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Altered Egos: How the Brain Creates the Self [Hardcover]

Todd E. Feinberg
3.8 out of 5 stars  See all reviews (12 customer reviews)

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Book Description

Nov 15 2000 019513625X 978-0195136258 1st Edition
It may be the deepest mystery of philosophy, psychology, and neuroscience: how does the brain unite to create the self, the subjective "I"? In Altered Egos, Dr. Todd Feinberg presents a new theory of the self, based on his first-hand experience as both a psychiatrist and neurologist. Feinberg first introduces the reader to dozens of intriguing cases of patients whose disorders have resulted in what he calls "altered egos": a change in the brain that transforms the boundaries of the self. He describes patients who suffer from "alien hand syndrome" where one hand might attack the patient's own throat, patients with frontal lobe damage who invent fantastic stories about their lives, paralyzed patients who reject and disown one of their limbs. Feinberg argues that the brain damage suffered by these people has done more than simply impair certain functions--it has fragmented their sense of self. After illustrating how these patients provide a window into the self and the mind,the author presents a new model of the self that links the workings of the brain with unique and personal features of the mind, such as meaning, purpose, and being. Drawing on his own and other evidence, Feinberg explains how the unified self, while not located in one or another brain region, arises out of the staggering complexity and number of the brain's component parts. Lucid, insightful, filled with fascinating case studies and provocative new ideas, Altered Egos promises to changethe way we think about human consciousness and the creation and maintenance of human identity.

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From Amazon

Stroke victims who think their limbs belong to someone else. Alzheimer's sufferers who believe their wives have been swapped. Blood clot victims convinced all their possessions have been replaced with inferior products. These are the kind of frightening yet fascinating cases encountered by American neurologist Todd Feinberg in a lifetime's work in Manhattan's top hospitals: cases he has now used, like Oliver Sacks, to explore his concept of individual "selfness", how the brain perceives itself and the body as an organic whole.

The first few chapters are full of case histories like the above: bizarre, macabre, intriguing. With these building blocks Feinberg coolly and persuasively constructs his thesis: that our sense of ourselves is a fragile thing dependent on mental and physical health, and yet is flexible enough to absorb and adapt to catastrophic changes in circumstance. Along the way Feinberg cites Descartes alongside Doctor Strangelove, the Wizard of Oz next to Immanuel Kant, in a style that is personable, humane, concerned and very readable. In the end this is a kind of testament, by a man at the coal face of the human condition, to the strange and extraordinary uniqueness of homosapiens. --Sean Thomas

From Booklist

Feinberg is a neurologist whose treatment of patients with bizarre mental illnesses has led him to ponder that sense of mental unity we call experience. As brain research has progressed, that sense has remained stubbornly resistant to explication; indeed, it has grown more mysterious even as the anatomy of the living brain has become well understood. Feinberg frequently iterates this paradox before propounding his answer to it; before then, he recounts patients who exhibited, following an injury to their brains, a drastic degradation in self-awareness. Previously ordinary people can no longer recognize themselves in mirrors; believe that their limbs belong to somebody else; and, if blinded, insist their vision is 20/20. To Feinberg, these symptoms reinforce his impression of the self's malleability and initiate his argument, with references to Descartes, about how the brain shapes the self. He offers, after refuting notions that the organ has a locus for the self as it does for vision, a version of the self-as-emergent-phenomenon idea. Avoiding undue technical jargon, Feinberg's presentation ably elucidates for general readers the material/ethereal nexus of self-perception. Gilbert Taylor
Copyright © American Library Association. All rights reserved

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Customer Reviews

Most helpful customer reviews
3.0 out of 5 stars Well done but overly ambitious Nov 24 2010
By Kieran Fox TOP 500 REVIEWER
Format:Paperback
To present an overview of some of the more spectacular examples of neurological disorders, to define and elaborate on a notion of the 'self' or 'I', and to weld together a solution for the mind-body problem (now become, for many scientists, the mind-brain problem), all in 150 pages, is a very tall order. Todd Feinberg takes a stab at it in this book, and though I found it highly readable and very thought-provoking in places, I found it unbalanced and the 'theory' or solution to the mind-brain problem entirely unoriginal.

