Sunday, November 25, 2007

 
The New York Times

November 24, 2007
Shortcuts
The Many Errors in Thinking About Mistakes
By ALINA TUGEND

OF the many mistakes I have no doubt made over the last few weeks, two stand out: One cost me money and one cost me some pride.

I made an error in an article, and of the thousands who read it, a few gleefully e-mailed me about it.

I corrected it, although I sheepishly admit my first — though fleeting — instinct was to avoid owning up.

In the second case, in a flurry of zealous organization, I sent in a check to cover a bill for my husband’s monthly train pass. It turns out that he pays by direct debit. I canceled the check.

Then we got a notice that we were being charged $20 for a bounced check.

Neither mistake was on the scale, with, say, amputating the wrong leg or causing two planes to collide.

But they bothered me and made me consider how we are taught to think of mistakes in our society.

“I think it’s a very difficult subject,” said Paul J. H. Schoemaker, chairman of Decision Strategies International and teaches marketing at the Wharton School of the University of Pennsylvania. “There’s a lot of ambivalence around making mistakes.”

On one hand, as children we’re taught that everyone makes mistakes and that the great thinkers and inventors embraced them. Thomas Edison’s famous quote is often inscribed in schools and children’s museums: “I have not failed. I have just found ten thousand ways that won’t work.”

On the other hand, good grades are usually a reward for doing things right, not making errors. Compliments are given for having the correct answer and, in fact, the wrong one may elicit scorn from classmates.

We grow up with a mixed message: making mistakes is a necessary learning tool, but we should avoid them.

Carol S. Dweck, a psychology professor at Stanford University, has studied this and related issues for decades.

“Studies with children and adults show that a large percentage cannot tolerate mistakes or setbacks,” she said. In particular, those who believe that intelligence is fixed and cannot change tend to avoid taking chances that may lead to errors.

Often parents and teachers unwittingly encourage this mind-set by praising children for being smart rather than for trying hard or struggling with the process.

For example, in a study that Professor Dweck and her researchers did with 400 fifth graders, half were randomly praised as being “really smart” for doing well on a test; the others were praised for their effort.

Then they were given two tasks to choose from: an easy one that they would learn little from but do well, or a more challenging one that might be more interesting but induce more mistakes.

The majority of those praised for being smart chose the simple task, while 90 percent of those commended for trying hard selected the more difficult one.

The difference was surprising, Professor Dweck said, especially because it came from one sentence of praise.

They were then given another test, above their grade level, on which many performed poorly. Afterward, they were asked to write anonymously about their experience to another school and report their scores. Thirty-seven percent of those who were told they were smart lied about their scores, while only 13 percent of the other group did.

“One thing I’ve learned is that kids are exquisitely attuned to the real message, and the real message is, ‘Be smart,’” Professor Dweck said. “It’s not, ‘We love it when you struggle, or when you learn and make mistakes.’”

As we get older, many of us invest a great deal in being right. When things go wrong, as they inevitably do, we focus on flagellating ourselves, blaming someone else or covering it up. Or we rationalize it by saying others make even more mistakes.

What we do not want to do, most of the time, is learn from the experience.

Professor Dweck, who wrote a book on the subject called “Mindset,” (Random House, 2006), proved this point in another study, this one of college students. They were divided into two camps: those who did readings about how intelligence is fixed, and those who learned that intelligence could grow and develop if you worked at it.

The students then took a very tough test on which most did badly. They were given the option of bolstering their self-esteem in two ways: looking at scores and strategies of those who did worse or those who did better.

Those in the fixed mind-set chose to compare themselves with students who had performed worse, as opposed to those Professor Dweck refers to as in “the growth mind-set,” who more frequently chose to learn by looking at those who had performed better.

Mr. Schoemaker would agree. He was the co-author of a June 2006 article for the Harvard Business Review called “The Wisdom of Deliberate Mistakes.” Among its theories is that there is too much focus on outcome rather than on process.

If businesses and people are not making a certain number of mistakes, “they’re playing it too safe,” he said.

The resistance to making mistakes runs deep, he writes, but it is necessary for the following reasons, which he outlined in the article:

¶We are overconfident. “Inexperienced managers make many mistakes and learn from them. Experienced managers may become so good at the game they’re used to playing that they no longer see ways to improve significantly. They may need to make deliberate mistakes to test the limits of their knowledge.”

¶We are risk-averse because “our personal and professional pride is tied up in being right. Employees are rewarded for good decisions and penalized for failures, so they spend a great deal of time and energy trying not to make mistakes.”

¶We tend to favor data that confirms our beliefs.

¶We assume feedback is reliable, although in reality it is often lacking or misleading. We don’t often look outside tested channels.

Of course, there are mistakes and then there are mistakes.

“With children, you want them to make mistakes, but not end up in prison or in a wheelchair,” Mr. Schoemaker said. One also has to weigh the consequences. We want people who run nuclear power plants or fly planes to avoid mistakes as much as possible.

But most of us are not holding people’s lives in our hands and can stand to take a few more chances.

“Unfortunately, the people who most need to make mistakes are the ones least likely to admit it, and the same is true of companies,” Mr. Schoemaker wrote.

Of course, there are stupid mistakes, or what Stanley M. Gully, associate professor at the School of Management and Labor Relations at Rutgers University, called “unintelligent failures.”

After all, nobody wants a worker who keeps making the same mistake, and “if we fail and don’t learn from it, it’s not an intelligent failure,” he said.

Professor Gully and other researchers have looked at ways of training people to do complex tasks and found that in some cases encouraging them to make mistakes works better than teaching them to avoid them.

Those who were good at processing information, open to learning and not overly conscientious were more effectively trained if they were persuaded to make mistakes.

“We get fixated on achievement,” he said, but, “everyone is talking about the need to innovate. If you already know the answer, it’s not learning. In most personal and business contexts, if you avoid the error, you avoid the learning process.”

But old habits die hard. I want to be more open to — or less afraid of — making mistakes. But if you catch an error in this column, do me a favor. Keep it to yourself.

E-mail: shortcuts@nytimes.com

Saturday, November 24, 2007

 
April 4, 2007
Op-Ed Contributor/NY Times
The Rich Are More Oblivious Than You and Me
By RICHARD CONNIFF
Old Lyme, Conn.

THE other day at a Los Angeles race track, a comedian named Eddie Griffin took a meeting with a concrete barrier and left a borrowed bright-red $1.5 million Ferrari Enzo looking like bad origami. Just to be clear, this was a different bright-red $1.5 million Ferrari Enzo from the one a Swedish businessman crumpled up and threw away last year on the Pacific Coast Highway. I mention this only because it’s easy to get confused by the vast and highly repetitious category “Rich and Famous People Acting Like Total Idiots.” Mr. Griffin walked away uninjured, and everybody offered wise counsel about how this wasn’t really such a bad day after all.

So what exactly constitutes a bad day in this rarefied little world? Did the casino owner Steve Wynn cross the mark when he put his elbow through a Picasso he was about to sell for $139 million? Did Mel (“I Own Malibu”) Gibson sense bad-day emanations when he started on a bigoted tirade while seated drunk in the back of a sheriff’s car? And if dumb stuff like this comes so easy to these people, how is it that they’re the ones with all the money?

Modern science has the answer, with a little help from the poet Hilaire Belloc.

Let’s begin with what I call the “Cookie Monster Experiment,” devised to test the hypothesis that power makes people stupid and insensitive — or, as the scientists at the University of California at Berkeley put it, “disinhibited.”

Researchers led by the psychologist Dacher Keltner took groups of three ordinary volunteers and randomly put one of them in charge. Each trio had a half-hour to work through a boring social survey. Then a researcher came in and left a plateful of precisely five cookies. Care to guess which volunteer typically grabbed an extra cookie? The volunteer who had randomly been assigned the power role was also more likely to eat it with his mouth open, spew crumbs on partners and get cookie detritus on his face and on the table.

It reminded the researchers of powerful people they had known in real life. One of them, for instance, had attended meetings with a magazine mogul who ate raw onions and slugged vodka from the bottle, but failed to share these amuse-bouches with his guests. Another had been through an oral exam for his doctorate at which one faculty member not only picked his ear wax, but held it up to dandle lovingly in the light.

As stupid behaviors go, none of this is in a class with slamming somebody else’s Ferrari into a concrete wall. But science advances by tiny steps.

The researchers went on to theorize that getting power causes people to focus so keenly on the potential rewards, like money, sex, public acclaim or an extra chocolate-chip cookie — not necessarily in that order, or frankly, any order at all, but preferably all at once — that they become oblivious to the people around them.

Indeed, the people around them may abet this process, since they are often subordinates intent on keeping the boss happy. So for the boss, it starts to look like a world in which the traffic lights are always green (and damn the pedestrians). Professor Keltner and his fellow researchers describe it as an instance of “approach/inhibition theory” in action: As power increases, it fires up the behavioral approach system and shuts down behavioral inhibition.

And thus the Fast Forward Personality is born and put on the path to the concrete barrier.

The corollary is that as the rich and powerful increasingly focus on potential rewards, powerless types notice the likely costs and become more inhibited. I happen to know the feeling because I once had my own Los Angeles Ferrari experience. It was a bright-red F355 Spider (and with a mere $150,000 sticker price, not exactly top shelf), which I rented for a television documentary about rich people. It came with a $10,000 deductible, and the first time I drove it into a Bel-Air estate, the low-slung front end hit the apron of the driveway with a horrible grating sound that caused my soul to shrink. I proceeded up the driveway at five miles an hour, and everyone in sight turned away thinking, “Rental.”

