How Thinking Can Change the Brain
Published: Monday, 29 January, 2007
20 Jan 2007 (Sharon Begley, Wall Street Journal) Dalai Lama helps
scientists show the power of the mind to sculpt our gray matter.
Although science and religion are often in conflict, the Dalai Lama takes a
different approach. Every year or so the head of Tibetan Buddhism invites a
group of scientists to his home in Dharamsala, in Northern India, to discuss
their work and how Buddhism might contribute to it.
In 2004 the subject was neuroplasticity, the ability of the brain to change its
structure and function in response to experience. The following are vignettes
adapted from "Train Your Mind, Change Your Brain," which describes
this emerging area of science:
The Dalai Lama, who had watched a brain operation during a visit to an American
medical school over a decade earlier, asked the surgeons a startling question: Can the mind shape brain matter?
Over the years, he said, neuroscientists had explained to him that mental
experiences reflect chemical and electrical changes in the brain. When
electrical impulses zip through our visual cortex, for instance, we see; when neurochemicals
course through the limbic system we feel.
But something had always bothered him about this
explanation, the Dalai Lama said. Could it work the other way around?
That is, in addition to the
brain giving rise to thoughts and hopes and beliefs and emotions that
add up to
this thing we call the mind, maybe the mind also acts back on the brain
to
cause physical changes in the very matter that created it. If so, then
pure
thought would change the brain's activity, its circuits or even its
structure.
One brain surgeon hardly paused. Physical states give rise to mental states, he
asserted; "downward" causation from the mental to the physical is not
possible. The Dalai Lama let the matter drop. This wasn't the first time a man
of science had dismissed the possibility that the mind can change the brain.
But "I thought then and still think that there is yet no scientific basis
for such a categorical claim," he later explained. "I am interested
in the extent to which the mind itself, and specific subtle thoughts, may have an influence upon the brain."
The Dalai Lama had put his finger on an emerging revolution in brain research.
In the last decade of the 20th century, neuroscientists overthrew the dogma
that the adult brain can't change. To the contrary, its structure and activity
can morph in response to experience, an ability called neuroplasticity. The
discovery has led to promising new treatments for children with dyslexia and
for stroke patients, among others.
But the brain changes that were discovered in the first rounds of the neuroplasticity
revolution reflected input from the outside world. For instance, certain
synthesized speech can alter the auditory cortex of dyslexic kids in a way that
lets their brains hear previously garbled syllables; intensely practiced
movements can alter the motor cortex of stroke patients and allow them to move
once paralyzed arms or legs.
The kind of change the Dalai Lama asked about was different. It would come from
inside. Something as intangible and insubstantial as a thought would rewire the
brain. To the mandarins of neuroscience, the very idea seemed as likely as the
wings of a butterfly leaving a dent on an armored tank.
Neuroscientist Helen Mayberg had not endeared herself to the pharmaceutical
industry by discovering, in 2002, that inert pills -- placebos -- work the same
way on the brains of depressed people as antidepressants do. Activity in the
frontal cortex, the seat of higher thought, increased; activity in limbic
regions, which specialize in emotions, fell. She figured that
cognitive-behavioral therapy, in which patients learn to think about their
thoughts differently, would act by the same mechanism.
At the University of Toronto, Dr. Mayberg, Zindel Segal and their colleagues
first used brain imaging to measure activity in the brains of depressed adults.
Some of these volunteers then received paroxetine (the generic name of the antidepressant
Paxil), while others underwent 15 to 20 sessions of cognitive-behavior therapy,
learning not to catastrophize. That is, they were taught to break their habit
of interpreting every little setback as a calamity, as when they conclude from
a lousy date that no one will ever love them.
All the patients' depression lifted, regardless of whether their brains were
infused with a powerful drug or with a different way of thinking. Yet the only
"drugs" that the cognitive-therapy group received were their own
thoughts.
The scientists scanned their patients' brains again, expecting that the changes
would be the same no matter which treatment they received, as Dr. Mayberg had
found in her placebo study. But no. "We were totally dead wrong," she
says. Cognitive-behavior therapy muted overactivity in the frontal cortex, the
seat of reasoning, logic, analysis and higher thought. The antidepressant
raised activity there. Cognitive-behavior therapy raised activity in the limbic
system, the brain's emotion center. The drug lowered activity there.
With cognitive therapy, says Dr. Mayberg, the brain is rewired "to adopt different thinking circuits."