This book was assigned for a grad seminar in Cognition that I'm taking and served as a launching pad for discussions of various disorders alongside scholarly papers, and the relation of disorders in specific subsystems to higher cognitive processes and indeed the 'sense of self', and in this capacity it served really well. Even though in many ways my program's (Psychology/Neuroscience) bread and butter is strange disorders resulting from unlikely brain lesions, Feinberg threw quite a few new ones at me I'd never heard of, such as people who have the specific disorder of not being able to recognize their own face in mirrors or other reflective surfaces - but only their own! In that respect too, it was great for getting an overview of some of the very bizarre disorders that can affect people and how these relate to sense of body, personal goals, etc.

Where I began to lose some admiration for the book is in its strange pacing. The first third reads like straight case studies of odd disorders. In the second third Feinberg starts drawing on mythology and popular folklore and contrasting these beliefs (such as that of the Doppelganger or the shadow) with perceptual disorders due to brain damage, sometimes with great insight, sometimes - not so much.

I was still with him until the final section of the book, where these aspects are essentially dropped and he tries to come up with a solution to the age old mind-body problem in about 30 pages. The really interesting parts in here are actually the quotations from many eminent psychologists and neuroscientists of the past, such as those of Charles Sherrington and William James. These pointers alone have convinced me that the history of my field is severely overlooked in our education - we learn all the names, dates, and major discoveries - but it has certainly been a 'discovery' for me that many of these thinkers were also great writers and highly insightful people who had much to say about life, the world, and the spirit beyond their thoughts on neurons and perception (which, pardon my cynicism, seems a lot less true of the field today).

Feinberg's own contribution here, though, falls flat. It is basically a harking back to elementary systems theory: complexity, emergence, nested hierarchies, etc. These are all wonderful ideas and vital areas of study, but pointing out, ad nauseum, that the 'self' is a nested hierarchy and irreducibly personal, doesn't contribute much to the discussion. He takes William James to task for suggesting that the self, if anything, is but a constantly-flowing stream (as asserted by Buddhists as well, though Feinberg seems unaware of their ideas on these subjects) and has no permanent core or 'I'. Early on I got the creeping feeling that Feinberg's exploration of the concept of the self was really a vindication of his own certainty of the existence of a soul. Unsurprisingly, he says almost as much in this final section - "The soul of each brain is indeed a unique, one-of-a-kind thing," Judeo-Christian dogma shining brightly. He embraces a strange kind of pseudo-dualism, claiming that he is indeed a materialist and that the mind cannot possibly be anything nonphysical - but that it can't possibly be physical either. Out of the blue, he starts talking about Artificial Intelligence and roundly declares that a computer, not being 'alive' (though in fact we have no good definition of life, nor an agreed upon boundary between the animate and inanimate) can never be 'conscious' and have a self (or soul, we realize Feinberg is really saying). Not only could AI never approach human levels of consciousness - the humble frog, in fact, will FOREVER be more conscious than any AI ever could be, regardless of its capabilities or claims about itself. Why? How could that be? "It is more likely that the particular material substance of our brains is essential to the quality of our consciousness." What "particular material substance" would that be? Carbon? Oxygen? Iron? What about some Parkinson's patients, for example, who now have pea-sized computer devices implanted into their brains and wired into their neurons, directly replacing the function of their deteriorated dopamine neurons??? You can even update the software on these neural implants over wi-fi, so that no further invasive surgery is necessary! These people are, undeniably I think, 'part computer' - and they don't seem to have lost 2% of their souls, or what have you. If the brains of conscious beings MUST be made of neurons and glial cells, how can this be explained? Monotheistic dogma, of course!

Feinberg's vitalist and (I dare say) Creationist leanings in this last section are a disturbing and saddening ending to an otherwise insightful and eclectic book. I'm reminded of a book by Jeffrey Schwartz (The Mind and the Brain: Neuroplasticity and the Power of Mental Force) which follows a very similar trajectory: excellent, excellent review of the history and discovery of neuroplasticity (far more engrossing than this, actually, and this was pretty good) followed by a bone-headed final section trying to explain free will and the mind with hackneyed and vague interpretations of quantum physics.

