mitchell/Harvard Staff Photographer

‘A creative process that follows detours’

Hannah Marcus

Professor of the History of Science

I am a scholar of Galileo (among other things), and I’m teaching a class devoted to his life and work right now. I propose the following as a model of genius and an endorsement of a creative process that follows detours. I think it’s an important reminder about how genius can require pursuing questions that arise even if they were not your original purpose. 

I offer an excerpt from a literary and scientific work, the “Two New Sciences,” published by Galileo in 1638 from house arrest after his condemnation by the Roman Inquisition for advocating for the truth of the moving Earth. In it, the characters in his dialogue (named for two of his dearest friends who had long since died) discuss the following: 

Salviati: “To solve the problems which you raise it will be necessary to make a digression into subjects which have little bearing upon our present purpose.” 

Sagredo: “But if, by digressions, we can reach new truth, what harm is there in making one now, so that we may not lose this knowledge, remembering that such an opportunity, once omitted, may not return … Indeed, who knows but that we may thus frequently discover something more interesting and beautiful than the solution originally sought?”


Phuong N. Pham

Phuong Pham.

Niles Singer/Harvard Staff Photographer

Revolutionizing humanitarian and public health

Phuong Pham

Associate Professor at Harvard Medical School and Harvard T.H. Chan School of Public Health 

My favorite portrayal of a genius is the television movie “Florence Nightingale” (1985), which dramatizes Nightingale’s early years, her decision to pursue nursing despite family opposition, and her groundbreaking work during the Crimean War, highlighting both her humanitarian spirit and pioneering efforts in public health and hospital care reform.

Nightingale revolutionized both the humanitarian response and the public health fields through her work as a nurse caring for soldiers during and after the Crimean War (1853-1856). She advocated for the care of wounded soldiers regardless of which side they fought for. She introduced two core humanitarian principles: humanity and neutrality. The principle of humanity “calls for the prevention and alleviation of human suffering wherever it is found,” while neutrality requires that “humanitarian actors must not take sides in conflicts or show preference for any particular political, racial, national, or religious group.”

In terms of public health, Nightingale introduced sanitation and hygiene practices and pioneered the use of statistics to advocate for public health interventions. After the war, she used data, analysis, and powerful visualization to demonstrate the impact of sanitation on health, collaborating with statisticians like William Farr to identify systemic causes of disease in hospitals and among soldiers. She advocated for improved ventilation, hand hygiene, sewage management, and reduced crowding. These core ideas have shaped modern public health, hospital design, and public health prevention control policy.


Real-world answers for patients running out of time

Insurance data can help fill gaps between longer trials, researchers say


Glass Pipette and Test Tubes.
Health

Real-world answers for patients up against the clock

5 min read

Insurance data can help fill gaps between longer trials, researchers say

Randomized clinical trials remain the gold standard for establishing a medication’s effects, producing the evidence by which most drugs and interventions in the U.S. are approved.

But these studies typically require large numbers of patients, huge amounts of data, and thorough follow-ups, none of which comes easy or free. The upshot is fewer investigations into scenarios that are clinically important but unlikely to yield a profit for the firms funding them.

Accordingly, researchers have been developing an option that uses real-world data from insurers to save patients from falling through the cracks.

“There’s little incentive for pharmaceutical companies to test combinations of treatments, for example, because a manufacturer typically aims to market its own product rather than evaluate it alongside another,” said Sebastian Schneeweiss, professor of medicine and epidemiology at Harvard Medical School. In addition, subsets of patients — such as pregnant women — are excluded from trials for ethical reasons, leaving gaps in knowledge.

“There are very tangible use cases where we would love to have trials, but we’ll never have them, and we need to recognize this,” said Schneeweiss, who also serves as chief of the Division of Pharmacoepidemiology and Pharmacoeconomics at Brigham and Women’s Hospital. “And at the same time, we’re sitting on this huge pile of longitudinal and patient-level data, of which only a very small proportion is used today to turn into evidence.” 

This untapped data could help answer critical questions — such as whether a drug approved for diabetes could also prevent heart attacks or whether a treatment tested on middle-aged men works equally well for pregnant women — much faster than an RCT can.

For nearly a decade, turning these findings into actionable evidence has been the goal of Schneeweiss and Shirley Wang, associate professor of medicine at Harvard Medical School.

Sebastian Schneeweiss (from left), Nils Krüger, and Shirley Wang.

Sebastian Schneeweiss (from left), Nils Krüger, and Shirley Wang.

Niles Singer/Harvard Staff Photographer

As co-directors of RCT-DUPLICATE (Randomized Controlled Trials Duplicated Using Prospective Longitudinal Insurance Claims: Applying Techniques of Epidemiology), they have developed methods that use real-world evidence (RWE) — like insurance claims from Medicare and Medicaid collected during routine clinical care — to determine whether a medicine might be effective beyond a trial’s original indication.

“We love RCTs,” said Wang, “but they can’t answer all questions.” 

To understand when and how RWE studies can complement trials, the team emulates the design of a reference trial as closely as possible using the RCT’s study design. “We’re trying to predict what those results would be,” said Wang, “and see how close we can get.”

From there, the team benchmarks their results against the reference RCT. When the emulation closely reproduces the trial’s results, this suggests that the data, design, and analysis infrastructure is robust and researchers may be more confident about expanding the original research question to populations or outcomes the original trial didn’t address. 

Beyond expanding the scope of existing RCTs, the group aims to demonstrate the validity of using data routinely collected in clinical practice to produce meaningful conclusions — pushing back against those who dismiss the use of real-world evidence.

“There’s criticism, of course, that you already know what the results are, so maybe you’re tailoring to get those results,” said Wang.

To counter this criticism, the team has emulated more than half a dozen trials that had not yet released data, running analyses to see how well their methods could predict unpublished results. The group also publishes their protocols before they run their analyses, allowing people to see their methods and preventing themselves from adjusting analyses to fit an existing result.

As the core methods have been validated over years of work, the group has put them into practice.

Building on the RCT-DUPLICATE framework, Nils Krüger, an instructor at Harvard Medical School and Brigham and Women’s Hospital, showed in two recent studies that GLP-1 drugs like semaglutide and tirzepatide yield cardiovascular benefits beyond their FDA parameters.

While the drugs are generally approved to treat obesity and Type 2 diabetes, Krüger’s analyses showed that the drugs lowered the risk of hospitalization for heart failure or all-cause mortality by 40 percent compared with a placebo proxy. 

The study has since informed the World Health Organization’s international guideline on the use and indications of GLP-1 medicines in obesity and was recently recognized among the American Medical Association’s “Research of the Year” selections for 2025.

In another study released last month, Krüger showed that tirzepatide and semaglutide provide comparable cardiovascular benefits to one another, refuting conflicting presentations from their parent companies that claimed superior results for one or the other.

Krüger hopes that the study will help clinicians better understand how these medications perform in the broader, more diverse patient populations routinely seen in everyday practice.

Besides identifying new indications, Wang hopes these studies can support clinical decision-making and justify reimbursement from Health Technology Assessments (HTAs) and payers who require compelling evidence before covering an intervention. The approvals could help more people access effective treatments sooner.

She pointed to DOACs — direct oral anticoagulants with better effectiveness and fewer side effects than older blood thinners. With each new indication, DOACs improved treatment for people suffering from conditions like atrial fibrillation and deep vein thrombosis. Yet reaching the broad range of approvals they hold today took more than a decade.

With emerging anticoagulants such as Factor XI inhibitors — which could further reduce bleeding risk while preventing blood clots, Wang wonders whether it is necessary to wait that long again.

“Do we wait 15 years for more trials to be completed, or can we get more expedited evidence that is well grounded?” she asked. “That’s an open question, so we’ll see what the FDA says and work with them to explore how real-world evidence can complement RCTs.” 

For Wang, Schneeweiss, and Krüger — and the team of researchers behind RCT-DUPLICATE — the point is to save more lives today, with data that already exists.


Binge drinking triggers gut damage, finds new study

Research suggests even brief episodes of heavy alcohol consumption can injure small intestine


Health

Binge drinking triggers gut damage, finds new study

Research suggests even brief episodes of heavy alcohol consumption can injure small intestine

2 min read
Digestive system epithelial cells form the protective inner lining of the gastrointestinal tract.

A new study shows that a single drinking binge — roughly four drinks for women or five for men within about two hours — can weaken the gut lining, making it less able to perform one of its core jobs: keeping bacteria and toxins from entering the bloodstream, a phenomenon known as “leaky gut.”

Now, investigators at Harvard and Beth Israel Deaconess Medical Center have identified how binge drinking damages the gut, and why those leaks in the system may set off harmful inflammation long after the last drink is poured.

The findings are published in Alcohol: Clinical and Experimental Research.

Led by first author Scott Minchenberg, a clinical fellow in gastroenterology and hepatology at BIDMC and instructor in medicine at Harvard Medical School, the scientists examined how short bursts of high-dose alcohol affected different parts of the gut. Their findings suggested that even brief episodes of heavy drinking cause injury, calling in cells normally reserved for fighting invading germs to the lining of the gut.

Certain immune cells — neutrophils —  can release web-like structures known as NETs that directly damage the upper small intestine and weaken its barrier, helping explain the leaky gut that can let bacterial toxins slip into the bloodstream.

When the researchers blocked the NETs using a simple enzyme to break them down, they observed a reduced number of immune cells in the gut lining and less bacterial leakage; that is, the enzyme prevented gut damage.

“We know that excessive drinking can disrupt the gut and expose the liver to harmful bacterial products, but surprisingly little was known about how the upper intestine responds in the earliest stages,” said corresponding author Gyongyi Szabo, professor of medicine at Harvard Medical School and chief academic officer at BIDMC and Beth Israel Lahey Health. “Our study shows that even short bouts of binge drinking can trigger inflammation and weaken the gut barrier, highlighting a potential early step in alcohol-related gut and liver injury.”


The research was supported by the National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health.


Sports betting worries grow as wagers skyrocket

Experts see rise in gambling problems, possible wider cultural fallout


Man using betting app on his smartphone.
Health

Sports betting worries grow as wagers skyrocket

Experts see rise in gambling problems, possible wider cultural fallout

5 min read

Americans have taken an increasingly dim view of sports betting in the seven years since the Supreme Court overturned a federal ban, as online wagers have skyrocketed, igniting concerns over the personal and social costs.

According to a recent poll from the Pew Research Center, 43 percent of U.S. adults say the fact that sports betting is now legal in much of the country is a bad thing for society. That’s up from 34 percent in 2022.

Harvard experts and others suggest that gambling addiction appears to be growing as a public health concern for individuals, and some see the likelihood of wider economic fallout.

Counselors have reported an growing number of patients with gambling problems. And a February study in JAMA Internal Medicine noted that internet searches for gambling-addiction help have risen 23 percent nationally from the 2018 court ruling through June 2024.

“When new forms of gambling appear, the rate of savings go down, then you see the rate of credit card defaults going up. And you see the rate of mortgage defaults going up. So these are long-term financial and societal costs with broad implications,” said Malcolm Sparrow, professor of the practice of public management at Harvard’s John F. Kennedy School of Government.

“Having it on your phone with push notifications and constant advertisements is able to kind of hijack your brain in a really fascinating way. Before, you’d have to drive to a casino, and I think that served as a bit of a barrier.”

Spencer Andrews

In the U.S., the floodgates for sports betting were opened in 2018 following a Supreme Court decision to overturn a federal sports gambling ban and turn over regulation to state governments. Currently, 39 U.S. states have passed legislation legalizing sports betting in some form.

The JAMA study found that total sports wagers increased from $4.9 billion during 2017 to $121.1 billion during 2023, with 94 percent of wagers during 2023 being placed online.

“It takes between five and seven years before countries become more painfully aware of all the misery that increased access wreaks on public health, public finances, and so on,” said Sparrow, much of whose work involves studying the regulation of societal risks, including gambling.

The initial push for legalization stemmed from a desire for state governments to create an alternate form of tax revenue. Lobbyists for sports betting companies have downplayed the addictive nature of the behavior, experts say.

“It made a lot of sense to do. It was popular, and everyone was going to make money off of it,” said Spencer Andrews, a student fellow at Harvard’s Petrie-Flom Center. Andrews, who spent several years as a research fellow at the National Institutes of Health, is the author of a two-part series for the Bill of Health Blog regarding the dangers of sports gambling.

“I just think it was a short-sighted decision,” he said. “In the end, as ubiquitous as it is now, it’s clearly gotten out of hand.”

In his series Andrews picks up on an aspect of sports betting that, according to psychologists, lends itself to addictive behavior.

“Having it on your phone with push notifications and constant advertisements is able to kind of hijack your brain in a really fascinating way,” he said. “Before, you’d have to drive to a casino, and I think that served as a bit of a barrier.”

Debi LaPlante, director of the Division on Addiction at the Cambridge Health Alliance and an associate professor of psychiatry at Harvard Medical School, said she thinks it may be hard for clinicians to spot and treat negative sports betting behaviors because most have so little experience with it.

“Many healthcare providers don’t have the knowledge, skills, or tools to address gambling-related problems among their clients and patients,” she said.

LaPlante suggests making screening for gambling widely available for healthcare professionals to better connect people to help.

“Sometimes people don’t recognize when gambling is causing a problem,” she said.

Sparrow added that research suggests that even mild participation in sports betting may be harmful.

“We suspect up to 50 percent of gamblers suffer some degree of harm and regret, and a much broader definition say it’s having an adverse effect on their life, and they’ve tried to stop but can’t,” he said. “Now that’s not enough to get you designated as a problem gambler, but it still means it’s having a lasting detrimental effect in one dimension of life or another.”

Some safeguards have been implemented in recent years. Some sports betting apps allow users to set loss limits, and nearly every advertisement for sports betting across the U.S. is accompanied by addiction helpline information.

Andrews added that banning advertising during sports events may help state governments cut down on risky betting.

“It’s kind of like a cigarette brand advertising at a nicotine lovers conference or something. It’s a cheat code,” he said. “At the end of the day, the government owes their consumers a protection from being led astray by private interests. And I think taking a step back and letting anything happen here is just not the answer.”

Sparrow said another strategy is for states that haven’t approved online sports betting to stand firm.

“The industry would like to have us all believe that it’s inevitable all 50 will get there eventually,” he said. “The economic benefits are grossly over-emphasized in the policy debates leading up to legalization or increased legalization, and that’s a deliberate tactic on behalf of the industry.”


Want to speed brain research? It’s all in how you look at it.

New AI-enhanced scanning method promises to boost quest for high-resolution mapping


Science & Tech

Want to speed brain research? It’s all in how you look at it.

Ishaan Chandok (from left), Jeff Lichtman, Yaron Meirovitch, and Aravi Samuel.

Ishaan Chandok (from left), Jeff Lichtman, Yaron Meirovitch, and Aravinthan Samuel.

Veasey Conway/Harvard Staff Photographer

6 min read

New AI-enhanced scanning method promises to boost quest for high-resolution mapping

To get a better look at brains, Harvard researchers are making microscopes work more like human eyes.

Until recently, the quest to build high-resolution maps of brains — otherwise known as “connectomes” — was stymied by the slow pace and cost of powerful electron microscopes capable of systematically capturing neuroanatomy down to billionths of a meter.

But now a team of scientists at Harvard and MIT have found a way to bypass that bottleneck: using machine learning to guide a simpler, less-expensive variety of microscope in real time. The idea is to home in on key details first and minimize time spent on areas of lesser interest — the same way we might zero in on words on a page instead of margins.

Researchers say the innovation, known as SmartEM, will speed scanning sevenfold and open the field of connectomics to a broader research community, boosting our understanding of brain function and behavior. 

“SmartEM has the potential to turn connectomics into a benchtop tool.”

Aravinthan Samuel

“SmartEM has the potential to turn connectomics into a benchtop tool,” said Professor Aravinthan Samuel, a researcher in the Department of Physics and Center for Brain Science and one of the senior authors of a new paper published in Nature Methods. “Our goal is to democratize connectomics. If you can make the relatively common single-beam scanning electron microscope more intelligent, it can run an order of magnitude faster. With foreseeable improvements, a single-beam microscope with SmartEM capability can reach the performance of a very expensive and rare machine.”

The method is the product of a five-year collaboration between researchers at Harvard, MIT, Johns Hopkins Applied Physics Laboratory, and microscope manufacturer Thermo Fisher Scientific.

In December, the same journal proclaimed electron microscopy-based connectomics its “Method of the Year” for 2025 and cited SmartEM an example of cutting-edge innovation. 

SmartEM marks a new advance in the decades-long quest to create “wiring diagrams” of brains from across the animal kingdom, from worms to fruit flies to humans. 

For example, two years ago Harvard researchers published the first nanoscale map of one cubic millimeter of human brain. Packed into that poppy-seed-sized sample were 150 million synapses, 57,000 cells, 230 millimeters of blood vessels, and a wondrous diversity of structures never seen before. 

Researchers elsewhere have completed connectomes for the fruit fly and zebrafish. The next grand challenge is one for the mouse.

To build these maps, scientists have relied on a technique known as serial-section electron microscopy. It entails shaving samples of brain tissue into thousands of ultra-thin sections, which are then scanned and imaged by powerful electron microscopes.

Next the images are stacked on top of each other to create 3D digital replicas. For example, that one cubic millimeter of human brain tissue published in 2023 was sliced into more than 5,000 sections, each thinner than one-thousandth of a human hair. 

These endeavors pose monumental technical hurdles for both capturing the images and processing the data.

Until recently, connectomics had been the exclusive purview of a small number of researchers and institutions that can afford multimillion-dollar hardware such as high-throughput electron microscopes with up to 91 beams. 

With growing demand to generate brain maps of many species, one obvious way to push forward connectomics is to recruit more microscopes — particularly single-beam electron microscopes, which are widely available at research institutions around the world.

Their speed largely is a function of the “dwell time” that the beam devotes to each pixel. In the standard approach, specimens are scanned with the same high resolution for all pixels.

“We usually shoot the picture first and then we aim.”

Jeff Lichtman

“We usually shoot the picture first and then we aim,” said Science Dean Jeff Lichtman, Jeremy R. Knowles Professor of Molecular and Cellular Biology and Santiago Ramón y Cajal Professor of Arts and Sciences, a co-author of the new paper. “From the data that you’ve shot, you then look at the particular things that you find interesting. And that’s not the way our eyes work.”

Instead, people focus their attention on key details such as the eyes and mouths of other faces or a fly on the wall instead of the larger white background.

“This is similar to what we are doing,” said Yaron Meirovitch, chief architect of SmartEM and the lead author of the new paper. “The machine learning and microscope are taking a fast image, getting a sense of where are the important parts, then going there and dwelling longer, until it understands what it is seeing.”

“The machine learning and microscope are taking a fast image, getting a sense of where are the important parts, then going there and dwelling longer, until it understands what it is seeing.”

Yaron Meirovitch

The new system uses machine learning to transform single-beam machines into “smart” microscopes.

First, the microscope performs a rapid, low-quality scan of the entire sample. Then a neural network analyzes the image and identifies key features of interest — such as synapses in brain tissue — or error-prone regions. Only these regions are scanned at high resolution and longer dwell times.

Finally, SmartEM uses an algorithm to blend the composite images into a single scan of uniform appearance.

The method demonstrated dramatic improvement in scanning times when tested on tiny brain tissue samples from a worm, mouse, and human.

For example, the SmartEM technique was tested on Caenorhabditis elegans, a roundworm species used four decades ago for the first wiring diagram ever produced. Normally, a single-beam microscope scan of the worm brain and body would require about 1,400 hours, but SmartEM completed the job in only 200.

“The ultimate wiring diagram result is identical,” said Lichtman, “because you’ve only done that slow scanning on the places where it’s not a waste and where you really needed that information.”

That means that mapping brains may move within reach of research institutions that cannot afford multibeam machines with price tags of several million dollars.  “It’s part of the notion of democratizing connectomics,” added Lichtman, “and making the field a little more accessible to people who don’t have the deep pockets.”


When Cambridge was a ‘tiny Cuba’

125 years ago, a Harvard expedition drew 1,200 Cuban educators to class


Arts & Culture

When Cambridge was a ‘tiny Cuba’

Teachers, men and women ages 16 to 60, traveled to Massachusetts via U.S. Army warship and mugged for a group photo before Memorial Hall.

Cuban educators photographed in front of Memorial Hall.

Courtesy of Harvard University Archives

5 min read

125 years ago, a Harvard expedition drew 1,200 Cuban educators to class

In the summer of 1900, the rhythms of campus were transformed as more than 1,200 Cuban educators arrived for a six-week summer school.

“Everywhere there were scores of strange faces — men chatting in groups and smoking black, tobacco-covered cigarettes; women walking to and fro from their recitations, conversing rapidly in Spanish, and innumerable Cubans drinking at the college pump,” recalled a College alumnus who signed on as an English instructor that summer.

