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Graph of the Model that states Psychosis is Distinct for Normal Functioning (Source: The route to psychosis by Dr Emmanuelle Peters)

Graph of the Model that states Psychosis is Distinct from Normal Functioning (Source: The route to psychosis by Dr Emmanuelle Peters)

The British Psychological Society (BPS) has stated that ‘clients and the general public are negatively affected by the continued and continuous medicalisation of their natural and normal responses to their experiences; responses which undoubtedly have distressing consequences … but which do not reflect illnesses so much as normal individual variation… This misses the relational context of problems and the undeniable social causation of many such problems’. The BPS Division of Clinical Psychology (DCP) has explicitly criticised the current systems of psychiatric diagnosis such as DSM–5 and ICD–10. It has suggested that we need ‘a paradigm shift in relation to the experiences that these diagnoses refer to, towards a conceptual system not based on a ‘disease’ model’.

(From Understanding Psychosis and Schizophrenia published by the BPS – page 28)

What has this to do with EMS?

EMS stands for Everybody Means Something. My work as a clinical psychologist was with people who were experiencing what our culture calls a psychosis. When I started work in the NHS most people felt that these experiences were meaningless. I disagreed. I found myself using those three words as a kind of mantra to remind myself of my conviction. It was a no-brainer to use them as the title for my blog.

Various experiences reinforced my scepticism about the medical model with its prevailing assumption that such experiences are largely biologically determined. I came increasingly to believe it was significantly incomplete, possibly seriously flawed.

Before I move onto psychosis in particular there is a story from my earlier experiences in clinical psychology, which served to reinforce my scepticism and which clearly illustrates how this default assumption can operate as a potentially damaging blinker.

Laura had been given a diagnosis of endogenous depression, ie one that was not explicable in terms of her life situation. She used to believe that her parents were more or less perfect. The work we were doing became very stuck and seemed to be going nowhere.

We had plateaued on bleak and distressing terrain, more tolerable than her previous habitat but too unwelcoming to live on comfortably for the rest of her life, and yet with no detectable path towards more hospitable ground.

Frustrated by the protracted lack of movement, I began to see discharge as a very attractive option. I discussed this with my peer supervision group. We decided that I should continue with the processes of exploration but make sure that I did not continue my habit of stepping in relatively early to rescue her in sessions from her frequent experiences of intense distress. I continued to see her, having agreed with Laura that I would allow her to sink right into the “heart of darkness” in order to explore it more fully and understand it more clearly. The very next session, when we first put this plan into action, after I had left her alone in her silence for something like half an hour, Laura came to a powerful realisation at the heart of a very intense darkness. She said: “I think my mother threw me away even before I was born.”

This paved the way for deeper and more fruitful explorations of the reality of her childhood, the nature of which I will come back to later in this sequence of posts.

Since I started this blog almost eight years ago now, my interests have ranged widely across many topics, and psychosis has only featured in a relatively small number of posts. Decluttering has triggered me back into my fascination with ‘psychosis’ as the recent posts on out-of-the-ordinary-experiences illustrates.

When I trawled through my backlog of journals I found no other article dealing with that topic. On the web as a whole my most important find is a book edited by Isabel Clarke titled Spirituality & Psychosis which touches on it in places. I will need to buy a copy of that and read it carefully before I can even begin to comment, but the Chapter headings and their authors on the Google version certainly whetted my appetite. How could I resist a book dealing with two of my favourite obessions?

I have found a few other titles on related themes via the British Psychological Society website and it is on three key papers from among those that I wish to focus now.

Graph of the Model that states Psychosis is on a continuum with Normal Functioning (Source: The route to psychosis by Dr Emmanuelle Peters)

Graph of the Model that states Psychosis is on a continuum with Normal Functioning (Source: The route to psychosis by Dr Emmanuelle Peters)

We’re on a Continuum

Bethany L. Leonhardt et al, right from the beginning of their article[1] arguing that psychosis is understandable as a human experience (page 36), ask us to regard the symptoms of psychosis ‘as part an active meaning-making process, regardless of whether or not that meaning is adaptive.’

They explore how the use of literature, particularly novels, can help those who work with people who are having psychotic experiences tune into their predicament more empathetically. As a result of their use of this method, they offer some interesting perspectives.

For example, (page 47) they ‘suggest that exposure to novels and related literary genres may help prevent therapists from surrendering to the view that psychosis is not understandable as anything other than a collection of abstract symptoms or from infantilizing patients by offering of paternalistic direction or protection from life demands.’

