A few months ago, Lori Gottlieb published an essay in the Atlantic Monthly (”Marry Him! The case for settling for Mr. Good Enough“) urging single women in their 30s to “settle” [*] rather than holding out for Mr. Right. She starts from the observation (which may or may not be true) that

every woman I know — no matter how successful and ambitious, how financially and emotionally secure — feels panic, occasionally coupled with desperation, if she hits 30 and finds herself unmarried.

and then proceeds with the exhortation:

Settle! That’s right. Don’t worry about passion or intense connection. Don’t nix a guy based on his annoying habit of yelling “Bravo!” in movie theaters. Overlook his halitosis or abysmal sense of aesthetics. Because if you want to have the infrastructure in place to have a family, settling is the way to go. Based on my observations, in fact, settling will probably make you happier in the long run, since many of those who marry with great expectations become more disillusioned with each passing year. (It’s hard to maintain that level of zing when the conversation morphs into discussions about who’s changing the diapers or balancing the checkbook.)

At the time, her essay generated a very negative visceral response from me. I dislike Gottlieb’s essay not because of her controversial exhortation — because, as I will explain further, I find some degree of truth to it — but because I think her starting point is a disordered set of fundamentals. Her idea of “settling” has to do with lots of incredibly trivial things. She shows appropriate restraint in that she recognizes that these are in fact fairly trivial matters, but she is at the same time demonstrating a self-centeredness that bodes ill for her future marital bliss (should she ever decide to ’settle’). The marriage she desires (whether the romantic ideal or the realistic consolation) and describes is all about her, her child, her stability, and ultimately, her happiness. The Aquinian, however quaint, notion of love being “to will the good of the other, for the sake of the other” is largely absent.

In some ways, Gottlieb is nibbling around the edges of the truism that our preferences are naturally disordered and that marriage is not just about romance. Stanley Hauerwas is fond of teaching “you always marry the wrong person“. If you are able to get past the deliberate, obstreperous, Hauerwasian provocation in this statement, then you can see that there is a lot of truth to it. After all, how does an unattached person, reared in a culture that accepts and promotes the efficiency of short-term commitments, develop any kind of concept of what it means to form a covenental bond that gives you the practice of monogamous fidelity over a lifetime? Rod Dreher — a fellow Louisiana School alum — commenting on the Gottlieb article at his Crunchy Con blog, elaborates on this theme, accurately [emphasis mine]:

Julie and I, married 10 years now, talked about this last night. We didn’t reach any hard and fast conclusions, but we agreed that married-with-children life is way more difficult than single people realize, and that the things that make for an exciting boyfriend or girlfriend don’t always make for a good partner in a lifelong marriage with children — but that’s something that’s very, very hard for single people to understand. You couldn’t possibly have explained it to me as a single man before I lived it (nor could you have explained the intense joys of childraising).

This is consistent with what my married friends tell me. The daily process of observing the Markan call to die to your self sounds like it is fairly difficult, and somehow I don’t see Gottlieb advocating this.

If I accept Gottlieb’s foundations, I can see how it would make sense to sign up for Internet dating sites such as match.com and eHarmony.com to assist with my search for a spouse. All I have to do is pick a set of characteristics that I believe will maximize my happiness, fill in the checkboxes, see who fits my profile of Prince Charming or Princess Lucinda, and then it’s off to the races. Even if I don’t know myself well enough to complete such a task — or if I am afraid of the miserable choices I seem to make — then I can go to eHarmony.com, fill out an exhaustive battery of questions, and see who fits my personality profile.

Leaving aside for the moment the question of whether one should participate in these ventures (for more on this point, please see Brother Warren’s takedown), there is plenty of research to suggest that they don’t even really work.

But what bothers me most about these approaches is that they assume a very self-centered, pre-specified, and fixed personality or set of preferences, and they ignore the importance of attachment and commitment.

