IS FREE WILL SIMPLY AN ILLUSION? ; AS DISTURBING NEW RESEARCH INTO THE BRAIN SUGGESTS THAT MAN HAS NO CONTROL OVER HIS OWN DESTINY ...

WHAT does it mean to be human, to be in control of one's own mind? What is the nature of consciousness, the mysterious property of self-awareness that we all have and yet which no scientist understands? Is there any such thing as free will, or are our minds at the mercy of some unknown force? These are the fundamental questions that have perplexed philosophers and, increasingly, scientists for centuries.

Until recently they seemed utterly unfathomable; after all, how do you test for something like free will in the laboratory? But now science is coming up with some fascinating -- and deeply uncomfortable -- answers.

This week, for instance, Professor John-Dylan Haynes and colleagues at the Max Planck Institute in Germany report the findings of an extraordinary experiment which seems to show that 'free will' -- the most cherished tenet of humanity, which decrees that Man has total control of his own actions -- may, in fact, be little more than an illusion.

For in their experiment, the scientists found that we may not be making conscious choices at all. Rather, our subconscious minds may be dictating our actions, long before we realise.
Analyse It is a troubling suggestion. As Prof Haynes says: 'The impression that we are freely able to choose between different possible courses of action is fundamental to our mental health.' If we are not in control after all, then that makes humans little more than automatons.
In his experiment, volunteers were asked to view a stream of letters on a computer screen and told, at some point, of their choosing, to press a button either with their left or right index finger -- and remember the letter that was on the screen when they did so.

The volunteers were also connected to brain-scanning MRI machines which were able to monitor and analyse brain patterns. These 'mind- reading' scanners could recognise when the brain had decided on a course of action.

To the researchers' astonishment, it turned out that the volunteers' brains would reach a decision about pressing one of the buttons several seconds before the volunteers actually thought they had made up their minds.

The implications are hugely significant, because the experiby ment suggests that what we think of as a 'conscious decision' may, in fact, be no such thing.

The traditional 'folk science' picture of the mind has our 'conscious self' as a little man sitting in our heads, pushing buttons and pulling levers, filing 'thoughts', receiving messages from eyes and ears and making our muscles move.

What Prof Haynes's experiment seems to show is that we need a new picture; instead of that little man pushing and pulling levers, he is merely a passive observer, lazing back in his chair and watching it all happen.

It is as though what we are actually aware of is no more than a film show, and the decision-making is made purely unconsciously.

Disturbing It is a disturbing picture, because it reinforces the view that we are mere machines, pieces of biological clockwork that have no more free will than a Swiss watch.
This sounds counter to common sense, but the more you think about it the more it is clear that much of what we do is done on 'autopilot' and that free will is rarely necessary.
If you regularly drive to work, for instance, at the end of your commute tomorrow try to remember the details of your journey. The chances are you will not be able recall more than the basics. When top tennis players are asked to think, consciously, about every stroke and every movement, their game falls to pieces.

Studies of elite sportsmen show that at the top of their game they are performing in a sort of semi-conscious fugue, purely on autopilot.

The 'will', if there is any, comes during the training process, not during the match.
Of course, if we really do not have free will, this opens a can of worms about human morality.
If the brain is a machine, whose decisions are entirely out of our conscious control, then can a criminal be held responsible for his actions? This is a dangerous road to go down. As Prof Haynes admits: 'It would lead to no one being held responsible for anything.' But this isn't the first time science has given a worrying insight into the workings of our brains.

Earlier this year, Nature magazine reported an extraordinary experiment in mind-reading technology.
No stage magic, smoke or mirrors here -- just the clever use of brain-scanning machines and computers to pinpoint and identify actual thoughts as they arise in the brain.

The scientists, led by Dr Jack Gallant of Berkeley University in California, again used MRI scanners to monitor brain activity when volunteers were shown various black and white photographs of everyday scenes -- a house and garden, various countryside views and so on.
The scanner and the computer it was attached to first had to 'learn' how the brain reacted to thousands of images -- what electrical patterns arose when the volunteer was looking at a picture of, say, a house or a car.

The volunteer was then shown photographs and the 'mindreading system' had to work out, from the patterns of electrical activity detected in the brain, what the subject was looking at.
Astonishingly, nine times out of ten the machine was able to work out what the person was looking at. As the authors freely admit, the way is now open to a general mind-reading machine, 'perhaps even to access the visual content of purely mental phenomena, such as dreams and imagery'.

