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-- he appears to be the only choice. Time for Our World. The human brain | :00:16. | :00:21. | |
is unique. It is the most complex organ in the human body. When it | :00:21. | :00:27. | |
goes wrong, it can be devastating. Its true potential is unknown. How | :00:28. | :00:33. | |
do we fix it and how do we keep it at its peak? We are facing a | :00:33. | :00:39. | |
tipping point in where we are up with the search on mental illness. | :00:39. | :00:49. | |
:00:49. | :01:16. | ||
Answers are being found by delving My first major suicide attempt was | :01:16. | :01:21. | |
in 1995. It is like this black hole. You convince your brain that you | :01:22. | :01:31. | |
:01:32. | :01:39. | ||
would be better off dead because that darkness is all-encompassing. | :01:39. | :01:44. | |
This man has been living with bipolar disorder for most of his | :01:44. | :01:48. | |
life. It runs help him but he never knows when he might have another | :01:48. | :01:53. | |
serious but potentially deadly at the so it -- medication helps him. | :01:53. | :01:58. | |
You are introduced to a new medication and you always get that | :01:58. | :02:05. | |
placebo effect. This time it is going to work! And then four weeks | :02:05. | :02:09. | |
later after you get the actual efficacy of the medication and it | :02:09. | :02:14. | |
does not work, you have to come off that medication - slowly because | :02:14. | :02:17. | |
you cannot do anything suddenly because it will push you into an | :02:17. | :02:21. | |
air as though - medication, different combinations of | :02:21. | :02:27. | |
medication... 16 steps down the line after starting the medication, | :02:27. | :02:32. | |
I have come to a place where I am relatively stable. But I never know | :02:32. | :02:39. | |
what will happen tomorrow. There could be hope for people like him. | :02:39. | :02:42. | |
Scientists trying to understand mental disorders like serious | :02:42. | :02:49. | |
depression now have access to powerful new technology. By | :02:49. | :02:54. | |
understanding the mechanisms of the human brain, they are gaining an | :02:54. | :02:59. | |
insight into our minds, changing what happens in the clinic. This is | :02:59. | :03:06. | |
what it is all about - the human brain. This one came from a healthy | :03:06. | :03:08. | |
adult female. Scientists are beginning to understand how it | :03:08. | :03:16. | |
works and what makes it go wrong. This is one of the main technology | :03:16. | :03:20. | |
is giving scientists that fresh insight. The radio with a will | :03:20. | :03:25. | |
inject the individual and then one can record the measurements that | :03:25. | :03:33. | |
come from the subject for the next hour. -- videographer. Using the | :03:34. | :03:39. | |
latest in brain scans, scientists have focused on one area of the | :03:39. | :03:44. | |
brain and that becomes overactive in depression. Area 25. They can | :03:44. | :03:49. | |
actually see what is going wrong and which medication works best. | :03:49. | :03:53. | |
This technology is already having a real impact, significantly | :03:53. | :03:58. | |
improving the way patients are treated. In ground-breaking | :03:58. | :04:04. | |
research, a London team taught computer software to recognise | :04:04. | :04:09. | |
patterns in images. They predict which patients will go on to | :04:09. | :04:14. | |
develop the most serious forms of psychosis. We are showing that when | :04:14. | :04:19. | |
people come to us with their first episode of psychosis, we can | :04:19. | :04:22. | |
already distinguish the people who will do better from the people who | :04:22. | :04:28. | |
will get worse. This will allow us to start thinking about using | :04:28. | :04:34. | |
different treatments for these different groups of people. | :04:34. | :04:39. | |
It is the professor's job to analyse these results. He believes | :04:39. | :04:43. | |
such developments could transform psychiatry. | :04:43. | :04:48. | |
Up until now, our approach to mental disorders has been at a | :04:48. | :04:55. | |
surface level. There was no analysis in the same way that has | :04:55. | :05:00. | |
