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Bobby Matherne

Antonio Damasio

Descartes' Error

We tend to distinguish between reason and emotion. Even those who think reason should be a slave to the passions imply that they are different ways of thinking. Antonio Damasio doesn't agree. In Descartes' Error: Emotion, Reason, and the Human Brain he argues that emotion is in fact a central part of rational thought.

Damasio starts by looking at those such as Phineas Gage who suffered a terrible accident in 1848 which destroyed part of his brain. His reasoning seemed to survive, it was his emotional response which was affected, but he became unable to continue at his job or his previous life. Damasio also considers anosognosics, typically stroke patients who are paralysed in part of their body but deny the fact. The evidence is plainly there, but their feeling, influenced by the damage to their brain. overrides it. The book goes on to look at the way the connections in the brain work, explaining, for instance why a 'put on' smile is subtly different from a real smile. As well as arguing for the importance of emotion, Damasio also stresses that not everything is happening in the brain. When we experience an emotion the brain sends signals to different parts of the body, and the signals it gets in return become part of the emotion we feel.

So who should read this book. I'm not really convinced of its suitability for a general readership. It's not that Damasio uses technical language, its just that his style isn't particularly easy to read. If, though, you are interested in the emotions and the nature of thought then you will find it a valuable read.

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Product Description
Since Descartes famously proclaimed, "I think, therefore I am," science has often overlooked emotions as the source of a person’s true being. Even modern neuroscience has tended, until recently, to concentrate on the cognitive aspects of brain function, disregarding emotions. This attitude began to change with the publication of Descartes’ Error in 1995. Antonio Damasio—"one of the world’s leading neurologists" (The New York Times)—challenged traditional ideas about the connection between emotions and rationality. In this wondrously engaging book, Damasio takes the reader on a journey of scientific discovery through a series of case studies, demonstrating what many of us have long suspected: emotions are not a luxury, they are essential to rational thinking and to normal social behavior.
 
Well done ****
Dr. Damasio's Descartes' Error is a very readable and important contribution to our understanding of how our brain and body work on concert. Written in language accessible to the layman, Damasio provides compelling ideas of the importance of emotion and feeling in the functioning of the human brain. His effective use of diagrams to illustrate the "topography" of the brain and seemingly endless numbers of interfaces add to the books value. I selected this title as part of a study on the neurological basis of decision-making and, as the study has evolved, the role of emotion in intellectual processes. This book provided excellent insights, and I'll keep close-by for reference. Very well-done and highly recommended.
 
Pulls a lot of loose ends together ****
This is a classic summary of the thinking process that takes us from the old dualist theory to the brain-integrated-with-mind view. It also ventures into newer areas such as the role of emotion in thought. The book also explores the very current topics of self and consciousness. The focus by topic seems somewhat imbalanced and the illustrations are not clear in either composition or printing.
 
Excellent read on the neurobiology of reason and emotion *****
Antonio Damasio's book sheds light on the age old belief that "sound decisions [come] from a cool head." The book is very well written, but may be a challenge for those who have had little or no prior introduction to neuroscience. It is a fascinating read, in which one discovers something more about the brain - how it is organize, or how it possibly processes information within - on almost every page.

With regards to elements of organization and style, the book is very well written. The book is broken up into three parts. The first part essentially contains lots of observations; the second part comprises of Damasio's careful development of his somatic-marker hypothesis; the third and final part is full of experimental evidence for the validity of the somatic-marker hypothesis. Throughout the book, Damasio often breaks out into little asides which tie in interesting bits of neuroscience, history, or biology into the topic of conversation. Additionally, Damasio constantly relates ideas to other fields - for example, he ties in the story of Tristan and Isolde when discussing bonding (and love) as they relate to biological regulation.