If we can read minds, and even dreams, and prove that free will is a nonsense, then what does that say about the mystery of our minds? In fact, the human brain, for all this, remains by far the most mysterious object known to science.
It is still completely unknown how 3lb of wet jelly, plus tiny electrical currents powered by the energy we release from our food, can give rise to consciousness.
But it does.

Mystery Few modern people believe that the brain is pervaded by some sort of mysterious 'soul'; but how the neurones and synapses of the mind can generate subjective experiences of colour, smell, hate, fear and love is an utter mystery. In fact, many scientists believe it is the greatest mystery of all.

But unless we want to believe in 'souls' or 'auras', we must believe that the brain is a machine -- a very complicated machine, but a machine nonetheless. And that means its workings must, in principle, be deducible, that we can predict its every move, as this freewill experiment seems to show.

Does that mean we will one day be able to calculate what powers love, creates artistic masterpieces, sows awe, and experiences both great sorrow and utter joy? Maybe one day science will have an explanation for all this, but one suspects that even after the questions of the atoms and quarks, the planets and galaxies are finally answered, the deep puzzle of what exactly is going on in our heads will remain forever unsolved.
And perhaps that's the way it should be..

Copyright 2008 Daily Mail Date: 4/18/2008; Publication: Daily Mail; Author: Michael Hanlon

This document provided by HighBeam Research at http://www.highbeam.com


Latest PET Definition

Here is the latest Columbia Encyclopedia definition available for Title: PET scan

Date: 4/24/2008; Publication: The Columbia Encyclopedia, Sixth Edition;

PET scan or positron emission tomography , a medical imaging technique that monitors metabolic, or biochemical, activity in the brain and other organs by tracking the movement and concentration of a radioactive tracer injected into the bloodstream. The technique uses special computerized imaging equipment and rings of detectors surrounding the patient to record gamma radiation produced when positrons (positively charged particles) emitted by the tracer collide with electrons.

PET scans are especially valuable in imaging the brain. They are used in medicine to diagnose brain tumors and strokes, and to locate the origins of epileptic activity; in psychiatry to examine brain function in schizophrenia , bipolar disorder , and other mental illnesses; and in neuropsychology to study such brain functions and capabilities as speech, reading, memory, and dreaming.

Author not available, PET SCAN., The Columbia Encyclopedia, Sixth Edition 2008
The Columbia Encyclopedia, Sixth Edition. Copyright 2008 Columbia University Press
 

Bush signs TBI Act of 2008

President Bush signed legislation to reauthorize the TBI Act this afternoon: http://www.whitehouse.gov/news/releases/2008/04/20080428-5.html..

President Bush Signs S. 793 into Law

On Monday, April 28, 2008, the President signed into law:


S. 793, the "Traumatic Brain Injury Act of 2008," which authorizes appropriations and makes changes to the Department of Health and Human Services programs that provide grants for State programs for: tracking and reporting of brain injuries; and brain injury rehabilitation.

Train Your Mind, Change Your Brain | Book Review by Tim Titolo

Book Title: Change Your Mind, Change Your Brain: How a New Science Reveals Our Extraordinary Potential to Transform Ourselves

Author: Sharon Begley

Contrary to what the title may suggest, this is not a training manual for the brain. The book is a fascinating and convincing account of recent discoveries in brain neuroplasticity (i.e. its `pliability') even into old age, and the amazing implications of such discoveries. Sharon Begley states, "Yes, the brain can change, and that means we can change." For those looking for a magic bullet, she adds that it is not easy. "Neuroplasticity is impossible without attention and mental effort."

Those who have worked in fields such as psychology, education, gerontology and various social services will no doubt have observed unexplained and seemingly miraculous events with their clients and students. This book gives answers to their questions. For example, working as an occupational therapist in gerontology a number of years ago, I was stunned when an elderly (and chronic) stroke victim suddenly raised her paralysed arm to bat a balloon in a lighter version of volley ball. There was an "aha" moment when I read the chapter "New neurons for old brains."

This book also gives credence to the Superlearning trend of a decade ago, which met with a great deal of scepticism at the time. There were those, like myself, who used it anyway, purely on instinct, and met with amazing outcomes we could not explain. Anecdotal, of course, but Begley's book gives the following example some weight: While in my sixties, I decided to test out on myself what I had successfully used on the children. I undertook papers at university after forty years break from education, but reducing the study time by two thirds (using the Superlearning protocol.) It worked far better than I had dared hope; the 'grandmother' amongst students a third her age achieving the 90th percentile. (I later helped 'learning disabled' adults achieve the same percentile.) I couldn't say how it worked; just that it did. Now Begley gives scientific reasons why.