Such discoveries of how the mind can change the brain have a spooky quality
that makes you want to cue the "Twilight Zone" theme, but they rest
on a solid foundation of animal studies. Attention, for instance, seems like
one of those ephemeral things that comes and goes in the mind but has no real
physical presence. Yet attention can alter the layout of the brain as
powerfully as a sculptor's knife can alter a slab of stone.
That was shown dramatically in an experiment with monkeys in 1993. Scientists
at the University of California, San Francisco, rigged up a device that tapped
monkeys' fingers 100 minutes a day every day. As this bizarre dance was playing
on their fingers, the monkeys heard sounds through headphones. Some of the
monkeys were taught: Ignore the sounds and pay attention to what you feel on
your fingers, because when you tell us it changes we'll reward you with a sip
of juice. Other monkeys were taught: Pay attention to the sound, and if you
indicate when it changes you'll get juice.
After six weeks, the scientists compared the monkeys' brains. Usually, when a
spot on the skin receives unusual amounts of stimulation, the amount of cortex
that processes touch expands. That was what the scientists found in the monkeys
that paid attention to the taps: The somatosensory region that processes
information from the fingers doubled or tripled. But when the monkeys paid
attention to the sounds, there was no such expansion. Instead, the region of
their auditory cortex that processes the frequency they heard increased.
Through attention, UCSF's Michael Merzenich and a
colleague wrote, "We choose
and sculpt how our ever-changing minds will work, we choose who we will
be the next moment in a very real sense, and these choices are left
embossed in physical form on our material selves."
The discovery that neuroplasticity cannot occur without attention has important
implications. If a skill becomes so routine you can do it on autopilot,
practicing it will no longer change the brain. And if you take up mental
exercises to keep your brain young, they will not be as effective if you become
able to do them without paying much attention.
Since the 1990s, the Dalai Lama had been lending
monks and lamas to neuroscientists for studies of how meditation alters
activity in the brain. The
idea was not to document brain changes during meditation but to see
whether
such mental training produces enduring changes in the brain.
All the Buddhist "adepts" -- experienced meditators -- who lent their
brains to science had practiced meditation for at least 10,000 hours. One by
one, they made their way to the basement lab of Richard Davidson at the
University of Wisconsin, Madison. He and his colleagues wired them up like
latter-day Medusas, a tangle of wires snaking from their scalps to the lectroencephalograph
that would record their brain waves.
Eight Buddhist adepts and 10 volunteers who had
had a crash course in meditation engaged in the form of meditation
called nonreferential compassion.
In this state, the meditator focuses on unlimited compassion and loving
kindness toward all living beings.
As the volunteers began meditating, one kind of brain wave grew exceptionally
strong: gamma waves. These, scientists believe, are a signature of neuronal
activity that knits together far-flung circuits -- consciousness, in a sense.
Gamma waves appear when the brain brings together different features of an
object, such as look, feel, sound and other attributes that lead the brain to
its aha moment of, yup, that's an armadillo.
Some of the novices "showed a slight but significant increase in the gamma
signal," Prof. Davidson explained to the Dalai Lama. But at the moment the
monks switched on compassion meditation, the gamma signal began rising and kept
rising. On its own, that is hardly astounding: Everything the mind does has a
physical correlate, so the gamma waves (much more intense than in the novice
meditators) might just have been the mark of compassion meditation.
Except for one thing. In between meditations, the gamma signal in the monks
never died down. Even when they were not meditating, their brains were
different from the novices' brains, marked by waves associated with perception,
problem solving and consciousness. Moreover, the more hours of meditation
training a monk had had, the stronger and more enduring the gamma signal.
It was something Prof. Davidson had been seeking since he trekked into the
hills above Dharamsala to study lamas and monks: evidence that mental training
can create an enduring brain trait.
Prof. Davidson then used fMRI imaging to detect which regions of the monks' and
novices' brains became active during compassion meditation. The brains of all
the subjects showed activity in regions that monitor one's emotions, plan
movements, and generate positive feelings such as happiness. Regions that keep
track of what is self and what is other became quieter, as if during compassion
meditation the subjects opened their minds and hearts to others.
More interesting were the differences between the
monks and the novices. The monks had much greater activation in brain
regions called the right insula and caudate, a network that underlies
empathy and maternal love. They also had stronger connections from the
frontal regions to the emotion
regions, which is the pathway by which higher thought can control
emotions.
In each case, monks with the most hours of
meditation showed the most dramatic brain changes. That was a strong
hint that mental training makes it
easier for the brain to turn on circuits that underlie compassion and
empathy.
"This positive state is a skill that can be trained," Prof. Davidson says.
"Our findings clearly indicate that meditation can change the function of
the brain in an enduring way."