Botox for the brain?

Brain-boosting drugs spark ethical debate: ‘A rise in healthy people popping pills to boost performance in exams or work, raises long-term ethical and safety concerns about the effects of such treatments, British doctors said on Thursday…

The ability of prescription drugs and medical procedures to improve intellectual performance is likely to increase significantly in the next 20 to 30 years as technology advances.

“We know that there is likely to be a demand by healthy individuals for this treatment,” Dr Tony Calland, chairman of the BMA’s Medical Ethics Committee said at the launch of a discussion paper on the issue. “However, given that no drug or invasive medical procedure is risk free, is it ethical to make them available to people who are not ill?”

Surreptitious use of brain-boosting prescription drugs is particularly common in the United States and likely to increase in Britain, the BMA said…

Today, the use of pharmaceutical aids to boost performance is mainly confined to certain groups — notably students cramming for exams.Popular choices include drugs for attention deficit hyperactivity disorder, such as Ritalin, or methylphenidate, made by Novartis AG and others.Another favorite is modafinil, the active ingredient in Cephalon Inc’s narcolepsy medicine Provigil…’ (Scientific American)

The fallacy in this concern is that we can ever effectively decide whether a given person is ill or just well and cheating. The boundaries of illness are social constructions dependent on cultural norms. It is easy to point to the enormous influence of the profit-driven pharmaceutical industry but I think our collective mental ecology is being betrayed by psychiatrists and other metal health professionals who should be smart enough to know better. Pharmacological determinism has gone fist in glove with medicalizing and pathologizing personality traits and normal human variability.

Happier Facing Death?

‘Here’s one for the annals of counterintuitive findings: When asked to contemplate the occasion of their own demise, people become happier than usual, instead of sadder, according to a new study in the November issue of Psychological Science. Researchers say it’s a kind of psychological immune response — faced with thoughts of our own death, our brains automatically cope with the conscious feelings of distress by nonconsciously seeking out and triggering happy feelings, a mechanism that scientists theorize helps protect us from permanent depression or paralyzing despair.

It might explain the shift toward more positive emotions and thought processes as people age and approach death, and the preternaturally positive outlook that some terminally ill patients seem to muster. Though it looks a lot like old-fashioned denial, that’s not the case, says lead author Nathan DeWall. It’s not that “‘I know I’m going to die, but I just con myself into thinking I’m not.’ I don’t think that’s what’s going on here,” says DeWall. “I think what’s happening is that people are really unaware of [their own resilience]…”‘ (Time)