Sunday, April 12, 2015

I read this book and so should you: A Teenage Brain

Dr. Frances Jensen is the chair of the Department of Neurology in the Perelman School of Medicine at UPenn. She is incredibly accomplished. Both as a professor and researcher, she has expanded the field of neurology and synaptic plasticity a great deal. She also wrote an incredibly charming, unique, and insightful book about adolescent physiological development. Her book is terrific. It can be found at the Penn bookstore and online and you should read this review and then go read it. 
After reading two short pages in Dr. Jensen’s book, A Teenage Brain, I rushed over to my parents and apologized to them for the way I was as a teenager. To my delight, they accepted my apology and explained that they never took it personally. The first few pages of the book provide a hilarious anecdote of Dr. Jensen’s teenage son having dyed his hair from auburn to jet-black without even commenting on the change. While Dr. Jensen does not set out to describe the physiological motivations behind that specific teenage move, she does wisely explain with diagrams, experiments, and more anecdotes the effects that being a teenager will have on the brain. And they are indeed far-reaching effects.
            The book takes the view of almost of a “how-to” for parents raising teenagers. There are drops of advice and parental stratagem in many of her chapters, but to me I found the book as plain explanation—and sometimes excuse—for so many of the typical emotions and actions that were (and probably are) so typical to my teenage self. Additionally, the book gave me a pretty interesting insight into the mind of a parent. It’s not that I’ve never thought about what it’s like to be a parent, but Dr. Jensen really emphasized how much effort a parent could make to be an effective role model.
            The book is not for the timid or shy. She comes from a place of intense curiosity and an reflexive urge to understand the basis of behavior and change. And boy does she highlight the amazing complexities of the teenage mind! There are paradoxes galore. Why do most teenagers forget to execute a chore but will almost never forget if a parent or friend slips up? How can teenagers learn so much so quickly and then often make the same mistake time after time? Why is it so difficult and fun to actually be a teenager? With these questions in mind, Dr. Jensen investigates drugs and alcohol, sleep and learning, technology and addiction, and at the root of each topic there is a clear physiological explanation and often a clear solution for either the parent or teen reader.
            It goes without saying, but there is still much that needs to be understood about the teenage brain. This stage in life is clearly a time of cultural uniqueness as teens and their loud rock music bands and Twitter feeds are a group that seem to be changelessly changing. There is a method to the teenage madness, and it lies in the circuitry of a brain that seems to be picking up speed and taking off the training wheels at the same time—and the breaks definitely do not work in this teenage bicycle metaphor. Read the book, reflect on your angsty teenage self, write a poem, and while you bask in the glory of emerging from teenagerdom, please thank someone for dealing with  the most difficult version of you.


-David Ney 

Hearing Voices

A number of interesting hits come up when you Google the phrase “hearing voices.” This phenomenon, also known as experiencing auditory hallucinations, is an occurrence that has traditionally provoked a distinctly negative stigma in American culture. Hearing voices is considered by many doctors one of the most common and consistent signs of psychosis, and in America, a majority of individuals affected by voice hearing report negative emotions, such as fear or stress, to be linked to the experience. However, the phenomenon of auditory hallucination is far from homogenous, and in fact, recent research is uncovering more and more variability and complexity in the neurological and cultural components of hearing voices.

The neurology of voice hearing is still being unearthed, but several regions of the brain have been found to contribute to the event. For example, in those experiencing auditory hallucinations, language-processing areas in the left perisylvian region, including Broca’s area and Wernicke’s area, have been found to have a reduced density of gray matter. Research also suggests that this structural abnormality may be caused by low glutamate concentrations in the brain. A lack of glutamate, a major excitatory neurotransmitter, could lead to defective communication between neurons. Additionally, schizophrenics have been found to have abnormally high activity in the right middle temporal gyrus. The right and left middle temporal gyri respond to external speech, but in most people there is more activity in the left than the right. A hyperactive right region suggests that the brain may be attempting to compensate for a malfunction in left-brain language processing.

In addition to biological factors, social and cultural perceptions of hearing voices play a role in affected individuals’ experiences of the phenomenon. Stanford anthropologist Tanya Luhrmann provides an insightful examination into the effects of culture upon the event of auditory hallucinations in a talk she delivered for the Foundation for Psychocultural Research. Luhrmann compares the experiences of individuals who hear voices in three different locations: California, Ghana and India. She notes that the Americans interviewed were more likely than the others to describe their voices as symptoms of a disease, to report that they did not know their voices, and to report violent or hurtful voices. Other subjects, while still reporting majority negative experiences, described different relationships with their voices. Indian subjects were most likely to identify their voices as familiar—namely family members—while Ghanaians were most likely to report hearing the voice of God. Luhrmann traces these disparities partly to the way that auditory hallucinations are viewed in various cultures. Since American medicine interprets voice hearing as the sign of a “violated mind,” she suggests that the violence of the American subjects’ voices may be intensified by the impact of this viewpoint upon affected individuals.

As research has uncovered more of the complexity of auditory hallucinations, it has become clear that there are many types of voice hearing, accompanied by a wide array of emotions, tactile sensations, and other aspects. Researchers such as Luhrmann suggest that a more holistic approach to treating and understanding those impacted by voice hearing, which seeks to avoid giving affected individuals the viewpoint that their mind has been maliciously infiltrated, may help us create more effective treatments. Undoubtedly, a good deal is still to be understood about the experience of auditory hallucinations, which exist at a striking intersection of neurological, psychological and cultural elements.

-Kate Oksas

Sources
To view the video of Tanya Luhrmann’s talk, visit: https://www.youtube.com/watch?v=L44uHPNiUaM
http://en.wikipedia.org/wiki/Glutamate_receptor