All said though this is still worth a read in terms of the neurology, but get your philosophy of mind elsewhere.
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2.0 out of 5 stars Disapointed. Feb 9 2002
Format:Hardcover
The title, the reviews, the praise in the back cover, all make you expect a grand theory of the self and mind-body interaction. Instead you get last years philosophy trend. After 100 pages of case studies, and brilliant summaries of all kinds of brain disorders and damages, high hopes arise that a theory of brain function will make clear the mechanisms by which the self arises. At the final moment, Feinberg, having emptied his resources, calls for a face-saving emergence theory to his aid. The self, then, emerges from the nested organization of the brain. Wow. So the self is an emergent property? O.k now what is the interesting part? This has been done to death, just ask Walter Freeman.
Feinberg constantly asserts he is not a dualist, or in this case, an emergentist dualist. But his philosophical stand contradicts such assertion. Yes, he falls into the oldest of philosotraps. Qualia are irreducible, so is first person perspective, we cannot know what is like to be a bat, mary the colorblind learns a new truth about the world, and intentionality is something nearly supernatural.
Now, it has to be admitted that the use of strange concepts in favour of the theory colors it, if not help it. Meaning and purpose are the key to understanding the self. (if this sounds dualist, or new agy, well, it almost is). Of course, meaning is just intentionality and purpose function, but so what?
I agree with most reviewers about the quality of the case studies, but remember that the authors purpose (or function)was theorethical. Guys, read this for fun, and if afterwards you want to know about how the brain creates the self, look elsewhere.
Was this review helpful to you?
2.0 out of 5 stars Disapointed. Feb 9 2002
Format:Hardcover
The title, the reviews, the praise in the back cover, all make you expect a grand theory of the self and mind-body interaction. Instead you get last years philosophy trend. After 100 pages of case studies, and brilliant summaries of all kinds of brain disorders and damages, high hopes arise that a theory of brain function will make clear the mechanisms by which the self arises. At the final moment, Feinberg, having emptied his resources, calls for a face-saving emergence theory to his aid. The self, then, emerges from the nested organization of the brain. Wow. So the self is an emergent property? O.k now what is the interesting part? This has been done to death, just ask Walter Freeman.
Feinberg constantly asserts he is not a dualist, or in this case, an emergentist dualist. But his philosophical stand contradicts such assertion. Yes, he falls into the oldest of philosotraps. Qualia are irreducible, so is first person perspective, we cannot know what is like to be a bat, mary the colorblind learns a new truth about the world, and intentionality is something nearly supernatural.
Now, it has to be admitted that the use of strange concepts in favour of the theory colors it, if not help it. Meaning and purpose are the key to understanding the self. (if this sounds dualist, or new agy, well, it almost is). Of course, meaning is just intentionality and purpose function, but so what?
I agree with most reviewers about the quality of the case studies, but remember that the authors purpose (or function)was theorethical. Guys, read this for fun, and if afterwards you want to know about how the brain creates the self, look elsewhere.
Was this review helpful to you?
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Most recent customer reviews
5.0 out of 5 stars Great Brain Food
A facinating account of how the mind operates. I was captivated by the stories of Dr. Feinberg's patients, whose odd behavior makes compelling reading. I could not put it down!!! Read more
Published on Feb 1 2002 by Clifford J. Stern
3.0 out of 5 stars Not as interesting as I thought
I thought it was too clinical, I prefer books on the mind more in the line of "The Man Who Tasted Shapes", which is written more as a story than a clinical book. Read more
Published on Jan 26 2002 by Kristin E. Welsh
5.0 out of 5 stars Dr. Feinberg's masterpiece
Altered Egos by Todd Feinberg is a superbly written, fascinating account of a doctor's observations of his brain injured patients. Dr. Read more
Published on Jun 15 2001
5.0 out of 5 stars A Great Guide for all who Care about the Mind
I have taken the time to read Dr. Feinberg's book not once, but twice, in order to get its full flavor. Read more
Published on Jun 12 2001 by Bruce Egert
5.0 out of 5 stars Outstanding neurophilosophical thinking
There has been a good deal of writing about the brain and mind of late, but I can't recall a more enjoyable and thought provoking read than Dr. Read more
Published on Jun 11 2001 by "brainmeister"
2.0 out of 5 stars 'Metabrain' control of the 'self'.
There is no doubt Dr. Feinberg is an excellent communicator of very complex ideas. He stays away from technical language and manages to keep the interest of the reader throughout... Read more
Published on Jun 5 2001 by Dr. Angell O. de la Sierra, Esq.
5.0 out of 5 stars Pushing the edges of identity
Feinberg is clearly a master teacher. Reading this book is like being on well-organized, interesting rounds. Read more
Published on Feb 19 2001 by Colleen Davenport
4.0 out of 5 stars Provocative theory and interesting case studies
I love books like these because I am fascinated by the brain, so I had to try it when I heard Dr. Feinberg on NPR. Read more
Published on Feb 17 2001 by Bruce Nunnally
5.0 out of 5 stars The Real Thing
How do we reconcile the contemporary neurology of the conscious brain with our own subjective experience? Read more
Published on Nov 30 2000 by Daniel R
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