“So many were here,” he continued in his essay for a campus publication, “that one of the teachers themselves said: ‘Cambridge es Cuba chiquita.’ Cambridge is a tiny Cuba.”

An exhibition at Pusey Library, on view through Jan. 15, revisits this remarkable convergence with photos, letters, and other rich materials. At a recent panel discussion, hosted by the Harvard University Archives, historians detailed how the Cuban Teachers’ Expedition challenged orthodoxy on both sides of the exchange regarding matters of race, gender, and national pride.

The teachers, men and women ages 16 to 60, traveled to Massachusetts via U.S. Army warship and mugged for a group photo before Memorial Hall. Organized by Harvard in the aftermath of the Spanish-American War as the devastated island was occupied by U.S. forces, the expedition was meant to introduce Cuban teachers to the emerging superpower’s educational practices and cultural values.

“Today we could call this a soft-power initiative — a term that didn’t exist back then,” said moderator Erin Goodman, executive director of the Weatherhead Center for International Affairs, co-sponsor of the panel.

Lillian Guerra, a professor of Cuban and Caribbean History at the University of Florida, fleshed out the expedition’s backstory and central characters, the subject of a 2017 documentary film. At the heart of her presentation was 1890 Harvard Law School graduate Alexis Everett Frye, installed by the island’s U.S. military governor as superintendent of Cuban public schools.

The teachers kicked off their visit with a Fourth of July celebration on Cambridge Common. A Cuban flag was hoisted alongside the Stars and Stripes.

The teachers kicked off their visit with a Fourth of July celebration on Cambridge Common. A Cuban flag was hoisted alongside the Stars and Stripes.

Courtesy of Harvard University Archives

Frye, who had also earned a Harvard master’s degree in 1897, planned the summer school in partnership with University President Charles W. Eliot. In the summer of 1900, Frye was well on his way to revolutionizing the island’s educational system. By the time his teachers arrived in Cambridge, Cuban parents were enrolling their school-age children at a pace of 2,000 per day.

“Those people were simply thirsty for education and to afford their children this advantage,” Frye told the Boston Herald. “The Cuban parents are making sacrifices that would put some of us Americans to shame.”

As for the teachers, Guerra said, they seized upon the trip as a public relations opportunity. United in their opposition to annexation of their island by the U.S., the teachers kicked off their visit with a Fourth of July celebration on Cambridge Common. A Cuban flag was hoisted alongside the Stars and Stripes. According to news reports, passersby picked up the strains of a patriotic Cuban song.

“The fact that singing the Cuban national anthem and displaying the Cuban flag were illegal under the U.S. occupation of Cuba was not lost on readers of the Cuban press, which received and then proudly recorded all of these participants’ letters to editors and gave multiple live-action photographs,” Guerra said.

The multiracial delegation, representing Frye’s integrated schools, was hosted and welcomed by the Harvard community at a time when prominent U.S. scientists embraced racist claims of Black inferiority, explained Alejandro de la Fuente, Robert Woods Bliss Professor of Latin American History and Economics.

Alejandro de la Fuente.

Alejandro de la Fuente.

Veasey Conway/Harvard Staff Photographer

Cuba, in particular, was pathologized due to its mixed-race population. Meanwhile, de la Fuente continued, a white supremacist political order was forming on the island.

“If you keep that context in mind, this moment becomes even more surprising, even more interesting,” offered de la Fuente, who is also a professor of African and African American Studies and of History. “It’s not only that these 1,200 people came from Cuba … It is also that many of them were visibly of African descent.”

In 1900, Massachusetts was a center of feminist activism, noted Cuban historian Marial Iglesias Utset, a visiting scholar at the Hutchins Center for African and African American Research, another panel co-sponsor. (The event also received support from the David Rockefeller Center for Latin American Studies.)

Not only did the Cubans rub elbows with several Radcliffe College graduates that summer, the Massachusetts State Federation of Women’s Clubs organized a meeting with the delegation’s 675 female teachers.

“The whole idea is that they should get familiar with the idea of a women’s club,” Iglesias Utset said.

For the next several decades, a constellation of teachers who participated in the summer school, including the U.S.-educated Julia Martínez — known as the “Jane Addams of Cuba”— remained active in what Iglesias Utset called “a pan-American network of women’s associations.”

In 1909, they co-founded a women’s club in Havana, the first in Cuba. They kept up correspondence with Alice Paul and other prominent suffragists in the states. Martínez even traveled to Chicago to represent the local club at an international convention.

She lived long enough, Iglesias Utset noted, to see Cuban women win the right to vote in 1934.


Why are older adults more likely to share misinformation online?

They have greater tendency to seek out, believe material that conforms to pre-existing views, expert says.


Nation & World

Why are older adults more likely to share misinformation online?

They have greater tendency to seek out, believe material that conforms to pre-existing views, expert says.

3 min read
Ben Lyons

Ben Lyons.

Niles Singer/Harvard Staff Photographer

Older adults tend to do well at identifying falsehoods in experiments, but they’re also likelier than younger adults to like and share misinformation online.

That paradox was at the heart of a recent lecture as part of the Misinformation Speaker Series at the Shorenstein Center on Media, Politics and Public Policy. 

The answer, according to Ben Lyons, a University of Utah communications assistant professor who studies media, politics, and misinformation, is partisanship and congeniality bias, essentially the tendency to seek out and believe information that supports pre-existing views while avoiding and dismissing conflicting data.

“Older adults show a lot more congeniality bias,” said Lyons, who published a paper in 2024 in Public Opinion Quarterly on the issue. “Older adults value accuracy, at least in their self-reports, but these age-linked political traits — interest and sophistication and intensity of partisan effects — might reshape what counts as accurate in practice, filtering truth through partisan identity.” 

In his study, Lyons analyzed survey experiments of about 10,000 respondents and internet usage data from about 4,500 people. He found that adults older than 60 were about as skeptical of false headlines, on average, as younger people.

Despite that, older adults tended to be likelier to read and share misinformation than younger ones.

“Digital literacy does in fact decrease with age, not surprisingly.”

Ben Lyons

Lyons investigated common explanations for the paradox: that older adults have poorer digital literacy and that cognitive decline in some cases may exert a greater influence on decision-making. 

The data, he found, were not so straightforward.

“Digital literacy does in fact decrease with age, not surprisingly,” Lyons said. “But news literacy is always higher in these samples; news literacy increases with age.”

In other words, adults over 60 had less skill and understanding of online environments, but more understanding of how news is produced. 

Lyons also questioned the common wisdom that cognitive aging could make older adults more vulnerable to accepting online misinformation.

Cognitive aging is not all decline, he said. Older adults might lose episodic memory, processing speed, and fluid abilities, but they often score higher on tests of semantic memory, general knowledge, and emotional regulation — characteristics that might actually help them understand and engage with misinformation online. 

To test that theory, Lyons looked at cognitive reflection — the ability to override initial responses that are intuitive but incorrect. That faculty increases with age, Lyons said, but the link between cognitive reflection and discernment decreases with age.

“Having greater cognitive reflection is associated with much more rejection of false news for younger adults … and for older adults, we see much less of an effect of cognitive reflection on their discernment.” 

The same is true for emotional reactivity to the news. 

“Older adults tend to rely more on prior knowledge, as a rule, as a general finding, to reduce cognitive load.”

Ben Lyons

Busting those myths helped Lyons home in on his theory of partisanship and congeniality bias. 

“Older adults tend to rely more on prior knowledge, as a rule, as a general finding, to reduce cognitive load,” he explained. “But their prior knowledge, based on this consistently stronger partisanship, at least in the political domain, is more likely to be politically biased.” 

But ultimately, Lyons noted, while a greater proportion of older adults share misinformation online than younger cohorts, the total percentage is still small. 

Lyons was the final guest in the Shorenstein Center’s Misinformation Speaker Series in fall 2025. The series will resume this spring.


How Barbie became the ‘It Girl’

Innovative marketing, ad strategy helps fashion doll rocket through Mad Men years and beyond, with tip of hat to Gillette 


Work & Economy

How Barbie became the ‘It Girl’

Author Tarpley Hitt and book cover.
long read

Innovative marketing, ad strategy helps fashion doll rocket through Mad Men years and beyond, with tip of hat to Gillette 

Excerpted from “Barbieland” by Tarpley Hitt ’18

King Gillette was a cork salesman and congenital tinkerer, always inventing some knickknack. Toward the end of the century, he had been working on something he hoped would be more permanent — an earnest, prescient, and intermittently hilarious tome of utopian social reform called “The Human Drift.”

The manifesto took aim at the gross inequality of the Gilded Age and laid out a plan that might “dam the golden flood which flows incessantly into the hands of the nonproducers, the interest-takers, the schemers, and the manipulators.” Gillette loathed market competition. The eternal fight for material wealth at the expense of everyone and everything else was, in his view, an “insane idea,” an “element of chaos” that could only lead to one end: “the final control of the commercial field by a few mammoth corporations.” (At one point in the book, he wrote an extended verse monologue in which Satan describes inventing capitalism to keep “alight the fires of hell.”) Gillette wanted to ensure the equitable distribution of goods and resources. But — and perhaps this is where he lost some readers — his solution was to replace all production with one unified stock corporation, run, along with the rest of society, from a gargantuan, perfectly rectangular, ceramic-tiled mega-city to be constructed near and powered by Niagara Falls.

And yet shortly after the book came out, Gillette was struck with another idea: a razor with disposable blades. “It was almost as if Karl Marx had paused between ‘The Communist Manifesto’ and ‘Das Kapital’ to develop a dissolving toothbrush,” Gillette’s biographer remarked. A decade later, after years of honing the manufacturing protocol, Gillette was awarded the first patent for a mass-produced disposable razor. In the process, he inspired a business model perhaps as influential as the device itself. His company realized they could sell the razor at a loss — luring in customers with a low-cost product — and profit instead from the marked-up blades they inevitably came back to buy. Gillette continued his writing career, self-publishing a pamphlet on a plan for universal employment and elaborating on his public corporation in two more books, one cowritten with Upton Sinclair. But in the end, Gillette became better known for his shorter writing. As his possibly apocryphal line went: “Give ’em the razor, sell ’em the blades.”

Gillette’s “razor blade model” spawned many copycats. Consumers still encounter it now, when suspiciously affordable printers beget years of extortion for ink. But the technique did not translate neatly into the world of toys. Toy manufacturers are beholden to seasonality. Men need razors year-round; offices can run out of toner cartridges any old month. But while parents may buy the odd game or doll or gun for birthday parties or the occasional treat, mass toy-buying is concentrated around the holidays. Many toy companies will spend most of the year in the red, only to enter the black in the final quarter. It was a perpetual worry for American toy makers. As early as 1916, one trade association had tried to float the idea of turning Independence Day into the toy-buying equivalent of a Christmas in July. It didn’t take off.

Seasonality remained an issue when Mattel entered the toy business, and by the time Barbie debuted, it had become a subject of great concern. If Mattel went public, as the company planned to the following year, founders Ruth and Elliott Handler would face Wall Street pressure to deliver profits, not just annually or in the months before Christmas, but every quarter. Sponsoring The Mickey Mouse Club had been an early major attempt to solve the problem. Mattel had become the first, and for a time, the only toy advertiser “to use network television 52 weeks a year.”

But Mattel’s investment in year-round advertising had attracted “many imitators,” and not just from toy makers. “Suddenly programming which used to be a TV toyland,” a Mattel memo read, was selling “candy, cookies, toothpaste, cereal, soft drinks, gym shoes, et cetera.” The Handlers worked hard to maintain their lead. But even with TV show tie-ins for every season, Mattel noted, “the majority of buying was still concentrated in the last quarter.”

But Austrian psychologist Ernest Dichter, the Handlers’ marketing consultant, had pointed out that, when it came to Barbie, the “clothes sell the doll.” His idea was to not just pitch kids on buying one or two dolls, but to bill Barbie as a talisman to what Ruth called “the World of Barbie” — not a terminal product that ends with the first sale, but something to collect, nurture, and feed with a constant supply of costumes and accessories, or risk missing the latest small shoe or bitty bag and finding their figurine comically out of date. If this “‘collection’ type sequence is promoted,” Dichter wrote, “continued purchases could be encouraged.” The Handlers embraced Gillette’s razor blade technique — but Mattel did it even better. Barbie wasn’t free, or even, in the grand scheme of toy price points, especially cheap (a $3 doll, adjusted for inflation, would now run about $32). And yet she had the same effect. In lieu of the dead-ends of toy companies past, Mattel continued creating new stars in the Barbie cosmos, offering a collection kids could never complete. Internally, staff would call her: “Our Lady of the Perpetual Income.”

By Barbie’s first birthday, Mattel had already sold some 351,000 Barbies, and “several hundred thousand” outfits, prompting such an order backlog that they ran out of their first edition — the coveted model collectors call the “No. 1 Ponytail” — and started putting out No. 2 (which featured a lighter, plastic stand), then No. 3 (which sported a softened brow). By 1961, when No. 5 came out (featuring a hollower, and thus cheaper, body), Barbie’s wardrobe included three dozen costumes. Her hair came in blonde, brown-black, and “Titian red,” styled with curly bangs or in a Jackie Kennedy−inspired “Bubble Cut.” Barbie had become so popular that she started to get fan mail, as her German inspiration Lilli once had. Soon, Ruth gave Barbie a plus-one. As a press release announced in August: “Mattel Creates Ken, Boyfriend for Barbie.”

Ken followed the Barbie format, debuting with his own collectible accoutrements, selling so successfully that other companies copied the idea. In 1964, three years after Ken’s debut, the rival toy maker Hasbro introduced its own boy doll, whose accessories included a literal long rifle, G.I. Joe. He was billed, not as a doll, but as “an action figure.” Ken was just the beginning. Over the sixties, Barbie’s social network grew to include her friend Midge, who came in four hair colors; Ken’s friend Allan, whose sole selling point was that he fit in Ken’s clothes (slogan: “All of Ken’s Clothes Fit Him”); a younger sister, Skipper, who introduced junior versions of Barbie’s outfits; Skipper’s two friends, Skooter and Ricky; and a cousin named Francie, the first Mattel doll to come as both white and black. Soon, Barbie acquired two new twin siblings, Tutti and Todd; Tutti’s friend Chris; four more friends, Casey, Stacey, Twiggy — based on the distinctly unbusty model of the era — and Christie, the second black doll in the Barbie canon, but the first to be given her own name.

As Barbie’s social scene grew, so did her résumé, adding gigs as a fashion designer, singer, flight attendant, ballerina, and nurse. She became a “career girl” in 1963, and a “drum majorette” the year after. Her professional ascent endowed her with new marketable skills. “Miss Barbie” introduced bendable legs. “Color Magic Barbie” could use a special solution to dye her hair. And “Talking Barbie” gave the doll, suffering in silence for nine years, her first words. (Among them: “I love being a fashion model.”) Ken evolved in his own way too. The first iteration, which had three-dimensional hair, turned out to suffer from male pattern baldness when washed. Mattel secured his successor’s hairline by coloring it onto his scalp.

Barbie and friends had a range of transit to choose from, including a Ken’s red hot-rod, Barbie’s lilac convertible, a lime-green speedboat, and a blue “sports plane.” At night, they could curl up in the first Barbie Dreamhouse, initially a cardboard single-story home, in a ranch style with red plaid drapes and “mid-century wood grains.” Barbie enthusiasts could join the “Official National Barbie Fan Club,” read Barbie short stories in the official Barbie magazine, or dive into longer Barbie novels via several Random House Barbie books. Barbie herself was a reader. One doll came with three knuckle-sized manuals: “How to Travel,” “How to Get a Raise,” and “How to Lose Weight.” The last one advised: “Don’t eat!”

Barbie’s success was contagious. “She was a merchandiser’s dream,” an Esquire article noted, “a mixture of precocious sex and instant affluence.” Mattel licensed the Barbie name liberally and devised their own products too. The market flooded with Barbie-adjacent goods: Barbie bubble baths, Barbie suitcases, Barbie bedspreads, Barbie diaries, Barbie record players, Barbie records, Barbie beds, Barbie cars, Barbie friendship rings, Barbie lockets, Barbie makeup, Barbie books, Barbie comic books, Barbie puzzles, Barbie greeting cards, Barbie thermoses, Barbie lockets, Barbie pencil cases, Barbie lunch boxes, Barbie tea sets, Barbie clothing patterns, Barbie umbrellas, and, to bring it full circle, Barbie paper dolls. In a speech on merchandising, Ruth announced: “The name Barbie is magic.”

As Barbie expanded, so did Mattel. The company went public in 1960, the year after her debut, with a small offering of over-the-counter stocks — shares that were “quickly spoken for.” By early 1962, Mattel was raking in nearly $50 million in annual sales, a record they were “well ahead of” before Christmas. The next August, Mattel debuted on the New York Stock Exchange. In 1964, Mattel opened new factories in Los Angeles, Canada, and New Jersey. They set up a sales office in Geneva, Switzerland, and a new headquarters building in Hawthorne, California.

The company was growing fast and unchecked, but each new spurt seemed to only multiply sales. “We were gutsy people,” Ruth said. “We were young and full of fire and cocky and everything worked.” Mattel had hit on a formula, The Wall Street Journal drooled: “once a toy craze has been created, ride it for all it’s worth with an endless proliferation of new items tied to the original product.” Mattel expanded its product line by some 50 percent in 1965 —then “the biggest increase in the company’s history.” That year, sales topped $100 million. They were making so much money, they seemed to barely know what to do with it. At one point, just to keep their retailers in good spirits, the company spent two years and “well into six figures” producing an all-male original musical called “Mattelzapoppin’” — then toured it to some 8,000 toy buyers across 27 different cities. One Christmas, the R&D Department splurged on thousands of frozen turkeys — one for every employee. When the staff got a little buzzed at the office party, they began “clobbering each other with the rock-hard birds.”

The mood at Mattel was one of “near euphoria,” a reporter observed, “a feeling that Mattel had the Midas touch.” It seemed the Handlers could do no wrong. “Mattel is energetic, deep-thinking, and far and away above the field in product development,” a Chicago toy buyer told the Journal. “I simply can’t see its downfall.”

Copyright © 2025 by Tarpley Hitt. Reprinted by permission of One Signal Publishers / Atria Books, a division of Simon & Schuster, LLC.


Dry January as an experiment, not a punishment

Why it’s worth trying, what to expect, and how to succeed


Health

Dry January as an experiment, not a punishment

Why it’s worth trying, what to expect, and how to succeed

6 min read
Sarah Wakeman.

Sarah Wakeman, the senior medical director for substance use disorder at Mass General Brigham.

Veasey Conway/Harvard Staff Photographer

As 2026 kicks off, many people are looking for ways to live healthier, happier lives. Dry January — a month of saying no to alcohol — has become a popular first step.

Sarah Wakeman is an associate professor of medicine at Harvard Medical School and senior medical director for substance use disorder at Mass General Brigham. In this edited conversation, she details some of the cognitive and physical benefits of Dry January — with an emphasis on curiosity, not guilt, as a catalyst for an alcohol-free month.


How does an addiction specialist think about Dry January?

People sometimes have binary mental models about problems with alcohol, but those problems actually fall along a spectrum. The image people have of severe alcohol use disorder is usually of someone whose drinking is impacting their work and relationships, who can’t stop, and whose problem is very apparent to people around them. I, of course, do see patients like that in my addiction practice. But the spectrum also includes people who meet criteria for alcohol use disorder, but are on the milder side, and also folks whose drinking is just starting to cause health problems or impacting their life in not-so-positive ways.

Dry January is a lower-stakes opportunity to sample sobriety. It’s a moment to pause and see how alcohol fits in your life. Is it sometimes causing things you don’t like to happen? Is it harder than you thought to stop drinking? That can actually open up a conversation — even if it’s just with yourself — about wanting to make changes and not waiting for some negative event. In the past, that was often how problems with alcohol were recognized: Some terrible thing had to happen or someone in your life had to get really worried about you before you re-examined alcohol’s role in your life.

“Dry January is a lower-stakes opportunity to sample sobriety. It’s a moment to pause and see how alcohol fits in your life.”

Are there particular drinking patterns that should give a person pause?

Lower-risk limits for women and everyone over 65 are seven drinks a week and no more than three drinks a day; for men under 65, 14 drinks a week and no more than four a day. People may go over that at some point, but if you’re consistently drinking above that level then this might be an opportunity to take a break, cut back a little, or just change your patterns for the month and see how that works.

For people trying Dry January for the first time, what should they expect?

Alcohol disrupts your sleep architecture, especially if you’re drinking heavily. Some people might notice that they’re having a better night’s sleep and that they feel more rested in the morning. It can also dehydrate you and can cause inflammation in your skin, so some people may notice that their skin seems brighter or that they’re having less flares of acne or rosacea. If you’re drinking a lot, it can make you feel foggy, so you might notice clearer thinking. Drinking can also worsen conditions like heartburn, so you may notice that that gets better quickly.