The bottom line: Without power, people tend to play it safe. Given power, even you and I would soon end up living large and acting like idiots. So pity the rich — and protect yourself. This is where Hilaire Belloc comes in.

He once wrote a poem about a Lord Finchley, who “tried to mend the Electric Light/Himself. It struck him dead: And serve him right!” Belloc wasn’t tiresomely suggesting that the gentry all deserve a first-hand acquaintance with the third rail, as it were, but merely that they would be smart to depend on hired help. In social psychology terms, disinhibited Fast Forward types need ordinary cautious mortals to remind them that the traffic lights do in fact occasionally turn yellow or even, sometimes, red.

So, Eddie Griffin: next time you borrow a pal’s car, borrow his driver, too. The world will be a safer place for the rest of us.

Richard Conniff is the author of “The Natural History of the Rich.”

Wednesday, November 21, 2007

 
The New York Times

November 20, 2007
Denial Makes the World Go Round
By BENEDICT CAREY

For years she hid the credit card bills from her husband: The $2,500 embroidered coat from Neiman Marcus. The $900 beaded scarf from Blake in Chicago. A $600 pair of Dries van Noten boots. All beautiful items, and all perfectly affordable if she had been a hedge fund manager or a Google executive.

Friends at first dropped hints to go easy or rechannel her creative instincts. Her mother grew concerned enough to ask pointed questions. But sales clerks kept calling with early tips on the coming season’s fashions, and the seasons kept changing.

“It got so bad I would sit up suddenly at night and wonder if I was going to slip up and this whole thing would explode,” said the secretive shopper, Katharine Farrington, 46, a freelance film writer living in Washington, who is now free of debt. “I don’t know how I could have been in denial about it for so long. I guess I was optimistic I could pay, and that I wasn’t hurting anyone.

“Well, of course that wasn’t true.”

Everyone is in denial about something; just try denying it and watch friends make a list. For Freud, denial was a defense against external realities that threaten the ego, and many psychologists today would argue that it can be a protective defense in the face of unbearable news, like a cancer diagnosis.

In the modern vernacular, to say someone is “in denial” is to deliver a savage combination punch: one shot to the belly for the cheating or drinking or bad behavior, and another slap to the head for the cowardly self-deception of pretending it’s not a problem.

Yet recent studies from fields as diverse as psychology and anthropology suggest that the ability to look the other way, while potentially destructive, is also critically important to forming and nourishing close relationships. The psychological tricks that people use to ignore a festering problem in their own households are the same ones that they need to live with everyday human dishonesty and betrayal, their own and others’. And it is these highly evolved abilities, research suggests, that provide the foundation for that most disarming of all human invitations, forgiveness.

In this emerging view, social scientists see denial on a broader spectrum — from benign inattention to passive acknowledgment to full-blown, willful blindness — on the part of couples, social groups and organizations, as well as individuals. Seeing denial in this way, some scientists argue, helps clarify when it is wise to manage a difficult person or personal situation, and when it threatens to become a kind of infectious silent trance that can make hypocrites of otherwise forthright people.

“The closer you look, the more clearly you see that denial is part of the uneasy bargain we strike to be social creatures,” said Michael McCullough, a psychologist at the University of Miami and the author of the coming book “Beyond Revenge: The Evolution of the Forgiveness Instinct.” “We really do want to be moral people, but the fact is that we cut corners to get individual advantage, and we rely on the room that denial gives us to get by, to wiggle out of speeding tickets, and to forgive others for doing the same.”

The capacity for denial appears to have evolved in part to offset early humans’ hypersensitivity to violations of trust. In small kin groups, identifying liars and two-faced cheats was a matter of survival. A few bad rumors could mean a loss of status or even expulsion from the group, a death sentence.

In a series of recent studies, a team of researchers led by Peter H. Kim of the University of Southern California and Donald L. Ferrin of the University of Buffalo, now at Singapore Management University, had groups of business students rate the trustworthiness of a job applicant after learning that the person had committed an infraction at a previous job. Participants watched a film of a job interview in which the applicant was confronted with the problem and either denied or apologized for it.

If the infraction was described as a mistake and the applicant apologized, viewers gave him the benefit of the doubt and said they would trust him with job responsibilities. But if the infraction was described as fraud and the person apologized, viewers’ trust evaporated — and even having evidence that he had been cleared of misconduct did not entirely restore that trust.

“We concluded there is this skewed incentive system,” Dr. Kim said. “If you are guilty of an integrity-based violation and you apologize, that hurts you more than if you are dishonest and deny it.”

The system is skewed precisely because the people we rely on and value are imperfect, like everyone else, and not nearly as moral or trustworthy as they expect others to be. If evidence of this weren’t abundant enough in everyday life, it came through sharply in a recent study led by Dan Ariely, a behavioral economist at the Massachusetts Institute of Technology.

Dr. Ariely and two colleagues, Nina Mazar and On Amir, had 326 students take a multiple-choice general knowledge test, promising them payment for every correct answer. The students were instructed to transfer their answers, for the official tally, onto a form with color-in bubbles for each numbered question. But some of the students had the opportunity to cheat: they received bubble sheets with the correct answers seemingly inadvertently shaded in gray. Compared with the others, they changed about 20 percent of their answers, and a follow-up study demonstrated that they were unaware of the magnitude of their dishonesty.

“What we concluded is that good people can be dishonest up to the level where conscience kicks in,” said Dr. Ariely, author of the book “Predictably Irrational: The Hidden Force that Shape Our Decisions,” due out next year. “That essentially you can fool the conscience a little bit and make small transgressions without waking it up. It all goes under the radar because you are not paying that much attention.”

It is a mistake to underestimate the power of simple attention. People can be acutely aware of what they pay attention to and remarkably blind to what they do not, psychologists have found. In real life, to be sure, casual denials of bad behavior require more than simple mental gymnastics, but inattention is a basic first ingredient.

The second ingredient, or second level, is passive acknowledgment, when infractions are too persistent to go unnoticed. People have adapted a multitude of ways to handle such problems indirectly. A raised eyebrow, a half smile or a nod can signal both “I saw that” and “I’ll let this one pass.”

The acknowledgment is passive for good reasons: an open confrontation, with a loved one or oneself, risks a major rupture or life change that could be more dire than the offense. And more often than is assumed, a subtle gesture can be enough of a warning to trigger a change in behavior, even one’s own.

In an effort to calculate exactly how often people overlook or punish infractions within their peer groups, a team of anthropologists from New Mexico and Vancouver ran a simulation of a game to measure levels of cooperation. In this one-on-one game, players decide whether to contribute to a shared investment pool, and they can cut off their partner if they believe that player’s contributions are too meager. The researchers found that once players had an established relationship of trust based on many interactions — once, in effect, the two joined the same clique — they were willing to overlook four or five selfish violations in a row without cutting a friend off. They cut strangers off after a single violation.

Using a computer program, the anthropologists ran out the simulation over many generations, in effect speeding up the tape of evolution for this society of players. And the rate of overlooking trust violations held up; that is, this pattern of forgiving behavior defined stable groups that maximized the survival and evolutionary fitness of the individuals.

“There are lots of way to think about this,” said the lead author, Daniel J. Hruschka of the Santa Fe Institute, a research group that focuses on complex systems. “One is that you’re moving and you really need help, but your friend doesn’t return your call. Well, maybe he’s out of town, and it’s not a defection at all. The ability to overlook or forgive is a way to overcome these vicissitudes of everyday life.”

Nowhere do people use denial skills to greater effect than with a spouse or partner. In a series of studies, Sandra Murray of the University of Buffalo and John Holmes of the University of Waterloo in Ontario have shown that people often idealize their partners, overestimating their strengths and playing down their flaws.

This typically involves a blend of denial and touch-up work — seeing jealousy as passion, for instance, or stubbornness as a strong sense of right and wrong. But the studies have found that partners who idealize each other in this way are more likely to stay together and to report being satisfied in the relationship than those who do not.

“The evidence suggests that if you see the other person in this idealized way, and treat them accordingly, they begin to see themselves that way, too,” Dr. Murray said. “It draws out these more positive behaviors.”

Faced with the high odor of real perfidy, people unwilling to risk a break skew their perception of reality much more purposefully. One common way to do this is to recast clear moral breaches as foul-ups, stumbles or lapses in competence — because those are more tolerable, said Dr. Kim, of U.S.C. In effect, Dr. Kim said, people “reframe the ethical violation as a competence violation.”

She wasn’t cheating on him — she strayed. He didn’t hide the losses in the subprime mortgage unit for years — he miscalculated.

This active recasting of events, built on the same smaller-bore psychological tools of inattention and passive acknowledgment, is the point at which relationship repair can begin to shade into willful self-deception of the kind that takes on a life of its own. Everyone knows what this looks like: You can’t talk about the affair, and you can’t talk about not talking about it. Soon, you can’t talk about any subject that’s remotely related to it.

And the unstated social expectations out in the world often reinforce the conspiracy, no matter its source, said Eviatar Zerubavel, a sociologist at Rutgers and the author of “The Elephant in the Room: Silence and Denial in Everyday Life.”

“Tact, decorum, politeness, taboo — they all limit what can be said in social domains,” he said. “I have never seen tact and taboo discussed in the same context, but one is just a hard version of the other, and it’s not clear where people draw the line between their private concerns and these social limits.”

