Neuroplastic fantastic

The New York Times has a review of a new book on how people have overcome brain damage through neuroplasticity – the brain’s ability to re-organise itself.

While this is nothing new, the brain has always had this ability, the discovery is relatively recent and rehabilitation is increasingly designed to take advantage of this process.

The book is called The Brain That Changes Itself and is apparently a series of case studies of how people’s lives have been improved by technology, psychotherapy or behavioural changes.

I suspect much of the excitement about neuroplasticity has been generated by the popularity of ‘cognitive fitness’ games, books and video games, all of which are based on the idea that you can ‘train your brain’ like a muscle.

While there is some truth in this, the effects are much less than many people might expect and certainly, most people don’t completely recover from brain injury.

I wonder if this book, like Peter Kramer’s 1994 book Listening to Prozac (ISBN 0140266712), will showcase the success stories, while most people’s experience will be much more modest.

There’s certainly nothing wrong with presenting the highlights of new and exciting therapies, but I wonder whether it raises some people’s expectations unrealistically.

Anyway, I’ve not read the book yet so I will have to see how it is tackled when I get a copy, and we’re certainly crying out for an accessible treatment of the subject.

Brain Damage, Brain Repair (ISBN 0198523378) is a great academic text, but it’s hardly something you’d take to the beach with you.

Link to NYT review.
Link The Brain That Changes Itself book / author’s website.

Memory exploratorium

San Francisco’s interactive science museum Exploratorium has a fantastic online memory exhibit, that includes articles, games, demonstrations and lectures from leading memory researchers.

The exhibit looks at the science of memory, as well as how it is used in art.

There’s a great article that explains memory distortions via Philip K. Dick and a try-it-yourself demonstration.

And for some unknown reason there’s a slideshow of a sheep brain dissection, when what would be genuinely informative would be to see the memory structures in the human brain.

It’s like going to an air show and watching someone take a bicycle apart.

Apart from that, the site’s fantastic. The lectures are particularly good. Most cover the science of memory, but one is on ideas of forgetting in myth and story.

Link to Exploratorium memory exhibit.

Finding the wily thief

A study that followed the lives of young males for 20 years has found that cognitive ability predicted whether the person was likely to engage in violence or theft if they had a tendency for antisocial behaviour.

Way back in ’79, the researchers recruited 698 males from 12 to 18 years of age from a random telephone survey in New Jersey. They kept in contact with them until the year 2000.

The researchers interviewed the participants and asked about any antisocial behaviour or offences.

They also tested the participants using neuropsychological tests of verbal IQ and executive function – the ability to co-ordinate mental resources that is closely linked to the frontal lobes.

In the males who did end up engaging in antisocial behaviour, the ones with cognitive difficulties tended to be violent, while the ones who were cognitively more able tended to steal.

In other words, low mental ability was associated with violence while the brighter individuals tended to engage in theft.

This could be because successful theft could require more thought, from planning a robbery to tricking another individual, whereas successful violence just requires a target.

One of the difficulties in interpreting these sorts of studies, is that they rely on participants admitting their own offences, so maybe more intelligent people are likely to describe their crimes differently.

However, it certainly wasn’t the case that more able people simply kept quiet about antisocial behaviour, as both reported wrongdoings, but of a different type.

UPDATE: Romeo Vitelli makes an interesting point in the comments:

All things being equal, theft is regarded as being less serious than violence is. Given that this study depends on self-report, are the ones who commit violence less likely to admit to committing violent crimes than the ones who commit theft?

Link to abstract of scientific paper.
Link to brief jargon-free summary.

The paradoxes of mental accounting

The Washington Post has a fascinating article on the psychology of mental accounting – a seemingly simple process but one which seems to have curious effects on how we decide to spend our money.

The article suggests we mentally divide our money for different purposes, and tend to be reluctant to change our thinking, even when it is against our interests.

There’s a nice example of turning up to the cinema and discovering you’ve lost your $20 ticket. How would you feel about shelling out for another one?

Compare this situation to one in which you turn up to the cinema to buy a ticket, but find you’ve lost a $20 bill. How would you feel about buying a cinema ticket in this situation?

Intuitively, it seems as if the first situation is worse, because you’re buying another ticket, when, in fact, the loss is exactly the same in both situations.