Without revealing too much about the conclusions/theories drawn about emotion and its interplay with reason, I found it captivating to learn so much about how the brain is hypothesized to make decisions and reason. Damasio takes the time and effort to pull readers through the process of scientific inquiry which begins with initial observations of patients - actually, with the absurd story of Phineas Gage - all the way to a fully formulated and tested hypothesis. I was actually very happy to see that Damasio painstakingly took the effort to guide readers through all the thoughts and clues he had as he developed his hypotheses on the neurobiology of the interaction between reason and emotion. After putting down the book, it is odd to reflect upon how we "normals" are constantly using somatic markers (something like a gut feeling, which we may not even be consciously aware of) to filter our choices and bias/guide us in the decision making and reasoning process.

Additionally, one of the best parts of the book was Damasio's description of an experiment developed by a postdoctoral student of his, Antoine Bechara, in attempting to better study the somatic marker hypothesis. The experiment involves a neatly designed gambling game in which subjects have nothing more than "intuition" or "gut feelings" to guide them in making choices. The setup and results of this experiment are extremely interesting - the difference in how normal people and those with frontal lobe damage make choices is extremely clear in this experiment. It is almost unbelievable that while those who suffer from frontal lobe damage (to specific parts, such as the ventromedial prefrontal cortices) fully understand punishment and reward, their ability to act using knowledge they have and knowledge about future outcomes is extremely impaired. Studying the processes that cease to properly function in these people reveals a significant amount about how "normals" process information and make rational, reasonable choices.

Sifting through some of the other reviews, I noticed that there is one aspect that few, if any, have touched upon about the book that sprung out at me. A lot of the findings in this book, and in neuroscience in general, come from studying those who have damaged brains - in some cases, people were born with disorders/dysfunctions, while in other cases, it was the result of an accident or an operation. A sad but accurate remark by Damasio, that society takes pity on those who have suffered physical injury to their brain, but has no consideration for those who suffer from "behavioral problems," underscores the tragedy of the lives of the many patients that have contributed to the findings in this book. It may be worth rethinking how we approach people who suffer from behavioral problems - it is possible that they aren't suffering from a lack of willpower, but are making involuntary choices that negatively impact them and those around them.

Lastly, a final aspect of the book that readers should watch for is that many of the sections get intricately detailed and complex. I found it helpful to keep in mind the chapter or section heading that I was reading within to keep things in context. It is quite possible that for a better understanding of some of sections, readers may find it beneficial to stop and consult the web or other sources to gain a background on the material in discussion before reading further. That really shouldn't be too much of a damper - even though the material in the book is extremely dense, it makes for an excellent second read!
 
Very valuable book *****
Valuable and worth to read book that presents an interesting point of view on connection between brain and body processes, interconnection between thoughts and feelings. Some parts in the book relatively heavy because of unfamiliar for average person terminology and concepts but there are a lot examples inside that helps to understand information very clearly. As a manager and MBA student I found this book very useful and helpful in my soft skills improvement.
 
Unifying brain thinkers *****
Cartesian Dualism, the separation of the physical mind (brain) and the
spiritual mind (soul), pervades our thinking about the nature of thought.
Although Descartes certainly did not originate the idea of some
non-material part of us that somehow oversees and controls our brains,
this notion he promoted lingers even among many hard-core materialists,
fogging up our view of the way the brain really works.
Antonio Damasio, in his excellent book, Descartes' Error, takes out a
giant fan and successfully clears this fog. The book is entertaining and
not highly technical, however it is a serious, well though-out exposition
on the biology of thought that ought to be read by every neuroscientist,
mind-philosopher, neurologist, psychiatrist, psychologist, cognitive
scientist, and AI researcher.

The divisions between these categories of people interested in brains are,
to a large extent, artifacts of a long history of dualistic thinking that
has separated the thought-stuff (Descartes' "res cogitans") from the
squishy, wet, tangible body-stuff ("res extensa"). Damasio tackles this
and a number of other common dualisms, such as reason/emotion,
left-brain/right-brain, analytical/subjective,
brain-controller/body-slave.
Over 100 years ago, the psychologist-philosopher, Williams James realized
the importance of signals from the body in producing emotions:
"What kind of emotion of fear would be felt if the feeling neither of
quickened heart-beat nor of shallow breathing...were present, it is
quite impossible for me to think. (p. 129) "
This under-appreciated concept is greatly strengthened by Damasio's
Somatic Marker Hypothesis, which asserts the importance of a continuous
dialog between the brain and the body. Being a true experimentalist,
Damasio describes how people are emotionally impaired when they are
lacking some component of the systems by which somatic markers are created
in the body and read by the brain. What's more interesting, neurological
cases are described in which this emotional impairment results in serious
problems in the domain of reasoning, planning, and decision-making. Thus,
the emotional, subjective, feeling aspect of our thought processes is
legitimized as having a material substrate, and being a crucial part of
what has traditionally been a separate discipline, that of logic and
rational thought.