In short, social mores often work to shrink the space in which a conspiracy of silence can be broken: not at work, not out here in public, not around the dinner table, not here. It takes an outside crisis to break the denial, and no one needs a psychological study to know how that ends.

In Ms. Farrington’s case, the event was a move out of the country for her husband’s job. Unable to earn much money from her own work, she kept buying but had no way to cover the credit card payments.

“Basically,” she said, “I had to fess up. It was terrible, but I fessed up to my husband, I fessed up to my mother and to another friend who was getting the bills while I was away. This whole web of intrigue, and in the end it just had to crash.” She now hunts for better bargains on eBay.

Saturday, November 17, 2007

 
The New York Times

November 18, 2007
The Sleep-Industrial Complex
By JON MOOALLEM

Pete Bils’s background is in sales — or, as he puts it, “retail concepts.” He joined Select Comfort 12 years ago to teach its salespeople how to better sell the company’s Sleep Number Bed. The Sleep Number Bed is an air-filled mattress. Each side can be inflated with a little remote control to the ideal level of firmness for the person sleeping on it — his or her “sleep number,” zero to 100 — thus accommodating a husband who prefers his side firm and a wife who likes hers softer. You may recognize the Sleep Number Bed from its television commercials featuring the original Bionic Woman, Lindsay Wagner. Or you may have seen Bils himself explicating its many features and benefits in the loneliest hours of the night on the QVC shopping network.

Off-camera, Bils spends much of his time reading scientific research. He mingles at medical conferences and is chairman of the company’s “Sleep Advisory Board,” a consortium of doctors. He “sleep tinkers,” coordinating pilot studies in sleep labs to understand how to build the mattress of the future. His goal at Select Comfort is to educate Americans about the science and benefits of healthful sleep, and this, plus his title — senior director of sleep innovation and clinical research — makes him seem deliberately more man-of-science than mattress-salesman. The distinction is less clear-cut when it comes to the man himself.

“How’d you sleep last night?” Bils asked, strolling into a conference room to meet me at the company’s headquarters outside Minneapolis one morning last summer. He blared it, the way certain men blare, “Darn glad to meet you.” Later, sitting down to lunch, he noted that the weather had not been “muggy” or “unbearable” but “bad sleeping weather.” Then raising a smile from behind his menu, he issued another electrifying “How’d you sleep last night?”— this time at the waiter who’d come to take his order. The waiter, it turned out, hadn’t slept so well. After some chitchat, Bils ordered the risotto.

Bils, who is 48, is olive-skinned, handsome and, like virtually everyone else Select Comfort arranged for me to meet, relentlessly upbeat. At lunch, I let several minutes pass just listening to the table of executives tell one another how awesome their own Sleep Number Beds are. (Employees have their individual sleep numbers printed on their business cards.) One woman described having to take Tylenol PM to make it through a recent night away from home. Bils said he ships out a Sleep Number Bed when he travels to do QVC tapings. His daughters have slept on Sleep Numbers since they left the crib, and he even jury-rigged something similar for his bulldog. “I’ve learned a lot about sleep from my dogs,” he said. For starters, all bulldogs appear to have sleep apnea. One of the two public relations officers supervising my visit jumped in: her dog’s sleep number is 10, she said; she sets her bed for him at night. “Do whales have REM sleep?” another colleague asked Bils. “Yes, a form of it,” Bils said. Eventually, he turned to me and summed up with a groaner: “We firmly believe — no pun intended — that a mattress can make significant changes in sleep quality.” This turns out to be a very radical idea.

For years, doctors have been discouraged by Americans’ disregard for and mismanagement of their sleep. (“I might as well have been running a chain of beauty parlors for the last four decades” is how one described his advocacy.) But bragging about how little you sleep, a hallmark of the ’80s power broker, is starting in certain circles to come off as masochistic buffoonery. The sleep docs we once ignored appear on morning shows to offer tips. Health professionals and marketers are hopeful that a new seriousness about sleep will continue moving out of a luxury-minded vanguard and into the mainstream. Sleep may finally be claiming its place beside diet and exercise as both a critical health issue and a niche for profitable consumer products.

A sleep boom, or as Forbes put it last year, “a sleep racket,” is under way. Business 2.0 estimates American “sleeponomics” to be worth $20 billion a year, which includes everything from the more than 1,000 accredited sleep clinics (some of them at spas) conducting overnight tests for disorders like apnea, to countless over-the-counter and herbal sleep aids, to how-to books and sleep-encouraging gadgets and talismans. Zia Sleep Sanctuary, a first of its kind luxury sleep store that I visited in Eden Prairie, Minn., carries “light-therapy” visors, the Zen Alarm Clock, the Mombasa Majesty mosquito net and a $600 pair of noise-canceling earplugs as well as 16 varieties of mattresses and 30 different pillows.

Prescription sleeping pills have been the most obvious beneficiary. Forty-nine million prescriptions were written last year, up 53 percent from five years ago, according to IMS Health, a health-care information company. It is now a $3.7 billion business, more than doubling since 2003. At $3 or $4 per pill, their success indicates not only that we have an increasingly urgent craving for sleep but also that many of us have apparently forgotten how to do it altogether — quite a feat for any mammal.

To hear the mattress industry tell it, we’re skipping them over. A few companies have tried to cash in with ultra-high-end novelties. A video promoting Hastens’s $60,000 Vividus bed shows the horsehair it’s stuffed with being sensuously detangled and fluffed by shapely Nordic women. But more down-to-earth mattresses have not conjured any of that allure. Despite long and influential success in the industry, for instance, Select Comfort’s stock was struggling around the time of my visit. And so America’s mattress men, traditionally a band of fast-talking, price-busting commodities brokers, are now trying to figure out how to transform their anonymous white rectangles into holistic health and wellness machines.

More than once, I heard mattress executives invoke the spectral characters of sleeping-pill commercials — the Day-Glo green moth; Abe Lincoln and the talking beaver — as chastening mascots of everything they’re missing out on. Some point to the quick-fix mentality sleeping pills represent as a sign of how thoroughly confused about sleep society has become. “The good news is, there’s more and more awareness about the power of a good night’s sleep,” says David Perry, bedding editor of the trade magazine Furniture Today. The bad news: “What we’re doing in America is, we’re drugging people to make it through the night on, in many cases, a lousy bed.”

Our misunderstandings about sleep have been centuries in the making. As has already happened in the food and nutrition businesses, some sectors of our new sleep-industrial complex will surely find it profitable to clear up our confusion, while others will simply exploit it. But as mattress companies and sleeping-pill makers both barrel into the marketplace to sell us a good night’s sleep, it’s tough to know where in the jumble of science and storytelling the truth about sleep lies.

All good nights of sleep are alike. Each miserable night of sleep is miserable in its own way. You either close your eyes and, many hours later, open them, or you endure an idiosyncratic epic of waiting, trying, failing, irritation, self-sabotage and despair, then stand up at sunrise racked with war stories you don’t have the energy to tell.

Sleep research is a young field and still doesn’t have a definitive picture of what “normal” sleep is, making discussions of abnormal sleep imprecise. The National Institutes of Health can define insomnia only very broadly, as “complaints of disturbed sleep in the presence of adequate opportunity and circumstance for sleep.” Insomnia can be transient — a few off nights — or horrifically chronic. Complaints may be about difficulty falling asleep or about waking up during the night. But it’s hard to know exactly what those complaints should be judged against. Nor has research determined which objective measures — total time slept, percentage of time spent in the various stages of sleep, etc. — correlate to a person’s subjective feeling of having slept well or poorly. Some people whose sleep looks normal in the lab complain bitterly; some whose sleep looks terrible never do.

Even something as empirical-seeming as how long we sleep becomes problematic. In studies, insomniacs almost invariably overestimate how long it took them to fall asleep and underestimate how long they slept; in one, more than a third of the participants consistently thought they’d slept at least an hour less than their brain-wave activity indicated. Yet in a way, this hardly matters. Wallace Mendelson, past president of the Sleep Research Society, explained to me, “When a patient comes to a doctor, he doesn’t say, ‘I’m here to see you because my EEG shows an insufficient number of minutes of sleep.’ He comes to you saying: ‘I don’t feel like I’m getting enough. I’m tired.’ ” Thus, while insomnia is frequently linked to another, distinct physiological disease or disorder, its diagnosis and treatment often remain, much like pain, locked in the realm of our own inscrutable reports.

Fewer than half of Americans say they get a good night’s sleep every night or almost every night, according to a 2005 poll by the National Sleep Foundation. The N.S.F. is a nonprofit largely financed by the pharmaceutical industry and one of many groups — including the American Academy of Sleep Medicine and the Better Sleep Council, a nonprofit supported by the mattress industry — that have pushed the value of sleep, and the perils of sleep deprivation and disorders, into public view. (You can mark the change in seasons with their press releases. End of summer: “From Zzzs to A’s: Healthy Sleep Is Key for Back-to-School Success.” Daylight Savings Time: “Fall Back Into Bed and Catch Up on Your Sleep.”)