It also seems that we assign different sources of money to different purposes, despite the fact that money is completely interchangeable:

Arkes and his colleagues once cited an anecdote in a study: Employees of a publishing firm who were in the Bahamas for an annual meeting were each given a cash bonus for getting a big contract. Almost to a person, the bonus recipients took the money to a local casino and blew it. What is interesting is that most of these people did not lose more than the $50 — they slowed down or stopped when they felt they were playing with their “own” money rather than with the $50 of “free” money. The irony, of course, is that the $50 these people lost was their own money, too.

The article has got some more great examples of how we make spending decisions based on our own idosyncratic internal accounting schemes.

UPDATE: An interesting note from jswolf19, grabbed from the comments:

In my mind, the loss of the ticket and the loss of $20 are not the same. It’s possible that I might find either the ticket or the $20 later (that it’s misplaced instead of lost). However, the ticket will have become useless to me whereas the $20 will not have.

Link to Washington Post article ‘mental accounting’ (thanks Enchilada!)

Virtual insanity

Wired and The New York Times have just each published an article about the use of virtual reality to simulate the experiences of schizophrenic psychosis. This is a PR success for its creator, Janssen-Cilag Pharmaceuticals, but its hardly news, as they’ve been showing the system since 2000.

The system originally had the appalling name ‘Paved With Fear’ and was unveiled in September 2000.

The company, who manufacture the antipsychotic drug risperidone (aka Risperdal), toured the world with the ‘Paved with Fear’ truck.

The rig allows users to put on the VR goggles and explore a virtual world, while the software is programmed to simulate hallucination-like experiences – abusive voices, visual scenes transforming into sinister images and so on.

It was covered in 2002 by an NPR radio show that has some audio and images from the simulation.

In one simulation, a schizophrenic has auditory and visual hallucinations while trying to refill a prescription, and sees the word “poison” on a bottle of pills.

Its not often you meet psychotic patients who hallucinate drug company PR, but Janssen seem to think that refusing their product is a sign of madness.

The system has been taken around the world and show to police, psychiatrists and families of people with mental illness.

The system has since been re-branded with the less stigmatising name ‘Virtual Hallucinations’ and continues to make the headlines, despite the fact that many other people have used VR to simulate psychosis.

I wrote an article in 2004 about some of the systems and talked to their creators, and got some feedback from a programmer and a psychologist who have experienced psychosis themselves.

They concluded that while VR simulations might be a useful simulation of the perceptual disturbance in psychosis, it also involves distortions of meaning and thinking that can’t be captured.

The systems covered in the article were based on experiences taken from patient interviews and were made independently.

Psychiatrist Dr Peter Yellowless recently published a paper on the system he developed, and one system has been built in online virtual word Second Life. There are instructions online so you can try it yourself.

Link to NYT article ‘A Virtual Reality That’s Best Escaped’.
Link to 2004 article on using VR for psychosis simulation and research.
Link to summary of Yellowlees’ paper on psychosis simulation.
Link to instructions for Second Life simulation.

Polish psychologists ordered to assess Tinky Winky

A Polish government minister has ordered psychologists to investigate whether BBC TV show Teletubbies promotes homosexuality in children.

Yes, you read that right the first time.

Here’s some of the story from BBC News:

The spokesperson for children’s rights in Poland, Ewa Sowinska, singled out Tinky Winky, the purple character with a triangular aerial on his head.

“I noticed he was carrying a woman’s handbag,” she told a magazine. “At first, I didn’t realise he was a boy.”

Ms Sowinska wants the psychologists to make a recommendation about whether the children’s show should be broadcast on public television.

A 2004 study on the accessibility of mental health services in Poland found that the interval between being first assessed and getting mental health care was 12 weeks – much longer than all other European centres in previous studies.

A study on work difficulties in Poland published in 2006 found that mental and behavioural disorders were among the main causes of early inability to work.

And the government is ordering psychologists to assess Tinky Winky. It would be funny if it wasn’t so tragic.

Link to BBC News story.

The state of commercial neuroscience

NeuroInsights have released a report on the neurotechnology industry that uncovers the growing market for brain-based goods and services.

The 350 page report will set you back $4,500 (that’s almost $13 dollars a page!), but has been summarised by Zack Lynch, the company’s managing director, on his blog.