Folks might want to consider making a change if they notice that they feel better, that their work is going better, relationships are going better, and that health conditions that they worry about are doing better. Those are all indications that this change has been a positive one and that, if you are going to start drinking again, you should consider drinking at a lower level.

It’s safe to say that many of us spend a lot of time dwelling on drinking habits, even in the absence of an obvious problem. Why?

I think the idea of doing anything just for pleasure sometimes makes people uncomfortable. Alcohol is interesting because for a long time we were talking about drinking for health — this notion that red wine is helping my heart health — and that idea was very welcome to some. Now the data is a bit less clear and, certainly for cancer, studies have found that alcohol use is associated with increased risk. The idea that you would choose to do something just for pleasure may feel uncomfortable to talk about or even acknowledge, but I think we ignore pleasure at our own peril when thinking about public health messaging. People seek pleasure and relief in lots of different ways, and we have to be willing to talk about the pros and cons of any health-related behavior so we can support people in making changes that are right for them.

Do you have tips for the person aiming for a successful Dry January?

Know the circumstances where you would be likely to drink more, then try to create situations where it is easier to not drink. Maybe meet someone for a walk or for an exercise class rather than a social engagement that centers around alcohol and food. If you are going out to dinner or to an event, plan out what you are going to do instead of drinking alcohol. Have a plan heading in, because when you’re hungry or tired or bored, it’s harder to maintain a goal that you’ve set for yourself.

The other really important thing is that abstract, vague behavior change is hard to make. Be clear about why you’re doing it, make it as concrete as possible: “My goal is to lose five pounds this month. I’m going to exercise, and I want to try not drinking so I don’t have excess alcohol-related calories.” Or maybe you want to drink two days instead of seven days out of the week. By setting specific and measurable goals you’re much more likely to succeed.

It can also help to share your goal with someone you know because then it’s not just you who knows that you’re trying to do this. If you have a friend who is also curious and wants to try it, that’s even better. Group support in behavior change is always more effective. You can cheer each other on and think together about what’s going to help as you’re trying to make this change.


A tiny limpet reveals big secrets

Discovery marks significant find in study of deep sea


Gonzalo Giribet

Professor of Organismic and Evolutionary Biology Gonzalo Giribet.

Stephanie Mitchell/Harvard Staff Photographer

Science & Tech

A tiny limpet reveals big secrets

Discovery marks significant find in study of deep sea

4 min read

In the depths of the central Pacific Ocean, nearly 2,400 meters below the surface, scientists found a new species of deep-sea limpet clinging to a sunken log.

The discovery represents a significant find in the study of the deep ocean, the largest ecosystem on the planet but one that is inhospitable to humans and remains largely unexplored.

During a 2023 expedition aboard the E/V Nautilus, scientists using the remotely operated vehicle Hercules spotted a fragment of sunken wood resting off the remote Johnston Atoll.

As they drew closer, they found a thriving community that included a large population of strange limpets — oval, pale, and thick-shelled, with a distinctive arched profile.

It didn’t take long for Paula Rodríguez-Flores, postdoctoral researcher in the Department of Organismic and Evolutionary Biology, to recognize a new species.

In a new study published in Molluscan Research, researchers in OEB and the Harvard Museum of Comparative Zoology formally describe Pectinodonta nautilus, named in honor of the exploration vessel responsible for its discovery.

Anatomy of a limpet.

External anatomy (A,B) and digital section to visualize internal anatomy (C,D) of Pectinodonta nautilus.

Credit: Paula Rodríguez-Flores

The team led by Gonzalo Giribet, a professor of organismic and evolutionary biology and director of the MCZ, and Rodríguez-Flores used cutting-edge imaging and molecular techniques to examine the 79 individuals collected from the 35-centimeter-long piece of wood.

Belonging to a family of mollusks known as Pectinodontidae, P. nautilus is part of a rare group of limpets that make their homes on “wood falls”— tree trunks and branches that drift down from the surface and settle on the seafloor.

“Wood falls are fleeting ecosystems in the deep ocean, and yet they host remarkably specialized fauna,” said Rodríguez-Flores. “Unlike the well-studied ecosystems built around hydrothermal vents and methane seeps, wood falls remain elusive, less studied in their natural setting.”

Back in the lab with the samples, the researchers used high-resolution micro-CT scanning and 3D modeling to visualize the limpets’ anatomy without dissection.

These limpets are large for their family — some more than three centimeters long — and they continue growing as the wood decays around them. Their off-white shells are sturdy, strongly arched, and unusually smooth.

Scanning electron microscopy revealed a faint radial sculpture near the posterior dorsal surface. The smoothness, combined with thick concentric growth lines, set the species apart from their relatives.

Things got even more interesting inside their mouths. Like other wood-dwelling limpets, P. nautilus boasts oversized radular teeth – the chitinous scraping tools that function like conveyor-belt tongues. Each tooth resembles an inverted V studded with around 17 cusps.

When compared with relatives like P. mazuae, this new species has nearly double the size in radular structures, hinting at distinct feeding strategies or evolutionary pressures tied to their isolation.

Holotype shell.

External morphology of the shell from various angles.

Credit: Paula Rodríguez-Flores

Radula

Details of the radula, a structure present on gastropods and cephalopods mollusks for feeding. Image captured by a scanning electron microscope.

Credit: Paula Rodríguez-Flores

DNA sequencing and mitochondrial genome analysis confirmed that P. nautilus represents a distinct lineage within Pectinodonta. Phylogenetic analyses revealed that P. nautilus is most closely linked with species from New Zealand and the Western Pacific, including P. marinovichi and P. orientalis.

“Our findings suggest this lineage of wood-fall may be far more widespread across the Pacific than previously recognized,” said Giribet.

The deeper evolutionary tree, however, remains hazy.

Mitochondrial arrangements across related families showed intense gene shuffling, making lineage boundaries difficult to pin down. The researchers determined a need for full genome assemblies before confidently rewriting the family history.

The findings also indicate that radular morphology, rather than shell shape, may be a more reliable way to distinguish among these cryptic species.

“The discovery underscores how little is known about life in the deep sea,” Rodríguez-Flores said. “Fewer than 7 percent of described marine species come from below 1,000 meters, leaving vast stretches of ocean biodiversity unexplored.”

But the presence of individuals of many different sizes – juveniles to well-grown adults – indicates the wood fall supported multiple generations, suggesting that even tiny islands of habitat can sustain deep-sea communities long enough for population turnover and dispersal.

Still, the research team, which included Arianna Lord, a Kenneth C. Griffin Graduate School of Arts and Sciences student, and Jennifer Winifred Trimble, MCZ curatorial associate, says that the discovery of P. nautilus adds a crucial piece to the puzzle of how life persists in one of Earth’s harshest habitats.

“Every deep dive reveals that the ocean still holds countless surprises,” said Rodríguez-Flores. “We’re only just beginning to understand the hidden biodiversity living on the seafloor.”


Digging for old Harvard

Archaeology Project members get their hands dirty exploring lives of earlier students


Campus & Community

Digging for old Harvard

Student JJ Drummond talks with a partner.

Harvard Yard Archaeology Project members, including J.J. Drummond ’27 (center), work at their dig site. One of the goals of this year’s dig is to find artifacts from the old Harvard Hall, which burned down nearby in the winter of 1764.

Photos by Veasey Conway/Harvard Staff Photographer

4 min read

Archaeology Project members get their hands dirty exploring lives of earlier students

Tucked behind Hollis Hall in a quiet part of Harvard Yard, students are digging into the ground. It’s the 20th year of the Harvard Yard Archaeology Project, and the 10th dig. The project, which explores the lives of the students who attended Harvard College in the 17th century, and its associated classes, Archaeology of Harvard Yard I and II, are devoted to understanding the history of Harvard from the ground up.

This year, the project zeroed in on a section of earth near Holden Chapel. Students hoped to find artifacts from the old Harvard Hall, which was built nearby in 1677 and burned down in the winter of 1764, along with John Harvard’s bequeathed library of books.

The Harvard Hall fire could represent a snapshot that holds clues of Harvard’s transition from a religious institution to one that incorporated more scientific study. The burned hall contained an array of spaces and items: a kitchen, student chambers, study rooms, library, lecture halls, and scientific equipment. This diversity adds to the site’s archaeological potential.

Video by Maureen Coyle, additional footage by Veasey Conway/Harvard Staff

“We think of college buildings now as, you know, either dormitory or administrative. This was a building that was everything,” said Diana Loren, co-lecturer of the course and deputy director for curatorial affairs and senior curator at the Peabody Museum.

“It’s a really unique experience for students excavating in the Yard. If you think about it, this is their home for four years. They live in the Yard, they live in the Houses, and the Yard is the landscape they become familiar with,” she added.

Harvard Yard Archaeology Project members work at their dig site near Holden Chapel and Lionel Hall.
Harvard Yard Archaeology Project members dig near Holden Chapel and Lionel Hall.

At the dig site, students used dustpans, trowels, buckets, and sifting screens. Periodically, an object would reveal itself: animal bones, pieces of pottery, tobacco pipe stems, a metal piece of a book cover, lead printing type. The students wipe off the dirt, hold the object up to the daylight, and pass off their find to a classmate.

In the companion spring semester class, students perform detailed analyses of the excavated materials, putting the recovered items into historical context before they are accessioned into the Peabody Museum collection.

“It’s important for students to have this experience to understand the potential for stewarding cultural resources in their community,” said Patricia Capone, co-lecturer in the class and a curator of North America collections at the Peabody Museum.

Digging Veritas, an exhibit dedicated to the project’s history over the years, is on view at the Peabody Museum.

Student Charlotte Hodgson prepares to document a piece of brick discovered.
Charlotte Hodgson ’26 prepares to document a piece of brick. One brick found this day bore what could be an indentation of the hand of its original maker.
Tools of the trade, including a field notebook, bucket, trowel, and artifact bag sit at the edge of the dig site.
Tools of the trade, including a field notebook, bucket, trowel, and artifact bag, sit at the edge of the dig site.
Patricia Capone (center), the Curator of North American Collections at the Peabody Museum, talks with student Nina Skov Jensen at their dig site.
Patricia Capone (center), a curator of North America Collections at the Peabody Museum, talks with Nina Skov Jensen ’27. “Archaeology is a good tool for helping tell the untold stories that are buried in the trash, or the privies — places like that,” Capone said.
Diana Loren, the deputy director for curatorial affairs and a senior curator at the Peabody Museum, sits at the edge of her team’s dig site.
Diana Loren, deputy director for curatorial affairs and a senior curator at the Peabody Museum, says her favorite part of the class is the students. “They bring such enthusiasm with them into the excavations,” she said.
Student David Broussard points to his grid square.
David Broussard ’26 (center) points to his grid square. The students work in pairs to methodically excavate particular units.
Emily Conlogue, a teaching fellow and PhD student in Archaeology, measures a section of the dig site.
Emily Conlogue, a teaching fellow and Ph.D. student in archaeology, measures a section of the dig site.
Student David Broussard gestures down toward soil strata.
Broussard gestures down toward soil strata. Distinct layers of soil can reveal artifacts from specific eras of history. “I’m trying to keep this from absolutely collapsing,” he said.
Students Jonas Freeman (right) and Nina Skov Jensen use a sifting screen to search debris for artifacts.
Jensen (left) and Jonas Freeman ’26 use a sifting screen to search through debris.
Diana Loren and a student examine an artifact, possibly from a clasp or cover of a book.
Loren and Conlogue examine an artifact, possibly from a clasp or cover of a book.
Diana Loren, the deputy director for curatorial affairs and a senior curator at the Peabody Museum, examines a fragment of a tobacco pipe discovered.
Loren examines a fragment of a tobacco pipe. The characteristics of the pipe’s bowl can help narrow down when it was made.
Student David Broussard carries buckets back to storage at the conclusion of a dig session.
Broussard carries buckets back to storage at the conclusion of a dig session. When the fall fieldwork is over, the next steps in the spring are to clean the artifacts, number them, and prepare them for accessioning into the Peabody Museum’s collection.

New institute to strengthen fundamental physics research, collaboration

Leinweber Institute for Theoretical Physics made possible by $20 million gift from the Leinweber Foundation


Campus & Community

New institute to strengthen fundamental physics research, collaboration

Views of the Jefferson Lab at Harvard.

The Jefferson Physical Laboratory at Harvard.

Harvard file photo

5 min read

Leinweber Institute for Theoretical Physics made possible by $20 million gift from the Leinweber Foundation

Harvard University on Thursday announced the creation of the Leinweber Institute for Theoretical Physics at Harvard, a new initiative focused on strengthening fundamental physics research and connecting physicists across the United States. 

Made possible by a $20 million gift from the Leinweber Foundation, the institute, housed in the Department of Physics in the Faculty of Arts and Sciences’ Division of Science, will be a hub uniting researchers across the University with those at other leading research institutions to explore the theoretical principles of the physical world.

“Expanding opportunities for collaboration accelerates scientific progress,” said Harvard President Alan Garber. “This new institute will strengthen relationships among researchers within our community and across institutions who are working to deepen our understanding of the universe. We eagerly anticipate their discoveries, and we are grateful to Larry Leinweber and the Leinweber Foundation for their support of fundamental research.”

A growing network

With the creation of the Leinweber Institute, Harvard joins a growing national network of theoretical physics centers supported by a total investment of more than $150 million by the Leinweber Foundation. The institute will collaborate closely with peers working at California Institute of Technology; the Institute of Advanced Study; the Massachusetts Institute of Technology; Stanford University; the University of California, Berkeley; the University of Chicago; and the University of Michigan, with each site contributing complementary strengths and shared research fellowship programs.

Underpinning the effort is the idea that theoretical physics progresses most rapidly when scholars from diverse specialties share ideas, tools, and perspectives. The institute’s programs will support scholar visits, thematic workshops, and collaborative projects, creating new opportunities for partnership between Harvard theorists and visitors from around the world.

“The foundation’s vision is to build a national ecosystem to support theoretical physics — a network of institutes that support one another, challenge one another, and accelerate discovery in ways no single institution could do alone,” said Larry Leinweber, founder and president of the Leinweber Foundation. “Harvard is an essential part of that vision. Its history of excellence and its culture of rigorous, creative inquiry make it an ideal participant in the vision. I am especially proud that this gift will help launch and sustain young scientists whose ideas will shape the future of the field.”

Investing in the future

The gift also establishes the Leinweber Physics Fellows program to support emerging scholars in theoretical physics. A postdoctoral fellowship will enable fellows to pursue independent research under the general supervision of Harvard faculty affiliated with the institute, while faculty and graduate student research will be aided by awards for institute faculty and fellowships to Ph.D. students, attracting top scientists to the field and building a pipeline for innovation and discovery. 

“Investing in science is an investment in people — students, postdocs, and faculty whose curiosity and dedication drive every breakthrough,” said Hopi Hoekstra, Edgerley Family Dean of the FAS. “This remarkable gift strengthens our ability to support scholars at every stage of their careers and gives them the resources and freedom to pursue bold ideas. We are deeply thankful to the Leinweber Foundation.”

The Leinweber Institute’s work will span high energy theory — including particle physics, string theory, and quantum gravity — cosmology, and aspects of condensed matter theory that illuminate basic laws of nature. The institute will also support theoretical studies that propose or analyze novel experiments or observations aimed at revealing new facets of fundamental physics.

The institute will be led by incoming faculty director Matthew Reece, a professor of physics in the FAS whose work in particle physics, cosmology, and quantum gravity seeks to uncover physics beyond the Standard Model by connecting fundamental theory to observations and experiments. He has developed new ideas about dark matter, the early universe, and the unexplained features of the Standard Model, and has worked extensively on how data from the Large Hadron Collider, future colliders, and astrophysical measurements can test these ideas. 

“It is a great privilege to help launch an institute dedicated to fundamental theoretical physics, at a time when the central questions of the field are as profound and challenging as ever,” said Reece. “The Leinweber Foundation’s generous gift will sustain and strengthen Harvard’s long tradition of training and mentoring great theoretical physicists. I’m delighted by this new opportunity to bring some of the world’s best young theorists to Harvard and to give them complete freedom to pursue their scientific interests. I’m excited to see the new ideas and discoveries that will emerge from collaborations fostered within our institute and with the broader Leinweber Network.”

Building on strength

Harvard’s theoretical physicists have long been central to many of the field’s most influential advances. Drawing on close collaborations across physics, astronomy, mathematics, and engineering, researchers at Harvard have helped deepen our understanding of the most fundamental laws of nature — ranging from particle physics and cosmology to quantum field theory and gravity — and continue to shape the direction of theoretical research worldwide.

“Harvard’s Department of Physics has pushed the boundaries of knowledge in many directions over many decades,” said Cumrun Vafa, the Timken University Professor and Physics Department chair. “The generous gift from the Leinweber Foundation enables us not only to enhance our efforts in undertaking theoretical research in fundamental physics at a critical time when there are tremendous financial pressures, but also to better connect us with a network of peer institutions to promote a young cohort of students and researchers, which will impact the future of the field for decades to come.”


‘It just feels good when you solve the hard problems’

Why do students volunteer to take this notoriously difficult math exam? For the fun of it.


Science & Tech

‘It just feels good when you solve the hard problems’

Why do students volunteer to take this notoriously difficult math exam? For the fun of it.

Students compare answers after taking the Putnam exam.

Photos by Megan Martinez

6 min read

Why do students volunteer to take this notoriously difficult math exam? For the fun of it.

At crunch time at the end of fall semester, Easton Singer ’26 had many things piled on his plate: an orchestra performance, final exams and projects, a senior thesis, and applications for graduate school. Yet he put all that aside to spend a precious Saturday in the middle of reading period voluntarily taking yet another exam — one that had nothing to do with his classes nor any impact on his transcript.

The Kirkland House resident was among more than 50 Harvard students who participated in the William Lowell Putnam Mathematical Competition, the premier math contest for college undergraduates in North America. Now in its 86th year, the Putnam has a storied history, and many top finishers have gone on to become prominent mathematicians, professors, and winners of Nobel Prizes and Fields Medals.

“I take it just because it’s fun,” said Singer, a math concentrator with a secondary in computer science. “It’s the best chance to do math problems. I get the sense that other people also do it not because of a particular competitive drive, but more because it’s fun and because their friends are also doing it.”

Fun? The Putnam exam is notoriously difficult even for people who normally consider themselves pretty good at math. The six-hour exam has 12 questions worth 10 points each. A perfect score of 120 is a rare feat achieved only five times since the competition began in 1938. Last year, only five students in the world scored 80 or higher. Only 45 people — barely 1 percent of the competitors — managed to get even half the available points.

Among nearly 4,000 students in the U.S., Canada, and Mexico who took the exam in 2024, the average score was only 8; half of the test-takers scored 2 or lower. Results for the 2025 test will be released around February.

Contrary to common assumptions, the test does not require much higher-level math, although some can be helpful. But it does test problem-solving ability, time management, and mathematical intuition for shortcuts that can quickly arrive at short proofs — and bypass more laborious, time-consuming routes to the same answers.

“It just feels good when you solve the hard problems,” said Andrew Gu ’26, who has twice finished among the Putnam’s top 16. “In some problems, discovering the little trick that they put in there just feels magical.”

“In some problems, discovering the little trick that they put in there just feels magical.”

Andrew Gu

Historically, Harvard has the most first-place and top-five finishes in the team competition. In recent years, however, MIT has dominated the Putnam. Last year, our crosstown rivals claimed 69 out of the top 100 finishers and the entire top five (who are honored as “Putnam Fellows”) for the fifth year in a row.

In the 2024 team competition (the sum of the ranks of the top three finishers at each school), Harvard finished second with a team composed of Gu, Kevin Cong ’26, and Eric Shen ’25. Harvard last won in 2018 and has placed second behind MIT in four of the last five years.

“It’s worthy to note how well Harvard does despite the lack of departmental-organized practices and training, especially against large universities that hold Putnam workshops and classes,” said Cindy Jimenez, the undergraduate program coordinator for the Department of Mathematics.

MIT places greater emphasis on the Putnam and offers a preparation class for credit. In contrast, the Harvard Department of Mathematics has made a deliberate choice not to push the exam or organize any official prep sessions. Aside from advertising the event and handling registration, the department hosts only one event related to the competition — a “Putnam Postmortem” to review the questions on the last exam led by Professor Noam Elkies, who was a three-time Putnam Fellow as an undergraduate at Columbia in the 1980s.

Students discuss problems.
Easton Singer (left), Kevin Cong, and Andrew Gu compare answers.

“I think it makes sense to de-emphasize competition mathematics,” explained Elkies. “As one progresses from grade-school math to college and beyond, one moves further from the domain of competition problems that are guaranteed to be solvable within an hour or so under the constraints of a closed-book exam.”

The exam is held in early December, typically a busy time for Harvard students during reading period at the end of the semester.