Some of America’s dissatisfaction likely boils down to poor “sleep hygiene” — basic bad habits like not keeping a regular bedtime; overconsumption of alcohol or coffee; or winding ourselves up with work or television before bed. There is a sometimes-stunning failure to see sleep’s cause-and-effect relationship to what we do while awake. One therapist told me he cured a man’s insomnia by suggesting he stop eating spicy Indian curry late at night. Bils says, “Most sleep problems are self-inflicted by sleepers not knowing how to sleep.” Moreover, doctors have long warned that Americans are suffering from self-caused sleep deprivation without even realizing it. The most damaging and persistent delusion we’ve acquired about sleep is that the vital human function is optional. As one psychologist puts it, “You don’t have people walking around figuring out how to get by on less air.”

Getting Americans to come to bed is therefore still the mattress industry’s first challenge. Recently it has been gathering behind the idea of “selling better sleep,” promoting a fuller understanding of sleep and its health benefits. Bils’s research and advocacy at Select Comfort exemplifies the approach, as does a recent series of appearances by doctors at mattress stores around the country, sponsored by Leggett & Platt, the leading supplier of steel springs. Mark Quinn, a Leggett & Platt vice president, told me, “I think nutrition and fitness have done a great job, and I look at them as example industries.” They’ve taught the public: “If you don’t eat right, you’ll die. If you don’t exercise, you’ll die.”

Quinn delivered a galvanizing pep talk on selling better sleep to an industry convention in April. He cited new research linking insufficient sleep to poorer metabolism and appetite control. “Are you telling me that we can say, as an industry, ‘If you sleep better you might be able to lose weight?’ ” he said as a slide reading “Chronic sleep deprivation could be making you fat!” filled the wall behind him. Plus, he continued, a bad night of sleep makes you look worn out. “We have a product that can make you look good, and we never talk about it to anybody!” Quinn later told me, “Create the pain, then give them the solution.”

Still, says Furniture Today’s David Perry: “the mattress is not nearly as sexy a part of the equation as drugs or sleep-disorder centers. It just kind of lies there.” For generations many consumers perceived the innerspring beds of the three dominant “S-brands” — Sealy, Serta and Simmons — to be interchangeable. A Gallup poll 10 years ago found that nearly half of Americans didn’t know what brand of mattress they slept on. The industry blamed itself, often ruthlessly.

“The sleep industry has cheapened the mattress,” says Rick Anderson, North American president for Tempur-Pedic. (Tempur-Pedic is the leader in visco-elastic foam, sometimes called “memory foam,” mattresses, made from spongy polyurethane.) Retailers know they are selling a product bought only grudgingly and only once every 12 or 15 years. So they’ve emphasized low prices, shouting about limited-time-only sales that never actually end. “It’s ‘Buy it cheap, buy it now,’ ” Anderson says. “You turn the mattress into a low-priced commodity and, lo and behold, you shouldn’t be surprised when the consumer tells you the mattress isn’t that important.”+

Both Select Comfort and Tempur-Pedic began trying to change that perception when they introduced their beds in the late ’80s and ’90s. As noninnerspring or “alternative bedding” companies, they were burdened with proving that what they had — air and foam respectively — was not only better than the grid of steel springs we’d employed for a century but worth prices as high as $7,000. Unfortunately, the scant published scientific literature on mattresses offered little help. (There had been few real developments since the ’50s, when one of the first studies exploring the effects of different sleep surfaces found that the differences between sleeping on a new mattress and on a piece of plywood with some carpet slung over it were “not large and not always statistically significant.”) So Select Comfort financed its own mattress research and now shows in its marketing how people’s sleep improved on the Sleep Number Bed in labs at Stanford and Duke.

Select Comfort also began using pressure mapping in its stores. Pressure mapping is a digital diagnostic that shows on a computer screen how the mattress is evenly distributing a customer’s weight and conforming around his body. It illustrates “that you’re wearing the mattress versus lying on top of it,” Bils says. Points of high pressure are uncomfortable, the thinking goes. They force a sleeper to shift or roll over, and that movement disturbs sleep. There doesn’t appear to be solid scientific validation of this theory; typical sleepers have been shown to change positions 20 to 60 times a night. But when I mentioned that to Anderson at Tempur-Pedic, which promotes its beds for the same reason, he shot back: “They don’t need to.”

By 2005, noninnerspring beds accounted for nearly a quarter of the

$4.6 billion spent on mattresses. Their staying power and overt sciencey-ness had colossal ripple effects on the entire industry. Jim Gabbert, the second-generation mattress retailer behind Zia Sleep Sanctuary, explains: “At first everyone saw air and visco as a fad, like water beds. ‘It won’t amount to much.’ Now all the mainstream innerspring manufacturers are scrambling to compete with those guys. Those specialty manufacturers taught the mainline brand names that you can price things higher, add more features, have a better story.”

The big question became, what else might Americans sleep on — and what combinations of things? The S-brands rolled out their own memory foam beds. Latex foams, modestly successful for decades, also came into vogue — as did various gels. Meanwhile, the industry was finally breaking down the wives’ tale that firm mattresses are always better. “Comfort” became the new buzzword, freeing manufacturers to combine all their new, high-tech materials in infinite iterations on a single bed. Pillowtops, distinct slabs of cushy material stitched on the tops of mattresses, gradually thickened, and beds ascended skyward, layer by layer, in towers of trademarked babble. Serta offers KoolComfort foam. Simmons makes Natural Care Latex and, via its brand ComforPedic, NxG Advanced Memory Foam. Having muscled their way into a virtual stalemate of technology inside the mattress, manufacturers seem to have merely started their arms race all over again on top of it. The end result may not be much better; rather than seeing beds as all the same, consumers are often totally incapable of understanding their countless differences. “It does get confusing,” says Brandon Jackson, bedding director at Houston’s Gallery Furniture store. “After a while, those layers are really only there to add to the cost.” When Jackson started six and a half years ago, selling a $1,000 mattress was “a home run.” Now his average ticket is $3,300.

Standing in Select Comfort’s R. and D. building, among the new, retooled Sleep Number Beds just released, it was clear that the company couldn’t disagree more with Jackson’s view. Two engineers knelt and unzipped the covering of the Sleep Number 9000, the top of the line, to show me its layers. Stacked above the two inflatable air chambers were a blue memory foam, another proprietary foam called Intralux and a thin white scrim with a honeycomb pattern on it. This was called Outlast Adaptive Comfort, which, like Tempur-Pedic’s foam, was originally developed for NASA. Outlast’s tiny, “encapsulated phase change materials” actually switch back and forth from liquid to solid, absorbing heat and producing a pronounced cooling sensation.

The 9000 was engineered with heat in mind. Bils explained that, as you fall asleep, your body temperature drops. A mattress should disperse the heat you’re expelling. Otherwise the bed “sleeps hot,” cooking you in your own trapped body heat. Sleeping hot is a growing complaint about many beds and may be a consequence of the industry’s manic emphasis on comfort: the shift toward using less-breathable, synthetic materials that conform more snugly to the body, and then stacking them to greater thicknesses. Memory foam especially has a reputation for sleeping hot, though Tempur-Pedic, which sells only foam beds, disputes it as “largely urban myth.” For the 9000, Select Comfort claims to have used a memory foam porous enough to provide air flow but not porous enough to tear apart over time. Yet as they detailed these meticulous solutions to the heat issue, the half-dozen Select Comfort executives in the room insisted that sleeping hot had never been a problem with their beds to begin with.

Soon the engineers turned the program over to Kris Willardson, the company’s accessories maven. Willardson had set up a makeshift display on top of a cabinet and, now and again, had been interjecting to show me whichever of her pillows or sheets dovetailed on the subject at hand. “What we also did,” she now said, “was build Outlast into a pillow protector.” I didn’t know what that was. “Pillow protectors are used on top of your pillow but under your pillow case,” she explained, holding one up. There were phase-changing microcapsules in there as well.

Too many sleepers flip their pillows all night long, looking for the cool side, only to heat it up again, Willardson said. “To the extent that it disturbs your sleep, that is one less thing you’ll be doing. So complementary products keep reinforcing those messages.”

The message, I suppose, behind so many of the mattress industry’s claims is that all of a bed’s high-tech features should combine to create nothing at all — a space free of any impediments to sleep whatsoever. Even the message of the Sleep Number Bed itself, with its two independently inflatable halves, was that your sleep should not be compromised by the adversarial preferences for firmness of the person you love. Now the mattress would shield you from your own body heat, free you from rolling over and end the Sisyphean cycle of flipping and reflipping your sizzling pillow. The industry was clearing the decks for that big, long nothingness to take hold.

Even the most comfortable mattress can only create a place for sleep, not manufacture it directly. But a sleeping pill puts us down — and under circumstances when we’re unable to do it ourselves. Bils told me: “The sleeping pill is an easy path. It promotes sleep over all the rules you break.” In trying to deride his competition, he spelled out its greatest advantage.

Pharmaceutical companies realize they are selling a reassuring guarantee. “Does your restless mind keep you from sleeping?” asks one Lunesta commercial, while the green moth floats in front of a tossing man. Suddenly, like a hypnotist’s watch, it dispatches him into a deep slumber and flies on to lull even the stern, stone visages of Mount Rushmore to sleep. A couple in a commercial for Ambien CR, meanwhile, lie absolutely motionless all night until the darkness around them fades to daylight.

Last year the industry spent more than $600 million on advertising, helping the newest generation of pills, the so-called “Z drugs,” destigmatize sleeping-pill use. The nation’s most popular, Ambien and its extended-release counterpart Ambien CR, accounted for 60 percent of all sleep-aid prescriptions last year according to IMS Health, for $2.8 billion in sales. Surely great numbers of Americans are experiencing the kind of satisfying knockouts depicted in the commercials.