been there for the last 50 years in medicine. This is an opportunity to | :05:00. | :05:07. | |
take psychiatric diagnosis beyond it the descriptive and into the | :05:07. | :05:12. | |
deep a biological level. It is not just imagine if that is bringing | :05:12. | :05:16. | |
about this revolution. The battle is also being fought in the | :05:16. | :05:24. | |
largest genetic study of people with bipolar disorder is taking | :05:24. | :05:32. | |
place in Cardiff. This man is in charge. We are trying to identify | :05:32. | :05:36. | |
genes and molecules which are involved in bipolar disorder and | :05:37. | :05:42. | |
that will give us a clear and better understanding of some of the | :05:42. | :05:48. | |
causes and triggers of bipolar disorder. One of his patients is a | :05:48. | :05:54. | |
meal and he has returned to Cardiff to give the team an update on his | :05:55. | :06:00. | |
progress. How have things been going over the last four years? | :06:00. | :06:06. | |
think I am starting to see the green shoots of getting better. The | :06:06. | :06:13. | |
last four years have been challenging. At times, desperate. | :06:13. | :06:18. | |
Some of the genetic findings particularly from start -- Family | :06:18. | :06:23. | |
Studies let us know how to identify people at high risk of illness and | :06:23. | :06:28. | |
some of those things we already used in the clinic from day to day. | :06:28. | :06:33. | |
We are finding that some of the genes that appear to be important | :06:33. | :06:38. | |
in the susceptibility to bipolar disorder have a wider roles in the | :06:38. | :06:44. | |
human brain and can also affect rates of schizophrenia and | :06:44. | :06:47. | |
Recurrent Depression. We are now beginning to understand why people | :06:47. | :06:53. | |
have such a complex mix of symptoms that do not fit easily into one | :06:53. | :07:00. | |
diagnostic box. As scientists begin to undertake | :07:00. | :07:06. | |
the workings of the human brain, the challenge is to find new and | :07:06. | :07:11. | |
more effective treatments. Up until now, it has been hit and miss, | :07:11. | :07:15. | |
stumbling across medications that happened to work. With a new tools | :07:16. | :07:20. | |
like brain scans and genetics, scientists can talk about a more | :07:20. | :07:24. | |
sophisticated approach, bringing the medicine of mental health out | :07:24. | :07:30. | |
of the Dark Ages and into the 21st century. | :07:30. | :07:39. | |
At his country retreat, a professor is brainstorming with a select | :07:39. | :07:45. | |
group of UK scientists. As head of a $1 billion Agency in the US, his | :07:45. | :07:51. | |
opinion carries some weight. Their job today is to come up with new | :07:51. | :07:55. | |
ways to treat people. What is really intriguing is the | :07:55. | :08:05. | |
:08:05. | :08:06. | ||
development of new compounds. There works within three hours, instead | :08:06. | :08:13. | |
of six weeks. Is that the same cat to mean that is used as a horse | :08:13. | :08:17. | |
tranquilliser? It has been around for decades. People believe it | :08:17. | :08:21. | |
affects a target in the brain that will change within six weeks of | :08:21. | :08:28. | |
treatment with conventional anti- depressants. The drug itself is not | :08:28. | :08:33. | |
safe long-term and people relapse after a week. But it is one example | :08:33. | :08:37. | |
of how scientists are coming up with faster and more effective | :08:37. | :08:43. | |
treatments. That is what has them excited. This is a potentially | :08:43. | :08:47. | |
deadly illness for which you would want to have treatments that do not | :08:47. | :08:52. | |
take six for eight weeks to work. You want something that works | :08:52. | :08:57. | |
quickly. In that sense, this is a game change it. It is that kind of | :08:57. | :09:04. | |
advance scientists hope we all think about -- scientists hope will | :09:04. | :09:09. | |
change the way we all think about mental illness. That he is not | :09:09. | :09:15. | |
something in the mind that people should pull themselves together | :09:15. | :09:20. | |
