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Descartes' Error: Emotion, Reason, and the Human Brain
 
 

Descartes' Error: Emotion, Reason, and the Human Brain [Paperback]

Antonio Damasio
4.2 out of 5 stars  See all reviews (33 customer reviews)
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From Publishers Weekly

Neurologist Damasio's refutation of the Cartesian idea of the human mind as separate from bodily processes draws on neurochemistry to support his claim that emotions play a central role in human decision making.
Copyright 1995 Reed Business Information, Inc. --This text refers to an out of print or unavailable edition of this title.

From Library Journal

The idea that the mind exists as a distinct entity from the body has profoundly influenced Western culture since Descartes proclaimed, "I think, therefore I am." Damasio, head of neurology at the University of Iowa and a prominent researcher on human brain function, challenges this premise in a fascinating and well-reasoned argument on the central role that emotion and feelings play in human rationality. According to Damasio, the same brain structures regulate both human biology and behavior and are indispensable to normal cognitive processes. Damasio demonstrates how patients (his own as well as the 19th-century railroad worker Nicholas Gage) with prefrontal cortical damage can no longer generate the emotions necessary for effective decision-making. A gifted scientist and writer, Damasio combines an Oliver Sack-like reportage with the presentation of complex, theoretical issues in neurobiology. Recommended for wide purchase.
Laurie Bartolini, Legislative Research, Springfield, Ill.
Copyright 1994 Reed Business Information, Inc. --This text refers to an out of print or unavailable edition of this title.

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2 of 2 people found the following review helpful
5.0 out of 5 stars Challenging an old idea, Mar 3 2003
By 
Stephen A. Haines (Ottawa, Ontario Canada) - See all my reviews
(HALL OF FAME)    (TOP 50 REVIEWER)    (REAL NAME)   
A "negative" title such as this carries unfortunate implications. The "error" must be identified, then explained and refuted. For newcomers to cognitive studies, Descartes "error" might seem an obscurity . Yet it has been the basic tenet of education and social thinking in the Western world for three centuries. "Cogito ergo sum" was translated into the belief that the mind and the remainder of the body were separate entities. Behaviour was controlled by the mind, while the body went about its own business. Damasio demolishes that long-standing mistake for good in this superbly written groundbreaking study.

The first indication of the relationship of the mind and body was the bizarre penetration of a railway worker's skull in 1848. The worker lived, but the damage to his brain left him with severe personality changes. The case opened the door to research leading to mapping areas of the brain that reflected various personality traits. Damasio recounts the incident, matching it with numerous clinical studies of his own. Additional work, some of it strongly innovative led Damasio and his colleagues to a reformulation of how the mind and body interact.

He reminds us that the brain is much more than a collection of electrically interacting cells. The body is sending information to the brain almost continuously, with the brain replying or initiating communication. These signals are both electrical and chemical. More importantly, Damasio reflects on the evolutionary origins of these conditions. For him, it is inevitable that the mind and body interact intimately. His proposed appellation for Emotions aren't separated from our reasoning processes, but are an integral part of them. The attempts by parents and educators to "train out" emotions in children are thus doomed to fail.

Damasio's thesis hinges on what he calls "somatic markers." The markers are areas of the brain which continuously interact with the body, particularly those areas we associate with emotions. If confronted with emotionally charged choices, the stomach "knots," the face may "flush" warmly, and perspiration may increase markedly. These body/brain functions begin developing early in the embryo. Indeed, they have a long evolutionary history, which firmly establishes their roots. In humans, the brain not only controls/reacts with the body in addressing stressful circumstances, but retains some level of memory of the events causing the reactions. Hence, even thinking about such circumstances can lead to bodily reactions associated with them. You need not be confronting an emotional situation to be able to express the feelings associated with it. This, of course, is most notably seen in actors or other performers. Damasio offers the excellent example of orchestra conductor Herbert von Karajan, whose pulse rate was higher while conducting than when confronted with an emergency situation in an airplane. To Damasio, "Descartes' error" was that he placed all these controls in a central location of the "mind" where, in fact, they are scattered over much of the brain.

The implications from this book will be far reaching. Besides impacting academic courses on behaviour, there will be changes in how we parent, how we deal with education, and even in the realm of law. Binding reason and emotion will revise uncountable long-standing ideas about how the mind deals with our surroundings. It is a work addressing fundamental questions about what make us human. Read it with care, aware that many preconceptions are likely to be challenged. The rewards for this effort will be great in years to come. [stephen a. haines - Ottawa, Canada]

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3 of 3 people found the following review helpful
5.0 out of 5 stars Some hints for enjoying this book more, Dec 24 2003
By 
Other reviewers have surely summarized and analyzed this fine book far better than I could, so here are some hints that may help you productively enjoy it:
1.) scan sections of the book before and after you read them. The author's simple expositions are terrific but the organization and data blending can be confusing, and the pace of such a book often slows uncomfortably. 2.) If you are new to this subject (and any non-professional who hasn't had a CNS course recently is probably a beginner) I'd supplement this book with a good but lighter introduction to brain research (I'd strongly recommend the NYT Book of the Brain). 3.) I'd advise using a good neuroanatomy text or atlas like Barr or Hanaway. The author's maps are surprisingly skimpy and I strongly hope he includes a few pages of neuroanatomical diagrams in any future editions. 4.) You may want to underline terms and definitions, and note the reference at the back of the book -- the book has no glossary and the index is annoyingly weak. 5.) I thought the most valuable sections were on the Somatic Marker Hypothesis, the Body-Minded Brain, and the Postscriptum -- consider scanning these sections first.
Good luck and enjoy. The author's credentials are superb, his perspective complements other authors such as Edelmann and LeDoux, and he brings the unique and empathetic perspective of a neurologist who has specialied in analyzing the changes associated wtih discrete neuropathological conditions. The ideas you may receive from this wonderful book should be well worth the effort, and you should gain some insight into the miracle of how we think/feel/are.
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1 of 1 people found the following review helpful
5.0 out of 5 stars Science's Error, Jun 25 2009
By 
D. C. Reid (Canada) - See all my reviews
(TOP 1000 REVIEWER)    (REAL NAME)   
This review is from: Descartes' Error: Emotion, Reason, and the Human Brain (Paperback)
I came to this book after reading 10,000 pages on the issues of art and science - bibliography on dcreid.ca. I decided to go back and read this 1994 book because it underlies a lot of current discussion and dispute on the role of emotions in thinking and decision making. Because of this central influential role, I gave this book a five star rating. It is highly scientific, so not a light read, and will annoy those with a philosophy background; the title makes you pick up the book, though this is not, ultimately, a refutation of Cartesian views: mind and body, reason and emotion.