Yet, as a very infrequent but contented user of both Lunesta and Ambien myself, I was startled to read efficacy trials for those drugs submitted to the F.D.A. In one six-week trial, for example, people taking Ambien every night fell asleep, on average, only 23 minutes faster than those taking the placebo. They spent 88 percent of their time in bed asleep, as opposed to 82 percent. Given that their objectively measured improvements are frequently this meager, why do sleeping pills create incommensurate feelings of having slept so well?

A popular theory is that one of the pill’s side-effects is actually contributing to their success. Most sleeping pills are known to block the formation of memories during their use, creating amnesia. This is why people who endure freaky side-effects — so-called “complex sleep-related behaviors” like getting into a car and driving or ravenously eating, all while asleep — don’t remember those events. Yet this amnesia could be quite beneficial, suggests Michael Bonnet, a professor of neurology at Wright State University Boonshoft School of Medicine in Dayton, Ohio. “How do you know you slept last night?” Bonnet asked me. A night of lousy, interrupted sleep, he points out, is easy to remember. “It’s full of memories, noise and pain, and heat and rolling around and obtrusive thoughts and worries — all of these various stimuli.” And we may continue to register such things even while asleep, making sleep vaguely unrefreshing. But a good night of sleep, Bonnet went on to say, “is always the antithesis to all those things, which is oblivion.” A sleeping pill, Bonnet speculates, in addition to encouraging sleep chemically in the brain, also “erases all of these thoughts that we use to define ourselves as being awake. The pill knocks them all out, and the patient says, ‘Hey, I must have been asleep because I don’t remember anything.’ ”

Drug-company representatives and consultants I spoke to confirm that their pills can create this mild form of amnesia but disagree that it contributes any significant benefit. “That is not my understanding of how Ambien works,” Dario Mirski, a psychiatrist and spokesman for Ambien’s manufacturer, Sanofi-Aventis, told me. It is difficult to find a clinical trial in which Z-drug takers drastically overestimated how long they slept.

Andrew Krystal, a Duke University psychiatrist and consultant to pharmaceutical companies like Sepracor, Lunesta’s manufacturer, acknowledges an apparent discrepancy in studies between small, objectively recorded improvements and the large percentage of subjects who end up feeling that a pill alleviated their insomnia. But because insomnia is complaint-based, he explained to me, an insomniac is cured when he stops complaining. Who’s to say how many more minutes of sleep or fewer awakenings during the night it should take to relieve each individual’s highly subjective dissatisfaction? Many insomniacs don’t show impaired sleep by any objective measure to begin with — but presumably they benefit from sleeping pills, too. So, Krystal asked, what would you expect to see improve? (A 1990 study presents a jarring example: it focused on a group of insomniacs who, when woken up, swore they hadn’t been sleeping. But if given a sleeping pill first, then woken up, they knew they’d been asleep.) He added, “I’m not a person who shares the view that the reason the drugs work is because they’re amnestic.”

Another prevalent theory is that sleeping pills produce a beneficial physiological effect that clinicians don’t realize they should be measuring. The standard battery of brain-wave and other measurements used in sleep labs provide only a “limited picture,” Krystal said. Nevertheless, several researchers suggested why the amnesia factor isn’t likely to be explained to patients, even as a theory. We tend to see sleep problems as physiological. A treatment that works, even in part, by altering our perception of that problem would seem like “more of a fake,” says Charles Morin, director of the Sleep Research Center at Laval University in Quebec City. Imagine, Morin said, if doctors told their patients: “You keep waking up at night but you just don’t remember it.”

Sleep doctors have criticized sleeping-pill ads for setting up an unattainable expectation of how blissful and easy sleep should be. But the mattress industry operates under that expectation, too, trying vigorously to build a state-of-the-art, NASA-engineered arena on which that idealized, paralytic oblivion can occur. But how did we come to need so much help sleeping in the first place, and how did we come to want, much less expect, the sleep these people are selling?

The story of our ruined sleep, in virtually every telling I’ve heard, begins with Thomas Edison: electric light destroyed the sanctity of night. Given more to do and more opportunity to do it, we gave sleep shorter and shorter shrift. But the sleep that we’re now trying to reclaim may never have been ours to begin with. “It’s a myth,” A. Roger Ekirch, a professor of history at Virginia Tech, told me. “And it’s a myth that even some sleep experts today have bought into.”

Ekirch’s 2005 book, “At Day’s Close,” described just how frenetic night in preindustrial times was. People slept, or tried to, in poorly insulated buildings that let in the weather and noise. Livestock huffed and mewled and stank just outside — if not inside. Generally, you slept beside a chamber pot of your own excrement, staggering across the room every few hours to keep your fire alive. With physical health comparatively poor, night was when people simmered most acutely in their discomfort. In 1750, one writer described London between the hours of 1 a.m. and 2 a.m. as a ghastly encampment of “sick and lame people meditating and languishing on their several disorders, and praying for daylight.”

Because there was inadequate bedding, if there were beds at all, three family members and the odd houseguest might sleep on a single mattress — sharing in all the usual annoyances of tossing, blanket-hogging and snoring. Beds were not always, or even often, seen as having much impact on sleep. Another book, “Warm and Snug: The History of the Bed,” by a scholar named Lawrence Wright, suggests that they were valued primarily as furniture, settings for public rituals around birth, death and courtship. Beds did raise you up off the floor, away from the bugs and vermin, and kept you warm. But warmer bedding also created a new vector for mites. And when comfort was a consideration, preferences were just as idiosyncratic as today. Mattresses were stuffed with hair, moss, feathers, wood shavings, seaweed or straw. Louis XI had an uncannily Sleep Number-esque mattress, filled with air and inflated to his liking with a royal bellows.

More surprising still, Ekirch reports that for many centuries, and perhaps back to Homer, Western society slept in two shifts. People went to sleep, got up in the middle of the night for an hour or so, and then went to sleep again. Thus night — divided into a “first sleep” and “second sleep” — also included a curious intermission. “There was an extraordinary level of activity,” Ekirch told me. People got up and tended to their animals or did housekeeping. Others had sex or just lay in bed thinking, smoking a pipe, or gossiping with bedfellows. Benjamin Franklin took “cold-air baths,” reading naked in a chair.

Our conception of sleep as an unbroken block is so innate that it can seem inconceivable that people only two centuries ago should have experienced it so differently. Yet in an experiment at the National Institutes of Health a decade ago, men kept on a schedule of 10 hours of light and 14 hours of darkness — mimicking the duration of day and night during winter — fell into the same, segmented pattern. They began sleeping in two distinct, roughly four-hour stretches, with one to three hours of somnolence — just calmly lying there — in between. Some sleep disorders, namely waking up in the middle of the night and not being able to fall asleep again, “may simply be this traditional pattern, this normal pattern, reasserting itself,” Ekirch told me. “It’s the seamless sleep that we aspire to that’s the anomaly, the creation of the modern world.”

In fact, many contemporary, nonindustrialized cultures contentedly pass portions of the night in the same state of somnolence, says Carol Worthman, an anthropologist at Emory University who is one of the first to look at how other societies sleep. Sleep and wakefulness are rarely seen as an either/or, but rather as two ends of a wide spectrum, and people are far more at peace with the fluidity in between. Among the Efe in Zaire, and the !Kung in Botswana, for example, someone who wakes up in the middle of the night and cannot sleep “may begin to hum, or go out and play the thumb piano,” Worthman and a colleague have written. Others might wake up and join in. “Music or even a dance may get going.”

Worthman says, “In our culture, quality sleep is going into a dark room that is totally quiet, lying down, falling asleep, doing that for eight hours, and then getting up again.” She calls it the “lie down and die” model. “But that is not how much of the world has slept in the past or even sleeps today.” In some cultures sleep is more social, with crowds crammed together on little or no bedding, limbs entangled, while a steady traffic comes and goes. And while it all sounds unbearable, Worthman notes that science has never looked empirically at whether our more sophisticated arrangements actually benefit us. For children, learning to sleep amid all that stimulation may actually have developmental advantages.

Still, we can’t afford the same equanimity about not sleeping through the night as the Efe and !Kung; the flipside is that men and women in those cultures are content to pull a cloth over their faces and doze off during the day if necessary. Our peculiar preference for one well-organized hunk of sleep likely evolved as a corollary to our expectation of uninterrupted wakefulness during the day — as our lives came to be governed by a single, stringent clock. Eluned Summers-Bremner, author of the forthcoming “Insomnia: A Cultural History,” explains that in the 18th century, “we start overvaluing our waking time, and come to see our sleeping time only as a way to support our waking time.” Consequently, we begin trying to streamline sleep, to get it done more economically: “We should lie down and go out right away so we can get up and get to the day right away.” She describes insomniacs as having a ruthless ambition to do just this, wanting to administer sleep as an efficiency expert normalizes the action in a factory. Certainly all of us, after a protracted failure to fall asleep for whatever reason, have turned solemnly to our alarm clocks and performed that desperate arithmetic: If I fall asleep right now, I can still get four hours.

Nevertheless, while it may be at odds with our history and even our biology, lie-down-and-die is the only practical model for our lifestyle. Unless we overhaul society to tolerate all schedules and degrees of sleepiness and attentiveness, we are stuck with that ideal. Perhaps the real problem is that we still haven’t come to terms with the unavoidable imperfection of this state of affairs.