An analogy from my own life might be instructive here. When I was thinking about applying to medical school, I had no idea what being a physician would be like. Working in hospice provided me with the opportunity to obtain a very brief glimpse at only two or three aspects of doctoring. Yet I made a decision to apply. When choosing among medical schools, my only sources of data were a series of one-day interviews and incredibly over-hyped data from the U.S. News and World Report. A priori I think it would have been a stretch to characterize any one of my potential medical school choices as the best one for me. In truth, because I was sufficiently lacking in direction, and because I’m fairly open to new experiences, I’m quite certain that any one on my shortlist would have been a reasonably good match for me and could have provided me with a nurturing environment, intellectually, spiritually, and socially. In the end, I decided to pick one, but I had no accurate idea about whether the medical school I chose would make me a “better” doctor than any of the other schools on my shortlist.

In retrospect, I now see that I incorporated a great deal of faulty data into my decisionmaking process. Nonetheless, things turned out okay — better than okay, in fact, and now I can say without a doubt that I picked the right medical school. But I don’t know that the school I chose was necessarily a priori the best choice. Whatever preferences I had as a college junior have been completely remade in the years since then, and most of my misconceptions have been corrected — so much so that I probably couldn’t even accurately describe what my preferences were in the first place. Key to this outcome, aside from living under the shadow of God, was the process of growing into the commitment I made to become a physician. Because I created and participated in a particular history, because of the ways in which I grew into my decision — the experiences I had were such that I cannot imagine what my life would now be like had I gone somewhere else. Given this particular history, I’m left to conclude that the school I chose was “The One”.

The analogy can be carried too far, but my fundamental point stands: that love is a creature of history and commitment. In his book The Four Loves, C.S. Lewis elaborates his taxonomy of basic human loves. Affection — in contrast to friendship, erotic love, and love of God (and clearly the borders between the four are hazy and not impermeable) — he describes as “warm comfortableness”, “responsible for nine-tenths of whatever solid and durable happiness there is in our natural lives”, a love that “can unite those who most emphatically , even comically, are not [made for each other]“. He continues:

In my experience it is Affection that creates this taste, teaching us first to notice, then to endure, then to smile at, then to enjoy, and finally to appreciate, the people who “happen to be there”. Made for us? Thank God, no. They are themselves, odder than you could have believed and worth far more than we guessed.

We don’t evaluate love in a vacuum. Though sometimes we contemplate it dizzily while fluttering home one evening — even when we are not so deeply entangled in it, we contemplate love in the context of history. It bothers me that we are being fashioned by the world into a people that defaults to thinking under consumeristic models of relationships. Doing so leads us to divorce characteristics of persons from the unfolding narrative of our lives together, and it — falsely, I think — makes sense to say things like, “I like her because she likes cats”, “I like him because he can lead me in the tango”, and so forth. My participation in an Internet dating site like match.com would only feed this deranged propensity by allowing me to specify all of the characteristics I want as well as those I am not willing to accept. But it seems to me that such characteristics cannot be contemplated abstractly, disembodied from the object of one’s love. Properly viewed from within the context of the intertwined lives we live in the Body of Christ, they simply cannot be bought and sold and traded off for one another.

I am not arguing that we should be rolling the dice, consulting magic 8-balls, and just picking spouses more or less at random and relying on commitment and fidelity to get us through the next 50 years. Marriage sounds difficult enough that we probably need every advantage we can get. For this reason, I do believe we should think carefully about what our dealbreakers are vs. what are our soft preferences that can be accommodated (perhaps with training) over time and eventually overcome. This sort of question extends naturally to guys who are widowers and women who have been widowed; alcoholism, drugs, and pornography; emotional baggage from prior relationships and/or sexual partners; infertility; and so forth. Thus, the “settling” I have in mind has very little to do with whether he appreciates Jane Austen or whether she likes beagles; it has to do with whether she and I can together have the love and commitment to sustain a marriage despite all of this stuff — or whether I am compelled to go chasing after the next shiny new make & model of car who has yet to accumulate such baggage (i.e., whose baggage accumulation process has simply been deferred to the future). But I don’t really think of this as “settling”.