"The mind is embodied in the full sense of the term, not just embrained." (p. 118)

Also greatly under-appreciated by neuroscientists and many AI researchers
(but not in this book) is the fact that perception is an active process of
interaction between our brain, our body, and the environment.
"Perceiving is as much about acting on the environment as it is about receiving
signals from it." (p. 225)

In a field where everyone is talking about representations in the brain,
as if memories are written down somewhere in our synapses, we need more
theories that emphasize the dynamic, evanescent nature of thought and
recall. Damasio's "dispositional representations" fit the bill:
"A dispositional representation is a dormant _firing potentiality_ which comes to life when neurons fire, with a particular pattern, at certain rates, for a certain amount of time, and toward a particular target which
happens to be another ensemble of neurons." (p. 103)
I would add, and
Damasio would probably agree, that the "target" keeps moving, e.g., out
into the periphery to the muscles and glands, providing those somatic
markers, and providing a means by which the dispositional representation
can affect the outside world, and thereby have meaning. When we know a
lot more about how neural activity flows across the synaptic landscape, we
may someday be able to see the quasi-static substrate of these dispositional
representations. In the mean time, we must be satisfied rolling the ball
down the ever-changing hillside and watching where is goes.

The book covers a monumental range of topics, even including the
biological substrates of the self and of free will. My only complaint is
a lack of levity. Although warmly written in the first person, including
personal opinions, feelings, and anecdotes, there is no joking around or
silliness here.

By clearly describing numerous examples and theories that support
plausible mechanisms by which brain, body, and environment interact to
produce a unified thinking, feeling, reasoning whole, Damasio contributes
something for all of us, and does much to break down the arbitrary
barriers between our various brain disciplines.
 
I am therefore I think... *****
I read this book as after BLINK when discussing Dr de Bono's view of how thinking 'works' - or does not work - in the human brain. Several other books (BUY-OLOGY, THE UNDERCOVER ECONOMIST, FOOLED BY RANDOMNESS) confirm the same message based on different sources - humans are fundamentally irrational and most decisions are strongly influenced by our subconscious memories. This is ironic given our governance systems assume that people are reasonable and may be persuaded by logic. Actually emotions determine decisions and D'Amasio explains where emotions come from...

Perhaps the most important take-away of the book is the confirmed link made between mind and body when it comes to health. Western medicine treats mind and body as separate systems; D'Amasio refutes this and also says that the mind cannot think when disembodied; it requires constant feedback from the body (as well as nurturing by the body).

For years, I have looked for an explanation of how instinct is inherited when memory is not - this book helps answer that without mysticism. It confirms that the complexity of the brain exceeds the programming ability of our genetic code, but that the ability to think in certain patterns can be inherited.

'Descartes Error' also emphasises the importance of learning to a pre-school child as they build up their synaptic map (with personality and cultural biases) when the paths through their brain are fired up and prioritised.

It is a bit heavy to read, but well worth the effort to learn how we achieve our consciousness. On the way, there is tacit acknowledgement that other mammals have most of the same abilities and may even share self-awareness.

Business blogger Seth Godin frequently refers to the 'Lizard Brain' inside our mind which inhibits action through excessive caution. D'Amasio confirms this mechanism is real, primitive and useful as it allows us to sidestep nasty options by following well-known choices again and again and again...without thought. It is this endless and sometimes unproductive loop that Dr de Bono seeks to exit with lateral thinking techniques.