Electric light didn’t obliterate nighttime so much as reinvent it. Our power to toggle between light and dark encouraged us to see night as an empty antithesis to day — an unbroken nothing-time that begins the instant we flip off the switch. And this significantly reshaped and rigidified our expectations of how we ought to be spending it. All of this leaves us — regardless of the circumstances or how poor our sleep hygiene is — insisting that we go out, and stay out, like a light.

Our expectation of perfect sleep may not always be biologically feasible. But it is indisputably reasonable, and thus a failure to fulfill it can be maddening. Difficulty sleeping, it turns out, is often inseparable from and heightened by anxiety about sleep itself.

Charles Morin, the Laval University psychologist, told me that it’s not uncommon to discover that a particularly implacable case of insomnia snowballed out of a single stretch of poor sleep — even one with a clear, unavoidable cause, like stress over a new job. While most people eventually shrug off their trouble, the insomniac “forgets what brought about the sleeping problem in the first place,” Morin said. “They worry about not sleeping and how it will impact their daytime functioning, and they start to do things that make sleep more difficult.”

They take naps, throwing their schedule out of whack. Or they become too determined — Morin described patients taking a bath or getting into their pajamas at 7 o’clock, “just to get ready” — and that anticipation turns into performance anxiety. Lying there, they may monitor their progress too vigilantly or worry about the ramifications the next day of not falling asleep right away. This can produce a physiological reaction. Body temperature and blood pressure rise. Metabolism speeds up. Heart rate and brain waves quicken. In other words, the body can respond to the threat of not getting a good night’s sleep the same way it does to most threats: by becoming hyperaroused. “It’s a vicious cycle,” Morin said.

Those who get snared in it may share an unknown, physiological predisposition to insomnia. But whatever its cause, this feedback loop of agony, effort and failure plays out like an escalation of the kind of self-sabotage we’ve all probably experienced when we felt pressure to sleep well and be sharp the next day. “Most of the beliefs these people develop and strategies they employ are very logical and sensible,” Jack Edinger, a psychologist at Duke University and the V.A. Medical Center in Durham, North Carolina, told me. But “unlike most things in life where, the harder you try, the better you do, with sleep the harder you try the worse you do.”

Edinger and Morin have been influential in the use of cognitive behavioral therapy, or C.B.T., to treat chronic insomnia. Studies have arguably shown it to be the most successful treatment for the problem and an astonishingly effective method of weaning insomniacs from sleeping pills — even those who have taken them every night for decades. C.B.T. Therapists work to establish good sleep habits but also to rewrite an insomniac’s unhelpful beliefs about sleep. One of the most typical and debilitating ones, Morin explained, is “that eight hours of solid, uninterrupted sleep is a must every night — and otherwise, without it, you can’t function during the day.” Fixating on that as a requirement only undoes a person. Besides, Morin added, a universal need for eight hours is simply “untrue.”

This is exactly the kind of admission other sleep experts I spoke with seemed not to want to make. They may worry that they’ll cause people to take sleep even less seriously than they already do. But C.B.T. seems to succeed by stripping away a crippling sense of urgency with respect to sleep. How powerless one feels over the quality of his sleep; how realistic his expectations; and whether he exaggerates the consequences of sleeping poorly — these have all been shown to correlate with the severity of an insomniac’s complaints. Morin has developed a scale to measure these beliefs. In a study utilizing this scale and led by Edinger, a person’s score emerged, with other measures of anxiety and mood, as a better predictor of his satisfaction with a night’s sleep than objective measures made in the lab — including how long he slept and how quickly he fell asleep. In fact, these objective measures didn’t seem to correlate to people’s sense of how well they slept at all.

Because sleep deprivation may exact a host of severe tolls on the body over time — which is to say nothing of exhaustion-related car accidents and other dangers — Edinger warns that there are people with appallingly disturbed sleep who “roll with the punches a little better and don’t seem to mind or complain — but maybe they should.” Still, C.B.T. suggests that, in certain cases, creating a purely subjective satisfaction with your sleep can have actual value, even if the sleep itself hasn’t yet objectively improved. While undermining the appeal of sleeping pills by positing the self-evident seeming role of amnesia, Morin noted that C.B.T. tries to foster a kind of amnesia, too. “After a poor night of sleep we’re asking people to forget about it and go about their business as usual,” he says. “Because if you wake up and think, Wow, what a terrible night of sleep, I’m going to have a lousy day, you’re setting yourself up for failure.”

This is not to say that a person who is more tolerant and less threatened by sleep’s inherent imperfections will suddenly get eight uninterrupted hours. But he might be less likely to start down that long, miserable road of perfectly sensible but damaging efforts to control sleep. And that could trigger a quantifiable improvement. If he establishes good habits and puts sufficient faith in his body to get the job done, he might stop trying, stop scrutinizing his progress and thereby stop perpetuating his own hyperarousal. He’d just lie there and wait. “The placebo effect may actually not just be a placebo,” Morin said. “It may produce a physiological predisposition to better sleeping.”

With that in mind, I decided to go see some more mattresses.

Twice a year, at the Las Vegas Market, furniture and mattress manufacturers fill 3.8 million square feet of showrooms in two titanic towers so that 50,000 retailers from around the world can see their wares. The mattress people I met there in August were affable, relaxed and, as always, frank about their industry’s challenges. At a seminar on creating “SleepSperiences” at the retail level, the speaker kicked things off by asking the room full of mattress salespeople what they thought shoppers most often compare them to. Everyone groaned, “Used-car salesman” at once, except the woman seated in front of me. She said, “Like going to the dentist.”

Pete Bils did not attend. He was getting ready to introduce the Sleep Number 9000 at a media event in New York, an upbeat counterpunch to the company’s recent announcement that same-store sales and net earnings had dropped in the previous quarter. There was significant buzz about Tempur-Pedic, though, specifically its new television commercials. The spots, which explained the beds’ even pressure distribution over montages of all things tranquil — tide pools, redwoods, yoga — were emerging as early masterworks of the new, selling-better-sleep genre. They ended with an invitation to “learn more about our science and experience our soul.” “I mean, what an awesome combination of words,” Furniture Today’s David Perry told me.

When I visited Serta’s Las Vegas showroom, an executive named Andrew Gross was eager to show me that a traditional innerspring company like his was just as capable of selling better sleep. Right off the bat, he pointed me to the Serta Perfect Day mattress, noting its emphasis on the mattress as a facilitator of perfect days. Eventually, he led me to an all-foam bed conceived with the participation of the clothing designer Vera Wang and sold under the Vera Wang by Serta label. Gross reached down and picked an almost invisible black speck of something off the top of the bed, then began describing its specifications. In conclusion, he told me that, like all of Serta’s products, this particular mattress was designed to “relieve stress.” I asked him how it did that. We stood there for a second, side by side. Then he said, “Well, it’s a combination of the sleep surface materials and the peace of mind that comes from it being a Vera Wang.”

I looked around the showroom. A man painted white, wearing a toga, stood on a podium, changing statuesque positions every few minutes. In the corner, a harpist played “Desperado.” I began to wonder if much of the hyperrational mattress talk I’d been hearing also provided this kind of emotional, Vera Wang benefit. The hard-to-follow, layer-by-layer tours of each bed’s many patented technologies; the scientific studies and pressure maps; the frequent invocations of NASA engineers; and even the outsize, sleep-obsessed persona of Pete Bils, senior director of sleep innovation and clinical research, himself — they reassure us that a mattress maker is serious and capable; that, given how precarious a thing we’ve turned sleep into, their bed will give us the best shot of succeeding when we climb into it. Even our relationship with the mattress, then, appears muddled up in the same mysterious space between a subjectively good night’s sleep and an objectively good one — how we feel and whether or not we can prove it. And whether the industry realizes it or not, its fledgling campaign to sell better sleep is grappling with the question of which is actually more important to us and which we’re willing to pay for.

If ramping up messages about sleep science and technology while bombarding us with medical incentives helps sell more beds, it will be because it speaks to our view that better sleep is primarily a requirement for better wakefulness — that we “sleep to succeed,” as a recent industry-financed release puts it. (This same report notes that “sleep deprivation currently costs U.S. businesses nearly $150 billion annually in absenteeism and lost productivity.”) And yet it’s this very view — that sleep is a bothersome means to an end, like eating enough Omega-3’s — that problematized sleep in the first place. It encouraged us to power through sleep as efficiently as possible or look for shortcuts.

We all might be better off if the industry sold sleep as something to be savored for its own sake, if it just sold sanctuaries and not sanctuaries that are also clinically proven “sleep systems.” That might help us shed an anxiety about sleeping correctly for a more tolerant love of sleeping well, in whatever form sleeping well might take. Oddly, in some cases, that may be the most efficient way of getting empirical results anyway. That is, the industry may only be able to truly offer the kind of life-changing mattresses it sometimes claims to if it fixes the people sleeping in them first.

But that may be just too big a job. When I carried on about this to David Perry in Las Vegas, he told me that enjoying sleep is wonderful but it, by itself, is a hopeless way to move mattresses given how results-oriented the American consumer is. “Remember,” he said, “the key benefit is what happens the next morning.” To make sure I understood, he tossed off a few slogans in the direction he thought the business ought to be heading: “Sleep better, lose weight.” “Sleep better and live longer.” “Sleep better and be more productive the next day.”