Cong has never missed a Putnam.

“It’s sort of a fun hobby,” he said. “It’s also somewhat nostalgic, having done that stuff in the past.”

Cong became interested in math as a child after discovering some math texts and series of books on math topics called “The Art of Problem Solving.” He found he was good at math contests, won numerous competition medals, earned invitations to national training camps, and a spot on the 2022 USA team for the International Mathematical Olympiad, where he won a gold medal, alongside Gu, who won silver.

The tournament chops mastered in high school continue to serve him well. Like most of his Harvard friends, Cong doesn’t do much preparation for the Putnam. This year his only departure from his normal routine was going to bed and rising a bit earlier than normal before the test.

“Not many people here, as far as I know, do it seriously,” said Cong, a math and statistics double concentrator who finished in the top 25 of the 2024 Putnam. “I think most people just view it as a cool competition that they can spend six hours of their Saturday doing once a year. They’re really cute problems.”

Likewise, Singer did not do much preparation. But he too is steeped in the subject: He did math competitions during high school, serves as a course assistant for classes such as Math 55, and co-authored a paper titled “Factorization in Additive Monoids of Evaluation Polynomial Semirings.”

“I just woke up early enough so I could be awake by the time I got here,” he said after the exam. “Also, so I could eat breakfast, which I don’t normally do.”

“I did not successfully eat breakfast!” Cong chimed in with a laugh.

After the exam, the Science Center hall buzzed with energy and bursts of laughter as students gathered to compare answers. Some wrote solutions on the chalkboard. There were a few palms slapped to foreheads when people realized solutions they had missed.

“It was really cool seeing other methods people use, because there are so many different ways to get the same answer.”

Matteo Salloum

“It was really cool seeing other methods people use, because there are so many different ways to get the same answer,” said Matteo Salloum ’28. “It’s very illuminating, because math is very collaborative. It’s very interesting to see the ways different ways people take to get the solution.”

Singer — who was taking the exam for the fourth and final time as a Harvard student — felt content. “I’m happy, because I think solved six in total,” he said, expressing hope that he had managed to achieve his best score yet.

Then he looked at the clock.

“I should not be here right now,” he said. “In fact, I need to go to rehearsal — Harvard College Opera. I’m playing the piano.”


How to pay attention 

Constantly distracted by devices? Experts share strategies on reclaiming focus.


person scrolling on phone
Health

How to pay attention 

Constantly distracted by devices? Experts share strategies on reclaiming focus.

8 min read

A series of random questions answered by Harvard experts.

Whether they’re peeking at text messages during work meetings or doomscrolling long into the night, a majority of American adults — and 81 percent of adults under 30 — say they use their phones too much. The Gazette spoke with three experts across Harvard — in education, psychology, and ministry — on strategies to cultivate focus and attention in a world full of captivating screens.


Cultivating attention 

Monica Sanford is the assistant dean for multireligious ministry and a lecturer on ministry studies at Harvard Divinity School. She is trained as a Buddhist chaplain. 

I struggle with devices; I think everybody does. I think of my cellphone, but also the way I use my computer. I can have a Zoom meeting and have my email open at the same time, and that can create distractions. 

But what I notice is, when I look up from scrolling on my phone, when I look out the window and appreciate the sunlight and the trees, or when I pet my cat or my dogs, that feels better, that feels more real. It feels like I’m in my life again. And even still, that desire to go back and pick up the phone and start scrolling is still there, even though I know what I’m doing feels better than that. It’s a constant habit that I notice in myself, and I’m working to overcome it. 

“But what I notice is, when I look up from scrolling on my phone, when I look out the window and appreciate the sunlight and the trees, or when I pet my cat or my dogs, that feels better, that feels more real. It feels like I’m in my life again.

Monica Sanford

One practice that I find helpful is that my partner and I have agreed not to have our phones when we’re eating dinner together. We’re both old enough that we remember a time without phones, so we know what that’s like. But for younger folks who grew up digitally native, that might be a little more revolutionary. I also don’t keep a lot of social media on my phone; I can look at that stuff on the computer. 

But the reality is, the only things we can actually control in our lives are our attention, and some of the muscles in our body some of the time. That’s it. 

Attention is one of the things that the Buddhist tradition has selected to train like a muscle and put to good use. Buddhism focuses on the cultivation of the mind so that we can place our attention on useful projects, but it’s not dissimilar from any other religious project. St. Teresa of Ávila, a female Christian medieval mystic, trained her attention to listen for the movement of God. When I go to a Jewish Shabbat service, the singing of prayers is a ritual where they’re training their attention to turn towards the content of what those prayers are telling them is important in their lives. When you go to Jum’ah prayers in the Muslim tradition, you’re using your body to tell you what to pay attention to. 

We’re not doomed. We have the mental equipment we need to deal with this, just like we have the mental equipment to deal with all the other manifold suffering in the world. There’s a lot of suffering we’re protected from — famine, disease, war, natural disaster. OK, we have a new suffering: screen addiction on our phones. That’s a new one. It’s not addressed in the Buddhist scriptures. But the solution, I think, is pretty similar.  


Modeling behavior 

Bettina Hoeppner is an associate professor of psychology at Harvard Medical School and the director of the Health through Flourishing program in the Psychiatry Department of Massachusetts General Hospital. 

As a mental health researcher, I love that technology enables us to connect with people easily and widely to share health information and support health behavior changes. But as a positive psychologist, I want to cultivate the experience of flow, where you are fully immersed in what you are doing in an energized, joyful manner. I worry about technologies interfering with that, where alerts cut into the creative process and disrupt the flow. And as a mom, I love that technology allows us to foster curiosity and worry about how best to guide my kids in using technology for its perks without getting driven by the algorithms that are deliberately deployed to keep people engaged with their phones and other devices. 

My personal tech practices are pretty simple. Most importantly, I do not have my work email on my smartphone. So, when I’m not at my desk (or on my laptop when traveling), I’m not at work. That can be tricky at times — for example, when I am submitting a grant and there is some last-minute administrative back-and-forth. To account for my inability to respond instantaneously at certain times, I plan in extra lead time. The perk is that even during crunch times, I experience real breaks, because I do not know what is happening in my inbox when I step away from my desk.

“When I am not working, I do my best to role-model low phone usage for my kids.”

Bettina Hoeppner

When I am at my desk, I do my best not to use my phone. At times, I might even turn off my email for one to two hours to focus on what I am doing. I find that I feel better at the end of a day when I had a good uninterrupted stretch of diving into an analysis, designing a piece of my study, and/or writing a paper or grant. 

When I am not working, I do my best to role-model low phone usage for my kids. I check my text and social media messages when my kids are off doing their thing, not when we are bustling around together after school or getting ready to do homework. Even when I watch their hockey games, I spend my time snapping photos of them rather than checking my messages. I like being present in that moment, rather than attempting to be in multiple places at once. 


Noticing the good

Beck Tench is co-founder and senior researcher at the Center for Digital Thriving at the Harvard Graduate School of Education. 

Ten years ago, having just moved to Seattle, I saw a little heart-shaped charm lying on the sidewalk as I was leaving my apartment one day. I took a photo of it, and hashtagged it #seattleloves. I didn’t know at the time that the instinct would become a lifelong practice, a part of my pedagogy, a source of comfort and wisdom.

Photo courtesy of Beck Tench
Photo courtesy of Beck Tench

As it happened, I started seeing hearts everywhere — in a cloud, a bare patch of dirt, a chewed up and discarded piece of gum. For my first few years in Seattle, I took it as a little wink from the universe, a sign that I was on the right track, where I was supposed to be. Then, one day four years later, as I was revisiting my old neighborhood, I came upon another heart and it struck me — everywhere I am is the right place to be.

” This simple act of choosing what to pay attention to is itself a form of agency, a small daily practice of directing my own focus rather than having it directed for me.”

Beck Tench

My research explores how we can support digital agency — meaningful choice and control over how technology fits into our lives. And while I’ve tried many experiments over the years, the one that strikes me as the easiest and most rewarding is noticing hearts. This simple act of choosing what to pay attention to is itself a form of agency, a small daily practice of directing my own focus rather than having it directed for me. You don’t have to notice hearts, of course. I assign this to my students and suggest they notice anything that is a little bit rare and would feel a little bit delightful upon discovery. 

It keeps my attention occupied just enough that I’m present to where I am. And in the moments where I snap a photo and share it, my phone becomes a tool for focus and connection instead of a distraction from it.


Seamus Heaney’s long migration

New collection traces life of courage, caution from Northern Ireland to Harvard


Seamus Heaney at lectern reading.

Seamus Heaney reads at Sanders Theatre in 2008.

Harvard file photo

Arts & Culture

Seamus Heaney’s long migration

New collection traces life of courage, caution from Northern Ireland to Harvard

9 min read

Seamus Heaney was widely celebrated for the lyrical beauty of his poetry, profound and reflective intelligence, and yeomanly commitment to his “digging” work.

The final fruit of his labors, “The Poems of Seamus Heaney,” was published in November, 12 years after his death. It runs nearly to 1,300 pages and can perhaps best be read alongside his selected letters, from 2024, with another 900.

Heaney’s death in 2013 was marked by widespread grief and gratitude, but there was a special pang at Harvard, where he lived, worked, and taught for almost 30 years. His Adams House pied-à-terre is still preserved, roughly as it was.

Heaney didn’t need Harvard to become what he became: the winner of the 1995 Nobel Prize for Literature, a bestseller, by his death probably the most famous poet writing in English.

Rather, the University and Heaney seemed to strike a happy friendship, meeting at the right moment: Just as his native Northern Ireland was descending into a maddening cycle of violence and retribution in the late 1970s, Heaney found in Cambridge space to spread out and to see his world anew.

Given his production of poems, essays, plays and epistolary friendship, it would seem wrong to call Heaney tight-lipped.

And yet there’s something there. “He was an incredibly careful writer and speaker … the most measured person I’ve ever met,” said Marilynn Richtarik, who took Heaney’s class in British and Irish poetry at Harvard in 1988, and is now a professor at Georgia State University.

Two-time former U.S. poet laureate Tracy K. Smith agreed. After idolizing and imitating his work in her early poetry, she learned from Heaney as a student at the College during the 1990s, when he held the Boylston Professorship for Rhetoric and Oratory.

Smith, who now holds that chair herself, remembers his “terse and deft” feedback, “highlighting a minor change capable of recasting or recalibrating an entire poem, inviting in another layer of association … awakening layers of weight and depth.”

Heaney took language seriously. In his 1987 poem “Alphabets,” he endowed early literacy with a sense of magic:

First it is “copying out,” and then “English,”

Marked correct with a little leaning hoe.

Smells of inkwells rise in the classroom hush.

A globe in the window tilts like a coloured O.

But there were other motives driving his circumspection — like the sense of the need to protect a public profile that came with childhood in a divided Northern Ireland.

Black-and-white portrait of Seamus Heaney from 1970.

Heaney in 1970.

AP file photo

After all, it was Heaney who furnished journalist Patrick Radden Keefe with a title for his book on a 1972 killing in Belfast, when the poet wrote of “the famous Northern reticence”: … To be saved you only must save face / And whatever you say, say nothing.”

Heaney’s early poems contain what his friend and colleague the poet Henri Cole called “a substratum of violence,” mediated through history, nature writing, and allusion.

But the violence was present for him from its beginning. Heaney, not yet 30, was living in Belfast with his wife, Marie, and two young sons, Michael and Christopher, when the first bombs exploded in 1969.

Eventually the family did decamp in 1972 to the Republic — Dublin and Wicklow — far from the battle lines, where their youngest child, Catherine, was born. And that distance gave Heaney room to start saying something, as in the opening pages of 1975’s pivotal collection, “North”:

… I live here, I live here too, I sing

Expertly civil-tongued with civil neighbours

On the high wires of first wireless reports,

Sucking the fake taste, the stony flavours

Of those sanctioned, old, elaborate retorts:

“Oh, it’s disgraceful, surely, I agree.”

“Where’s it going to end?’’ It’s getting worse.”

“They’re murderers.” “Internment, understandably …”

The “voice of sanity” is getting hoarse.

“North’s” closing poem, “Exposure,” wishes for transformative power — “If I could come on meteorite!” — before lapsing into a sad reflection on the impotence of a “thoughtful … inner émigré” before the spreading chaos:

Instead I walk through damp leaves,

Husks, the spent flukes of autumn,

Imagining a hero

On some muddy compound,

His gift like a slingstone

Whirled for the desperate.

How did I end up like this?

Poet Seamus Heaney surrounded by family holding Nobel medal.

Surrounded by family, Heaney accepts the Nobel Prize in Literature in 1995.

Eric Roxfelt/AP

In the fall of 1978, the émigré re-immigrated to Cambridge for his first stint as a visiting lecturer in writing at Harvard.

The timing couldn’t have been better.

The poems in “North,” Heaney told Cole in his 1997 interview in the Paris Review, had been written in a frenzy of dislocation and angst: short and lacerating lines, a claustrophobic feeling. “I had my head down like a terrier at the burrow, going at it hot and heavy, kicking up the mold,” he said. “That wasn’t going to happen twice.”

The Heaneys sought an income, calm, community, and time to work.

His contract would have him teaching for four months and free to write and return to Ireland in the remaining eight. And here he built a second community, notably with critic and teacher Helen Vendler (née Hennessy) and poet Frank Bidart, and with generations of students.  

But his mind and heart were at least partly elsewhere.

What began as a whole-family relocation to an apartment on Crescent Street in Cambridge soon became a solo affair. In the Paris Review, Heaney likened his Adams House apartment to “nesting on a ledge, being migrant” — a trans-Atlantic life designed not to separate him from Marie, the children, or from Ireland for much more than six weeks at a time.

And then the Troubles were with Heaney always — as the violence had begun to touch his world directly.

At Harvard, his lines relaxed, and his candor grew. “Field Work,” proofed and finalized from Cambridge, contains real, firsthand elegies: for a beloved pubmate, “blown to bits / Out drinking in a curfew,” and for a cousin killed at a bogus roadblock set up by Protestant loyalists. In “The Strand at Lough Beg,” Heaney addresses him, using dew to wash “the blood and roadside muck in your hair and eyes.”

But it was sometimes an ugly and uncertain enterprise. After “Field Work,” Heaney wrote the long poem “Station Island,” in which the same murdered cousin greets him with reproach:

The Protestant who shot me through the head

I accuse directly, but indirectly, you

who now atone perhaps upon this bed

for the way you whitewashed ugliness …

And saccharined my death with morning dew.

That self-criticism, an almost church-going reserve, is what former doctoral student DeSales Harrison still finds distinctive about his former teacher.

“He felt that his experiences — even the ones that were most personal — were not entirely his own to exploit for aesthetic purposes,” said Harrison, now a professor of English at Oberlin College. So confessional poetry was, “in some way, sort of trespassing, what he once called ‘rampaging’ through the suffering of others.”

Heaney refused, even in person, point-blank, to “propagandize” for the IRA, though they shared a religion and culture, to the consternation of some of his countrymen.

He abhorred the Catholic paramilitaries as much as the Protestant ones. “In the end, they’re all anti-artistic constituencies,” he once wrote to the playwright Brian Friel, his close friend.

But “The Cure at Troy,” his 1990 drama repurposing Sophocles, amounted to the nearest thing to encouragement for a nascent peace process, Richtarik argued in Harvard Magazine. Written at least partly in Cambridge, and set amid the ravages of the Trojan War, the play’s chorus imagines a miraculous reversal:

History says, “Don’t hope

On this side of the grave.

But then, once in a lifetime

The longed-for tidal wave

Of justice can rise up,

And hope and history rhyme.

Soon after that play was first performed, Heaney and Ireland experienced just such a moment, as a 1994 ceasefire led to the Good Friday Agreement that effectively ended sectarian violence in Ulster four years later.

The verse became a political cliché: first wielded by Bill Clinton during a peace-process visit to Derry, then again as the soundtrack to a 2020 campaign ad for Joe Biden.

That sort of deployment can make Heaney feel a bit out of date, as if his hoped-for tidal wave came then crashed, the world re-polarized and old conflicts reignited just as he left us.

“Seamus believed poetry was a kind of writing in the sand — that could change things.”

Henri Cole

But Richtarik argued that Heaney was no naïf. If today peace in Northern Ireland feels predestined, even in the early 1990s, “It really looked as if it might tip over into a kind of Bosnia, Serbia-type situation. It didn’t happen, but it could have.”

Heaney had watched a cycle of war and peace come and go, she said, seemingly for nothing. And his poetic response to the Sept. 11 attacks reminded readers: “Anything can happen, the tallest towers / Be overturned.”

Cole still remembers being “full of awe” during his five years in Cambridge, alongside Heaney, Vendler, Bidart, Robert Pinsky, and many others. “It felt like the epicenter of poetry.”

Asked about that lifelong preoccupation — about the “redress of poetry,” its responsibility — Cole noted that Heaney always returned to the moment in the Gospel of John, in which Christ is presented with a woman about to be stoned to death for adultery.

Before and after he warns the Pharisees — “let he who is without sin …” — the Gospel insists, he “wrote on the ground.”

“Seamus believed poetry was a kind of writing in the sand — that could change things,” Cole said. “I think he would still say that one of the functions of poetry is to interrupt, to shift the conversation, to change the focus, to re-examine ourselves and our hearts.”


Hope for imminent Russia-Ukraine peace is out of touch with reality, expert says

Hope for imminent Russia-Ukraine peace is out of touch with reality, expert says


Nation & World

Hope for imminent Russia-Ukraine peace is out of touch with reality, expert says

A firefighter uses an aerial ladder to suppress a fire in an apartment block hit by a Russian guided aerial bomb in Zaporizhzhia, Ukraine, on December 17, 2025.

A fire in an apartment block hit by a Russian guided aerial bomb in Zaporizhzhia, Ukraine.

Dmytro Smolienko/Ukrinform/NurPhoto via AP

5 min read

‘Fundamental conflict is as big today as the day the war started’

In the eyes of some, an end to the Russia-Ukraine war may be closer than ever. Officials from the U.S., Ukraine, and the European Union met this week in Berlin and came away from the talks sounding optimistic about a reaching a deal, in part because Ukraine has reportedly backed off its long-held ambition to join NATO, a concession Russia has long sought. In exchange, Ukraine would receive what’s described as a “NATO-like” security guarantee, though specifics remain vague and Russia, absent from the talks, has not signaled its approval. 

Ivo Daalder does not expect a breakthrough any time soon.

In this edited interview, Daalder, who served as the U.S. ambassador to NATO from 2009 to 2013 and is now a senior fellow at the Belfer Center at Harvard Kennedy School, outlines key tensions between Russia and Ukraine and explains why he’s skeptical that these latest negotiations, however productive, will culminate in a ceasefire in the coming weeks.


The president of the European Commission praised the talks as cooperative, saying that the parties had made “real and concrete progress.” Do you see signs of real progress on a deal?

I see signs of closer alignment between Ukraine and Europe on the one hand and the United States on the other hand. But I don’t see that as progress toward ending the war, because the fundamental problem isn’t an alignment between Ukraine, Europe, and the United States; it’s an alignment between Ukraine and Russia. And that alignment is as far away today as it has been in any time in the last four years. So yes, there’s progress on one side, which is important, but there’s no progress getting to an end of the war.

Russia and Ukraine have fundamentally opposite goals. Russia wants to subjugate Ukraine — control its future from Moscow. It wants to deny its sovereignty and independence, as well as take chunks of its territory. And Ukraine wants to be a sovereign country that has control over all its territory. That’s what this war is about. The war is not about whether the United States and Europe and Ukraine can agree. The war is about who decides the future of sovereignty of Ukraine — is it Ukraine or Russia? And that fundamental conflict is as big today as the day the war started.

What do you make of President Zelensky’s willingness to set aside Ukraine’s hope to join NATO, at least for now, in exchange for a security guarantee?

I think it’s a good-faith effort, but he also realizes two things: that making concessions to the United States isn’t about getting to a peace deal, it’s about demonstrating to the United States that Ukraine is not at fault. That’s No. 1. No. 2, saying that Ukraine is not going to be joining NATO anytime soon, is just reality because the United States is opposed. The decision on whether Ukraine joins NATO is not Moscow’s — but it’s not Kyiv’s either. It is the decision of NATO’s 32 member states, one of whom happens to be the United States.

Control of the Donbas region remains a sticking point. Do you see any scenario in which Ukraine or Russia might compromise on this point?

Not at present. Sometime in the future, when one or both sides have decided that a negotiated peace that includes some territorial concessions is preferable to continuation of the war, you might get there. But today, you’re nowhere near that.

What’s the best potential outcome for Ukraine? What’s realistic?

The best outcome is a ceasefire along the current line that is monitored by international capabilities, whether that’s the U.S. or others, with a commitment from the United States and Europe to back Ukraine’s sovereignty up to and through the ceasefire line, and that commitment made conditional on Ukraine not trying to change the status quo through the use of force. So that’s the best they can hope.

