Being Human

NPR has an interesting short article on wandering in dementia. Conditions likes Alzheimer's disease can cause patients to embark on seemingly aimless walks and sometime epic journeys, but nobody is quite sure why it happens.

We are fascinated by the pilgrim, the lost soul, the sovereign wayfarer. In others. In ourselves. The literature of wandering — Homer's Odysseus, Coleridge's Ancient Mariner, Steinbeck's Dust Bowl families, Star Trek's questing starships, for instance — fills shelves and shelves. "One wanders through life as if wandering through a field in the dark of night," writes Lemony Snicket.

For dementia-driven wanderers, the desire to ramble can be amplified...

Scientists are also not sure why dementia often leads to roaming. But there is this sobering statistic from the Alzheimer's Association: About 50 percent of people who wander will suffer serious injury or death if they are not found within 24 hours.

For this reason, wandering has been a subject of a fair amount of medical research. Unfortunately, it is still largely a mystery and all we know for certain is that patients who wander tend to be physically fitter but more cognitively impaired.

This had led to a number of innovative ideas to prevent patients getting lost, from electronic tracking by mobile phone to decoy bus stops on hospital grounds.

Link to NPR on wandering in dementia.

I've just found a remarkable study on how female chocolate cravings vary throughout the hormone cycle and drop off after menopause. While the cravings are not solely explained by hormone changes, some of the effect does seem to be linked.

Perimenstrual Chocolate Craving: What Happens after Menopause?

Appetite. 2009 Jul 9. [Epub ahead of print]

Hormes JM, Rozin P.

About half of American women crave chocolate, and approximately half of the cravers crave it specifically around the onset of menstruation. This study examines whether the primary cause of this "perimenstrual" craving is a direct effect of hormonal changes around the perimenstrum, or rather if the craving is a general response in some individuals to stress or other notable events. Insofar as there is a direct hormonal effect, one would predict a substantial decrease of 38% in total chocolate craving in women post-menopause, corresponding to the proportion of women pre-menopause who report craving chocolate exclusively perimenstrually. Based on a survey of pre- and postmenopausal alumnae of the same University, we report a significant but small decrease in prevalence of chocolate cravings post-menopause. The decrease is only 13.4% and thereby much smaller than a 38% drop predicted by a purely hormonal explanation, suggesting that female reproductive hormones are not the principal cause of perimenstrual chocolate craving.

Last time I posted something about the menstrual cycle, with reference to the effect on race bias, the post attracted some remarkably acerbic comments.

The comment on racism being a "typical British trait" was pure comedy gold, but one asked the question "Why are hormone fluctuations in men not studied as closely or publicized as widely?".

I did have a look, but as far as I know, men don't have hormone cycles. If you know different, do let us know as I'd love to know if there is any good evidence for them.

However, the point was that these studies often focus on stereotypes of female behaviour. So this post is offered as food for thought.

Link to PubMed entry for study.

The Australian military is seeking a human race Judas to design intelligent and fully autonomous robots that will be able to "neutralise threats" for a prize pot of $1.6 million.

From BBC News:

The government wants to develop an "intelligent and fully autonomous system" capable of carrying out dangerous surveillance missions.

Senior officials in Canberra have said they hope that unarmed robotic vehicles will do some of the army's "dirty work" in such hazardous theatres.

The ultimate plan is for groups of these sophisticated machines to be sent into battle to help neutralise the enemy.

That's their ultimate plan you idiot, not ours.

Our ultimate plan is to take off and nuke the entire site from orbit. It's the only way to be sure.

Link to Aussie military's International Challenge To Destroy Humanity.
Link to BBC News on the end times.

The BPS Research Digest has the surprising news that a photo of Phineas Gage has been discovered. He became one of the most famous case studies in neuroscience when he had a large iron rod blown through his frontal lobes in in 1848.

He survived but his frontal lobe damage meant "Gage was no longer Gage", at least according to his attending doctor, giving us some of the first clues that damage to specific brain areas could cause changes in personality.

The photo was apparently discovered by two photo collectors who went to great lengths to verify it was indeed Gage.

The photo may well show Gage in his later years as he toured the country with PT Barnum's circus appeared at PT Barnum's New York museum as one of the star attractions, always with the tamping iron on hand to amaze the crowds.

In the tradition of media circuses, the collectors have taken the long out-of-copyright photo, put a dirty great copyright sign across the front and are charging 'usage fees' for the undefaced version.

Phineas Gage may be dead, but the spirit of Barnum, it seems, lives on.

UPDATE: The LA Times has a short article and an undefaced version of the photo online.

Link to BPSRD on the photo.
Link to the 'Meet Phineas Gage' website with defaced photo.