In the end, I think Gottlieb is groping towards an adult concept of love, but she hasn’t quite made it all the way. She writes of “settling” as if it were an entirely negative concept, that we shouldn’t drop people we date from spousal consideration just because of minor differences that can likely be worked out in the long run. Realism does require this kind of understanding. We make the commitment to love despite trivial differences in compatibility because our feelings for the Other are deep and abiding. But Gottlieb isn’t writing about being realistic. She abandons the concept of love entirely and simply replaces it with a hard-nosed tolerance. Hers is a rather thin view of marriage. I’m a realistic idealist, and I’m not yet ready to give up on marriage and love. It should be about accepting the flaws in someone I have come to love — not simply dispensing with love for someone whom I grudgingly accept.



[*] There is a technical rewording of Gottlieb’s recommendation, derived from my better cousins the mathematicians. This problem is known as the “Secretary Problem“, or the “Fussy Suitor Problem”: suppose I want to find the best match out of a group of N  women. Assuming that applicants who were previously interviewed cannot be recalled, then the decision rule that maximizes the probability that I locate the best match is: after the first N  / e women (where e  is approximately equal to 2.71), I should just pick the next woman in line who is better than the first N  / e women I dated previously. For example: suppose there are 100 women in my dating pool. I can’t date them all, and if I did then that would eliminate them as spousal possibilities. I should then just date 100 / 2.71 = 37 of them, and then stick with the next woman I date who is better than all of the previous 37. In the limit, i.e., if the eligible dating pool is N  =1,000,000, say, then the probability that this decision rule yields the best match converges to 1/e  = 36.8%.

There are a few noteworthy observations to be made here. First, the secretary problem assumes away opportunity costs, when in reality the composition of the dating pool is not static — and the implications of this are asymmetric, gender-wise, as illustrated in the XKCD comic above. Second, the secretary problem assumes that every secretary applying for a job would accept the job if offered one. Third, because the composition of the dating pool is changing and because not every secretary would accept a job if offered one, by extension the pool of secretaries who would accept a position if offered one is also changing.

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What you see in the background is half of an egg salad sandwich.

Yes, this was actually observed at a cafe on the Upper East Side.

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Posted in International Health, Travel on Tue Apr 8, 2008 at 11:17 pm by alex | 1 Comment

“Lessons in Prayer, from a Dog”

He assumes his still posture
two feet from the table.
He is not grabby,
his tongue is not hanging out,
he is quiet.

He wants to leap,
he wants to snap up
meat and blood.
You can tell.
But what he does is sit
as the gods
his masters and mistresses
fork steak and potatoes
into their mouths.

He is expectant
but not presumptuous.
He can wait.
He can live with disappointment.
He can abide frustration
and suffer suspense.

He watches
for signals,
he listens for calls
of his name from above.

At hints that
he may be gifted
with a morsel,
he intensifies his
already rapt concentration,
he looks his god
in the eye,
but humbly
sure of his innocence
in his need,
if his need only.

On the (often rare) occasions
when gifts are laid on his tongue,
he takes them whole,
then instantly resumes
the posture of attention,
beseeching, listening, alert,
the posture of hard-worn faith
that will take no for an answer,
yet ever and again hopefully
returns to the questioning.

–Rodney Clapp

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Posted in International Health, Maximization, Personal, Research, Thoughts on Faith, Travel on Mon Mar 31, 2008 at 3:07 pm by alex | Leave a comment

Two years ago, Arnold Hoon, a chef from Johannesburg, was driving along South Africa’s West Coast in search of lunch. On a whim, he and his wife, Annelise Bosch, followed an old wooden sign to Paternoster, a traditional fishing village about 90 minutes north of Cape Town.