A well written book and a nicely presented roundup of the subject accessible to a lay reader. Reading it prompted more questions however - why is autism rising; what does the endless audiovisual stimulation of TV do to our brains; is there any impact on our thinking from the radio frequency swamp we now inhabit; is subliminal messaging possible via Internet streaming; how does hypnotism work; why do humans crave risk through gambling, bungey jumping, etc. We need answers to these questions also and I hope there will be a sequel soon...
 
Shorten the sentences. Make your points more succinctly. ****
No question, this is an important book. The argument is one we all would do well to digest. My only beef is that it can read a bit like a collection of Bar Chart titles. Too many dependent clauses and appositional phrases, etc. But don't let that put you off buying it! 'The Feeling of What Happens' suffers somewhat less from prolix sentences. Both books, however, are printed on very poor paper and some of the diagrams are very smudged.
 
Excellently written and well-presented thesis *****
Whatever the final outcome of all the research into the mind/body problem (if there can be one) Damasio's ideas are serious and challenging. A comment on one of these five star reviews suggests that academics are moving against Damasio's views rather than supporting him. However, the comment gives no references so it is hard to take it seriously as yet. I am currently reading Jerry Fodor's LOT2 and the absence of any reference at all to Damasio is striking but so is the mechanistic view of memory that Fodor supports and which Damasio shows to be unfounded. Memory is not a filing cabinet as Fodor and probably many others suppose. The degradation of data that we all experience shows this. Damasio's view is, as I said, challenging. It tells us that only the present moment is real for us and when we "remember" what we actually do is create a new experience from old patterns. We don't, as Fodor states, go to the file marked X and pull out the data. To be fair to Fodor, this may be true of basic simple tokens but certainly not of complex structures like memories. It may not even be true of the basics either. I feel sad if Damasio is not being taken seriously as I think it is because academics are so entrenched in their computer mentality that any theory that suggests that major aspects of our minds don't work in that way is not acceptable. John Serle's severe critique of AI theory has still not been satisfactorily refuted but there are many who do their best to ignore it. I think the same kind of thing is happening with Damasio. I suggest you read this book and other books on Philosophy of Mind and decide for yourself. One thing is clear, we are a long way away from understanding how the mind works and if we don't keep a truly open mind for all the possibilities then we are not going to get anywhere.
 
The mind is embodied and not just embrained *****
Substance dualism is the idea that our bodies are made out of one kind of stuff and our minds out of another, and Antonio Damasio is having none of it. Cogito ergo sum - perhaps the most famous statement in philosophy - "illustrates precisely the opposite of what I believe to be true about the origins of mind and about the relation between mind and body." Damasio reminds us that we were beings long before we became thinking beings, and, throughout this marvellous book, he argues for the importance of our bodies (not just our brains) in creating our minds. Indeed, "the bedrock of the sense of being alive" comes from just those "evolving representations of the body" that reach consciousness.

Perhaps it's not surprising that a philosopher elevated thinking, and awareness of thinking, to such prominence, but modern science is beginning to tell a far more interesting story about the "real substrates of being". The neat separation between the physical body - subject to its animal passions - and the higher rational soul - imagined as a divine endowment - is a fiction, albeit a powerful one. Damasio shows the many ways in which the "lowly orders of our organism are in the loop of high reason" and how emotion, feeling and biological regulation "all play a role in human reason".

Those who lament health and safety regulations would do well to read the salutary tale of Phineas P. Gage, a railroad worker whose momentary lapse of concentration in 1848 provided material for both a front page tabloid sensation and countless neuroscience textbooks. An iron bar through the brain would be enough to kill most people, but Gage not only survived he was not even knocked unconscious. I cannot help using his name and the pronoun that implies continuity of personhood, but, after such a serious brain injury, we should ask, who has survived? Which parts of the old personality? In Gage's case, "his likes and dislikes, his dreams and aspirations" all changed. There was a new spirit animating his body. Gage was no longer Gage.

Mid nineteenth century, the brain was being revealed as "the foundation for language, perception, and motor function". The importance of Gage's story was that it hinted at "systems in the human brain dedicated more to reasoning than anything else". While Gage could still move and speak normally, he had lost "something uniquely human, the ability to plan his future as a social being". Had a piece of his soul been blown out along with his brains, ending up a hundred metres away, on a sticky iron bar covered in dust?