What modern home could not benefit from some brain-shaped porcelain salt and pepper shakers, I hear you ask. Apparently they even have magnets so the two hemisphere snap together into a whole brain.

Obviously, you'll need to do an impromptu callosotomy to use them but at least you'll have the fun of doing some split-brain experiments with your seasoning.

Not to be confused with AC/DC's rather more saucy Brain Shake of course.

Link to brain salt and pepper shakers from Think Geek.

Furious Seasons has ">alerted me to an interesting article in the Boston Globe about street dealing of the antipsychotic drug quetiapine - interesting because it reveals some of our prejudices about the neuroscience of recreational drug use.

One of the mantras of neuroscience is that drugs of abuse boost the dopamine system. This led to the somewhat bizarre headlines earlier this year that modafinil may be 'addictive' because it was found to increase dopamine function in the nucleus accumbens, a key part of the reward system.

The reason this was bizarre is because while there are many reports of people illicitly using the drug to avoid sleep and maintain focus, there are none about 'modafinil addicts'. In fact, I couldn't find a single case in the literature.

However, the 'all drugs of abuse boost dopamine' mantra trumped the fact that there aren't any actual addicts to make people warn about its potential for addiction. And by people I don't just mean the press, I mean the neuroscientists who carried out the research, including Nora Volkow, head of the US's National Institute on Drug Abuse.

And this is why the reports of the abuse of quetiapine (trade name Seroquel), both in the popular press and in the medical literature, are so interesting, because quetiapine is a dopamine blocker.

In fact, it reduces function at the same D2 dopamine receptors in exactly the same 'reward circuits' that are supposedly always stimulated by drugs of abuse.

In other words, it does exactly the opposite of what the received wisdom tell us, and yet, it is being widely abused to the point where people are getting gunned down over shady quetiapine deals.

As scientists one of our greatest vices is fitting the world into our theories, rather than fitting our theories to the world. For neuroscientists, this is especially tempting because society has come to the popular but false conclusion that brain-based explanations trump behavioural or psychological observations.

There is more to drug abuse and addiction than dopamine and our clichés about the 'reward system' are hampering our efforts to make sense of it all.

Link to Boston Globe article 'Psychiatric drug sought on streets'.
Link to Furious Seasons who have been on the case for ages.

The New Atlantis magazine has an in-depth article discussing the difficulty in defining death and why arguments about the brain have become central to understanding the final curtain.

The article is a little bit wordy in places but does a great job of exploring the philosophy of death definitions and why these have direct practical applications in medicine.

Not least in 'pulling the plug' decisions and the removal of organs from people who have been declared brain dead even while their body is still functioning on life support.

Another way forward is to confess that all this time the real reason why the neurological standard seemed palatable was that the patient with total brain failure has lost consciousness and will never regain it.

All the talk about the body no longer being a whole was just a distraction. The pulsing heartbeat, the warm skin, all the integrated work of the body—these are indicators that the body is alive but not the person.

And it is the life of the person that demands protection, in this case from being made into a source for organs. This kind of dualism opens the door, of course, to the possibility that there are more “personless” bodies—that, for instance, some patients with severe dementia or PVS [persistent vegetative state] might meet the description.

Link to article 'What and When Is Death?'

The 73rd edition of the Encephalon psychology and neuroscience writing carnival is here with a specially video enriched version, this time ably hosted on Channel N.

A couple of my favourites include Neurocritic tackling the myth of the depression gene and Providentia on the visionary psychosis surfer Emmanuel Swedenborg.

There's many more excellent articles and a video to match each one so head on over and enjoy.

Link to Encephalon 73.

You've probably heard of the many cognitive bias studies where the vast majority of people rate themselves as among the best. Like the fact that 88% of college students rate themselves in the top 50% of drivers, 95% of college professors think they do above average work, and so on.

In light of this, I've just found a wonderfully ironic study that found that the majority of people rate themselves as less susceptible to cognitive biases than the average person.

It's work from psychologist Emily Pronin who studies insight into our own judgements and how it affects our social understanding and perception of others.

In this study, the participants (psychology students no less), were given a booklet explaining how cognitive biases work that described eight of the most common ones. They were then asked to rate how susceptible they were to each of the biases and then how susceptible the 'average American' was.

Each rated themselves as less affected by biases than other people, instantly causing an irony loop in the fabric of space and time.

The study also had a fantastic follow-up that demonstrated just how strongly these cognitive biases affect our thinking. Even when they're pointed out, we can't escape them:

Participants in one follow-up study who showed the better than-average bias insisted that their self-assessments were accurate and objective even after reading a description of how they could have been affected by the relevant bias.

Participants in a final study reported their peer's self-serving attributions regarding test performance to be biased but their own similarly self-serving attributions to be free of bias.