As we have seen in the previous sequence on out-of-the-ordinary experiences (OOEs), the attitudes of others has a powerful effect upon how well or how badly a person is able to deal with their bizarre and often frightening experiences. An assumption that what people have experienced is meaningless is at best patronising and at worst confrontational and undermining. One of my own early observations was that most of the clients I saw were expecting me to dismiss everything they were saying, either by ignoring it, refusing to discuss it in any way that resembles their own terms or by frankly rubbishing and pathologising it. They seemed both surprised and relieved when I did my best to engage with them in an attempt to understand it, which is of course not the same as endorsing everything they told me as objectively true. It was though a way of taking what they said seriously and respectfully. For a fuller explanation of my approach click on the posts listed below.

On the occasions where I was unable to sustain this at a sufficiently high level I risked damaging the relationship. I can remember one such occasion. A client was convinced that the devil was plotting against him and kept bringing forward the evidence he thought proved it. My approach clearly aroused his suspicions as to my beliefs about the devil, and he repeatedly pushed me to disclose what my own beliefs were. After several repetitions of this over a number of sessions I concluded that my holding back was blocking further progress. I made the mistake of letting him know that I thought that the devil had no objective existence but was a metaphor to explain evil. He discontinued therapy at that point.

In retrospect I realised that I could have given a more authentic response from a deeper level of my thinking and stated that, while for practical purposes in my own life I did not operate on the assumption that the devil existed, I had to admit that there was no way I could dogmatically state or absolutely prove that he didn’t: agnosticism on that point would have been a better and perhaps more honest answer. Though I may have failed this client, I learnt something very helpful for future interactions.

Equally importantly, Leonhardt et (ibid) ‘acknowledge that our views largely draw on the idea that psychosis can be understood as existing along the continuum of human experience. Our use of novels and related literary genres indeed seems predicated on the idea that individuals experiencing psychosis are not inherently different from anyone else, and that some of the strangest and most bewildering experiences can be made sense of while reading literature and engaging in other reflective activities.’

This ability to find ways of empathically recognising that psychosis is a point on a dimension we all share in some way is a key requirement of a true understanding of what psychosis is in my view.

Next time I will explore the role of trauma in the formation of psychosis.

Related Posts

An Approach to Psychosis (1/6): Mind-Work & Trust
An Approach to Psychosis (2/6): Surfaces & Depths
An Approach to Psychosis (3/6): Complicating Factors
An Approach to Psychosis (4/6): The Mind-Work Process (a)
An Approach to Psychosis (5/6): The Mind-Work Process (b)
An Approach to Psychosis (6/6): Fitting It All Together

References:

[1] The article was published in the American Journal of Psychotherapy, Vol. 69, No. 1, 2015.

Given my current exploration of mental health issues it seems appropriate to publish this sequence from 2012.

Given my current exploration of mental health issues it seems appropriate to publish this sequence from 2012.

Griefwork v2

. . . . psychotic symptoms exist on a continuum even in healthy individuals (Stefanis et al., 2002). This, too, seems to be explicable if psychosis is a way to cope with existential distress – as psychosis would be quantitatively, rather than qualitatively, different from normal.

(Psychosis as Coping by Grant S Shields – page 146 in Existential Analysis 25.1: January 2014)

There is growing interest in the idea of that ‘psychotic’ crises can sometimes be part of, or related to spiritual crises, and many people feel that their crises have contributed to spiritual growth. A number of clinical psychologists have also explored the interface between psychosis and spirituality. Some believe that at least some ‘psychotic’ episodes can be transformative crises that contain the potential for personal, including spiritual, growth. Many people who believe that there is a spiritual element to their experiences find support from others with similar beliefs invaluable, for example within faith communities.

(From Understanding Psychosis and Schizophrenia published by the British Psychological Society – page 55)

In the last post I began to look at a paper (pages 41-49, from the British Journal of Clinical Psychology – 2012 – 51, 37-53) by Charles Heriot-Maitland, Matthew Knight and Emmanuelle Peters on the subject of what they call Out-of-the-Ordinary-Experiences or OOEs.

Where their findings became even more intriguing from my point of view was when their discussion used terminology with clear spiritual implications that are held in common across NDEs, mystical states and meditative practices. They write:

Another subjective phenomenon reported by both [clinical] and [nonclinical] participants was the sensation of ego loss, what essentially seemed to be a breakdown of the normal psychological relationships between mind-body and/or self-others.