Damasio brings us up to date with one of his own patients, Elliot, "an intelligent, skilled, and able-bodied man" who "had undergone a radical change of personality" and whose behaviour resembled Gage's. The cause was a brain tumour, which was successfully removed. However, while still capable of attending to detailed tasks, "Elliot had become irrational concerning the larger frame" of his life and, unable to plan hours let alone days ahead, was no longer "an effective social being". Damasio and his team observed in Elliot and other similar patients that such impaired decision making invariably came with "flat emotion and feeling". Could it be that a reduction in emotion was an important source of irrational behaviour?

Everyone from Plato to Oprah has talked about emotions and feelings - their own and other people's, whether they should be held in check or freely expressed. Damasio brings some much needed clarity to these often fluffy concepts. For a start, they are not interchangeable terms: while "all emotions generate feelings if you are awake and alert", background feelings originate in body rather than emotional states and contribute importantly to our "sense of being". Feelings of all kinds "form the base for what humans have described for millennia as the human soul or spirit." Taking the long view, the "beauty of how emotion has functioned throughout evolution" is that it enables living beings to act smartly without having to think smartly. The emotional feeling of disgust upon seeing some rotting meat, for example, discourages us from eating it. There is no reasoning involved: we are relying on innate knowledge - "based on dispositional representations in hypothalamus, brain stem, and limbic system" - acquired over millions of years.

Key to Damasio's neurobiology and his understanding of when a brain can be said to have a mind is not just that neuron circuits are modified by changes in our bodies and the external world in reliable ways, but that such neural representations become images. Once the brain is able to "display images internally and to order those images in a process called thought" then we can not only think about the world as it is but we can begin to imagine the world as other than it is: we can "predict the future, plan accordingly, and choose the next action."

This is one of those books it is worth working hard as a lay reader to get through. While I'm sure some of the science has already been revised, there is much to learn, and the fact that answers to some very big questions are being put forward is incredibly exciting. When do brains develop minds? What is the source of intuition? What are thoughts? How are emotions an indispensable foundation for rationality? Antonio Damasio reconnects body and mind and undoes much of the damage done by Descartes' error: "the body contributes more than life support and modulatory effects to the brain." It is a content provider "that is part and parcel of the workings of the normal mind." Don't worry about unweaving this particular rainbow: "Understanding the biological mechanisms behind emotions and feelings is perfectly compatible with a romantic view of their value to human beings." And why pick on this particular error? After all, Descartes was wrong about many things. It matters because Descartes' error is our error: from early childhood we are all intuitive dualists.
 
Challenging an old idea *****
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]

 
Science's Error *****
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.
 
VERY Disappointing for the Philosopher **
"And indeed, if the interested layman picks up any of a half a dozen standard text books on the brain, as I did, and approaches them in an effort to get the answers to sorts of question that would immediately occur to any curious person, he is likely to be disappointed." -John Searle, "Minds, Brains, and Science" (1984)

This quote, more than any one I could think of, sums up my view on Dr. Antonio R. Damasio's "Descartes' Error." In preparation for a graduate seminar on the philosophy of mind (which kicked off by reading Descartes, by the way) I picked up this book so that I may glean a neurophysiologist's take on the mind-body problem. To say that this book was an amazingly unhelpful tool for this purpose would be the understatement of the century. While I don't agree (with another reviewer) that "a degree" is required to do philosophy (but one can help but admit that the vast majority of good philosophy is produced by those who hold at least two of them), at least some grasp of the philosophical topic is prudent prior to writing a book even remotely advertising itself as having something to do with it. This is where Damasio falls short, and not by a little.