First published in 1994, Damasio's classic brain science book put on the map that the emotional and sub-conscious brain is far more important to our thought than the last three millennia of western thought has believed. This is must-read background for those who want to understand how the brain works. The current Penguin paperback has a new - 2005 - Preface where Damasio updates the science of the intervening decade and posits a good summary of what the book covers - you can get the complete argument from it, for those who like to cut to the chase.

The book makes a good case for the use of emotion, feelings, intuitions, and underlying currents of electrical activity from the body (the brain exists in a body after all that bathes it with more than six million nerve impulses a second) in the process of making decisions some of which require much thought and some of which happen instantly without any thought.

For those looking for a quick, decisive account of brain anatomy, Damasio has done a good job on pages 24 - 30.

Early in the book, the case of Phineas P. Gage, circa 1848, who got a metal bar shot through his brain but survived, is discussed. The poor fellow made poor decisions for the rest of his life and had various personality issues - understandably. These result from the areas of the brain that were severed. Then Damasio moves to the present, discussing clients/patients who had lesions (cuts) in the brain and specific personality problems because of them.

Chapter four gets into the nitty gritty science involved in the parts of the brain responsible for normal processing of emotion, personal feelings and its integration with attention and reasoning. Essentially the central lower part behind your eyes, the bands of brain beside and up from your ears and various centres, particularly on the right side, along with the high emotion centre, the amygdala are the areas involved. I have a science background and the chapter had so much content it left my brain whizzing, fascinating as it was about how cuts that separate different parts of the brain result in specific problems that can be teased apart in experiments. Page 83-85 of the next chapter neatly summarizes the science in non-science speak.

One problem with brain science books, and this includes this title, is that memory is not adequately understood yet. Here we do not store true images, but dispositional representations, yet, at the same time we can all recall the Mona Lisa's face, our children and waves dropping on a shore. In other words, I don't think science yet has a convincing argument. Time will tell.

One of Damasio's central insights occurs on page 111: the body exerts effects on our minds and our emotions constantly. It does this through nerve circuits of 'modulator neurons' that are interested in survival and so monitor our conscious mind's, the relative goodness or badness of circumstance and influence our thinking and acting toward or away from them. The end of the chapter section: Beyond Drives and Instincts, p 123 - 126, is a good summary of the science, genetic, biology, reductionist side of the equation with the effects of humans living in and being affected by a communal society.

Damassio then moves to a central distinction for him: the difference he posits between emotions and feelings. The former are, in his definition, about the body, and the latter about the mind; however they are linked in that a conscious feeling results in effects on the body (more than just a GSR polygraph sense), and those effects also can affect the way we think. He sees feelings of three types: basic universal (like fear), subtle universal (like guilt) and background feelings derived from the body in which the brain sits. The full system is drawn on page 163, but don't just flip to the diagram; you need to understand it in context. This again is full of science and I suggest you go through with a yellow magic marker and highlight the high points, if you need something to make you pay attention.

Chapter 8 is the meat of the book: the Somatic-Marker Hypothesis. This means the body's images, or emotions. I think it a bad term, but it was not my choice. The chapter is about how our underlying emotions, our body states help us make decisions, whether good or bad. We can't make 'rational' decisions without the body's input on how it 'feels' about a situation, say avoiding a car accident, how a smile can make your defenses melt, how even the love of rationality is about the love, not the rationality, and so on. This centre which is brought together in time with working memory in the prefrontal cortex, is much about the spindle cell system and its distribution of dopamine as a 'reward' for a gut feeling, whether good or bad. This theme is well extended in Jonah Lehrer's, recent book, How We Decide. Damassio's pages 196 to 201 are where he brings together the entire subject and how the mind, and body movement work through time, and are a fascinating completion of his thoughts, that you should not read before reading the chapter preceding this last section. Basic emotions manage actions in a rational way.

Chapter 9 relates interesting gambling experiments with normal subjects and with ones who have lesions in their prefrontal cortexes where conscious attention is focused. The results are clear that those without proper wiring to receive the bodies accumulated 'knowledge' about past events cannot predict what will happen in the future and thus result in disastrous decision making skills. Normal participants come to learn when to avoid certain decisions because they can read the body's experientially derived feelings about a possible choice. Note that this type of analysis is about our abilities to predict future events, and is from an entirely different perspective than those scientists who focus on, say, how the eye picks up images and sets the mind in motion.

Chapter 10 has fascinating takes on two central features of human thought: consciousness and subjectivity. Anyone who has read the field knows there is hot dispute over the nature of these features and the ability or inability of science ever to be able to study them. Damasio's take on them gets around the problem. You must read this book.
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