Unknown Unknowns

This past week there was a five part series on a phenomenon called Anosognosia in the New York Times by Errol Morris. Anosognosia is the term used for people who have a brain injury that causes paralysis AND also leaves them unaware of the paralysis. This is interesting because when you ask someone with this condition to move their paralyzed limb they will simply give you a reason why they do not need to, rather than say "oh you know I can't do that, it's paralyzed." The question for psychiatrists is whether this is part of the injury or some other deeply ingrained defense mechanism. So far the jury is still out.

This got me thinking about ways in which we are unaware of things as well. Don Rumsfeld, several years ago used the phrase "Unknown Unknowns." Some people scoffed at the usage but it has important ramifications, especially in our everyday life. We operate under three conditions:
Known - Knowns; which is the stuff we are aware of and know fully.
Known - Unknowns; which is stuff we are aware of but have no knowledge about (like how to fly a plane or perform brain surgery)
Unknown - Unknowns; these are things in which we aren't even aware of their existence AND we don't know that we are unware of them. A good example of this I think comes from the banking industry. Prior to 2008 few people had heard of a credit default swap and didn't know they'd never heard of it. That is an unknown unknown. Once we heard of it, it became a known unknown. Another exmaple; remember as a child when you first began school. You knew there was such a thing as the alphabet and math but you were very likely unaware of calculus, nor were you aware that you were unaware of it. At some point during middle school or high school the word and concept became known to you, etc.

So what does this all mean? Most of our day is spent operating within the parameters of known knowns, and known unknowns. Sometimes we turn those unknowns (perhaps learning to fly a plane) into a known. But we are often completely oblivious to the fact that we could randomly learn about something that we currently have no idea of it's existence. Sounds confusing? It doesn't need to be. When we find out about something years later (like those default swaps) we say, "why didn't I know that?" or "I can't believe I trusted that guy with my money!" But rather than experiencing guilt or anger at the unknown unknown, it's important to recognize that at the time you made a decision, you made it with all the knowledge that was available to you at that time.

My challenge to you now is, seek out an unknown unknown. How can you do that? In many ways in fact and the internet is a wonderful place to start. Choose a phrase or a period in history or subject like Physics and do a search. You are bound to come across something that makes you think "I never knew that, and I never knew I didn't know it." You can make this journey of discovery fun. Be open, be in learner mode and you'll begin to recognize when something goes from being an unknown unknown to a known unknown and ultimately a known known.

link to the NYT article: http://opinionator.blogs.nytimes.com/2010/06/20/the-anosognosics-dilemma-1/?scp=1&sq=anosognosia&st=cse

Here's to your health

I don't normally blog about specific health information. But I came across an article written by Dr. Christiane Northrup today and I had to share it. Although she is an Ob/gyn and writes books titled Women's Bodies/Women's Wisdom (which I do recommend), the information she provides in this article is really for anyone.

Please take a look, also you can catch her on TV talking about this very topic.

Here's to your health!!

http://www.huffingtonpost.com/christiane-northrup/osteoporosis-treatment-a_b_585528.html