How likely is that?

Ukraine is prepared to do that today, so it really depends on Russia. The question is, at what point does the cost of continuing the conflict to Russia outweigh the benefit of stopping? Today, they believe they’re winning and are economically still capable of producing the equipment and paying for the manpower to continue the fight. It’s only when you run out of people or the cost of getting people to the front is too high and/or imports to equip their forces become too high. The likelihood of that happening sometime in 2026 or early 2027 is high if the United States continues to put pressure on the oil sector, which has had a significant impact on Russian revenue streams. The goal for Ukraine and the Europeans is to convince President Trump that this entire problem is made and continued by Russia, and that the only way to get the solution he wants is to pressure Russia. That’s the goal. It’s not to get to a peace agreement because they don’t believe there’s a peace agreement today. Down the line, yes, but not now.


Are you doing enough to keep your brain healthy?

Take our quiz to score your lifestyle’s potential for preventing diseases like dementia


Health

Are you doing enough to keep your brain healthy?

1 min read

Take our quiz to score your lifestyle’s potential for preventing diseases like dementia

Stroke, dementia, and late-life depression are more preventable than you might think — and they all share a set of common risk factors that can be addressed through lifestyle change. It’s a hopeful message, says Sanjula Singh, a faculty member at Harvard Medical School and Harvard-affiliated Massachusetts General Hospital (MGH), whose research showed that a higher result on the Brain Care Score was associated with a lower risk for all three conditions. Singh and her postdoctoral fellow Evy Martina Reinders helped us develop the following quiz based on their research into the modifiable lifestyle factors and 12 metrics tracked in the Brain Care Score that was developed at Harvard and MGH.


Step 1 of 7

1. What share of dementia cases are attributable to modifiable risk factors?


Building interfaith community

New initiative draws students seeking connection across difference


Campus & Community

Building interfaith community

Nazifa Muntaha ’29 (from left), Noa Rone ’29, and Brooke Johnstone ’29

Nazifa Muntaha ’29 (from left), Noa Rone ’29, and Brooke Johnstone ’29 working together during the event.

Photos by Niles Singer/Harvard Staff Photographer

7 min read

New initiative draws students seeking connection across difference

As 30 undergraduate students gathered in the Smith Campus Center’s Riverview Commons, the goal was simple: Come up with a new interfaith event for the spring semester.

The group didn’t have to limit itself to one. Getzel Davis, inaugural director of Interfaith Engagement at Harvard, encouraged everyone to break off into pairs. Within two minutes, students had spread across the room, workshopping more than a half-dozen ideas on big sheets of paper that they stuck to the walls.

The group represented the inaugural class of First-Year Religious, Spiritual and Ethical Life Fellowship. They had spent a semester together, learning about one another’s religious and spiritual backgrounds, talking through one another’s biggest challenges on campus, and discussing the hopes they brought to campus.

Now, Davis was asking them to pay it forward. How could they bring more students into meaningful discussions? How could they forge closer connections with one another?

In its first semester, the Presidential Initiative on Interfaith Engagement has pushed these questions to the center of campus discourse. Led by Davis, with support from multifaith engagement fellow Abby McElroy, the program has brought more events, resources, and support for students looking to engage in religious, spiritual, and ethical questions in curious, nonjudgmental environments.

In addition to the First-Year Fellowship, the presidential initiative put on a wide variety of activities that have attracted hundreds of attendees — including twice-monthly interfaith dinners, expert panels, and community service, as well as programs like Frames of Connection and Pluralism Passports that began in previous years.

The increase in activities and resources has been dramatic, said Deexa Kachhia, a Hindu junior in Winthrop House, who organized her first interfaith event last year after completing a fellowship through the nonprofit Interfaith America.

Rabbi Getzel Davis.
Abby McElroy.

While the event ran successfully, with help from McElroy, Kachhia recalled struggling through logistical hurdles and worrying she wouldn’t be able to reserve an event space.

This semester, when Kachhia met with McElroy and Davis, who had recently been appointed director, they told her not to worry about all the logistics. That was their job, they said. She just had to bring them ideas.

“It was very heartwarming to realize, ‘Wow, there are so many people who are really behind this, and they want to make it happen in the same way that I do.’” Kachhia said. “I didn’t realize how much of a difference having this official support from the University made until it existed.”

This semester, Kacchia helped organize “To Be Continued” chats, small gatherings of students to continue the kind of vulnerable conversations that began at interfaith dinners and assisted with McElroy’s Frames of Connection project.

For Sahar Khan, a one-year L.L.M, student at the Law School who comes from an Islamic Sufistic heritage, the initiative has been an “important and meaningful way to remind ourselves of our common humanity.”

A self-described “third culture kid” who grew up in the Arab Gulf with exposure to multiple cultures, she enjoys that the program isn’t just about theistic faiths but also atheistic belief systems, like humanism.

Over her first semester, she met one of her best friends on campus through the program and had a host of other interesting conversations. She recalled speaking with humanist chaplain Greg Epstein about minority legal rights.

“It’s so beautiful to have these kinds of interactions,” she said. “Because I knew nothing about humanism before coming to Harvard. I started talking to him, and I saw so many similarities.”

“It’s so beautiful to have these kinds of interactions.”

Sahar Khan

David Arbeláez, a fifth-year Ph.D. student in sociology and social policy, also found unexpected common ground through Interfaith Engagement programming. Raised Catholic, Arbeláez entered Harvard agnostic and critical of organized religion.

When he went to the first interfaith dinner of the semester, he thought it might be a “trainwreck of a situation,” he said. His impressions quickly shifted.

“Twenty or 30 minutes into it, I realized that it wasn’t going to be what I expected it to be,” he said. The discussion of the night centered around people’s experiences abandoning religions or approaching it for the first time. He was surprised to hear that many religious students struggled with the same problems he had.

After arriving full of skepticism for the first interfaith dinner, he decided to come to the second one, too — and even volunteered to lead a small group discussion.

In a polarized time when some students are hesitant to publicly disagree with one another, he said the dinners allow students to share their thoughts in a nonjudgmental environment —without ironing over differences.

Davis is surprised and pleased at how students and communities across campus embraced Interfaith Engagement. He was expecting 12 or 15 students to sign up for the first-year fellowship, and they ended up enrolling 30.

Participants raise their hands during a portion of the event.
Participants raise their hands in discussion.

He thought they’d get some push-back from student leaders about new religious accessibility training, but instead were met with warm thank-you’s. Due to interest, interfaith dinners went from once to twice a month.

He says that for the fall semester, the goal was for him and McElroy to run much of the programming before letting students take the lead in the spring.

“That’s really exciting for me,” Davis said. “I always believe that students know what students want best.” In some ways, he said, they were approaching the first semester as a lot of experiments, and they would see what stuck.

On a Wednesday night in the Smith Center, the experimentation continued. With students’ event ideas on big sheets of paper across the room, they received feedback on their ideas — and input on ways to fund them — from Nekesa Straker, senior assistant dean of residential life and first-year students; Alta Mauro, associate dean of culture & community; and Meagan von Rohr, Harvard Foundation director.

“Endeavoring to put on a program for your peers in your first year is a big deal,” said Mauro. “It’s a big lift. It takes a lot of vulnerability and effort.”

“Endeavoring to put on a program for your peers in your first year is a big deal. It’s a big lift. It takes a lot of vulnerability and effort.”

Alta Mauro

The students reflected on that vulnerability and effort at the end of the night, with each sharing a memory from the semester.

Azaria Sussman shared a story about how, growing up in an Orthodox Jewish community on Long Island, people told him that he might have to hide his religious identity on campus because it might be dangerous. He was surprised to hear that another student, a practicing Muslim, was told the same thing by her family.

Though he said that he felt safe on campus, having that shared experience was powerful.

“It’s a small example of how lots of faith communities on campus—especially on a campus that’s secular — have lots in common,” he said. “I think that is a big highlight of my experience.”

In the spring, he’ll be running an interfaith event with that student.


Depression and anxiety linked to increased risk of heart attack or stroke

Study suggests stress reduction holds potential for cardiovascular disease prevention


Health

Depression and anxiety linked to increased risk of heart attack or stroke

Digital Illustration of Brain and Heart Connectivity.
3 min read

Study suggests stress reduction holds potential for cardiovascular disease prevention

Patients with depression are at higher risk of cardiovascular disease, and a new study suggests that stress may help explain why.

Research from Harvard-affiliated Mass General Brigham indicates that the increased risk is driven by stress-related brain activity, nervous system dysregulation, and chronic inflammation. Investigators also found that patients with both depression and anxiety were at even higher risk of cardiovascular disease than those diagnosed with just one condition. The findings, published in Circulation: Cardiovascular Imaging, suggest that stress reduction and related therapeutic targets hold potential for cardiovascular disease prevention.

The researchers analyzed data from 85,551 participants in the Mass General Brigham Biobank. Of these, 14,934 presented with both depression and anxiety, 15,819 had either depression or anxiety, and 54,798 had neither condition. Participants were followed for a median of 3.4 years, during which 3,078 experienced major adverse cardiovascular events such as heart attack, heart failure, or stroke.

“In line with previous reports, we found that both depression and anxiety were linked to a higher risk of heart attack or stroke,” said senior author Ahmed Tawakol, director of Nuclear Cardiology at the Mass General Brigham Heart and Vascular Institute and associate professor of medicine at Harvard Medical School. “Notably people who were diagnosed with both depression and anxiety faced roughly a 32 percent higher risk compared with those diagnosed with only one condition. Importantly, these associations remained strong even after accounting for differences in lifestyle behaviors, socioeconomic factors, and traditional risk factors such as smoking, diabetes, and hypertension.”

“People who were diagnosed with both depression and anxiety faced roughly a 32 percent higher risk compared with those diagnosed with only one condition.”

Ahmed Tawakol

To investigate whether depression and anxiety might be linked to heart health via systemic stress responses, the researchers also analyzed advanced brain imaging data and biomarkers of nervous system activity and inflammation for a subset of the participants. They found that people diagnosed with depression or anxiety showed increased activity in the amygdala (a brain region associated with stress), reduced heart rate variability (a sign of an overactive nervous system), and higher blood levels of CRP (a protein linked to inflammation).

“Together, these changes seem to form a biological chain linking emotional stress to cardiovascular risk,” said study first author Shady Abohashem, who is head of Cardiac PET/CT Imaging Trials, an investigator at the Cardiovascular Imaging Center of MGH, and an instructor in radiology at HMS. “When the brain’s stress circuits are overactive, they can chronically trigger the body’s ‘fight or flight’ system, leading to increased heart rate, blood pressure, and chronic inflammation. Over time, these changes can damage blood vessels and accelerate heart disease. This reinforces that protecting heart health isn’t just about diet or exercise, it’s also about emotional health.

“For clinicians, it’s a reminder to view mental health as an integral part of cardiovascular risk assessment. For patients, it’s encouragement that addressing chronic stress, anxiety, or depression is not just a mental health priority, it’s also a heart health priority,” added Abohashem.

Because the study was based on observational data, more research is needed to determine whether depression and anxiety are causing cardiovascular disease or whether they are simply associated. The researchers are now studying whether interventions such as stress-reduction therapies, anti-inflammatory medications, or lifestyle changes can help normalize these brain and immune markers and, in turn, lower heart risk.


The research described in this article was supported in part by the American Heart Association and National Institutes of Health.


Stopping the next pandemic

Disease surveillance network faced ‘existential cliff’ despite proven success. Then came the $100 million.


Science & Tech

Stopping the next pandemic

Tsion Abay (left) and Pardis Sabeti in the lab.

Professor Pardis Sabeti (right) with research assistant Tsion Abay.

Stephanie Mitchell/Harvard Staff Photographer

7 min read

Disease surveillance network faced ‘existential cliff’ despite proven success. Then came the $100 million.

It began with some intriguing scientific discoveries.

A team of researchers from the Broad Institute and Harvard began to suspect nearly two decades ago that so-called “emerging diseases” such as Ebola and Lassa virus were not quite what they seemed. Rather than being newly evolved contagions, mounting evidence suggested they were ancient pathogens that had circulated among humans for thousands of years. What really was emerging was accurate diagnosis: Medicine only recently had acquired the ability to detect these diseases and track the toll of outbreaks.

Those revelations planted the seed for Sentinel, a disease surveillance network. Last month, the MacArthur Foundation announced a $100 million award to Sentinel — funding that arrived just as the organization faced the possibility of closure after severe cuts in federal support.

“Work in pandemic preparedness and global health is having an existential crisis right now with the drop in federal funding,” said Sentinel co-founder Pardis Sabeti, professor of Organismic and Evolutionary Biology and professor of Immunology and Infectious Diseases at the Broad Institute of MIT and Harvard. “We were really on a precarious ledge. So this has completely changed everything.”

Origins

As a child, Sabeti loved mathematical puzzles. Tutored at home by her older sister after her family fled Iran and resettled in Florida when she was 2 years old, she began learning math as a preschooler. By the time she began school she already knew the material so she concentrated on doing it faster than everyone else — a drive for excellence that never ceased. As an undergraduate at MIT, her adviser Eric Lander helped her see genetics as the mathematical code of life. She won a Rhodes scholarship, earned a Ph.D. from Oxford, and her medical degree from Harvard Medical School.

In the early years of the millennium, she developed techniques to search for signals of natural selection in newly created databases of human genomes from populations around the world. Her strongest finding showed the Yoruba people of Nigeria had a powerful signature of selection in a gene called LARGE. She later learned that this gene is targeted by the Lassa virus, which was first identified in Nigeria. This discovery suggested that the Lassa fever virus had been circulating for thousands of years and people in the affected areas had undergone natural selection to resist it.

Seeking advice, she turned to Christian Happi, a colleague who had expertise in the same region.

Keeping a promise

Growing up in Africa, Happi suffered several bouts of malaria, and one of the worst occurred when he was about 8 years old. His mother carried him to a local hospital, where he was treated with an injection of quinine. On the way home, they rested beneath a shade tree and Happi asked his mother why nobody had invented a cure for the disease. “The next thing I told her was, ‘Mom, when I grow up, I will find a cure for it,’” he recalled. “That was really what drove me.”

Happi earned a bachelor’s degree in biochemistry from the University of Yaoundé in Cameroon and a Ph.D. from the University of Ibadan in Nigeria. In 2000, he came to Harvard as a postdoctoral fellow in the lab of tropical disease expert Professor Dyann Wirth in the School of Public Health. He became a research fellow in the Department of Immunology and Infectious Diseases and, after returning to Nigeria, a visiting scientist. He had studied malaria in the Edo State of Nigeria — which also happened to be the hotspot for Lassa fever.

When Sabeti told him of her surprising findings, they began to discuss how to conduct further investigations.

“Before we knew it, we were setting up a field site in rural Nigeria to study the Lassa fever virus,” said Sabeti. “He just moves like the wind. He doesn’t let an opportunity pass him by.”

Ancient diseases, modern methods

They were confronted with stark realities in the field. Happi, visiting a rural hospital at the epicenter of the Lassa fever outbreak, was shocked to find no diagnostic infrastructure in place. A hospital worker showed him a fridge full of vials and explained that they diagnosed Lassa fever by the color of the plasma samples.

The team designed a molecular diagnostic test for the Lassa virus, deployed it in the same rural community in 2008, and trained local personnel to administer the tests.

“The introduction of that test alone actually changed the paradigm in that community,” said Happi. “Because they were able to diagnose people earlier, they were able to save more lives. The fatality rate dropped from 90 percent to 23.6 percent.”

In 2013, Happi and Sabeti won a grant from the World Bank to establish the African Center of Excellence for Genomics of Infectious Disease at Redeemer’s University in Ede, Nigeria. Not long after, the Ebola epidemic hit.

In Sierra Leone, the team diagnosed the first Ebola case in the country. Samples were rushed to the Broad Institute, where researchers sequenced 99 Ebola virus genomes that helped reveal how the disease was spreading. In Nigeria, Happi diagnosed the first case and led the national response. Nigeria mobilized an aggressive public health campaign that included extensive contact tracing, more than 18,000 face-to-face visits, and broad community outreach.

“Nigeria successfully contained Ebola,” said Happi. “In 62 days, it was over and there were only 20 cases and eight deaths, and this is in a country of 230 million people. That was the first demonstration that if you deploy a system like Sentinel it works. And we repeated this over and over.”

Based on these lessons, Sabeti and Happi sought to establish a permanent system for disease surveillance and response. They envisioned a network of experts and diagnostic and genetic sequencing centers in West Africa that could quickly detect infectious diseases before they spread into larger outbreaks or full-blown pandemics.

In early 2020, the team led by Happi and Sabeti launched Sentinel — just as COVID-19 was declared a global pandemic. Over the last five years, Sentinel has trained about 3,000 health personnel from nearly every African country, administered more than 300,000 diagnostic tests, and sequenced some 17,800 viral samples. The data collected has helped guide public health responses and contain local epidemics in West and Central Africa.

Sentinel developed a battery of diagnostic tools such as inexpensive paper strips that could detect specific viruses in the field and hospital lab tests that could screen for hundreds of diseases simultaneously. It also developed a cloud-based information platform that allowed health workers to share information and coordinate response in real time.

A new threat has come not from pathogens, but politics. The organization lost millions of dollars in grants from government agencies including the Centers for Disease Control and Prevention, National Institutes of Health, and U.S. Agency for International Development.

Sentinel cut staff and faced an uncertain future. 

“It was literally, will we exist or will we not exist?” said Sabeti. “We lost much of our federal funding and the outlook for new federal funding was bleak. We were facing an existential cliff.”

Then came a lifesaving injection. In November, the John D. and Catherine T. MacArthur Foundation awarded $100 million to the Sentinel project — allowing the organization to not only survive but broaden its work. Already established in Nigeria and Sierra Leone, it will now expand into Senegal, Rwanda, and the Democratic Republic of the Congo.

“If you look at the magnitude of the work that should be done, you realize that $100 million, at the end of the day, is not a lot of money,” said Happi. “But it can be used to steer things in the right direction by using this work to demonstrate what is possible on the continent and that can actually spark a bigger movement.”


Is cost curbing use of weight loss drugs?

40 percent of GLP-1 prescriptions go unfilled, study finds


Anna Sinaiko.

Anna Sinaiko.

Stephanie Mitchell/Harvard Staff Photographer

Health

Is cost curbing use of weight loss drugs?

40 percent of GLP-1 prescriptions go unfilled, study finds

4 min read

Popular new anti-obesity medications can help people lose 10 to 20 percent of their body weight, yet a new study indicates that about 40 percent of those prescriptions go unfilled. Affordability, say researchers, is likely a factor.

Anna Sinaiko, associate professor of health economics and policy at the Harvard T.H. Chan School of Public Health, embarked on the research with colleagues to fill in knowledge gaps about how GLP-1 drugs are used by patients. She said a lot of attention has been paid to the medications’ high cost — $900 per month for those not using insurance — and to issues such as whether they should be covered by Medicare.

What hasn’t been studied is use of GLP-1s by people whose medication is covered by insurance. To learn more, Sinaiko and colleagues from Harvard, the Harvard Pilgrim Health Care Institute, Brigham and Women’s Hospital, Duke University, and the University of Colorado turned to a database of electronic medical records at the University of Colorado Health System that they linked to pharmacy claims. In the work, published recently in the JAMA Health Forum, researchers analyzed 9,848 prescription orders from 6,094 individual patients. Overall, 60.1 percent of GLP-1 prescriptions were filled, but Black and Hispanic patients at 55.3 percent and 58.4 percent respectively were less likely to fill their prescriptions than white patients at 60.9 percent.

They also found that, even with insurance, the co-pays and other out-of-pocket costs averaged $71.90 per prescription. That varied significantly by group, with Black patients paying an average of about $41.15, Hispanic patients $63.69, and white patients $78.37.

“We were motivated by the question of what people are paying for their GLP-1s when they have health insurance but realized we also could look at who is picking up their orders and who isn’t, because of this unique data set that we’re working with,” Sinaiko said.

Information about why prescriptions went unfilled was unavailable, Sinaiko said, and reasons might include things like concern about side effects. But it’s likely, she said, that financial pressures were a factor. Records indicated that the severity of a patient’s condition played a role: Those with diabetes and obesity were more likely to fill prescriptions than patients with diabetes only, who were more likely to fill than those with obesity only. Those with obesity only also faced the highest out-of-pocket costs.

“That’s suggestive that the cost, even though there was insurance, may have been driving some of the non-adherence,” Sinaiko said. “Even though these patients are not paying the full price, they’re still paying $60 or more for a prescription — and a lot of the prescriptions were closer to $100 a month — and I think that may still be unaffordable for patients.”

Sinaiko said the results highlight significant challenges in the healthcare system. One is that the disparities in access to care experienced by those in racial and ethnic minority groups and by lower-income patients likely extends even to those who have insurance with prescription drug coverage.