Ultimately the Las Vegas Market wore me out. Everywhere I went people were selling me mattresses — if not a particular mattress, then the mystique of mattresses in general. I left exhausted, making my way down the tower’s endless segments of escalators. When I got halfway, I started to find, on each of the landings, a man strumming a ukulele and a woman in a grass skirt and coconut bikini, hula dancing.

The “Polynesian Dreams” luau was getting under way. Below, in the atrium, the staff was rolling thatched-roofed tiki bars into place and stocking them with ice and mugs with totemic faces painted on them. A massive sea horse rose from an hors d’oeuvres table. The same salesmen I’d been seeing around the showrooms turned up wearing leis, loosening up for what looked like a late night. I caught a shuttle back to my hotel, set two alarms for seven the next morning and eventually drifted off watching “Knocked Up” on pay-per-view. As far as I know, I slept well enough.

Jon Mooallem, a contributing writer, last wrote for the magazine about bottled water and efforts to update bottle bills in certain states.

 
The New York Times

November 18, 2007
In Korea, a Boot Camp Cure for Web Obsession
By MARTIN FACKLER

MOKCHEON, South Korea — The compound — part boot camp, part rehab center — resembles programs around the world for troubled youths. Drill instructors drive young men through military-style obstacle courses, counselors lead group sessions, and there are even therapeutic workshops on pottery and drumming.

But these young people are not battling alcohol or drugs. Rather, they have severe cases of what many in this country believe is a new and potentially deadly addiction: cyberspace.

They come here, to the Jump Up Internet Rescue School, the first camp of its kind in South Korea and possibly the world, to be cured.

South Korea boasts of being the most wired nation on earth. In fact, perhaps no other country has so fully embraced the Internet. Ninety percent of homes connect to cheap, high-speed broadband, online gaming is a professional sport, and social life for the young revolves around the “PC bang,” dim Internet parlors that sit on practically every street corner.

But such ready access to the Web has come at a price as legions of obsessed users find that they cannot tear themselves away from their computer screens.

Compulsive Internet use has been identified as a mental health issue in other countries, including the United States. However, it may be a particularly acute problem in South Korea because of the country’s nearly universal Internet access.

It has become a national issue here in recent years, as users started dropping dead from exhaustion after playing online games for days on end. A growing number of students have skipped school to stay online, shockingly self-destructive behavior in this intensely competitive society.

Up to 30 percent of South Koreans under 18, or about 2.4 million people, are at risk of Internet addiction, said Ahn Dong-hyun, a child psychiatrist at Hanyang University in Seoul who just completed a three-year government-financed survey of the problem.

They spend at least two hours a day online, usually playing games or chatting. Of those, up to a quarter million probably show signs of actual addiction, like an inability to stop themselves from using computers, rising levels of tolerance that drive them to seek ever longer sessions online, and withdrawal symptoms like anger and craving when prevented from logging on.

To address the problem, the government has built a network of 140 Internet-addiction counseling centers, in addition to treatment programs at almost 100 hospitals and, most recently, the Internet Rescue camp, which started this summer. Researchers have developed a checklist for diagnosing the addiction and determining its severity, the K-Scale. (The K is for Korea.)

In September, South Korea held the first international symposium on Internet addiction.

“Korea has been most aggressive in embracing the Internet,” said Koh Young-sam, head of the government-run Internet Addiction Counseling Center. “Now we have to lead in dealing with its consequences.”

Though some health experts here and abroad question whether overuse of the Internet or computers in general is an addiction in the strict medical sense, many agree that obsessive computer use has become a growing problem in many countries.

Doctors in China and Taiwan have begun reporting similar disorders in their youth. In the United States, Dr. Jerald J. Block, a psychiatrist at Oregon Health and Science University, estimates that up to nine million Americans may be at risk for the disorder, which he calls pathological computer use. Only a handful of clinics in the United States specialize in treating it, he said.

“Korea is on the leading edge,” Dr. Block said. “They are ahead in defining and researching the problem, and recognize as a society that they have a major issue.”

The rescue camp, in a forested area about an hour south of Seoul, was created to treat the most severe cases. This year, the camp held its first two 12-day sessions, with 16 to 18 male participants each time. (South Korean researchers say an overwhelming majority of compulsive computer users are male.)

The camp is entirely paid for by the government, making it tuition-free. While it is too early to know whether the camp can wean youths from the Internet, it has been receiving four to five applications for each spot. To meet demand, camp administrators say they will double the number of sessions next year.

During a session, participants live at the camp, where they are denied computer use and allowed only one hour of cellphone calls a day, to prevent them from playing online games via the phone. They also follow a rigorous regimen of physical exercise and group activities, like horseback riding, aimed at building emotional connections to the real world and weakening those with the virtual one.

“It is most important to provide them experience of a lifestyle without the Internet,” said Lee Yun-hee, a counselor. “Young Koreans don’t know what this is like.”

Initially, the camp had problems with participants sneaking away to go online, even during a 10-minute break before lunch, Ms. Lee said. Now, the campers are under constant surveillance, including while asleep, and are kept busy with chores, like washing their clothes and cleaning their rooms.

One participant, Lee Chang-hoon, 15, began using the computer to pass the time while his parents were working and he was home alone. He said he quickly came to prefer the virtual world, where he seemed to enjoy more success and popularity than in the real one.

He spent 17 hours a day online, mostly looking at Japanese comics and playing a combat role-playing game called Sudden Attack. He played all night, and skipped school two or three times a week to catch up on sleep.

When his parents told him he had to go to school, he reacted violently. Desperate, his mother, Kim Soon-yeol, sent him to the camp.

“He didn’t seem to be able to control himself,” said Mrs. Kim, a hairdresser. “He used to be so passionate about his favorite subjects” at school. “Now, he gives up easily and gets even more absorbed in his games.”

Her son was reluctant at first to give up his pastime.

“I don’t have a problem,” Chang-hoon said in an interview three days after starting the camp. “Seventeen hours a day online is fine.” But later that day, he seemed to start changing his mind, if only slightly.

As a drill instructor barked orders, Chang-hoon and 17 other boys marched through a cold autumn rain to the obstacle course. Wet and shivering, Chang-hoon began climbing the first obstacle, a telephone pole with small metal rungs. At the top, he slowly stood up, legs quaking, arms outstretched for balance. Below, the other boys held a safety rope attached to a harness on his chest.

“Do you have anything to tell your mother?” the drill instructor shouted from below.

“No!” he yelled back.

“Tell your mother you love her!” ordered the instructor.

“I love you, my parents!” he replied.

“Then jump!” ordered the instructor. Chang-hoon squatted and leapt to a nearby trapeze, catching it in his hands.

“Fighting!” yelled the other boys, using the English word that in South Korea means the rough equivalent of “Don’t give up!”

After Chang-hoon descended, he said, “That was better than games!”

Was it thrilling enough to wean him from the Internet?

“I’m not thinking about games now, so maybe this will help,” he replied. “From now on, maybe I’ll just spend five hours a day online.”

Thursday, November 08, 2007

 
The New York Times

November 8, 2007
Op-Ed Contributor
Exercise on the Brain
By SANDRA AAMODT and SAM WANG

FEELING a little less mentally quick than you did a few years ago? Maybe you are among the many people who do “brain exercises” like sudoku to slow the cognitive decline associated with aging. We’ve got a better suggestion.

Computer programs to improve brain performance are a booming business. In the United States, consumers are expected to spend $80 million this year on brain exercise products, up from $2 million in 2005. Advertising for these products often emphasizes the claim that they are designed by scientists or based on scientific research. To be charitable, we might call them inspired by science — not to be confused with actually proven by science.

Environmental enrichment does improve mental function in laboratory animals. Rodents and monkeys that get playmates or toys learn to complete a variety of tasks more easily, at all ages. They also have larger brains, larger brain cells and more synaptic connections than animals raised alone in standard cages. But here’s the rub: standard laboratory environments are tremendously boring. Lab animals rarely need to search for food or avoid predators. In contrast, most of us get plenty of everydaystimulation in activities like finding a new address, socializing with friends or navigating the treacherous currents of office politics. Animal enrichment research may be telling us something important not about the positive effects of stimulation, but about reversing the negative effects of deprivation.

Another line of evidence cited by marketers comes from studies of elderly people who improve certain skills by practicing a challenging computer-based task. Although most programs work to some extent, the gains tend to be specific to the trained task.

That is, practice can certainly make people better at sudoku puzzles or help them remember lists more accurately. The improvement can even last for years. Similarly, people tend to retain skills and knowledge they learned thoroughly when they were younger. Unless the activities span a broad spectrum of abilities, though, there seems to be no benefit to general mental fitness.

For people whose work is unstimulating, having mentally challenging hobbies, like learning a new language or playing bridge, can help maintain cognitive performance. But the belief that any single brain exercise program late in life can act as a quick fix for general mental function is almost entirely faith-based.

One form of training, however, has been shown to maintain and improve brain health — physical exercise. In humans, exercise improves what scientists call “executive function,” the set of abilities that allows you to select behavior that’s appropriate to the situation, inhibit inappropriate behavior and focus on the job at hand in spite of distractions. Executive function includes basic functions like processing speed, response speed and working memory, the type used to remember a house number while walking from the car to a party.

Executive function starts to decline when people reach their 70s. But elderly people who have been athletic all their lives have much better executive function than sedentary people of the same age. This relationship might occur because people who are healthier tend to be more active, but that’s not the whole story. When inactive people get more exercise, even starting in their 70s, their executive function improves, as shown in a recent meta-analysis of 18 studies. One effective training program involves just 30 to 60 minutes of fast walking several times a week.