Because so many reviewers have summarized this book's substantive content, for the sake of avoiding duplicity, I decided to scour other reviews for the more egregious claims about this book. First of all, one common theme is that this book is stimulating philosophically, and that it is a "must read" for philosophers interested in the mind (see the NY Times Book Review above). In case it isn't obvious at this point, I don't think anything could be further from the truth. If you are a philosopher, don't waste your time or money with this book unless you've literally read everything else and want nothing but the science. Nowhere does Damasio mention any of the interesting paradoxes intertwined in this fantastically fascinating area of philosophy, other than occasional name dropping, not including the 5+ pages he devotes to actually discussing Descartes' "Error" (247-52). The only problem here, though, is that Damasio, while not getting Descartes entirely wrong, entirely misses the substantive point of Descartes' "dualism" and the point of the dream argument. Damasio repeats the cogito a couple times, and then moves on to dismiss the scientific inaccurracies of Descartes' philosophy (i.e., "errors" entirely beside the point of the current debate about dualism and the existence of phenomenal properties).

Damasio severely, severely underestimates the weight of Descartes' dualism, as well as naively assumes that all forms of it died with the dawn of science. The point isn't that Descartes was so wrong to assume that the mind/soul/spirit could survive the body - or that brains can't really exist in a vat (Damasio explains how this is impossible given current science - I'm serious) - the point is the epistemic value of inconceivability and the role of direct acquaintance of conscious, thinking experience. All of this is completely and utterly missed by Damasio, which is likely due, I'm afraid, to a severe underestimation and underappreciation for the relevant philosophical texts and the people who wrote them. We all know "that mind comes from the brain," the problem is explaining the connection in an unproblematic, coherent way.

Another common misconception about this book is its "readability." Here is one paragraph (that's right, paragraph) as a sample: "The minimal neural device capable of producing subjectivity thus requires early sensory cortices (including the somatosensory), sensory and motor cortical association regions, and subcortical nuclei (especially thalamus and basal ganglia) with convergence properties capable of acting as third-party ensembles." Now, if this is your idea of "readable," then by all means, go for it. The book is absolutely chalk-full of neurophysiological terminology to the point of reading like a text book (see Searle's quote above). I consider myself a very active reader (in the sense that I virtually always have a dictionary nearby and virtually never skip over words I don't understand the meaning of), but this book was just crazy-loaded with technical jargon. The writing itself is above average to average.

Damasio's effort should be commended, which is why I give this book two stars, based entirely on the book's scientific value alone. The mischaracterization of Descartes, as well as Damasio's own philosophical shortcomings, are, in my own opinion, errors far more egregious than any Descartes ever made.

 
Some hints for enjoying this book more *****
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.
 
The Error of Cartesian People ****
To the "December 18, 2003" reviewer:

"To write a book about Philosophy or related issues one MUST HAVE a degree in Philosophy, in the same way if somebody decides to write about Neurology he/she needs to have the proper qulifications to do so."

That's the typical authoritarian speech of people who hide behind their jobs, their qualifications, their deegrees, etc. Not exactly the right quote, but it describes the context: "Holier Than Thou". Yes, recognition by the expert authorities is a key to being heard, but I ask: when were these high authorities the driving force within ANY thought revolution? Maybe because someone DOESN'T have a deegree on a particular subject, he can express views which aren't tainted by the "academia's" notion of what is correct and incorrect. Most of the radical developments in human thought came without the approval of the "status quo". Ironically, the "status quo" absorves the knowledge of such revolutions when they have been tamed down or when the revolutionaries themselves have become the "status quo".

You, the reviewer, might even be right about Damasio... but you used a VERY lousy argument...

 
Damasio's Error *
I don't recommend this book to anybody. It is the best way to deceive a reader about history of philosophy and particularly about Descartes. Not only his author does not have the academic qualifications in order to talk about Descartes but also whatever he says about him is a distortion and a over-simplification about Dualism and Descartes' philosophy of mind. To write a book about Philosophy or related issues one MUST HAVE a degree in Philosophy, in the same way if somebody decides to write about Neurology he/she needs to have the proper qulifications to do so. It is a shame this book was published and translated into 17 languages. Before bying this book along with his other book about Spinoza, you first and learn about the book reviews it did receive in the first place, but make sure the reviewers were PHILOSOPHERS and not Damasios' friends and colleages from thje biological and medical field, who do not have a clue about what the heck they are talking about either. Good luck in your reading--anyways.

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