Another is the challenge of medication non-adherence, particularly for chronic conditions like obesity and diabetes. One question for future research, Sinaiko said, is how physicians respond when patients don’t pick up needed medications, suggesting, for example, a switch to lower-cost drugs.

“One of the challenges in our healthcare system — with patients with chronic conditions — is medication non-adherence,” Sinaiko said. “Even with a drug like a GLP-1 that is so high-value and seems to be very effective, we still have these non-adherence challenges.”

Another challenge is the shifting marketplace for these drugs, with new GLP-1s being developed and pricing shifts likely. Coverage by private insurers is expected to change in the new year as insurers seek to save money by restricting access to patients with diabetes and obesity or diabetes alone. In early November, President Trump announced a deal with drugmakers Eli Lilly, maker of Zepbound, and Novo Nordisk, maker of Wegovy, to lower prices to as little as $149 per month for Medicare, Medicaid, and people who pay for the drugs on their own.

That price is a significant cut from the full price, but Sinaiko said their research shows it may have limited impact on access and in reducing health disparities in this area, since even $149 is above the out-of-pocket costs in their study, where 40 percent decided not to fill their prescriptions.

“This really suggests to me that affordability is a big concern in our healthcare system at multiple levels,” Sinaiko said. “When we think about improving access to high-value drugs, we need to be thinking about affordability.”


The perils of perfectionism

In podcast, experts discuss different types of toxic achievers and the case for embracing your ‘beautiful mess’


Health

‘Harvard Thinking’: The perils of perfectionism

Illustrations by Liz Zonarich/Harvard Staff

long read

In podcast, experts discuss different types of toxic achievers and the case for embracing your ‘beautiful mess’

It feels good to achieve. But when that pursuit of excellence tips into perfectionism, the consequences to mental health and relationships can be severe.

“Striving for excellence is good. Perfectionism? I just don’t see any good that comes of it,” said Jennifer Breheny Wallace ‘94, a journalist and author of “Never Enough: When Achievement Culture Becomes Toxic — and What We Can Do About It.” She found that when young people conflated their sense of worth with their performance, they often struggled with anxiety, depression, and other mental health issues.

Ellen Hendriksen, a clinical assistant professor at Boston University, said the pressure to be perfect comes from within, but it also manifests from our social spaces. “[Perfectionism] can also come from all around us — from this capitalist environment that makes us feel like we have to perform and achieve and consume to ever higher levels, just to be sufficient as a person,” she said.

Creating a sense of psychological safety can help, said Michaela Kerrissey, an associate professor of management at the Harvard T.H. Chan School of Public Health. In her research, she’s found that teams that create a culture of acceptance around failure outperform those where failure comes at a cost. “There’s a real distinction to be made about comfort and the safety to try something out and to not have to be perfect all the time,” Kerrissey said.

In this episode of “Harvard Thinking,” host Samantha Laine Perfas talks with Wallace, Hendriksen, and Kerrissey about why we’d all benefit from showing ourselves a little grace.



Listen on: Spotify Apple YouTube


Jennifer Breheny Wallace: I shudder when I hear people bragging about perfectionism or saying perfectionism can be good; healthy striving, striving for excellence is good. Perfectionism? I just don’t see any good that comes of it.

Samantha Laine Perfas: Many people hold themselves to extremely high standards, but when the scales tip to the pursuit of perfection, it can result in anxiety, depression, and other serious mental health issues.

So how do we know when we’ve gone too far in trying to do our best?

Welcome to “Harvard Thinking,” a podcast where the life of the mind meets everyday life.

Today I’m joined by:

Michaela Kerrissey: I’m Michaela Kerrissey. I’m an associate professor of management at the Harvard T.H. Chan School of Public Health.

Laine Perfas: She studies how organizations and teams innovate and improve, and is also an alum of the Harvard Business School. Then:

Ellen Hendriksen: Ellen Hendriksen. I’m a clinical assistant professor at Boston University’s Center for Anxiety and Related Disorders.

Laine Perfas: She did post-doctoral work at Harvard Medical School and is the author of “How to Be Enough: Self-Acceptance for Self-Critics and Perfectionists.” And finally:

Wallace: Jennifer Wallace. I’m a journalist and author of two books: The first one was “Never Enough,” and the forthcoming, “Mattering: The Secret to Building a Life of Deep Connection and Purpose.”

Laine Perfas: She graduated from Harvard College in 1994.

And I’m Samantha Laine Perfas, your host and a writer for The Harvard Gazette. Today we’ll talk about perfectionism and the benefits of accepting when we’re less than perfect.

Ellen, in your book you argue perfectionism itself is an imperfect word or kind of a misnomer. Could you explain?

Hendriksen: Perfectionism is often thought of as a desire to be perfect, a striving to have no mistakes, no flaws. But in my clinical work, I’ve really found the opposite to be true. No one ever comes in and identifies as a perfectionist. Instead, people come in and say, “I feel like a failure. I feel like I’m falling behind. I feel like I am letting everybody down.” So the way it manifests in my experience is that it does come across as never feeling good enough.

“No one ever comes in and identifies as a perfectionist. Instead, people come in and say, ‘I feel like a failure.’”

Wallace: So the way I think about perfectionism is the belief that my self-worth is tied to being perfect, so that I only feel good about myself when I’m perfect. And when I fail or experience setbacks, then I feel like those failures are an indictment of my worth.

Kerrissey: What I really appreciate about both of these definitions is that they get this idea that in many ways, perfectionism is this mindset that we bring to the work that we’re doing and to how we feel about the work that we’re doing. I like that — as part of how we think about it — because it means that we also have a choice and that there’s some discretion that we can have. And that, I think, is freeing.

Laine Perfas: Perfectionism manifests in different ways for different people. What does it look like in reality, and why is it so prevalent?

Wallace: When we’re thinking about perfectionism, researchers who study it have looked at three kinds of perfectionism. So there’s the self-oriented perfectionism, which is requiring perfection of oneself. Then there’s other-oriented perfectionism, which is needing others to be perfect. And then there’s something called socially prescribed perfectionism. And that is believing that others require us to be perfect. And what Tom Curran, a researcher in the UK, has found is that over the last few decades, there has been a 33 percent rise in socially prescribed perfectionism. That is the idea that society is demanding of me to be perfect. And one of the things that I often say to young people when I talk to them, and I think it’s a useful exercise for all of us, is that the next time you feel like you’re not enough, whether it’s on your phone or watching something on Netflix or whatever it is, think for a second — who out there is profiting off of making me feel like I’m not enough? Whenever I say that to young people, they love the idea of the peek behind the capitalist curtain. There are people who are making a lot of money off of trying to convince us that we need to be perfect in order to be worthy.

“There are people who are making a lot of money off of trying to convince us that we need to be perfect in order to be worthy.”

Hendriksen: Yeah, perfectionism is one of those strange occurrences where it comes from within. There is definitely genetic research showing that perfectionism can be passed down. It can come from the way we were raised. We can come out of any family perfectionistic, but it’s been found that there are four sort of types of families: those are the snowplow helicopter parents; families where love is contingent upon performance; parents who are perfectionistic themselves; and then also sort of a chaotic, dramatic, erratic type of family where kids might double down on perfectionism as a sense of control. However, to Jennifer’s point, perfectionism not only comes from within; it can also come from all around us, from this capitalist environment that makes us feel like we have to perform and achieve and consume to ever higher levels, just to be sufficient as a person.

Kerrissey: Also these sets of experiences that we all have early in life, even outside of our family — in the classroom, in our first jobs that we get, our first internships — where we learn really quickly about a set of expectations that a group has about what performance looks like, what value looks like, and what it looks like to be enough and to be good. And in the research that I do, which is mostly focused in workplaces, one of the things that always strikes me every time is just how quickly people pick up on what those expectations and norms are. Within a few minutes, people get a sense of what it’s like around here to make a mistake, ask a question that somebody thinks you ought to have known the answer to. Those environments, even outside of the broad capitalist society, just these environments that we set in, groups that we form, are really strong and have a really large impact on how people feel about the consequences or the benefits of saying what’s on their mind, admitting a mistake. And I think that’s really powerful and palpable every day in every meeting we have, and we carry that with us.

Laine Perfas: Perfectionism can also be really dangerous. Could you talk about the negative ways we see it showing up?

Kerrissey: One of the things that we see in work teams is that teams where people are striving for perfectionism and it becomes the culture of the team, that it leads to burnout a lot sooner, and that we see people will have to quit their jobs and walk away from positions that would otherwise be really beneficial to them and probably important for their income. The costs in that respect are also quite high for people.

Hendriksen: In terms of diagnosable disorders, perfectionism is really at the heart of diverse diagnoses like social anxiety, like eating disorders, like OCD; we see it a lot in depression. We see it in a lot of treatment-resistant anxiety. And what connects all of those is if we drill down there and find a foundation of perfectionism, it is often based on a flawed perception. There’s a felt sense of inadequacy that keeps us separated from others. There’s this idea that we have to work very hard to avoid finding ourselves in a situation that would reveal that inadequacy to others. That can be a challenging belief to carry around.

Wallace: In my interviews with families, one of the unfortunate threads that I heard was that the high-achieving child was presenting as perfect until it was too late, until they died by suicide. And that is because they could not reach out for help. Perfectionism can get in the way of our relationships; it can get in the way of our mental health; it can get in the way of our lives. It is very serious. And I shudder when I hear people bragging about perfectionism or saying perfectionism can be good; healthy striving, striving for excellence is good perfectionism, I just don’t see any good that comes of it.

Laine Perfas: Jennifer, in your book “Never Enough” — which I love by the way — you talk about achievement pressure, and I think it can maybe come from well-meaning parents and teachers, but it can create turmoil within young people. Could you talk about that a little bit?

Wallace: I’m not anti-pressure, just to put it out there first. I believe in high achievement. I get a lot of joy from achieving. I want my kids to experience that joy. Where achievement becomes toxic is when our sense of self is so wrapped up in our achievements that we only feel good about ourselves when we achieve; and when we don’t, we can spiral. What I found in the research when I was looking at these high-achieving kids and looking at the achievement pressure that they were under, I went in search of the kids who were doing well, despite the pressure, to see what they had in common, and what I found to be the antidote to perfectionism is this idea of mattering. Mattering is not my idea. It’s been studied since the 1980s, but it is this feeling that I am valued for who I am deep at my core, away from my achievements, and importantly, that I am depended on to add meaningful value back at home, at school, in the wider world. And so the kids I met who were in these high-achieving environments, a high level of mattering acted as a kind of protective shield. It didn’t mean these kids didn’t experience setbacks and disappointments, but they weren’t an indictment of their worth.

“The antidote to perfectionism is this idea of mattering … this feeling that I am valued for who I am deep at my core, away from my achievements.”

Kerrissey: This distinction, Jennifer, that you bring up in that it’s not about setting goals aside or letting performance go, and the idea that we want to strive to achieve great things in our lives, that we can actually still do that even without perfectionism. In our research, we look at this concept of psychological safety, which is this idea that we set climates in groups and in organizations and in our lives around whether or not you can step forward, try something out that you don’t know how to do, admit a mistake, and that you won’t be punished or penalized or have it held against you. And that’s this kind of climate that we can create that’s psychologically safe, where people can take risks and still matter. One of the ways that it most often gets misinterpreted is that it means that we should prioritize comfort, being nice, having climates where you might not say what’s on your mind because you’re trying to protect how everybody feels. But there’s a real distinction to be made about comfort and the safety to try something out and to not have to be perfect all the time. What we’re really trying to do is not expand comfort zones, but to help all of us to spend more time and be more comfortable in that discomfort zone.

Hendriksen: The notion of not being anti-pressure or anti-achievement is really important because, at least clinically, sometimes the advice for people with perfectionism, it comes across as you have to lower your standards, and that can be really hard to hear for somebody with perfectionism because good enough doesn’t resonate if it’s something from which we derive our value. We are not going to settle for subpar or mediocre performance if that means that we are subpar or mediocre.

I appreciate that we can try to tackle that by keeping high standards but also giving people some room and permission to make mistakes and ask questions, and to just deal with the inevitable blips and bloops of life that are going to come along.

pieces of paper with eraser and pencil and pen

Kerrissey: If a big part of this is not to lower our standards, when does it start to tip into that negative space? What are some things that you can look out for? I have found that perfectionism is often thought of as a personal problem, but it’s also an interpersonal problem, that it comes across as a sense that we have to earn love, community, and belonging by being good at things, by having a good performance. In the therapy room, I keep an eye out for this sense that we have to earn our way into friendships or other relationships. Think about why your friends are your friends: Are you friends with your friends because of their performance? Probably not. More likely you are friends with your friends because of how you feel when you’re with them. There’s a sense of being understood or belonging. And most importantly, I think, not having to perform at all. One of the telltale signs is avoidance, avoidance of something that you want to try, something that you want to put your hands up for, and you don’t do it because you’re afraid if you’re going to try it out and not be perfect, that will be a failure for you. I see that happen all the time in my classrooms. The point of being here, the point of going through our educational system is to learn what you need to learn to have the impact that you want to have in your life. If perfectionism is driving you to avoid that things that are a little hard that you might not be very good at, it’s holding you back from achieving the broader purpose in your life.

“One of the telltale signs is avoidance of something that you want to try … and you don’t do it because you’re afraid if you’re going to try it out and not be perfect, that will be a failure for you.”

Wallace: Other signs are negative self-talk. Procrastination is another big telltale sign of perfectionism. To pick up on what Michaela said, I got this great quote from a child psychologist, Lisa Damour, who said that a colleague of hers told her this once: The difference between a 91 and a 98 is a life. And so when you’re thinking about the focus of where you are putting your energy, often with perfectionism, it is about self-protection, and that is actually what is holding us back. What I see in the research was that, actually, it was the perfectionist who would hold themselves back because their sense of worth was so tangled up that they couldn’t risk a failure. They could not risk that.

Laine Perfas: I have a confession. I am someone who is struggling with perfectionism and I feel like it is just an ongoing practice to try to be aware of when I’m falling into those cycles. But given that and reflecting on it, I was trying to figure out: What job is perfectionism doing in my life? Why is it that I keep turning to it even though I can feel the anxiety, I can feel the stress? Why is it hard to let it go?

Wallace: To give yourself a break here, I think that we are all responding to the messages of our wider culture. There was this great theologian, Henri Nouwen, who talks about the three great lies of our culture. And those lies are: I am what I have; I am what I do; I am what people say or think about me. If you are constantly contending with the great lies in our culture, of course you’re going to want to protect with perfectionism. For me, the first step is contextualizing these tendencies and not personalizing them so much. Look at them. Look at the messages that you are receiving from the wider culture and give yourself some grace.

Kerrissey: I love that idea of grace because even for myself, as I do self-describe as a recovering perfectionist, I can get into these odd spirals that are very ironic, where in trying to address my perfectionism, I get weirdly perfectionist about it and that I observe my own behavior and I’m like, “Ugh. Oh, there I go. I’m being a perfectionist again.” And then I further do the negative self-talk, and that is not what the answer is here, clearly. One of the reframes that I’ve found helpful in my own life and also in being a mom around this — I have a little daughter, and working with her has been quite helpful to me on it, in that I’ve been focusing on this reframe from perfectionism to mastery. Where we don’t have to be ashamed of the drive to learn something really deeply, to try our hardest to contribute value. That drive, when I see it in her, I see there’s a real beauty in it and something that I appreciate and applaud and celebrate, and I don’t want to tell her to not have that or to feel bad about having that. I want to tell her to keep that focus on mastering something that is hard and will give you satisfaction and gives you the sense – Jennifer used, you used the word “mattering.” I think that’s a beautiful word for it. To channel all of that energy into the wonderful, productive thing that it can be in our lives, to make a life of meaning. Sam, for you, when I see you tell that story, I think part of the reason you’re not letting it go also is that you know there is something good in that drive, and can we capture that?

Hendriksen: What I’ve noticed is that I, and many people who struggle with perfectionism, do this thing called perfectionistic self-presentation, where we show what’s going well and we tend to hide what’s not going well. We put our best foot forward, but we hide the mess. But one place where that can backfire is that then we come across as superhuman or unrelatable or intimidating, and that keeps us isolated and disconnected. And so one thing that we can do to try to reconnect or to try to show some of the mess if we want to think about it in a productive way, then we can — I know vulnerability has become sort of a buzzword, but if we think about it as a willingness to reveal thoughts, actions, and emotions that might result in criticism or rejection, but take a leap of faith that they won’t, we can think of vulnerability, literally vulnerable, as being at risk. Then by letting people deliberately see some of the mess, it does two things. It signals, I trust you. And it also signals, we are the same. And trust and equality are the foundations of any healthy relationship.

Wallace: I love that. There is research called the Beautiful Mess Effect, and it is the idea that we think we need our lives to be perfect before we reach out to people, and what the research finds is that it is in the messiness of our lives that we are able to make that connection. You also brought up, Michaela, about having a daughter, and wanting to model good behavior. I have a daughter. My daughter’s now 18 years old, but when she was young, I was noticing perfectionistic tendencies and so I wrote an article for the Wall Street Journal, and of course I found out that it was my modeling that was leading her to these perfectionistic tendencies. And so I worked really hard on myself, but also living my life out loud so that she could hear my self-talk. If I’m working hard on an article, on a deadline, I will close my laptop in front of her and I will say, “OK, Jenny, that’s enough for the day, you’ve done your work. That’s enough for the day.” So, really modeling this compassionate self-talk when I make a mistake, when I need to give myself grace and a break. I love that you are modeling change out loud for her. That is a powerful way to get into our self-criticism or negative self-talk and try to push back on it a little bit.

Hendriksen: Something that I also like to do is to try to pull the lever of acceptance. In addition to changing my self-critical talk is to try to change my relationship to my self-critical thought, because it is often impossible to get rid of it, per se. Self-criticism is the heart of human self-regulation. We criticize ourselves in order to check ourselves, to make sure our behavior stays in line, make sure we stay part of the group. I just realized that my brain, and the brains of a lot of the people I work with, are just wired to be a little bit more self-critical. And so when inevitably that starts going, then just chalk that up to, oh, this is what happens. This is how I’m wired. That gives me permission to treat it sort of like the music at a coffee shop. It’s there, it’s in the background, but I don’t have to dance along.

Kerrissey: I met someone once who had this great trick that they used where they basically had created a character. It was a little gnome, and they had a little beard and a funny little hat. And every time they would hear that self-critical thought in their own brain, they would just picture that little gnome sitting on their shoulder saying it. And in so doing, while they didn’t get rid of that voice, they sort of were able to put it in its place by seeing it, visualizing it, giving it a hat, and then letting it go.

gnome

Hendriksen: Not to get too academic about it, this has a name and it’s called cognitive diffusion. And it can do a couple of things for us. One is that it just lessens the power of the self-criticism, but it also gives us some power back. If we are just passively responding to all the thoughts our brain makes, that puts us in a very low power position. If we can have some influence over our thought, to sort of play with it, to have some fun with it, to maybe make it a little irreverent or humorous, that puts us in a much higher power position over our thoughts and gives us some more agency.

Wallace: One of the things that makes perfectionism so brittle, is the idea that reaching out for help is an admission that you are not perfect. And what we know from decades’ worth of resilience research is that our resilience rests fundamentally on the depth and support of our relationships. If you are holding back from asking for help because you don’t want a peek behind your perfect facade, that is where we can get into a lot of trouble. And one of the things that has helped is the idea that when I don’t reach out for help, not only do I deny myself the support I need and deserve, I also deny my friend the chance of being a helper, of sending her or him the signal that I trust them, that I trust their kindness and their wisdom, they matter to me. So if we could think of asking for help less as a weakness or an inconvenience, and more as an act of generosity, of telling someone in our life that they matter so much to us that we are asking them for help.

Laine Perfas: I want to bring up an idea that has been floated, which is the part of perfectionism that can also make it difficult to be at peace when you fail to do something or you don’t do it to the level that you would like. How do we accept not just that obviously we are going to fail sometimes, but that failure could also benefit us in some ways?

Kerrissey: I think that is great framing, Sam, for this because not only is it that we can have more acceptance of failure, there is probably ample room for us to celebrate failure much more than we do. And that often if we don’t know how to do something, you’ve never done it before or it’s really complex, it’s really hard, and we try it and we fail, it’s something to be celebrated because we’ve learned. When we study groups and teams and we see them at work, teams that set aside time to celebrate their failures in the long term perform better, and the research on that is clear. And the reason is that they learn so much faster than the groups that don’t try it out, don’t fail, and don’t celebrate those failures.

Kerrissey: I think you hit on the point, that with our failures it is the social support that gets us through. So when you fail in a team, it is the people reminding you that you matter no matter what.