Pronin calls this the 'bias blind spot' and you can read the full study online as a pdf file. Pronin also wrote an excellent 2008 review, also available as a pdf, on how these biases mean we see ourselves differently from how we see others, because we have direct access to our own minds but only observations of other people.

pdf of 'bias blind spot' study.
Link to DOI entry for same.

I don't know what to make of this, but the discovery is quite startling. It's data from a World Health Organisation study on lethal violence, finding that the ratio between murder and suicide differs between countries, and in some countries differs between sexes.

It suggests an interesting hypothesis, that cultural differences affect whether lethal violence is typically directed outwards (murder) or inwards (suicide). Skip to the findings if you just want the bottom line.

An Analysis of WHO Data on Lethal Violence: Relevance of the New Western Millennium.

Rezaeian M.

Asia Pac J Public Health. 2009 Jul 2. [Epub ahead of print]

INTRODUCTION: Suicide and homicide are considered to be lethal violent acts with a clear difference in their directions, that is, inwardly "killing oneself" or outwardly "killing another," respectively. There are some studies in which these 2 violent acts are considered under the same framework mostly within Western countries. This article for the first time investigates this issue throughout the world. Material and methods. The present study uses data that have been estimated by Global Burden of Disease (GBD) project for 2000 for the 6 different regions of the world proposed by WHO. The suicide/homicide ratio has been calculated by dividing the suicide rate by the sum of the suicide and homicide rates within each age and sex groups.

FINDINGS. Three distinct groups have emerged. In the first group, that is, Southeast Asia, Europe, and Western Pacific, lethal violence in both males and females usually directs inward whereas in the second group, that is, Africa, lethal violence in both males and females directs outward. In the third group, that is, America and Eastern Mediterranean, in males lethal violence generally directs outward whereas in females it often directs inward.

CONCLUSION: Under the same framework if a factor causes external blame for the people's failures it will increase the likelihood that the suicide/homicide ratio is expressed as homicide and vice versa. Although this might explain the observed pattern to some extent, more in-depth studies are needed to better understand the causal root of the pattern.

Link to PubMed entry for study.

ABC Catalyst has a completely astounding video on someone with 'body integrity identity disorder' who deliberately caused a leg amputation to feel satisfied with their body. It goes on to explore the neuroscience of body image and explores some of the best known body swap experiments.

The voice over is a bit cheesy in places but otherwise it's brilliantly explained, linking an unusual condition with the experimental lab science.

People described as having BIID feel as if a perfectly healthy limb is not really part of them. Like Robert Vickers, the man featured in the documentary, they can sometimes take extreme measures to get it amputated.

Preliminary evidence suggests that it might arise from a distortion of our neurally mapped body image and recent studies using the rubber hand illusion or the body swap illusion have been thought to tap the same sort of body image distorting effects.

One of the most compelling parts of the documentary is when the gentleman with BIID actually takes part in all the experiments.

After he takes part in the rubber hand illusion the presenter asks a really interesting question: "Is this anything like you experienced with your leg?", "No" he answers, giving her a look like she's a bit crazy.

This is the sort of question that is almost never asked by cognitive scientists. We create what we think is something similar in the lab, and then study it to death, but rarely do we actually get people with similar distortions to try it out and ask them what they make of it.

Vickers also recently recorded a programme for ABC Radio National's Ockham's Razor where he talks incredibly eloquently about the experience of his body, the turmoil of having an unwanted healthy limb and gives a remarkably good review of the scientific literature.

Both are highly recommended.

Link to amazing Catalyst programme on BIID.
Link to Robert Vickers on Ockham's Razor.

I was just re-reading the excellent Prospect magazine article on psychotherapy and cricket when I was struck by a bit about the high rate of suicides in professional cricket players that I'd not noticed before.

It mentions David Frith's book Silence of the Heart which specifically focuses on the large numbers of ex-cricket pros who have taken their own lives. This from the New Statesman review:

Is this grim roll call of any significance? In 1998, 1.07 per cent of the 264,707 male deaths in the UK were attributable to suicide; according to David Frith's research, of the 339 England Test cricketers who had died by July 2000, 1.77 per cent were suicides. The figures are even higher for Australia (well, they have to beat us at everything, don't they?), South Africa (an astonishing 4.12 per cent) and New Zealand. In all, Frith has unearthed more than 100 examples from all levels of the game.

I looked in the medical literature and it seems it has also been discussed there. A paper in Australasian Psychiatry examined mental illness in professional Aussie cricketers and found high rates of mood disorders, suicide, and drug and alcohol issues, along similar lines to a recent study on professional jazz musicians.

During my search I came across the astounding and tragic life of South African cricketer Aubrey Faulkner (pictured), who came from a violent background to be a cricketing legend, war hero, sports mentor and finally a suicide statistic.