A fear reaction was frequently reported and ‘is likely to have largely come from the unfamiliarity of [the] experience . . . . It is possible that more prolonged absorption was caused by the emotionally fulfilling roll of the OOE in a psychological problem-solving process.’

This was followed in their report by more of a spiritual nature concerning the discovery of deeper meaning:

This symbolic, deeper meaning perhaps reflects the quality of awareness that is not filtered or confined by the conceptual boundaries of ordinary day-to-day experience… If the ego breaks down, then it may be that perception of the world becomes unbounded and limitless . . . .

This, in their view, paves the way for a shift in consciousness:

Following on from the previous theme, which conveys an awareness that is free from the influences of a ‘conditioned’ conceptual framework, this theme suggests the implementation of a new conceptual framework, or a new way of looking at the world.

levels-of-consciousness v3Where their work maps onto that of Jenny Wade is in the idea that, when our old models of reality cease to work in new situations, a state of uncomfortable dissonance is created that leads to a breakthrough to new levels of understanding:

It could be that the initial psychological crisis arose in many participants due to an inadequacy of their existing conceptual framework in making sense of their emotional experience. . . . . . It may be that a new way of thinking was the necessary, adaptive ‘solution’ to the crisis; that the old conceptual framework had to be replaced by a new one for the emotional experience to become integrated.

Dabrowski's TPD diagramWade’s model maps closely onto Dabrowski’s Theory of Positive Disintegration in key respects. She analyses, in a more close-grained fashion than Dabrowski, which kind of conflict and discomfort spurs us to move up from the comfort zone of our present level of consciousness to the next step up the ladder of awareness. Dabrowski, as I have explored elsewhere, correlates this most strongly with an intensity best described as suffering.

The next point the paper makes is crucial:

[T]he fact that, apart from existential questioning, there has been no notable difference up to this point in the OOEs of [clinical] and [non-clinical] groups implies that this problem-solving process is neither pathological nor indicative of clinical psychosis.

The real issue lies somewhere else altogether. They explain in a particularly important passage:

More of the [nonclinical] participants received validating/accepting responses from others, and more of the [clinical] group received invalidating responses, as these quotes illustrate:

‘[I] relayed this experience to psychiatrists in the [hospital] and was sent for EEG tests, was told that I was hallucinating – this guy just didn’t listen to, just obviously haven’t heard anything really that I’d said . . .’

‘Somebody came up to me and said “well, you know, we really need to hear from you. That’s a very powerful message to people, and they need to hear that message.” And that did matter to me.’

For the individual who is, perhaps, already slightly hesitant about how best to incorporate their experience into their social worlds, the difference between these two social interactions could be immense.

All non-clinical participants demonstrated some prior understanding or interest in their OOEs, which are generally described as ‘life-enhancing.’ Furthermore, ‘These life-enhancing qualities, which were reported by the majority of participants, add further support to the psychological problem-solving hypothesis. Not only did the OOEs provide many participants with relief from emotional suffering, but they also added a dimension that enriched other life domains. . . . . The medical (illness) explanation clearly presented barriers to similar reflections in the clinical population . . .’

The blame for why some people’s experiences are eventually experienced as dark, negative and ultimately inescapable seems to lie with the negative approach adopted by others, especially the medical profession:

More [non-clinical] than [clinical] participants viewed their experience as a temporary stage or process. . . . . . [I]f the causes and subjective nature of OOEs are no different between [non-clinical] and [clinical] groups, then it seems misleading for professionals to inform one group that their OOEs signal ‘the end,’ [ie they are stuck with them] while the other group continue with their (enhanced) lives.’

dancing-past-the-darkThis has echoes for me of how the reaction of others determines how the experiencer responds to distressing NDEs, which also has an impact on their future mental well-being. Nancy Evans Bush writes (Dancing Past the Dark: Kindle reference 2502-05):

Experiencers have told many sad stories of going to a professional for help in understanding their NDE, only to find themselves caught up in the medical model, pathologized by a diagnostic label and the NDE dismissed as meaningless. . . . . . . People have also told of being dismissed by their rabbi or pastor as well, for in a secular society much awareness of deep spiritual process is lost or distorted, even within religious institutions themselves.

Stephanie Beards and Helen Fisher, in a 2014 paper (Social Psychiatry Psychiatric Epidemiology 49: 1541–1544), shed further light on the dynamics of this. They write (page 1542):

It has been proposed that negative core schemas [ingrained patterns of thought or behaviour that affect experience] are formed early in life and may result from adverse experiences in childhood. If an individual experiences further trauma later in life, these schemas could become (re)activated, leading to emotional changes which may not only cause the development of psychotic experiences, but alter the appraisal of these anomalous occurrences, further increasing distress, and preventing a benign explanation from being concluded.

