health and wellness
Mixed emotions – neuroscience is exploring how your brain lets you experience two opposite feelings at once
The article explores the concept of mixed emotions, particularly in meaningful life transitions like a child’s first day at college. It discusses scientific research on how mixed emotions are represented in the brain, highlighting that certain brain regions can process complex states allowing simultaneous positive and negative feelings.

Anthony Gianni Vaccaro, USC Dornsife College of Letters, Arts and Sciences
Countless parents across the country recently dropped their kids off at college for the first time. This transition can stir a whirlwind of feelings: the heartache of parting, sadness over a permanently changed family dynamic, the uncertainty of what lies ahead – but also the pride of seeing your child move toward independence. Some might describe the goodbye as bittersweet, or say that they’re feeling mixed emotions.
In that scenario, what would you do if I asked you to rate how you felt on a scale from 1-9, with 1 being the most negative and 9 the most positive? This question seems silly given the circumstances – how should you rate this blend of bad and good? Yet, this scale is what psychology researchers often use to survey feelings in scientific studies, treating emotions as either positive or negative, but never both.
I’m a neuroscientist who studies how mixed emotions are represented in the brain. Do people ever truly feel both positive and negative at the same time? Or do we just switch quickly back and forth?
What emotions do for you
Scientists sometimes define emotions as states of the brain and body that motivate you toward or away from things. People typically experience them as either positive or negative.
If you’re walking in the woods and see a bear, your heart rate and breathing accelerate, giving you the urge to flee – likely helping you make a decision that keeps you alive. Many scientists would label that reaction as the emotion of “fear.”
Similarly, warm feelings around loved ones make you want to stay around them and nurture those relationships, helping strengthen your social network and support system.
This approach-and-avoid view of emotions helps explain why emotions evolved and how they affect decision-making. Scientists have used it as a guiding principle when trying to figure out the biology behind emotions.
But mixed emotions do not fit into this framework. If opposite biological systems inhibit each other, and if emotions are biological, you can’t experience opposites in the same moment. This reasoning would mean it’s impossible to hold two opposite emotions at once; you must instead be flipping back and forth. Ever since scientists proposed the first theories on the biological foundations of emotion, this is how they’ve conceptualized mixed emotions.
Untangling the biology of mixed emotions
Mainstream methods for measuring feelings still treat positive and negative as opposite sides of a spectrum. But researchers find that study participants commonly report mixed emotions.
For instance, people across cultures experience some feelings, such as nostalgia and awe, as simultaneously positive and negative.
One research group found that volunteers’ physiological responses – such as heart rate and skin conductance – display unique patterns during experiences that are both disgusting and funny, compared with either category separately. This implies that disgusted and amused reactions are indeed occurring simultaneously to create something new.
In a seemingly contradictory finding, research that used functional magnetic resonance imaging, or fMRI, to study brain responses to disgusting humor did not find a pattern of brain activity that was distinct from plain disgust. The brain states of people reporting being both disgusted and amused seemed to reflect only disgust – not a unique pattern for a new mixed emotion.
But fMRI studies generally rely on averaging brain activity across people and time. The heart of the question – experiencing truly mixed emotions versus fluctuating between positive and negative states – concerns what the brain is doing over time. It is possible that by looking at the average brain activity across time, scientists end up with a pattern that looks a lot like one emotion – in this case, disgust – but are missing important information about how activity changes or stays the same second-to-second.
Mixed emotions in the brain
To dig in to that possibility, I ran a study to see whether mixed emotions were related to a unique brain state that held steady over time.
While in the MRI machine, participants watched a bittersweet animated short film about a young girl’s lifelong pursuit, with her father’s support, to become an astronaut. Spoiler alert: Her dad dies. After scanning, those same subjects rewatched the video and labeled the exact times they had felt positive, negative and mixed emotions.