Some of the highlights include:

2006 venture capital investment in neurotechnology rose 7.5% to $1.666 billion

Neurotech industry revenues rose 10% in 2006 to $120.5 billion; this includes neuropharmaceutical revenues of $101 billion, neurodevice revenues of $4.5 billion, neurodiagnostic revenues of $15 billion

The Neurotech Index of publicly-traded neurotechnology companies was up 53% from its December 31, 2003 conception to March 31, 2006, outpacing the NASDAQ Biotech Index which gained 7% during the same period

In other words, the brain is big money, and it’s only likely to get bigger.

Needless to say, this makes us, the brain-owning public, equally blessed and cursed.

Commercial companies want us to spend our money on their products, meaning as well as developing technologies, they are likely to promote new ideas of well-being or ill-health to motivate us to use them.

This also tends to mean that problems faced by those with money (i.e. people in developed countries) get priority over the problems more typical of less developed countries.

So, treaments for diseases endemic in the developing world, like sleeping sickness, caused by trypanosoma infection and leading to brain disorder and eventual death, will likely be slow in coming.

However, we can be sure that some new advances in commercial neuroscience will be of huge benefit to many people.

The difficulty for us, and the investors, is that sometimes it is only clear which of the advances is significant with the benefit of hindsight.

Link to NeuroInsights industry report with free executive summary.
Link to Zack Lynch’s summary and comments.

Brain patch

An artist on Etsy is selling this wonderful iron-on brain patch based on an antique anatomical illustration.

For only $5 plus packing, you can get one of these delivered to your door and attached to, well, whatever you’d want a beautiful brain illustration attached to.

And if you can’t think of any reason you’d want a iron on brain patch, go see the drawing in more detail.

The cortex has obviously been subject to a little ‘artist license’, but it’s still a striking image.

Link to vintage medical anatomy illustration of the head and brain fabric patch.

Setting yourself back 30 years with hypnosis

Celebrity hypnotist Paul McKenna on BBC Radio 4’s music programme, Desert Island Discs:

“When you hear a song, back in say the 70s, the first time you heard it, it sounded absolutely fantastic and it’ll never sound like that again. So, I age regressed myself – I know this sounds a little unusual – and took myself back and then whacked on Sister Sledge, and it just sounded phenomenal. It sounded like it did years ago. It was fresh, with those amazing big disco drums…”

Paul McKenna, confusing the sound of drums with the sound of serious hypnosis researchers banging their heads against the wall.

Broadcasting from the silent land

If you’ve got half an hour, you could do a lot worse than spending it listening to ABC Radio National’s All in the Mind interview with neuropsychologist Dr Paul Broks, author of Into the Silent Land (ISBN 1843540347).

Broks writes in a part philosophical, part hallucinatory style, focusing on patients whose understanding and experience of the self has been disturbed by brain injury.

It’s one of my favourite books on neuropsychology, and Broks touches on many of its themes in the interview.

Broks has also written the play On Ego (ISBN 184002609X), which was based on part of the book, but which I found a little luke warm when I saw it and seemed to lack the originality of his writing.

However, he notes in the interview that he’s currently writing another play with the Royal Shakespeare Company about a woman who has intense religious experiences and temporal lobe epilepsy (the two often co-occur), which sounds immensely promising.

Broks will also be appearing at three events at the Sydney Writer’s Festival (two of which are free) so wander along if you happen to be in Sydney on May 31st or June 2nd.

Link to AITM interview with Paul Broks.

Guide to Psychology Blogs

PsyBlog has just published the first part of a guide to online psychology and neuroscience blogs, and says some jolly nice things about Mind Hacks in the process.

PsyBlog author Jeremy also highlights a few more of the many good online reads, but is too modest to mention himself, so I thought I’d pitch in an redress the balance.

Go see PsyBlog, it certainly deserves to be on the list.

Link to PsyBlog Guide to Psychology Blogs – Part 1.

Inkling on Human Nature

I’ve just discovered online science mag Inkling Magazine and noticed that their Human Nature section is full of great mind and brain articles.

Recent articles cover the safety of antidepressants for teenagers, the health risks of love and a brief interview with neuroscientist, author and stroke survivor Jill Bolte Taylor.