It's not clear whether cricket is particularly associated with mental illness, or whether this just reflects a trend in all elite level sportsmen, but it's an unusual connection that I'd never come across before.

Link to New Statesman review of 'Silence of the Heart'.
Link to PubMed entry for paper on mental illness and cricket.

neuro culture is a beautiful and interesting website that tracks the interaction between neuroscience and visual art as it develops across the world.

It works as a cross between an online gallery and an art studies venture, looking at how artists are making sense of the increasing awareness and interest in the brain through all levels of society.

Visual and digital technologies of the brain, the widespread dissemination of psychotropic drugs, expanding programs in consciousness studies and other neurotechnologies are having a significant impact on individuals and society.

These ongoing transformations in science and society are deeply pervading popular culture and are appearing in a profusion of media and artistic expanse- from the visual arts to film, theatre, novels and advertisements.

With this website, we explore and document past and current manifestations of this phenomenon and introduce an online platform for the analysis and exchange of cultural projects intersecting neuroscience, the arts and the humanities.

There's some truly beautiful artwork on the site which is worth a visit purely for the rich visual spectacle.

Link to neuro culture.

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

PsyBlog covers the numerous studies that have found your name influences your performance or preferences.

Professor Baroness Susan Greenfield thinks that her increasingly bizarre warnings about the 'neurological dangers' of Twitter are equivalent to when people first starting saying smoking caused cancer. Except they had evidence, and understood what they were talking about.

The New York Times has an interesting piece on why some of the counter-intuitive findings of behavioural economics don't work when people have to use their own money.

There's an awesome post on Developing Intelligence about how the famous 40hz 'consciousness' oscillations in the brain may have really been eye movements affecting the signal - the debate continues.

I do is apparently a blog written by someone describing their experience of locked-in syndrome.

Emotional robots: Will we love them or hate them? asks New Scientist. Depends if they know their place, I suggest.

If you don't read Neurophilosophy (and if you don't, why not?) you've missed two excellent articles recently on the evolutionary origins of the nervous system and the neuroscience of hypnotic paralysis.

BBC Radio 4 had an excellent programme on the criminal mind that will shortly be sucked into archiveless oblivion. Enjoy it while you can license paying suckers.

A recent study on how your self-view skews your mood is discussed by Neuronarrative.

Scientific American has an excellent piece on the evolutionary origins on left and right brain hemisphere differences.

There's an excellent post on genius and madness on Frontier Psychiatrist.

Scientists create eerie ambient music using human brains, MRI machines, reports GizModo with video. I'm waiting for musicians to create eerie brain scans using drum machines though.

The New York Times has an excellent piece on the psychology of intrusive perverse thoughts. My favourite type, as it happens.

Employees are promoted until they reach their level of maximum incompetence, according to a new study on arXiv covered by Tech Review.

Psychiatric Times has created an online forum (i.e. mud slinging arena with ring-side seats - hotdog anyone?) to cover the development of the DSM-V.

ABC Radio National's 360 programme has an excellent piece on how the public relations industry works. Eye opening stuff.

New Scientist has an excellent piece on the origins and anthropology of war.

Acid techo. The history of how LSD inspired scientists and tech pioneers is discussed by the HuffPost. Includes a letter from Albert Hoffman to Steve Jobs.

New Scientist has an awesome article on the memristor and the future of artificial intelligence. NewSci is totally on fire this week.

Sweet and salty. Frontal Cortex discuss why they taste so good together.

The Neuroskeptic covers on a study on the effect of affirming statement on people with low self-esteem that has been widely and incorrectly reported as 'self help harms people'.

The New York Times has a fantastic profile of ultramarathon runner Diane Van Deren who became a world class endurance athlete after having brain surgery to remove a large chunk of her right temporal lobe.

The surgery was to treat otherwise untreatable epilepsy and has left her with memory and organisation difficulties, neither of which stop her from running and winning races of several hundred miles.

Van Deren, 49, had a lobectomy in 1997. She has become one of the world’s great ultra-runners, competing in races of attrition measuring 100 miles or more. She won last year’s Yukon Arctic Ultra 300, a trek against frigid cold, deep snow and loneliness, and was the first woman to complete the 430-mile version this year...

[Neuropsychologist] Gerber, who works at Craig Hospital, a rehabilitation hospital in Englewood, Colo., for people with brain or spinal-cord injuries, said that Van Deren “can go hours and hours and have no idea how long it’s been.” Her mind carries little dread for how far she is from the finish. She does not track her pace, even in training. Her gauge is the sound of her feet on the trail.

“It’s a kinesthetic melody that she hits,” Gerber said. “And when she hits it, she knows she’s running well.”

Link to NYT on Van Deren.