What they found were whitewashed cottages overlooking Paternoster Bay, and a single restaurant, Voorstrandt (Strandloper Way; 27-22-752-2038), near a beach dotted with fishing boats. Soon, they were dining alfresco on fresh oysters and grilled lobsters, served with a crunchy green salad. “We never left,” said Ms. Bosch, a former actress.
Nadine Rubin, “Cape Town’s Foodie Suburb”, New York Times, March 30, 2008

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Posted in Economics, Food, International Health, Personal, Psychiatry, Research, Thoughts on Faith, Travel on Sun Mar 30, 2008 at 1:02 am by alex | Leave a comment

Back then, before the causeway was built, Mont St. Michel was an island. Pilgrims would approach across this mud flat mindful of a tide that swept in “at the speed of a galloping horse” (well, maybe a trotting horse … 12 mph, or about 2 feet per second).

Adding to the peril was quicksand, the thoroughly disorienting fog, and the fact that the sea can encircle unwary hikers. Braving these devilish risks for centuries, pilgrims kept their eyes on the spire crowned by their protector, St. Michael, and eventually reached their spiritual goal.

Whether scurrying across the treacherous mud flats or just driving across the modern causeway, the sight of the distant silhouette of the Gothic island-abbey Mont St. Michel sends tired sightseers’ spirits soaring, just as it did the spirits of weary pilgrims in centuries past…

Hang out until after dark when the tourists are gone and the island is magically floodlit. Ramble on the ramparts. Ponder the promise of desolation and a simple life of solitude that attracted monks to this dramatic spot so long ago.
Rick Steves, “Mont St. Michel: Magnificence on a mud flat”, CNN, March 28, 2008

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Posted in Travel on Sat Mar 29, 2008 at 9:13 am by alex | 1 Comment

We may be seeing a first glimpse of South Africa revisiting its longstanding policy barring foreign physicians from working within its borders:

The health department has appointed over 500 foreign medical doctors to public health sector posts over the past 16 months, Health Minister Manto Tshabalala-Msimang said on Thursday.

In a written reply to a question in the National Assembly, she said altogether 507 doctors — predominantly from developing countries — were on record as having been placed in specific institutions around SA since November 2006…

Commenting on Tshabalala-Msimang’s reply, DA spokesperson Mike Waters called for a policy review.

On the one hand Tshabalala-Msimang claimed to enforce a policy of not allowing health professionals from other developing countries to work in South Africa, and on the other hand this policy was blatantly ignored in practice.
South African Press Association, “Hundreds of foreign docs working in SA”, March 27, 2008

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Posted in International Health, Personal, Psychiatry, Research, Thoughts on Faith, Travel on Thu Mar 27, 2008 at 8:43 pm by alex | Leave a comment

Yale development economist Chris Blattman has had a few recent and very compelling entries about his fears of turning into an academic tourist who retains no local commitments. He’s now headed to Monrovia (a new site for them) to start a new project with his wife and research partner, Jeannie Annan.

I have a love-hate relationship with new field sites. The excitement is palpable (mine, not theirs). And the first week is a pleasurable free fall down the learning curve. But I hate the feeling of being an imposter. The academic poseur.

No academic should be allowed to open their mouth to a policymaker their entire trip if they are reading the Economist Intelligence Unit Country Profile on the way in, frantically searching for the name of the local currency. I’m not quite that bad (I’ve already read the EIU profile!) but I’m not much better. So it is with some alarm that the express purpose of our trip is to give technical advice to ministers and bureaucrats.

My friends at the World bank find my angst quaint and endearing.

Working in Kenya and Uganda for the past six years, I was beginning to feel like an old hand. People treat you differently when you stick around. I remember seeing a familiar village leader after I’d been absent for a year. “You came back!” he exclaimed. “So you are the kind that returns,” said another public official. I knew the history, I had a SIM card full of numbers, I was beginning to get the language, I knew the players, I could get things done.

And here I go again.

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Posted in International Health, Personal, Research, San Francisco, Thoughts on Faith, Travel on Sun Mar 23, 2008 at 3:56 am by alex | Leave a comment

Alesund, Norway. But only in the summer.

Or, I would settle for just going to Yellowstone in the summer — before we mess it up.

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Posted in Travel on Mon Mar 17, 2008 at 6:46 pm by alex | Leave a comment

…until vacay!

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Posted in Personal, Travel on Sun Mar 16, 2008 at 2:12 am by alex | Leave a comment