I am sure that other readers will find similar places of déja vu in this book and be assured that they can repeat, again and again, what they previously thought was mere chance. Whether you are a parent seeking hope for a dyslexic child, or an older adult who does not want to end up in mental decline like your parents did, there is solid evidence that "we can change what we choose to change."

Intertwined in Begley's reports of neuroplasticity research (cataloguing the unbelievable intransigence of the 'hardwired brain' traditionalists) is the story of an interaction that has developed over the years between the Dalai Llama and a group of enlightened Western scientists. This is a beautiful account of an interrelationship that has, without doubt, benefited the world, albeit with little media attention.

My only surprise is that, although Begley refers repeatedly to the scientists' rejection of mind-brain dualism, she does not answer this with any of the impeccable research available on non-local mind - such as that of William Braud (whose research is documented meticulously in "Distant Mental Influence.") However, Begley's "Train Your Mind, Change YOur Brain" was published in the same week as Lynne McTaggart's "The Intention Experiment," to create what is essentially a dyad in consciousness literature: while McTaggart shows how we can influence our outer world, Begley shows how we can influence our inner world. One way or another, we can be empowered.

BIAA Legislative Update April 2008(3)

House Overwhelmingly Passes Bill to Delay Harmful Medicaid Regulations
This week the House of Representatives passed by a veto-proof margin H.R. 5613, important legislation which would place a moratorium until March 2009 on seven harmful Medicaid regulations issued by the Department of Health and Human Services. BIAA issued a Legislative Action Alert earlier this week before the vote encouraging advocates to urge their Representative to vote YES on the bill. The fate of the bill is now up to the Senate.


The legislation, which was originally introduced on March 13, 2008, would delay the implementation of seven harmful Medicaid regulations through March 2009, including several rules which would be especially deleterious to individuals with brain injury.


One of these rules would limit rehabilitation services for Medicaid beneficiaries, severely curtailing the ability of people with disabilities – including TBI – to receive rehabilitation services now covered under Medicaid. Access to these rehabilitative services is essential, as in many cases, these services play a vital role in allowing people with TBI to live independently in the community.
As the House considered and passed H.R. 5613 by a vote of 349-62 on Wednesday, Senate Republican leadership began circulating a letter defending the Medicaid regulations and urging colleagues to reject such legislation in the Senate. According to news sources, this letter forms part of a Republican strategy to demonstrate to supporters of H.R. 5613, through the gathering of a sufficient number of signatures, that they will not be able to override a veto in the Senate.
If enough Senators sign on to the Republican leadership letter, effectively backing up the president’s veto threat, there is speculation that the White House could then offer a limited moratorium on only two of the harmful regulations. Unfortunately, these two regulations are not the ones addressing targeted case management and rehabilitative services, which stand to directly impact individuals with brain injury. (CQ Healthbeat News, April 24, 2008, John Reichard).
Without a moratorium, all seven of the regulations would go into effect by June 30 of this year.
BIAA thanks advocates for contacting their Representatives this week, and will shortly issue another Legislative Alert anticipating Senate action on the bill.


A copy of BIAA’s letter endorsing H.R. 5613 can be obtained by visiting BIAA’s website at the following address: http://www.biausa.org/policyissues.htm.
BIAA Submits Testimony to Senate Appropriations Subcommittee


Also this week, BIAA submitted written testimony to the Senate Appropriations Subcommittee in charge of funding TBI programs within the Department of Health and Human Services and the Department of Education. BIAA’s testimony urges an increase in funding in Fiscal Year 2009 for programs authorized through the TBI Act, as well as TBI research programs conducted within the National Institute on Disability and Rehabilitation Research (NIDRR).


Within the testimony, BIAA requests $30 million in funding for programs authorized through the TBI Act, as well as sufficient funding to sustain and increase medical rehabilitation research within NIDRR. The testimony also urges an allocation of at least $8.3 million to allow NIDRR to continue to fund 16 TBI Model Systems research centers.

 
In addition, BIAA played a leading role, along with other national organizations, in recent weeks in drafting and circulating an organizational sign-on letter in support of FY09 TBI appropriations. The letter, which was signed by over 25 organizations - including several veterans organizations - was recently delivered to both the House and Senate Appropriations Subcommittees on Labor, Health and Human Services, and Education.