Exercise is also strongly associated with a reduced risk of dementia late in life. People who exercise regularly in middle age are one-third as likely to get Alzheimer’s disease in their 70s as those who did not exercise. Even people who begin exercising in their 60s have their risk reduced by half.

How might exercise help the brain? In people, fitness training slows the age-related shrinkage of the frontal cortex, which is important for executive function. In rodents, exercise increases the number of capillaries in the brain, which should improve blood flow, and therefore the availability of energy, to neurons. Exercise may also help the brain by improving cardiovascular health, preventing heart attacks and strokes that can cause brain damage. Finally, exercise causes the release of growth factors, proteins that increase the number of connections between neurons, and the birth of neurons in the hippocampus, a brain region important for memory. Any of these effects might improve cognitive performance, though it’s not known which ones are most important.

So instead of spending money on computer games or puzzles to improve your brain’s health, invest in a gym membership. Or just turn off the computer and go for a brisk walk.

Sandra Aamodt is the editor in chief of Nature Neuroscience. Sam Wang is an associate professor of molecular biology and neuroscience at Princeton. They are the authors of the forthcoming “Welcome to Your Brain: Why You Lose Your Car Keys but Never Forget How to Drive and Other Puzzles of Everyday Life.”

Tuesday, November 06, 2007

 
November 5, 2007, 3:54 pm
Curing Insomnia Without the Pills
Dreaming of better sleep? (Rahav Segev/The New York Times)Dreaming of better sleep? (Rahav Segev/The New York Times)

Better sleep doesn’t have to come in a pill.

For people with chronic insomnia, studies show that simple behavioral and psychological treatments work just as well, and sometimes better, than popular medications, according to a report in The Journal of Family Practice.

The medical journal Sleep last year reported on five high-quality trials that showed cognitive behavioral therapy helped people suffering from insomnia fall asleep sooner and stay asleep longer. Another American Journal of Psychiatry analysis of 21 studies showed that behavioral treatment helped people fall asleep nearly nine minutes sooner than sleep drugs. In other measures, sleep therapy worked just as well as drugs, but without any side effects.

The behavioral strategies for better sleep are deceptively simple, and that’s one reason why many people don’t believe they can make a difference. One of the most effective methods is stimulus control. This means not watching television, eating or reading in bed. Don’t go to bed until you are sleepy. Get up at the same time every day, and don’t nap during the day. If you are unable to sleep, get out of bed after 15 minutes and do something relaxing, but avoid stimulating activity and thoughts.

So-called sleep hygiene is also part of sleep therapy. This includes regular exercise, adding light-proof blinds to your bedroom to keep it dark and making sure the bed and room temperatures are comfortable. Eat regular meals, don’t go to bed hungry and limit beverages, particularly alcohol and caffeinated drinks, around bedtime.

Finally, don’t try too hard to fall asleep, and turn the clock around so you can’t see it. Watching time pass is one of the worst things to do when you’re trying to fall asleep.

It may be hard to believe, but studies show these simple steps really do make a meaningful difference for people with sleep problems. These interventions are based on the notion that thoughts and behaviors can “hyper-arouse” the central nervous system and deregulate sleep cycles, resulting in chronic insomnia, reports Family Practice.

If these steps don’t work, talk to your doctor about a referral to a sleep therapist, who can also teach you additional relaxation techniques to help bring on sleep. Sometimes, a therapist might work with you to reset your sleep-wake schedule, a more involved process whereby patients adjust their bedtime each night over the course of a few weeks.

Thursday, November 01, 2007

 
The New York Times

November 1, 2007
Life’s Work
The Feminine Critique
By LISA BELKIN

DON’T get angry. But do take charge. Be nice. But not too nice. Speak up. But don’t seem like you talk too much. Never, ever dress sexy. Make sure to inspire your colleagues — unless you work in Norway, in which case, focus on delegating instead.

Writing about life and work means receiving a steady stream of research on how women in the workplace are viewed differently from men. These are academic and professional studies, not whimsical online polls, and each time I read one I feel deflated. What are women supposed to do with this information? Transform overnight? And if so, into what? How are we supposed to be assertive, but not, at the same time?

“It’s enough to make you dizzy,” said Ilene H. Lang, the president of Catalyst, an organization that studies women in the workplace. “Women are dizzy, men are dizzy, and we still don’t have a simple straightforward answer as to why there just aren’t enough women in positions of leadership.”

Catalyst’s research is often an exploration of why, 30 years after women entered the work force in large numbers, the default mental image of a leader is still male. Most recent is the report titled “Damned if You Do, Doomed if You Don’t,” which surveyed 1,231 senior executives from the United States and Europe. It found that women who act in ways that are consistent with gender stereotypes — defined as focusing “on work relationships” and expressing “concern for other people’s perspectives” — are considered less competent. But if they act in ways that are seen as more “male” — like “act assertively, focus on work task, display ambition” — they are seen as “too tough” and “unfeminine.”

Women can’t win.

In 2006, Catalyst looked at stereotypes across cultures (surveying 935 alumni of the International Institute for Management Development in Switzerland) and found that while the view of an ideal leader varied from place to place — in some regions the ideal leader was a team builder, in others the most valued skill was problem-solving. But whatever was most valued, women were seen as lacking it.

Respondents in the United States and England, for instance, listed “inspiring others” as a most important leadership quality, and then rated women as less adept at this than men. In Nordic countries, women were seen as perfectly inspirational, but it was “delegating” that was of higher value there, and women were not seen as good delegators.

Other researchers have reached similar conclusions. Joan Williams runs the Center for WorkLife Law, part of the University of California Hastings College of the Law in San Francisco. She wrote the book “Unbending Gender” and she, too, has found that women are held to a different standard at work.

They are expected to be nurturing, but seen as ineffective if they are too feminine, she said in a speech last week at Cornell. They are expected to be strong, but tend to be labeled as strident or abrasive when acting as leaders. “Women have to choose between being liked but not respected, or respected but not liked,” she said.

While some researchers, like those at Catalyst and WorkLife Law, tend to paint the sweeping global picture — women don’t advance as much as men because they don’t act like men — other researchers narrow their focus.

Victoria Brescoll, a researcher at Yale, made headlines this August with her findings that while men gain stature and clout by expressing anger, women who express it are seen as being out of control, and lose stature. Study participants were shown videos of a job interview, after which they were asked to rate the applicant and choose their salary. The videos were identical but for two variables — in some the applicants were male and others female, and the applicant expressed either anger or sadness about having lost an account after a colleague arrived late to an important meeting.

The participants were most impressed with the angry man, followed by the sad woman, then the sad man, and finally, at the bottom of the list, the angry woman. The average salary assigned to the angry man was nearly $38,000 while the angry woman received an average of only $23,000.

When the scenario was tweaked and the applicant went on to expand upon his or her anger — explaining that the co-worker had lied and said he had directions to the meeting — participants were somewhat forgiving, giving women who explained their anger more money than those who had no excuse (but still less money than comparative men).

Also this summer, Linda C. Babcock, an economics professor at Carnegie Mellon University, looked at gender and salary in a novel way. She recruited volunteers to play Boggle and told them beforehand that they would receive $2 to $10 for their time. When it came time for payment, each participant was given $3 and asked if that was enough.

Men asked for more money at eight times the rate of women. In a second round of testing, where participants were told directly that the sum was negotiable, 50 percent of women asked for more money, but that still did not compare with 83 percent of men. It would follow, Professor Babcock concluded, that women are equally poor at negotiating their salaries and raises.

There are practical nuggets of advice in all this data. Don’t be shy about negotiating. If you blow your stack, explain (or try). “Some of what we are learning is directly helpful, and tells women that they are acting in ways they might not even be aware of, and that is harming them and they can change,” said Peter Glick, a psychology professor at Lawrence University in Appleton, Wis.

He is the author of one such study, in which he showed respondents a video of a woman wearing a sexy low-cut blouse with a tight skirt or a skirt and blouse that were conservatively cut. The woman recited the same lines in both, and the viewer was either told she was a secretary or an executive. Being more provocatively dressed had no effect on the perceived competence of the secretary, but it lowered the perceived competence of the executive dramatically. (Sexy men don’t have that disconnect, Professor Glick said. While they might lose respect for wearing tight pants and unbuttoned shirts to the office, the attributes considered most sexy in men — power, status, salary — are in keeping with an executive image at work.)

But Professor Glick also concedes that much of this data — like his 2000 study showing that women were penalized more than men when not perceived as being nice or having social skills — gives women absolutely no way to “fight back.” “Most of what we learn shows that the problem is with the perception, not with the woman,” he said, “and that it is not the problem of an individual, it’s a problem of a corporation.”

Ms. Lang, at Catalyst, agreed. This accumulation of data will be of value only when companies act on it, she said, noting that some are already making changes. At Goldman Sachs, she said, the policy on performance reviews now tries to eliminate bias. A red flag is expected to go up if a woman is described as “having sharp elbows or being brusque,” she said. “The statement should not just stand,” she said. “Examples should be asked for, the context should be considered, would the same actions be cause for comment if it was a man?”

In fact, Catalyst’s next large project is to advise companies on ways they can combat stereotypical bias. And Professor Glick has some upcoming projects, too. One looks at whether women do better in sales if they show more cleavage. A second will look at the flip side of gender stereotypes at work: hostility toward men.

E-mail: Belkin@nytimes.com

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