Even so, such experiences do not need to cast a shadow over the rest of a person’s life. The experiences themselves, as the current British Journal of Clinical Psychology study demonstrates, are not significantly different between the two groups, nor are the potential explanations they develop. Nearly all participants gave some acknowledgement of the link between psychotic and spiritual experience.

Because the OOEs of all participants seemed, at some level, to fulfil a psychological purpose, they were interpreted as being a part of an adaptive psychological problem-solving process, which frequently involved the breakdown of conceptual ego boundaries, and the formation of a new conceptual outlook.

However, regarding group differences (my emphases), they write:

[T]here was a sense that [non-clinical] participants were better able to incorporate their OOEs into their personal and social world. This was partly due to more [non-clinical] participants having prior conceptual knowledge of, and in some cases, open attitudes towards, there OOEs; however, the more prominent reason seem to be that more [non-clinical] participants received validation and acceptance from others.

The saddest point of all perhaps is this:

It would seem that the more OOEs are associated with clinical psychosis, the less chance people have of recognising their desirability, transiency, and psychological benefits, and the more chance they have of detrimental clinical consequences.

They draw some very strong conclusions from this:

An important clinical implication is that psychotic experiences should be normalised, and people with psychosis should be helped to re-connect the meaning of their OOEs with the genuine emotional and existential concerns that preceded them. . . . . . However, the current findings suggest that the argument for normalisation goes far deeper than just its clinical usefulness; they imply that a more ‘radical normalisation’ approach is needed, when normalising OOEs becomes an intrinsic formulation and treatment principle.

During my decluttering, I also came across a number of journals which describe current approaches to creating psychological descriptions of a patient’s problems, known as formulations in psychobabble. Nowhere, for any patient group, did I find reference to any kind of spiritual dimension, though the word ‘cultural’ was thrown in from time to time, and might have concealed an entrance through which such considerations could possibly have infiltrated the consultation process.

When it comes to psychosis, where the default first-line treatment is medication rather than therapy (or meditation), there is an additional problem:

Unlike antipsychotic drugs, which can suppress the emotional expression, this approach [of accepting the validity of the emotions underlying the OOEs] would validate and encourage the emotional expression, whilst working on building a more helpful conceptualisation or narrative about the emotional concerns.’

The authors do not regard their paper as definitive. They are all to aware of its possible limitations, shown, for example, by their reference to methodological caveats concerning small sample size and possible confounding variables not having been picked up at screening and thereafter controlled for.

I do not think those caveats constitute reasons for ignoring or minimising the significance of their findings, but rather they should be a motivating factor for the generation of further work on this issue. In the meantime, even in advance of further findings, we should be spurred to introduce into the clinical setting a far greater sensitivity to the emotional and spiritual meaning of such experiences.

Elizabeth Gould in her Lab

Given my recent repeat rant about neuroscience’s resistance to the facts of neuroplasticity, reposting this short sequence seemed a good idea.

Going Back over Old Ground

From Lehrer’s account in his book Proust Was a Neuroscientistwe can pick up the story from the point in the previous post on this topic when Elizabeth Gould, much to her surprise, had found long discounted evidence of neuroplasticity in the literature. She began to explore it in depth.

She read papers by Altman, Kaplan and Nottebohm (page 41):

She realised [they] all had strong evidence for mammalian neurogenesis. Faced with this mass of ignored data, Gould abandoned her earlier project and began investigating the birth of neurons.

She published new data over the next eight years (ibid.):

Gould’s data shifted the paradigm. More than thirty years had passed since Altman first glimpsed new neurons, but neurogenesis had become a scientific fact.

By 1998 ‘even Rakic admitted that neurogenesis was real.’

So what?

The implications of neurogenesis are of extreme importance (page 42):

What does the data mean? The mind is never beyond redemption, for no environment can extinguish neurogenesis. As long as we are alive, important parts of the brain are dividing. The brain is not marble, it is clay, and our clay never hardens.

Norman Doidge

It is Norman Doidge‘s book, though – the one I bought at the same time as Lehrer’s, completely unconscious of their close correspondences – that expands upon the human cost of the arrogance that buried the evidence for thirty years. His whole book The Brain That Changes Itself is an accessible but authoritative explanation of the multitude of ways that neuroplasticity impacts upon us – how belief in it promotes healing and scorn of it has prolonged suffering.