Copies of both BIAA’s written testimony and the Organizational Sign-On Letter in support of appropriations for TBI programs can be obtained by visiting BIAA’s website at the following address: http://www.biausa.org/policyissues.htm.


BIAA Roots On Servicemembers at Wounded Warrior Soldier Ride White House Kickoff
A representative of BIAA was invited to attend an event hosted by President George W. Bush on Thursday at the White House. BIAA Government Affairs Director Laura Schiebelhut was proud to be part of the inspiring event, which honored a group of wounded warriors as they kicked off the Wounded Warrior Project’s second annual “Soldier Ride: White House to Light House Challenge.”
Soldier Ride, sponsored by the Wounded Warrior Project, is a rehabilitative cycling program for wounded warriors, including individuals with brain injury. For many of these combat-wounded veterans, Soldier Ride provides the first steps in the return to an active lifestyle.
BIAA Signs On In Support of National Shaken Baby Syndrome Awareness Week Resolution
BIAA was proud to sign on as a supporter of the National Shaken Baby Syndrome Awareness Week Resolution (S. Res. 518), which passed the Senate on Monday. The Resolution, introduced by Senator Dodd (D-CT), dedicates this week (the week of April 21st through 25th) to raise awareness of Shaken Baby Syndrome and to ultimately eliminate its occurrence.
BIAA was included as a supporter of the resolution in Senator Dodd’s floor statement that was submitted to the Congressional Record when it was introduced on Thursday, April 16, 2008.

BIAA Legislative Update April 2008-2

After legislation to reauthorize the Traumatic Brain Injury (TBI) Act successfully passed by Congress last week, the bill still needs to be considered by the President for his signature into law. The Brain Injury Association of America (BIAA) anticipates this consideration will occur in the very near future.

This week saw major activity occur on H.R. 5613, legislation recently introduced which would place a moratorium until March 2009 on seven Medicaid regulations issued by the Department of Health and Human Services. On Wednesday, the bill was unanimously approved by the full House Energy and Commerce Committee, setting up a potential veto showdown with the White House. BIAA has strongly endorsed this legislation and submitted an official letter of endorsement to the bill’s sponsors, Rep. Dingell (D-MI) and Rep. Murphy (R-PA), last week.


Also this week, The Rand Corporation published an important comprehensive study of the mental health and cognitive needs of U.S. servicemembers returning from Afghanistan and Iraq. This groundbreaking study - which focuses specifically on the post-deployment health-related needs and economic costs associated with post traumatic stress disorder (PTSD), major depression and TBI - estimates that 320,000 servicemembers may have experienced TBI as a result of recent combat operations.

The Fake Bad Scale and Malingering Claims

Lawyers USA published an article last week entitled Defense experts using controversial 'malingering' test.

The author is continuing a series of criticisms leveled at Dr. Paul Lees Haley who is the creator of the Fake Bad Scale.  He uses it to categorize personal injury victims as "malingerers" and "fakes."  The fake bad scale was created in 1991 by Dr. Paul Lees-Haley, a neuropsychologist in Woodland Hills, Calif. who testifies as an expert witness for the defense.

Since the test recently gained acceptance by the University of Minnesota (the author of the Minnesota Multiphasic Personality Inventory, or MMPI scales), Lees-Haley's Fake Bad Scale is receiving clout.  Clout, according to leading doctors and lawyers, is false and misleading.

A person scores a point for answering questions positively.  The fake bad scale is a series of 43 true or false questions such as "I have very few headaches," "I have nightmares every few nights" and "My sex life is satisfactory."

Each response of a symptom adds a point toward the total score.

A total score of 23 out of 43 would be considered a "high score" and should "raise suspicions of over-reporting of symptoms," said Dr. Manfred Greiffenstein, a proponent of the test. He added that it would be virtually impossible for anyone who is not exaggerating to score 30 or higher.

However, critics note that the cut-off score has changed. The author previously recommended a cut-off of 20, while others have suggested a cut-off score of 26 for women.

Greiffenstein acknowledged that the test is scored on a "sliding scale."

A leading critic of the test, Dr. James Butcher, PhD, a senior author of the MMPI-2 and a professor at University of Minnesota, said that the fake bad scale does not meet the standards set by other MMPI-2 scales and "greatly overestimates" malingering.