My colleagues and I discovered that mixed emotions didn’t show unique, consistent patterns in deeper brain areas like the amygdala, which plays an important role in quick responses to emotionally important items. Strikingly, the insular cortex, a part of the brain that connects deeper brain regions with the cortex, had consistent and unique patterns for both positive and negative emotions, but not for mixed ones. We took this finding to mean that regions such as the amygdala and insular cortex were processing positive and negative emotions as mutually exclusive.
But we did see unique, consistent patterns in cortical regions such as the anterior cingulate, which plays an important role in processing conflict and uncertainty, and the ventromedial prefrontal cortex, which is important for self-regulation and complex thinking.
These brain regions in the cortex that carry out more advanced functions appear to represent much more complex states, allowing someone to truly feel a mixed emotion. Brain regions such as the anterior cingulate and ventromedial prefrontal cortex integrate many sources of information – essential for being able to form a mixed emotion.
Our findings also fit with what scientists know about brain and emotional development. Interestingly, kids do not begin to understand or report mixed emotions until later in childhood. This timeline matches up with what researchers know about how development of these brain regions leads to more advanced emotional regulation and understanding.
What happens next
This study revealed something new about how complex feelings are formed in the brain, but there is much more to learn.
Mixed emotions are so interesting, in part, because of their potential role during important life events. Sometimes, mixed emotions help you cope with big changes and turn into cherished memories. For example, you may experience both positive and negative feelings when your friends throw a big going away party before you move to another city for your dream job.
Other times, mixed emotions are an ongoing source of distress. Even if you know you should break up with a romantic partner, that doesn’t mean all the positive feelings you have about them automatically go away, or that a split won’t bring some pain.
What leads to this difference in outcome? Might these differences have to do with how the brain represents these mixed emotional states over time? A better understanding of mixed emotions might help people make sure these kinds of strong feelings become cherished memories that help them grow, instead of a distressing goodbye they fail to get over. https://www.youtube.com/embed/IoVbd_dZYMk?wmode=transparent&start=0 Mixed feelings elicited unique neural activity in particular areas of the brain.
Anthony Gianni Vaccaro, Postdoctoral Research Associate in Psychology, USC Dornsife College of Letters, Arts and Sciences
This article is republished from The Conversation under a Creative Commons license. Read the original article.
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health and wellness
Pediatric Growth Hormone Deficiency (PGHD) 101

What parents should know about pediatric growth hormone deficiency
(Family Features) Pediatric growth hormone deficiency (GHD) is a relatively rare condition, affecting an estimated 1 in 4,000-10,000 children. Despite its rarity, GHD can significantly impact a child’s growth and development, which can potentially lead to short stature, delayed puberty, decreased muscle mass, delay in bone maturation and psychosocial implications. With early diagnosis and appropriate treatment, children with GHD can achieve improved growth outcomes and lead healthy lives. Increasing understanding of GHD treatment options and closing knowledge gaps can make a difference in the patient and caregiver journey. What is PGHD?

From Playdate to PGHD
During a visit to a friend’s house, Erin Swieter noticed her 18-month-old daughter, Ingrid, was about a head shorter than her peer who was six weeks younger. Upon learning her friend’s daughter was only in the 10th percentile for height, Swieter realized Ingrid must be even smaller. While she was hitting her developmental milestones, she was still wearing 9-to-12-month clothes and had a baby-like appearance. Swieter took her concerns to Ingrid’s pediatrician; her growth charts were monitored closely for the next several months. Following a move to a new city, the Swieters found a new pediatric endocrinologist, who was instrumental in diagnosing Ingrid. The endocrinologist reviewed previous labs and monitored Ingrid’s growth carefully, eventually diagnosing her with PGHD after a failed growth hormone stimulation test. “Receiving Ingrid’s diagnosis was a relief, as it confirmed our suspicions and gave us a clear path forward,” Swieter said. After learning about daily injections, the Swieters were hesitant about proceeding. The Swieters discussed their worries with Ingrid’s pediatric endocrinologist, who recommended weekly injections as a viable option due to Ingrid’s age and the duration of treatment she would likely need. “We had heard from other parents about the challenges of daily medications, which could pose a problem during travel, day trips or sleepovers at Grandma’s house,” Swieter said. “The weekly injection eliminates the need for a daily treatment routine.” Navigating the insurance approval process proved challenging, but once Swieter provided evidence of two failed growth hormone stimulation tests, the weekly injections were approved. “Insurance and pharmacy challenges can be frustrating, but patience and persistence are key,” Swieter said. “Educate yourself about your insurance, treatment options, and medical literature to be a strong advocate for your child.” Ingrid has embraced opportunities to share her journey with her condition through a school project, proudly engaging her classmates in conversations about her experience. At the same time, she is making strides physically, continuing to grow and thrive. Photos courtesy of Shutterstock (mom measuring daughter and mom and son talking to doctor) Real patient and caregiver photo courtesy of Erin Swieter (mom and daughter hiking)Discover more from Daily News
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Lifestyle
Beyond the Scale: Understanding the facts about obesity for Hispanic Americans

- Poor lifestyle choices alone do not lead to obesity.
- Certain health conditions caused by obesity can be reversed by losing weight.
- Obesity treatments are available from a variety of health care providers.
- You have the power to advocate for and impact the future of obesity treatment.
- There are many helpful ways patients can try to manage their weight.
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Lifestyle
What Parents Should Know About Pediatric Growth Hormone Deficiency (PGHD)


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