Hendriksen: Just to echo the social component, I think failure can give us the chance to discover that our belonging is not contingent upon performance. So for example, I was working with a professional musician who lost an audition, and his knee-jerk reaction was to assume that his colleagues just wouldn’t respect him anymore, that his performance was what tied him to them and he was able to discover that not only did his colleagues indeed still like and respect him, but that the sense of community and the liking came not from what happened on one worst day, but what he did every day in that community. Perfectionism tends to be really all or nothing. And so something that I’ve found useful is to try to take my thinking from either/or to both/and. We can be a good mom who occasionally loses our temper. We can be a smart person who doesn’t always know the answer. We can be a capable person who sometimes screws things up. We can retain that overall sense of our own competency and adequacy and create some room for the inevitable exceptions that life is going to throw at us.

Wallace: To go even further on the social buffering of perfectionism, if you will. Since learning about this idea of mattering — and mattering matters throughout the lifespan — I just co-authored a working paper with the Harvard Center on the Developing Child about early childhood and the development of mattering. And it matters up until we take our last breath. But what I will say is, as a culture, we are not feeding this need to matter. This is a fundamental human need to feel valued and to have an opportunity to add value. And when we don’t meet this need, one of the side effects is this perfectionism, that maybe if I’m perfect, I will matter. So what I would love to offer to anybody listening, which is an exercise I try to do in my own life, very imperfectly, to be honest, is I try to imagine everyone I meet, including strangers on the street, wearing a sign around their neck saying, “Tell me, do I matter?” We can all answer that question with kindness, with compassion, and to me, if we could, instead of feeling like we are pit against each other in this hyper-individualistic culture that we find ourselves in, if we could go back and recenter our relationships around mattering, I think that is a way of buffering against the socially prescribed perfectionism that has been on the rise.

There is a solution, there is an antidote, and it is mattering.

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

Wallace: Thank you for having us.

Kerrissey: Thank you.

Hendriksen: Thank you so much. This was fun.

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



Social media detox boosts mental health, but nuances stand out

‘Wildly different reactions’ among participants, says researcher


John Torous.

John Torous.

Health

Social media detox boosts mental health, but nuances stand out

‘Wildly different reactions’ among participants, says researcher

5 min read

If you’ve ever thought a break from social media might be good for your head space, new research suggests you’re onto something.

In a study of young adults published in JAMA Network Open, those who participated in a one-week social media detox experienced a boost in their mental health, with symptoms of anxiety dropping by 16.1 percent, depression by 24.8 percent, and insomnia by 14.5 percent.

The findings are only the first phase in a larger research effort, says lead author John Torous, an associate professor at Harvard Medical School and the director of the digital psychiatry division at Beth Israel Deaconess Medical Center. In this edited interview, he discusses what surprised him in the initial findings and offers a preview of the work to come.


What has past research told us about social media use and its effects on mental health?

A lot of the research that’s been done on mental health relies on self-report: Young people are asked to guesstimate how many hours they had on different platforms over weeks or months. They’re also asked to estimate the impact of that screen use on their social relationships, their sleep, their exercise, their patterns. If you asked me, “John, what was your screen time for the last two weeks and what were your sleep patterns?,” I wouldn’t know. But a lot of the definitive research in this space has been built off these self-reports.

That was some of the inspiration for this study. And it’s important to note: This was not meant to be a treatment study. It was a methodological study meant to show that we can measure and understand the data in a new way using individuals’ phone data, and that that can really push the field forward.

What did you hope to learn?

Our primary goal was to use a voluntary social media detox to understand real-time changes in how people use social media and how they felt. The phone can help record those changes and let us see what’s happening. We measured natural usage for two weeks, then followed with a one-week detox.

What we found was interesting. For the first two weeks, we found that people used social media about two hours per day. During the detox, we found that social media time went from 1.9 hours per week to 30 minutes, which is a pretty big decrease. But what’s fascinating is that total screen time stayed about the same. So it wasn’t that people had less screen time; they just used social media less. Measuring usage on five different platforms, we found that Instagram and Snapchat were the most difficult to resist.

Did anything surprise you?

It was harder to see this from the averages, but people had wildly different reactions to the detox. Some people who felt a very high sense of depression felt better. For some people, it didn’t make a difference. Some people turned to exercise, had more steps, left their homes more. The heterogeneity of responses was tremendous to see, and that caught us off guard.

It reveals that we need to take a more nuanced approach to the social media and mental health debate. Let’s think about a tailored solution for each person and their needs. And that probably starts with objectively collecting the individual data on each person from their own phone.

What comes next?

This was Phase 1 of our research, to get a baseline. The next phase is to try a more targeted approach. For example, if we notice social media usage affecting sleep, we can target a sleep intervention. We can identify different clusters or groupings of patterns and say, “Here are the digital signals that point to this type of activity or this type of response,” and target a brief intervention to make the detox more personalized to the person.

It’s not just telling people to stop using social media. It’s saying, “Sleep is your weakness. Let’s educate you and focus on better sleep.” And that will be very exciting.

Why is this research important right now?

Massachusetts and other states have laws or initiatives in place trying to ban all phones at schools. I understand where those are coming from, but I do think there are new measurement tools that let us do more things. Like all things in healthcare, if you can measure it well and understand it, then you can really tailor and personalize.

The real story here is that in many older studies, the average misses the individual response. A digital detox is a very blunt instrument. What we’re saying is that we can probably personalize it and target what you need the most. For some people, social media does help with loneliness. There are harms of cutting it off completely for people, especially because it seems like it’s not going away. So, it’s better that we learn to manage it for each person rather than tell people we’re just going to take it away. I hope that we can get policymakers and people excited about a new generation of work in this space.


How to read a poem

Ideally over a lifetime, says New Yorker’s Kevin Young


book with people on it

Illustration by Liz Zonarich/Harvard Staff

Arts & Culture

How to read a poem

Ideally over a lifetime, says New Yorker’s Kevin Young

3 min read

Kevin Young ’92 is the poetry editor at The New Yorker and the former director of the Smithsonian’s National Museum of African American History and Culture. He was the 2024 recipient of the Harvard Arts Medal. His most recent book is “Night Watch.” 

Poetry is traditionally taught — at least it was taught to me — as a kind of thing you have to endure in English class; there’s no sense of it applying to your life. But poetry, good poetry, is the stuff of life. 

Poetry asks us to slow down and to think about what we’re reading, but also to experience it. It’s the kind of reading you do when you’re a kid: You ingest it whole. It’s not the bits and bites that I think we’re used to sometimes. 

“Poetry asks us to slow down and to think about what we’re reading, but also to experience it.”

Kevin Young

Poetry also rewards rereading. There are poems I’ve read a million times that one day mean something totally different. Having that sort of lifetime experience with a poem is really precious. Your tastes change some, but it’s also that the poem never changes, but you do. Say, if you lose a loved one, poems that might talk about grief might not mean as much to you till after. Having edited a book of grief poems, people write to me almost weekly and tell me how much that book meant to them. It’s been really powerful to see that testimony, and the companionship that poetry offers. 

There’s no wrong way to read a poem. It’s sort of similar to how there may be a right way to set the table — certainly my mom would say there is — but is there one way to enjoy your meal? I don’t know. The best way is to taste it, experience it. I do think that reading aloud or hearing out loud makes a difference. 

Emily Dickinson says, “If I feel physically as if the top of my head were taken off, I know that is poetry.” It’s as much a physical thing as it is an emotional thing. I like music in poems, so that quality of song in the broadest sense. 

Even at its best, even at its most clarion, it still has a mystery in it: The more I know about poetry, the more the mystery of it grows.

So how do you approach poetry? I think it’s through not seeing it as some foreign land, but as part of our everyday lives. If you’re looking for entry points, there are many great places that offer public readings, both in person or online. That’s where I first understood poetry: sitting in an audience with other people. 

But really, it’s you and the poem. What’s so incredible is the poem is waiting for you, and it transports you for the duration of the poem into another life. It brings you out of yourself and into this other self for the length of the poem, and hopefully for a few beats after. You carry a poem in your body. It lives with you. It can’t be taken from you. There are not many things like that anymore.

As told to Sy Boles/Harvard Staff Writer


New research finds 5 genetic signatures shared by 14 psychiatric disorders

Could advance treatment of mental illness with greater precision, less medication


Health

New research finds 5 genetic signatures shared by 14 psychiatric disorders

Human brain.

Human brain with DNA strand. 3d illustration

4 min read

Could advance treatment of mental illness with greater precision, less medication

Distinct psychiatric disorders have more in common biologically than previously believed, according to the largest and most detailed analysis to date of how genes influence mental illness.

The study, led by researchers at University of Colorado Boulder, Harvard, and Mass General Brigham, examined DNA data from more than 1 million individuals diagnosed with at least one of 14 psychiatric disorders and 5 million with no diagnoses.

The study’s findings were published Dec. 10 in the journal Nature.

Working in collaboration with the international Psychiatric Genomics Consortium Cross-Disorder Working Group, investigators discovered that five underlying “genomic factors” involving 238 genetic variants made up the majority of the genetic differences between those with a particular disorder and those without it.

The five categories

The disorders are grouped into five categories, each with a shared genetic architecture, including: disorders with compulsive features such as anorexia nervosa, Tourette disorder and obsessive-compulsive disorder (OCD); “internalizing conditions” including depression, anxiety, and post-traumatic stress disorder; substance use disorders; and neurodevelopmental conditions, including autism and attention-deficit/hyperactivity disorder (ADHD).

Notably, the paper groups bipolar disorder and schizophrenia in a fifth category, reporting that 70 percent of the genetic signal associated with schizophrenia is also associated with bipolar disorder. The field of psychology has historically viewed bipolar disorder and schizophrenia as very different, and clinicians typically will not diagnose an individual with both.

“Genetically, we saw that they are more similar than they are unique,” said corresponding author Andrew Grotzinger, assistant professor of psychology and neuroscience at CU Boulder.

“By identifying what is shared across these disorders, we can hopefully come up with strategies to target them in a different way that doesn’t require four separate pills or four separate psychotherapy interventions.”

Andrew Grotzinger

The findings also provide key insight into the biological pathways and gene expression in brain cell types that may underly certain conditions, said co-corresponding author Jordan Smoller, director of the Psychiatric and Neurodevelopmental Genetics Unit in the Massachusetts General Hospital Center for Genomic Medicine and director of the Center for Precision Psychiatry in the Mass General Brigham Department of Psychiatry.

“These findings provide valuable clues for advancing our understanding and treatment of mental illness with greater precision,” added Smoller, a professor of psychiatry at Harvard Medical School and professor in the Department of Epidemiology at the Harvard T.H. Chan School of Public Health.

Pinpointing biological pathways

The paper points to specific biological pathways that may underlie the individual groupings.

For instance, genes that influence excitatory neurons, which are involved in transmitting signals across other neurons, tend to be over-expressed in both bipolar disorder and schizophrenia, the research suggests.

In internalizing disorders like depression and anxiety, variants in genes that control non-neuronal cells called oligodendrocytes were common. These specialized cells help maintain and protect the brain’s wiring infrastructure.

The findings suggest that some shared genetic factors play a role very early in brain development during the fetal stages of life, while others could have a greater influence later in adult life. This insight could help to create a more biological way of understanding psychiatric conditions and lead to new treatment strategies, the authors said.

According to one 2018 review, more than half of people diagnosed with one psychiatric disorder will be diagnosed with a second or third in their lifetime. About 41 percent will meet the criteria for four or more.

“Right now, we diagnose psychiatric disorders based on what we see in the room, and many people will be diagnosed with multiple disorders. That can be hard to treat and disheartening for patients,” said Grotzinger. “This work provides the best evidence yet that there may be things that we are currently giving different names to that are actually driven by the same biological processes.”

Grotzinger said it is too early to begin combining diagnoses based on the findings. But as researchers work to update the Diagnostic and Statistical Manual of Mental Disorders (DSM), the guiding handbook for the field of psychology, he hopes the new study will be considered.

“By identifying what is shared across these disorders, we can hopefully come up with strategies to target them in a different way that doesn’t require four separate pills or four separate psychotherapy interventions.”


This work was made possible by the contributions of the many investigators who comprise these working groups and the numerous grants from governmental and charitable bodies, as well as philanthropic donation. Additional details can be found in the paper’s acknowledgements section.


Who needs the humanities?

Scholars detail how disciplines offer value in cultivating mind, character but also enable fresh perspectives on societal, practical problems


Arts & Culture

Who needs the humanities?

Scholars detail how disciplines offer value in cultivating mind, character but also enable fresh perspectives on societal, practical problems 

5 min read
Tarun Khanna (from left), Doris Sommer, Moira Weigel, and Martin Puchner speaking during the event. Views of the “Who needs the humanities?”

Tarun Khanna (from left), Doris Sommer, Moira Weigel, and Martin Puchner.

Niles Singer/Harvard Staff Photographer

When Moira Weigel was living in Silicon Valley in the mid-2010s, she noticed a surprising trend: Tech entrepreneurs were actively engaged with the humanities.

Venture capitalist Peter Thiel was citing philosopher and critic René Girard; LinkedIn cofounder Reid Hoffman was reading Nietzsche and extolling the virtue of his ideas; and blogs about Stoicism aimed at startup founders were saturating the industry.

“I think there’s a temptation as a humanist to be a bit snarky about this kind of thing,” said Weigel, assistant professor of comparative literature, during a late November discussion titled “Who Needs the Humanities?” hosted by the Department of English. “But I want to take it seriously as reflecting a sincere desire for cultivation, maybe some version of bildung, or self-formation, and also a desire for resources to deal with risk and uncertainty — the hard things that are true, perhaps, even for the gentle tech billionaire.”

Weigel talked with Doris Sommer, Ira Jewell Williams Jr. Professor of Romance Languages and Literatures and African and African American Studies, and Tarun Khanna, Jorge Paulo Lemann Professor at Harvard Business School, about the increasing appetite for the humanities outside of academic settings, even as humanities departments in higher education nationwide are facing declining enrollment.  

“Humanities departments in universities have experienced a steep decline, but that’s not the case with humanities outside the universities, where literary festivals and book clubs and podcasts and other activities have enjoyed huge public interest and demand,” said Martin Puchner, Byron and Anita Wien Professor of Drama and of English and comparative literature, who organized the event. “The attempt here is to really to learn from an outside perspective what people outside the humanities want from the humanities, or how they use the humanities, and to talk to colleagues in the humanities who are trying to build bridges.”

“Have you noticed that the decline in the humanities runs parallel to the decline in democracy?”

Doris Sommer.
Doris Sommer

Sommer said humanists have a responsibility to shape young people into world citizens who can participate effectively in democracy. She cited philosopher Wilhelm von Humboldt, founder of the Humboldt University of Berlin, who said the disciplines cultivate the mind and character and create world citizens, and also Kant, who made the case for studying aesthetics as a way to strengthen people’s capacity for judgment.

Plus, engaging in “mental gymnastics,” Sommer argued, helps keep people’s minds in shape.

“Have you noticed that the decline in the humanities runs parallel to the decline in democracy?” Sommer said. “If we’re not teaching disinterested thinking, judgment, preconceptual consultations, do we have any chance to be democratic citizens? No. So that’s really an urgent task.”

Weigel argued that the humanities offers us important practices — reading, writing, conversing — that people can find of great value outside of academia. She cited the success of a literary magazine she launched with some friends for a Silicon Valley audience back in 2016.

“This little magazine project reflects close reading, writing, engaging people in close description of their lives,” Weigel said. “There’s a love of wonder or knowledge that is not exclusive to the humanities, but it’s part of the humanities. There’s a commitment to non-monetizable or non-instrumental thinking, and a belief in the fundamental worth and interest of all human beings in our modes of expression.”

Bringing an economics perspective to the discussion, Khanna disagreed with Weigel, arguing the humanities can be instrumental, or practical, in inspiring real-world applications.

“I think of applied humanities as being extremely instrumental. I use them to solve problems on a daily basis.”

Tarun Khanna.
Tarun Khanna, HBS

He cited two government initiatives he has worked on, including a post-apartheid reconciliation effort in South Africa that brought together former ANC guerrilla fighters and Afrikaners in a classroom setting for discussion and debate, and a separate initiative to bring creative play into the Indian school curriculum through makerspace labs.

“I think of applied humanities as being extremely instrumental,” Khanna said. “I use them to solve problems on a daily basis. For me, the market mechanism is simply another instrument that society has, using markets to coordinate activity across people.”

Sommer, who developed the Pre-Texts pedagogical method that uses art to engage students with texts, argued that studying the humanities offers intellectual training unique to the fields that can help people examine complex problems from perhaps different perspectives to get to practical actions, like creating political change.

“You’re exercising a muscle that you can engage to make an intervention,” Sommer said.

An audience member asked how the humanities should be responding to an era when much of society — including higher education — is driven by market logic, forcing students to balance the need for a stable job with a desire for a higher meaning and purpose.

Khanna said market logic was never intended to be the only way forward.

“To me, market price mechanism is a tool that that society and humanities made available to us for use, and we should use it judiciously and smartly,” Khanna said.

Weigel said it’s a difficult question that’s important to tackle. While markets perform important functions, she said, it’s important that some things remain outside of it.


O say can you sing?

Athletics, arts collaboration riffs on anthem that inspires patriotism and ‘personal flair’


Arts & Culture

O say can you sing?

Damla Yesil, Bekuochukwu Uzo-Menkiti, Zeb Jewell-Alibhai, and Grace Hur.

Damla Yesil (left), Bekuochukwu Uzo-Menkiti, Zeb Jewell-Alibhai, and Grace Hur.

Photos by Niles Singer/Harvard Staff, Photo courtesy of Zeb Jewell-Alibhai, Photo courtesy of Damla Yesil, Photo illustration by Liz Zonarich/Harvard Staff

5 min read

Athletics, arts collaboration riffs on anthem that inspires patriotism and ‘personal flair’

“The Star-Spangled Banner” — with its wide vocal range spanning an octave and a half and numerous leaps between notes — famously presents a challenge for singers.

Audience expectations around the song only add to the pressure, according to sophomore Bekuochukwu Uzo-Menkiti — one of several students performing the national anthem this year at Harvard games as part of a new collaboration between the Office for the Arts and Athletics.

“The national anthem is something that you’ve heard at the Super Bowl. You’ve heard the Whitney Houston version, you’ve heard the Lady Gaga version. It’s hard for people to hear someone sing the national anthem and not expect some kind of personal flair,” Uzo-Menkiti said.

Bekuochukwu Uzo-Menkiti.
Videos by Maureen Coyle and Niles Singer/Harvard Staff

If that weren’t daunting enough, knowing how many people feel a deep personal connection to the song can raise the stakes even more, said senior Damla Yesil, who performed last month at a men’s ice hockey game. Reflecting on her parents’ experience as immigrants from Bulgaria and Turkey helped her prepare.

“Once I got up there, all the nerves went away because I was like, ‘Oh, this is not about me,’” said Yesil, a neuroscience concentrator from New York with a secondary in global health and health policy enrolled in the Harvard-Berklee Joint Studies Program. “I have to make people feel like America is their home. It’s a special moment for people.”

Damla Yesil.

Video by Nate Gardner

For junior Zeb Jewell-Alibhai, who moved to the U.S. from Portugal at age 8 and secured citizenship in January, his saxophone rendition to kick off the women’s basketball home opener felt personally symbolic.

“This is the first time I’ve played it since becoming an American,” said Jewell-Alibhai, a double-concentrator in government and music enrolled in the Harvard-Berklee Joint Studies Program. “Music has a place in every part of life, and there’s no exception when it comes to basketball games.”

Zeb Jewell-Alibhai.

Video by Josh Randall

Office for the Arts Director Fiona Coffey offered similar sentiments, calling athletics and music “complementary forms of self‑expression” rooted in creativity, discipline, and heart.

“Harvard students are remarkably multifaceted: artists, athletes, and scholars, who fluidly move among disciplines with talent and passion,” Coffey said. “Many of our students embody this artist‑athlete intersection, modeling how each pursuit deepens the other, and their scholarship.”

Nineteen acts, including solo musicians and two a cappella ensembles, were selected from auditions held in October to perform at games, matches, and meets throughout the year, including some halftime shows.

“Bringing student musicians into our game‑day traditions has been inspiring for our teams and our fans,” said Hannah Miller, director of fan engagement for Harvard Athletics. “These performances remind us how powerfully the arts and athletics can come together to create moments of pride, belonging, and community at Harvard.”

Sophomore Grace Hur, an electrical engineering concentrator from Alabama, sang at two women’s ice hockey games this semester while simultaneously performing the American Sign Language interpretation of Francis Scott Key’s famous lyrics.

“I wanted to take this opportunity to make the anthem a bit more inclusive, and I felt using American Sign Language while also singing it could help me connect with more people of both worlds,” said Hur, who in high school directed an ASL-translated play that featured actors and “shadow signers” side-by-side onstage.