I got the heads up about this fascinating book from a friend at a Bahá’í meeting. Standing absolutely upright at over six feet in height, he looked me straight in the eye and said with absolute conviction, ‘You really must read this book. I’m 75 years old now and I’m functioning better mentally than I was at the age of 60 purely as a result of doing the exercises it talks about.’ After a recommendation like that, how could I resist. I’m 73 now trying to pretend I could keep up with myself at 50. It was a no-brainer.

I’ll just take a few points from one chapter – Redesigning the Brain – to illustrate just how poisonous the dogmatism of science has been in this critical area.

He discusses the work of Michael Merzenich (page 49):

In a series of brilliant experiments he showed that the shape of our brain maps changes depending upon what we do over the course of our lives.

At first his interest in brain plasticity had to go on the back burner. After remaining underground for a few years with his ideas, he had an opportunity in 1971 to research them using adult monkeys. His findings were dismissed: they could not possibly be true. He was opposed by the most influential figures in the field. This was not just frustrating at a personal level (page 62):

“The most frustrating thing,” says Merzenich, “was that I saw that neuroplasticity had all kinds of potential implications for medical therapeutics – for the interpretation of human neuropathology and psychiatry. And nobody paid attention.”

People previously seen as beyond help could form new maps in the brain and live more normal lives (page 63) – ‘people with learning problems, psychological problems, strokes, or brain injuries’ – but only if the idea was accepted and became the basis for widespread interventions.

It wasn’t until the late 1980s that Merzenich was able to develop a deep and accurate understanding of how positive changes could be facilitated. He teased out the importance of motivation (page 66), how individual neurones got more selective with training (page 67), how they came to operate more quickly (ibid) and perhaps most importantly of all (page 68) ‘that paying close attention is essential to long-term plastic change.’

It wasn’t until 1996 that he, along with a number of colleagues (page 70), ‘formed the nucleus of a company . . . that is wholly devoted to help people rewire their brains.’

A Costly Case of Dogma

Even if you only date the start of a belief in neuroplasticity at 1962 – and there is some evidence it could fairly be backdated earlier than that – 34 years seems a long time to wait for such a clinically vital concept to surface into general practice.

I can testify to that from personal experience. From when I first studied psychology in 1975 until I qualified as a clinical psychologist in 1982, the conventional wisdom was that the adult brain had virtually no capacity to change itself. I cannot exactly remember when it became respectable to doubt that dogma, but I am fairly sure it was well into the 90s. And even then it was a qualified scepticism only. We were into the new century before I became aware of the wide ranging and radical possibilities that people like Schwartz (See Mind over Matter link below) have written about.

It is horrifying to contemplate the human cost of such resolute intransigence in the face of compelling data. It testifies, in McGilchrist’s terms, to the power of the left-brain to shut out the evidence of experience in order to keep faith with its often misguided maps. If a huge body of carefully accumulated and completely credible evidence such as this took so long to make a dent in this particular dogma, how long is it going to be before science will take serious steps to investigate spiritual realities. Anyone who attempts any such thing at the moment has almost certainly killed their career and will have their evidence subjected to an onslaught of nit-picking that no findings could ever survive.

Thus does science make it impossible even for its own practitioners to investigate, let alone to understand, what it has decided in advance is impossible. So much for its spirit of genuine enquiry. This has to change if human thought and society is to grow beyond the current straitjacket of materialism.

Related Material:

Mind over Matter

The Master and his Emissary by Iain McGilchrist

Michael Merzenich TED talk (I had to grit my teeth every time he referred to the brain as a machine – a fascinating, if slightly breathless talk none the less):

If you are anywhere close you may want to join us tomorrow. It would be great to see you. The service was an inspiring experience last year.

Peace Day Invite

 

George Eliot

Given my recent repeat rant about neuroscience’s resistance to the facts of neuroplasticity, reposting this short sequence seemed a good idea.

Kicked-Started by Coincidence

Till just over a fortnight ago I would not have connected George Eliot with neuroplasticity. Why on earth should I have?

Well, I can now think of at least one reason.

During the same period I was spending part of my book token loot on ‘Zero Degrees of Empathy‘ (see previous post) I had the chance to spend what was left. Not surprisingly I went to the same shelf (‘Popular Science’) in the same Waterstones. I was on the hunt for two books, one by Norman DoidgeThe Brain that Changes Itself, and one by Jonah Lehrer Imagine: how creativity works. I ended up buying the Doidge but a different one by Lehrer – Proust was a Neuroscientist.