As lawyers, Daubert and evidentiary challenges are raised as to the use and misuse of the Fake Bad Scale.

BIAA Legislative Update April 2008

Last night, the Senate passed a slightly revised version of S. 793, the Traumatic Brain Injury Act, which exactly matches the House version passed earlier this week. The bill has now been cleared entirely by Congress and will be forwarded on to the President for his signature!!!

Passage of TBI Act reauthorization has been the number one legislative priority of BIAA in 2008, and much behind-the-scenes work with Members of Congress and their staff has occurred in recent weeks and months. In addition, BIAA grassroots advocates played an essential role in moving this legislation and ensuring that Congress passed it THIS YEAR, so a huge THANK YOU to all of you who contacted your Representatives and otherwise worked to ensure the progress of this key legislation.

Since the President has not threatened to veto this bill, BIAA is not asking advocates to contact the President at this time. Instead, BIAA will be asking advocates to craft thank you notes to key legislators in the near future. Of course, if you do feel individually moved to contact the President, you are welcome to do so.

North American Brain Injury Society (NABIS) Conference 2008

New Orleans will be the city of this year's North American Brain Injury Society's 2008 Conference.  I have been invited to make a presentation at the event which runs from October 2-4.  For more information visit www.nabis.org.

Neuropsychology in the Courtroom

Trial lawyers, civil litigators and criminal defense attorneys will find Dr. Robert Heilbronner’s latest book, “Neuropsychology in the Courtroom: Expert Analysis of Reports and Testimony” (Guilford Press, 2008), to be an informative legal guide for the evaluation of neuropsychological impairments in civil and criminal litigation.

Edited by Robert L. Heilbronner, this 2008 publication contains contributions from several authors including Erin Bigler, PhD, Ida Sue Baron, PhD, Brian Brooks, PhD, David Bush, PhD, Shane Bush, PhD, Jacobus Donders, PhD, Kevin Greve, PhD, James Holdnack, PhD, Grant Iverson, PhD, Michael McCrea, PhD, Wiley Mittenburg, PhD, Joel Morgan, PhD, Howard Oakes, PsyD, Wilfred van Gorp PhD, Karen Wills PhD.

The Preface identifies that the publication is directed primarily at neuropsychologists.  Obviously those in related professions are an anticipated audience as well.

The book is divided into 3 parts.  The first contains 7 contributions relating to Case Analysis. Part 2 is entitled "Forensic Analysis from Opposing Perspectives."  This portion gave me a illustration of how two neuropsychologists looking at the same case can hold very different opinions.  This is important in my representation of Brain Injured clients as well as those with suspected brain injury.

The third part contains 5 special topics.  Fixed versus Flexed Battery Approach by Dr. Bigler.  Pediatric Issues by Dr. Wills.  Issues about testimony and cross examination.  And finally Misdiagnosis issues.

This is definitely a book worth adding to your TBI literature library.  It is not cost restrictive and can me ordered through Amazon.

 Robert L. Heilbronner, Ph.D., ABPP-CN, is a board-certified neuropsychologist with over 20 years of professional experience. In addition to maintaining a private clinical practice, Dr. Heilbronner is a court-approved forensic expert who consults with plaintiff and defense attorneys in regard to the impact of brain injuries and various neurological disorders on civil and criminal cases.

Tort Reform Hoax

A new study on tort reform by a business-backed institute "proves tort reform does not work," according to the association for the nation's justice lawyers.  The Insurance Journal contains the report.

The Las Vegas Review Journal reports on the Endocscopy Clinic debacle almost everyday since it went public.  Today LVRJ reports that insurance companies are no longer covering gastroentologists which is soon to result in a medical "crisis."  Sound familiar?  Does the "medical crisis" the insurance company financed in the media in 2003 being due to "frivolous lawsuits" and "outrageous jury verdicts" sound familiar? Well Cigna, Anthem Blue Cross Blue Shield, Sierra Health Services

Stay tuned to the Endocsopy crisis.  Eventually lawyers who are responding to the public damage unaccountable physicans wreaked on their patients will be blamed for an eventual "crisis" of physician availability.  But who today would deny the fact that thousands of people are suffering and possibly dying due to physician negligence?  The cause of the crisis will be insurance companies guarding the profits of their CEOs by distancing themselves from known risks and losses.  They will charge exhorbitant insurance malpractice rates to good physicians due to the egregious acts of the few physicians that are guilty as sin.

Lets wait and see if I am right.