Grace Hur.
Videos by Maureen Coyle and Niles Singer/Harvard Staff

“The national anthem is a song that sends the message of underrepresented groups that can belong, uniting people together,” Hur said. “There are many different ways of signing the same lyrics, because American Sign Language is a meaning-based language rather than a word-to-word translation. Everyone translates and interprets it differently, and so as I’ve gotten to do this, I’ve learned how diverse this one song can be for different people.”

As to the difficulty of the song, Uzo-Menkiti — who will perform at the Feb. 14 men’s basketball game vs. Yale and the Feb. 28 men’s ice hockey game vs. Quinnipiac — has some advice for beginners: Practice makes perfect.

“Repetition is key,” said Uzo-Menkiti, a human developmental and regenerative biology concentrator who sang frequently for football and baseball games at her Utah high school. “If you practice singing a song over and over again, then you get muscle memory. The voice is a muscle, so if you keep training it in one particular exercise, like the national anthem, then inevitably you’ll get better at it. Your pitch will be better, your riffs will be cleaner, and you will be able to reach the notes with ease because you’ve done it so many times.”


Garber to lead Harvard beyond 2026-27 academic year

'Our progress has made me prouder than ever to be part of the University — and determined to see us through this uniquely challenging period in our long history.’


Alan Garber.

File photo by Stephanie Mitchell/Harvard Staff Photographer

Campus & Community

Garber to lead Harvard beyond 2026-27 academic year

7 min read

'Our progress has made me prouder than ever to be part of the University — and determined to see us through this uniquely challenging period in our long history.’

Alan M. Garber has agreed to extend his service as president of Harvard University for an indefinite term beyond the end of the 2026-27 academic year, Penny Pritzker, senior fellow of the Harvard Corporation, announced Monday.

A native of Rock Island, Illinois, who holds A.B., A.M., and Ph.D. degrees from Harvard, Garber was appointed the University’s 31st president in August 2024, with plans to remain in the role through June 30, 2027. He had been named interim president in January 2024 after having served since 2011 as provost.

“Since taking up the duties of the presidency in January 2024, Alan has demonstrated even more fully the remarkable qualities apparent during his 12-plus years as Harvard’s provost and chief academic officer,” Pritzker said.

“He is a servant-leader with uncommon intellectual breadth and unbounded curiosity,” she said. “He is both principled and pragmatic, both deliberative and decisive, and both respectful of tradition and intent on innovation. And, most importantly, he models open-mindedness and civility, with compassion toward others, a selfless concern for Harvard’s best interests, and an unwavering focus on how Harvard can best serve the wider world.”

The announcement comes as “Harvard and other universities continue to navigate a period of extraordinary challenge and work to affirm higher education’s indispensable role in driving discovery and improving lives,” said Pritzker.

In his own message, Garber noted his appreciation for the Harvard community.

“Your commitment to pursuing opportunities to learn and discover, to building a stronger and more welcoming community, and to addressing our shortcomings with urgency and resolve has only deepened my appreciation for our work together,” he said. “Our progress has made me prouder than ever to be part of the University — and determined to see us through this uniquely challenging period in our long history. I am profoundly honored by the trust that the governing boards have placed in me by extending my appointment and deeply grateful for the support I have received from you and from many others.”

Garber also spoke of his aspirations for Harvard beyond the current moment and the important work of advancing Harvard’s commitment to academic excellence in the years ahead.

“Through the centuries, Harvard has drawn its strength from the perpetual curiosity that treats all knowledge as subject to scrutiny, refinement, and revision,” he said. “We meet the present guided by purpose and imagine a future lit by possibility. We continually strive to achieve excellence in the pursuit of knowledge and understanding. We promote the free exchange of ideas and foster constructive dialogue. And we build our capacity, as individuals and as a community, to find as much opportunity in challenge as in encouragement. At the heart of our endeavors lies a willingness to consider risk not as an insurmountable obstacle but as a necessary ingredient in achieving our boldest aspirations. Nurturing that inclination will serve us well in the years to come.”

Since becoming president, Garber, working closely with Provost John Manning and the deans of the Schools, has led a series of initiatives to advance Harvard’s academic mission, sought to defend core principles of the University and higher education, and introduced a series of reforms designed to strengthen campus culture.

Under Garber’s leadership, the University has announced an institutional voice policy, launched an initiative to advance open inquiry and constructive dialogue, sought to bring a wider range of perspectives and ideas to the Harvard community, and overseen efforts to implement recommendations of task forces on antisemitism and anti-Israeli bias and on anti-Muslim, anti-Arab, and anti-Palestinian bias.

In a period of extraordinary challenge, he has also led the University’s response to wide-ranging demands made by the federal government, affirming Harvard’s commitment to academic freedom, vital research, and the crucial role of international students and scholars in advancing the mission of U.S. higher education.

Responding to an April 11 letter from the government, Garber underscored the singular value of the decades-long ties between the federal government and research universities, writing that “these partnerships are among the most productive and beneficial in American history.”

“New frontiers beckon us with the prospect of life-changing advances — from treatments for diseases such as Alzheimer’s, Parkinson’s, and diabetes, to breakthroughs in artificial intelligence, quantum science and engineering, and numerous other areas of possibility,” he said. “For the government to retreat from these partnerships now risks not only the health and well-being of millions of individuals but also the economic security and vitality of our nation.”

The University has continued to make progress in areas such as quantum science, AI, the life sciences, the arts and humanities, and public service under Garber’s leadership.

Announcing the extension of Garber’s presidency, Pritzker noted the feedback she and other members of the governing boards have received in conversations and correspondence with faculty, students, staff, and alumni, saying they have “consistently heard expressions of admiration and appreciation for Alan’s service.”

Speaking to the Gazette in October, Pritzker said that during a period of increasing engagement with the wider community, she and others on the Corporation were “hearing a lot of support for President Garber and how he has led the University during an extraordinarily challenging time.”

“He’s been very clear and proactive in conveying the principles that we stand for and in foregrounding the vital importance and work of research universities,” she said. “There’s a great deal of appreciation for his purpose-driven leadership. Not everyone agrees with every step we are taking as a university, but there’s a widespread belief, I think, that Alan and the entire leadership team have the best interests of Harvard in mind as they make decisions.”

Sylvia Burwell, president of Harvard’s Board of Overseers and former president of American University, also lauded Garber.

“Harvard is blessed to have a leader who brings deep humility, a powerful commitment to the purpose and promise of research universities, and the trust and support of the Harvard community,” said Burwell.

“We have seen Alan’s leadership amidst a period of intense challenge,” she continued. “Equally important, however, is that he has the wisdom, vision, and values to take advantage of the many opportunities that will arise in the years ahead and to drive forward academic excellence in Harvard’s vital teaching and research mission.”

An economist, physician, and expert on health policy, Garber holds faculty appointments in medicine, economics, government, and public health. After graduating summa cum laude from Harvard College in three years, he went on to receive a Ph.D. in economics from Harvard and an M.D. from Stanford University, where he served on the faculty and cared for patients at the Palo Alto VA Medical Center for 25 years, also founding and directing two academic centers.


At a loss for words

Displacement and forced migration trigger alarm about language attrition in Cameroon


Sam Lyczkowski, Xiaotian “Alice” Wang, and Lexi Williams interview a research participant

Harvard students Sam Lyczkowski (from left), Xiaotian (Alice) Wang, and Lexi Williams interview a research participant during a trip to Cameroon.

Photos courtesy of Kathryn Franich

Arts & Culture

At a loss for words

Displacement and forced migration trigger alarm about language attrition in Cameroon

6 min read

At slightly larger than California, the African nation of Cameroon is home to roughly 30 million people and more than 300 indigenous languages. But a long-lasting civil war and other humanitarian crises have made the future of those languages uncertain.

Today, most Cameroonians in their 40s and 50s are as proficient in their indigenous languages (including Lamnso’, Oroko, and Batanga) as they are in a colonial language such as English or French. Their parents, in contrast, spoke indigenous languages more dominantly.

And for linguists like Assistant Professor of Linguistics Kathryn Franich, the question is whether this trend will accelerate. Quoting Anna Belew, executive director of the Endangered Languages Project, Franich said many of Cameroon’s indigenous languages — which sociolinguist Max Weinreich defined as “a dialect with an army and a navy” defined by political power, national identity, and institutional support — today stand at a “critical tipping point.”

“We could see very rapid attrition happening because speakers are multilingual, and there is a lot more economic pressure to move away from indigenous languages and toward colonial languages,” Franich said.

Native language contributes to indigenous culture in the same way that food, farming, rituals, or music do. The Harvard PhonLab’s website, “Voices of the Displaced,” launched in November to help educate the public and “sound the alarm” about language loss, features information about mass displacement as well as audio clips of migrants speaking their native languages.

“Even for languages with tens of thousands of speakers, it only takes a generation of parents making different decisions — sometimes out of necessity — for a language to lose very many speakers in a short amount of time,” said Franich. “It’s a highly personal choice how we speak to our kids, and it has massive consequences.”

For months, Franich and her team in the PhonLab, in collaboration with Howard University Assistant Professor of French Ariane Ngabeu, have been studying how forced displacement due to Cameroon’s political conflicts is impacting indigenous language attrition.

“The hope is that we’ll be able to highlight — for people across the world, but especially for linguists — what the situation really is so that we take seriously this question of language attrition and study its dynamics more depth,” Franich said.

An estimated 334,098 Cameroonians have been displaced since 2017, according to the U.N. Office for the Coordination of Humanitarian Affairs. Protests by Anglophone citizens against the Francophone-dominated government escalated that year into armed conflict. Clashes between government forces and English-speaking Ambazonian separatists have continued since then, leaving civilians in the country’s Northwest and Southwest administrative regions at acute risk. Separate challenges, including climate change and violence driven largely by Boko Haram extremists, beset the Far North region.

Lexi Williams, Ariane Ngabeu, Kathryn Franich, Xiaotian “Alice” Wang, Sam Lyczkowski, Eric Fofack.
Lexi Williams (clockwise from left), Kathryn Franich, Xiaotian (Alice) Wang, Sam Lyczkowski, Eric Fofack, and Ariane Ngabeu.

Last January, Franich and Ngabeu traveled to Cameroon with Harvard students Lexi Williams ’26, Sam Lyczkowski ’26, and Xiaotian (Alice) Wang, a linguistics Ph.D. candidate in the Harvard Kenneth C. Griffin Graduate School of Arts and Sciences, to interview migrants in Yaoundé and smaller cities throughout the West Region.

Franich and the students asked demographic questions to get a sense of their subjects’ backgrounds, then asked them to describe their language use before and after migrating. Williams, an undergraduate research assistant in the PhonLab since her sophomore year, also helped document many of the 33 indigenous languages the group heard, recording short clips of participants telling stories, or just talking.

“You could really see how people tended to animate more when speaking in their local language versus speaking in English or French,” said Williams, a social anthropology concentrator with a secondary in Human Biology, Behavior and Evolution. “It kind of solidified for me this connection that people have with their language that was endearing to see, especially when they’ve migrated to a place where they’re not speaking their language as much anymore.”

Many Cameroonians learned new local languages after relocating, either to ingratiate themselves with the community or to access resources more easily. Wang, who worked on transcribing and translating the stories told by the interviewees, said it was common to encounter someone who spoke five to six different languages.

“Something I found really surprising is how fast people can adjust to a new linguistic environment,” said Wang. “A lot of them came to the area speaking no French or any of the local languages, but reported that they started speaking French a couple of months after they came to the area, and then started learning the local languages. It sounded like a very fast transition into this new linguistic environment, which I found really impressive.”

The researchers also learned about co-workers who chose a common language — usually Fulani or French — for communication on the job. For example, four road construction workers originally from the Far North each spoke a different indigenous language (Tupuri, Giziga, Baia, and Mundang), but learned to speak each other’s tongues over time while using Fulani as a lingua franca at work.

“We often tell people it’s not a zero-sum game. You don’t necessarily have to sacrifice one language to use another,” Franich said. “But when you’re this highly multilingual, there does come a point where you have to decide which languages are for home and which are the ones for out and about. Displaced people often end up living in areas where they don’t necessarily have a lot of neighbors or family nearby speaking their primary indigenous languages.”

Even before the war, Franich said, parents in the country faced pressure to prioritize colonial languages, as there are more job opportunities in English or French.

Cameroon has a tradition of “associations,” community groups that connect fellow language-speakers, and Franich sees additional potential in digital tools such as WhatsApp. But because many Cameroonians learned their indigenous languages orally, writing can be trickier. The PhonLab is working with local language preservation groups to offer classes that ensure the next generation can write as well as speak indigenous languages.

With National Science Foundation funding, Babanki/Kejom language courses were organized in 2023 and ’24 with Pius Akumbu, Ndifon James Vibime, and Cornelius Wuchu from the language preservation group Kejom Cultural and Development Association. This year the PhonLab team co-taught a Medʉmba course with Basile Benga from the Comité de Langue pour l’Etude et la Production des Œuvres Bamiléké-Medʉmba.

The PhonLab team hopes their website contributes as well.

“There are very few personal accounts of people who are living through this conflict, discussing what they’ve experienced and what the impact is on their languages,” Franich said. “We’re hoping that the website is going to provide an accessible way to learn about this through the people themselves. Educating the public on all fronts is our goal.”


Should U.S. be worried about AI bubble?

It depends, says Andy Wu, on how much risk investors, vendors take on, but Big Tech seems well insulated


Andy Wu

Andy Wu.

Veasey Conway/Harvard Staff Photographer

Work & Economy

Should U.S. be worried about AI bubble?

It depends, says Andy Wu, on how much risk investors, vendors take on, but Big Tech seems well insulated

9 min read

Tech giants Amazon, Meta, Alphabet, Microsoft, and Oracle have been investing billions of dollars in a race to build out their artificial intelligence ventures in the last year, further stoking Wall Street fears of a bubble capable of disrupting the entire economy.

In this edited conversation, Andy Wu, Arjun and Minoo Melwani Family Associate Professor of Business Administration at Harvard Business School, explains why AI hyperscalers — firms that operate, or will need to operate, massive, global data centers — are taking on enormous liabilities and whether investors are right to worry about a possible AI bubble.


Why are generative AI firms fundraising so aggressively?

Generative AI is perhaps the most exciting technology since the rise of the internet. That excitement has attracted a significant amount of attention from private equity, venture capital, and public equity investors.

I agree with the consensus about the long-term value creation potential of generative AI. But achieving that long-term vision requires a capital-intensive infrastructure buildout. We need more data centers, more chips, and more electricity to handle the escalating computing needed to both create frontier AI models (training) and use them (inference).

“While generative AI can do amazing things, it is also perhaps the most wasteful use of a computer ever devised.”

Andy Wu

While generative AI can do amazing things, it is also perhaps the most wasteful use of a computer ever devised. If you do 1+1 on a calculator, that’s one calculation. If you do 1+1 in generative AI, that is potentially a trillion calculations to get an answer. That consumes a huge amount of chip capacity and electricity.

And so, many companies are attempting to build out that capacity by buying chips, building data centers, and, in some cases, even buying and building nuclear power plants to power those facilities.

The issue is that someone has to incur the fixed cost of the buildout today for the potential of long-term profit in the future. That long-term profit is hypothetical and has not been realized yet. The companies leading this buildout have taken on significant debt alongside unprecedented levels of equity financing.

As the market for cloud computing grows, it becomes more competitive and, in some ways, less attractive.

If you asked me five years ago, I would have said the market for public cloud infrastructure was only big enough for three hyperscalers. But now that there’s so much more demand for computing, more companies can reach the economies of scale to be viable.

Just a few years ago, Oracle was not a part of the conversation. But the growing market has dramatically lifted Oracle and allowed it to become economically viable and competitive with Microsoft, Google, and Amazon.

Several companies, and especially the neoclouds that specialize in renting out GPUs [graphics processing units], have borrowed significant amounts premised on hypothetical cash flows in the future. So they’re borrowing money now to build a data center that they expect to get paid for by somebody else in the future.

For instance, OpenAI has promised $100 billion contracts to several of its vendors. OpenAI today does not generate anywhere near the amount of revenue to pay for any of that.

Those vendors have raised money to build data centers on the assumption OpenAI is going to pay them $100 billion later. If OpenAI cannot grow revenue fast enough to meet those commitments, several of those vendors will be underwater financially.

Is that buildout truly needed right now?

The industry faces two contradictory timing problems. On one hand, from a long-term perspective, my view is that the scale of buildout is absolutely necessary to facilitate AI. If anything, we’re probably too slow: not just on the data center side, but especially on the electrical grid.

But on the other hand, the risk right now is the gap between the long-term vision of AI and whether or not the growth will materialize fast enough to pay for the buildout. The subtlety here is that these companies can end up underwater if AI grows fast but less rapidly than they hope for.

Why such apprehension over AI borrowing and spending?

First, it’s become apparent how much money has been borrowed. Financing losses with equity investment is one thing. But defaulting on debt has much more disruptive consequences for the companies involved and our economy as a whole.

Second, there are unusual “circular financing” arrangements between customers and suppliers that have drawn attention.  To some, it appears that Nvidia is paying its customers to buy its products. Certainly, there’s some scenario where vendor financing is justifiable, but it certainly raises eyebrows here.

More generally, the bigger issue is downstream. For the potential customers of the data centers — the companies training models or running inference — there’s no short-term scenario in which they are economically viable given how costly it is today. The customers of the data centers are not themselves profitable, and they have no immediate way of generating enough revenue to cover the cost of compute.

“What’s critical to understand, but overlooked by most users, is that generative AI has a significant variable cost.”

Andy Wu

What’s critical to understand, but overlooked by most users, is that generative AI has a significant variable cost. It costs OpenAI real money every time we ask ChatGPT something and ChatGPT responds.

OpenAI CEO Sam Altman once joked saying, “Please” and “Thank you” to ChatGPT costs them millions of dollars. For now, as AI applications grow their customer base and usage, they lose more money. Growth itself does not fix the economics.

Do you see signs of an AI bubble?

In my research on technology strategy, I often look back at the history of the technology industry for hints on how to think about the future.

Technology regularly goes through these ups and downs. The dotcom bubble is the most famous, but in recent years, we’ve had a work-from-home bubble with Peloton and Zoom. We’ve had a bunch of crypto bubbles. There was a virtual reality bubble. In the mid-2010s, we had a gig economy bubble.

It’s easy to get overexuberant about technology.

I would define a bubble in technology as when there’s a significant mismatch between the vision for potential value creation and the current reality of value capture. In other words: Everyone can imagine how useful the technology will be, but no one has figured out yet how to make money. This mismatch puts companies currently operating in a very difficult position.

Regardless of the long-term legitimacy of their offering, they have real financial obligations they have to meet today that they may not be able to meet. What separates a hype cycle that goes away without much fanfare versus a truly destructive bubble is the amount of leverage and risk being taken by the investors and vendors.  

Given AI’s importance, what effect could an AI bust have on the U.S. economy?

Big tech is largely insulated from the risks of this. They’ve taken a shrewd and conservative strategy for AI. They positioned themselves well to benefit from the rise of AI, but they don’t stand to lose that much if AI grows slower than anticipated.

Why won’t Big Tech lose much if AI falters?

First, Microsoft has mostly outsourced AI to a third party, OpenAI. Second, Amazon will support anybody’s AI model, seemingly indifferent to the specifics. Third, Meta spent billions of dollars building an open-source AI model that they hand out for free to the world.

If you take those three facts in conjunction, what that’s saying is that these companies don’t really think that core AI technology is a meaningful business in and of itself.

“If you take those three facts in conjunction, what that’s saying is that these companies don’t really think that core AI technology is a meaningful business in and of itself.”

Andy Wu

Instead, they’re focused on profiting from all the adjacencies to AI. I often use a gold rush analogy: OpenAI, Anthropic, and xAI are out there digging for gold.

Nvidia is the consummate shovel seller, designing the chips needed by the gold diggers. And Meta is the consummate jewelry maker: Meta’s social media, advertising, wearables, and metaverse businesses stand to benefit from advancements in generative AI, wherever it comes from and whenever it comes. Microsoft does a bit of shovel selling and jewelry making, but the key thing is they’re not stuck digging for gold.

Certainly, it’s plausible that Amazon and Microsoft and Google might make less money on their cloud computing than they ideally would like if AI growth slows or declines, but they would not end up in financial distress. They still have plenty of customers absent AI.

Who is most exposed if AI fizzles out?

The model builders and the neoclouds, because they’re entirely dependent on a very particular growth trajectory of AI.

What should AI investors keep in mind?

As John Maynard Keynes allegedly once said, the markets can remain irrational longer than you can remain solvent.

But there is an important nuance that Keynes missed. Any ambitious vision for a new technology rests on faith in the unproven, so backing it inherently demands a degree of irrationality. If the market can keep the faith to persist, it buys the necessary time for the technology to mature, for the costs to come down, and for companies to figure out the business model.

In other words, if the market can remain irrational long enough, the vision eventually becomes the reality.