There’s a whole stack more, so have a browse and see what lights your candle.

Link to Inkling’s ‘Human Nature’ articles.

Down the barrel of a nail gun

The ANZ Journal of Surgery just published the summary of a conference paper describing 12 patients with head injuries caused by nail guns. It makes for some surprising reading.

You might think brain injuries from nail guns would be rare, but there are a startling number of case studies in the medical literature.

A recent review of suicide attempts by nail gun noted it was unusual, but this new case series suggests that many of this type of brain injury are caused in this way.

In fact, out of the 12 cases, three quarters were attempting to kill themselves.

Mostly, the cases concern a single nail, but one case was particularly extreme:

The other case involved a staggering 24 nails of 5cm length and represents the largest number of intra-cranial nails in a surviving patient.

This beats the previous record of 12 nails, held by a man reported in a case study from a neurosurgery team in Portland, Oregon.

The picture is the X-ray of Isidro Mejia, who survived a nail gun accident in 2004, where he was unfortunate enough to have four nails embedded in his skull and two in his neck.

Removal of a nail often involves a craniotomy, where the surgeons have to cut around the bit of skull where the nail is embedded, and remove it in one piece.

There are some images of this operation in an article from the Spanish language neurosurgery journal Neurocirugía which is available online as a pdf.

Link to abstract of nail gun head injury case series.
pdf of Spanish language case report of neurosurgical nail removal.

Skywalker: personality disordered or misunderstood?

Wired has picked up on the annual ‘psychiatrists diagnose fictional character’ story by noting that researchers have diagnosed Anakin Skywalker, aka Darth Vader, with borderline personality disorder. But is he genuinely disordered or just misunderstood?

The diagnosis of personality disorder describes someone who is consistently emotionally unstable, impulsive and has difficulty forming stable relationships, often seeming aggressive and lacking in self-control.

Borderline personality disorder or BPD is a subtype, particularly characterised by feelings of emptiness and unstable identity, suicide and self-harm, extreme and fluctuating views of others, and occasional paranoid thinking.

In 1988 two psychiatrists published an influential study that questioned the diagnosis of personality disorder, suggesting it was just a label for patients that psychiatrists didn’t like.

Lewis and Appleby gave a group of psychiatrists a number of clinical case studies, and asked them to rate their attitudes towards the patients, and say how they would treat them.

All the psychiatrists were given the same descriptions, except that some included an additional piece of information: that the patient had been given an earlier diagnosis of personality disorder.

This simple piece of information led the patients to be rated as less deserving of care, more difficult, manipulative, attention-seeking, annoying, and more in control of their suicidal urges and debts.

The authors of the study concluded that personality disorder “appears to be an enduring pejorative judgement rather than a clinical diagnosis. It is proposed that the concept be abandoned”.

Although widely used, the diagnosis is still controversial, with some researchers arguing it is a useful and important classification, although admitting there’s still plenty of work to be done.

So does Anakin Skywalker have borderline personality disorder? He probably fulfils the diagnostic criteria.

But the questions should really be ‘does the diagnosis do anything except express our dislike for him?’ and ‘will medicalising his problems help him to improve his life?’.

Link to Wired article on diagnosing Anakin Skywalker (via OmniBrain).

2007-05-25 Spike activity

Quick links from the past week in mind and brain news:

The BPS Research Digest reports on yet another study on the cognitive benefits of meditation.

CrimePsychBlog picks up on an interesting study on the etiology of the psychopathic serial killer.

Core cognitive ability is mostly developed before adolescence, reports SciAm.

Accidental Mind has some illustrated brain notecards to download.

ABC Radio National’s Health Report has a special on Alzheimer’s disease, testosterone and the ageing brain.

Developing Intelligence investigates the neural basis of planning abilities.

The use of oxygen just after a stroke may actually harm the brain rather than help it, suggests a new study reported in SciAm.

Companies tune in to the potential of sound for marketing, reports The Economist.

A couple of interesting news stories on the treatment of mental illness in the US military are picked up by Corpus Callosum.

Wired report on new commercial prototypes for ‘home use’ magnetic brain stimulators.

A perceptual deficiency may make us better foragers, suggests research expertly covered by Cognitive Daily.

SciAm investigates the effects of having half the brain surgically removed.