Bear with me a bit longer – this is going to get interesting in a minute. I had no idea that I was setting up a remarkable juxtaposition of events.

It’s my month for such things I suspect. Just recently a couple I had not seen for many many years came to visit us from London. On arrival at our house the wife was in a state of astonishment. ‘You two,’ she said incredulously to her husband, ‘have been exchanging Christmas and Bahá’í New Year cards for decades but I never saw the address you were sending our cards to. This is the very road I used to live in when I was a child. How unlikely is that?’

I had no idea, when I was paying for the two books, that I’d just bought into another improbable coincidence, maybe not so dramatic but a touch more generally significant. Sheldrake’s notion of morphic resonance was gaining credibility by the second.

Marshalling Middlemarch in his Argument

When I got home I kicked off by starting to read Lehrer’s book. There was a mildly interesting chapter on Walt Whitman – no offence to his memory but I’ve always found Emily Dickinson, though secretive to the point of invisibility, far more impressive. But I would prefer the introverted poet of the two, wouldn’t I?

Then Lehrer moved on to one of my all-time favourite writers discussing her greatest novel: it was a chapter involving George Eliot using Middlemarch as a springing off point. He quoted her as follows (page 38):

Dorothea – a character who, like Eliot herself, never stopped changing – is reassured that the mind “is not cut in marble – it is not something solid and unalterable. It is something living and changing.”

I don’t think I’m being pedantic to point out that this is not the exact quote. At the beginning of Chapter 72 Dorothea is talking to Mr Farebrother and the conversation goes like this:

“Besides, there is a man’s character beforehand to speak for him.”

“But, my dear Mrs. Casaubon,” said Mr. Farebrother, smiling gently at her ardour, “character is not cut in marble – it is not something solid and unalterable. It is something living and changing, and may become diseased as our bodies do.”

Lehrer isn’t making the mistake of absolutely identifying Eliot with a statement of one of her characters, albeit a vicar and a man of some integrity. He is looking at how Eliot examines the capacity for change we all have through a variety of lenses. She is part of his body of evidence that science and art are not irrevocably at odds. It is unfortunate that he strengthens his case for her as an early proponent of neuroplasticity by this substitution of ‘mind’ for ‘character.’ It does make the subsequent shift to talking about brains easier though. And she is as ‘anti’ any form of reductionism as Lehrer is.

Science or Scientism?

And when he does start talking about brains the discussion becomes fascinating. One reason for this is that the other book I had bought is entirely focused on aspects of neuroplasticity. The second completely unexpected reason is that both discussions of this issue contain page after page that vindicate Sheldrake’s contention that science in its current form is ‘dogmatic.’ Sheldrake wrote in The Science Delusion (page 4):

I have written this book because I believe that the sciences will be more exciting and engaging when they move beyond the dogmas that restrict free enquiry and imprison imaginations.

His main aim is to attack its materialism as a creed not a fact (page 6):

Contemporary science is based on the claim that all reality is material or physical. There is no reality but material reality. Consciousness is a by-product of the physical activity of the brain. Matter is unconscious. Evolution is purposeless. God exists only as an idea in human minds, and hence in human heads.

However, dogma also operates within science even where there is no such violation of this creed. The mind/brain problem is a powerful example of where dogma within science has clearly impeded our proper understanding of the brain and the mind/brain relationship for decades to the detriment of huge numbers of people. It illustrates how assumptions can and often do become fossilised, useful only for stoning into oblivion all those that disagree.

A Heretic at Work?

Lehrer, in his book, looks at the career of Elizabeth Gould, for example (page 39). In 1985 Pasko Rakic had proclaimed he possessed conclusive proof from experiments with rhesus monkeys that neurones are only generated ‘during pre-natal and early post-natal life.’ So the adult brain could not grow neurones: end of story. Everyone that mattered seemed to have believed him. No resurrection then for the notion of neurogenesis lying discredited in its mausoleum.

In 1989, during a completely different piece of research, Gould had found the unexpected: ‘the brain also healed itself.’  Gould assumed she must have been mistaken. She went back to the literature expecting to find that this was the case. To her astonishment she found the opposite. She found a wealth of evidence dating back to 1962 that all sorts of fully grown creatures were capable of growing neurones in their adult brains. All the evidence had been arbitrarily dismissed out of hand and entombed out of sight on neglected library shelves.

What happened next will have to wait until the next post.