over. Over the next generation, we will move to a situation where | :09:20. | :09:24. | |
psychiatry is much more like cardiology or other medical | :09:24. | :09:30. | |
specialists, where we have a range of tests like imaging tests of the | :09:30. | :09:34. | |
way the brain functions, blood- testing know about susceptibility | :09:34. | :09:38. | |
functions -- factors and other sorts of psychological well tests | :09:39. | :09:45. | |
that will help to wrecked us to the diagnosis and allow us to know more | :09:45. | :09:52. | |
accurately how to help people -- held direct us to the diagnosis. | :09:52. | :10:01. | |
For meal, that is the goal of the project. Hundreds of people will | :10:01. | :10:06. | |
try to commit suicide. I am not saying they are all bipolar | :10:06. | :10:10. | |
disorder patients but they will have something wrong with them in | :10:10. | :10:16. | |
another way. If we can do something about that, that will be good. | :10:16. | :10:20. | |
Scientists have no way of saying if knowing what is happening inside | :10:20. | :10:25. | |
the human brain will answer all of our questions about mental illness. | :10:25. | :10:30. | |
But with these new technologies at their disposal, science is changing | :10:30. | :10:34. | |
the approach. And for many people, that will be the difference between | :10:34. | :10:44. | |
:10:44. | :10:47. | ||
Most of us want to reach our true potential, now science and | :10:47. | :10:54. | |
technology is offering to take us beyond human. Drugs to turbocharger | :10:54. | :11:04. | |
:11:04. | :11:11. | ||
our brains. Just how far do we want to go? You are a fighter pilot on a | :11:11. | :11:16. | |
long demanding mission. Your life and that of your colleagues depends | :11:16. | :11:21. | |
on you being awake and alert all of the time. There are drugs you can | :11:21. | :11:28. | |
take to keep you focused, would you take them? This is one of those | :11:29. | :11:36. | |
drugs, modafinil, normally prescribed for wakefulness with | :11:36. | :11:41. | |
people with sleeping disorders. It is being tested to see if it can | :11:41. | :11:47. | |
improve performance. There is an underground movement of people | :11:47. | :11:52. | |
taking it because they believe it is improving their cognitive powers. | :11:52. | :11:56. | |
I have come to the Centre for Brain And mind sciences, I will try it | :11:56. | :12:03. | |
for myself. I have taken modafinil a few times, primarily for its | :12:03. | :12:09. | |
ability to increase wakefulness. To allow me to concentrate and stay | :12:09. | :12:16. | |
awake for 20-38 hours at a time. Laurie Pycroft is in his second | :12:16. | :12:25. | |
year at Oxford University. He sees no real difference between taking | :12:25. | :12:31. | |
modafinil. He is getting hold of the drugs over the internet. If I | :12:31. | :12:36. | |
was going to take modafinil, there are a variety of websites available | :12:36. | :12:46. | |
:12:46. | :12:48. | ||
online which one can at size, you can purchase the deals. -- access. | :12:48. | :12:52. | |
It is pretty easy for someone with a credit card or a bit of cash to | :12:52. | :12:59. | |
pay someone. Anders Sandberg has a background in computing and | :12:59. | :13:09. | |
:13:09. | :13:09. | ||
neuroscience. He is a researcher at humanity is issued. He talks openly | :13:09. | :13:17. | |
drugs. I suspect that the advantage is smaller than I would like it to | :13:17. | :13:22. | |
be. In that case they might not be much of an ethical problem here. -- | :13:22. | :13:32. | |
there might. There is a question of using the drugs in the best way. | :13:32. | :13:39. | |
Dusting up on my studying might not slate to consolidate your memory. | :13:39. | :13:49. | |
:13:49. | :13:50. | ||
Some cognitive enhance us like Ritalin are prohibited to buy | :13:50. | :13:56. | |
without as -- a prescription. I am back in Cambridge to find out the | :13:56. | :14:00. | |
effects the cognitive enhancing drug has on me. There are safety | :14:00. | :14:08. | |
concerns. James Rowe is a neurologist, part of a research | :14:08. | :14:12. | |
team testing cognitive enhance as light van to see if they help | :14:12. | :14:22. | |
:14:22. | :14:24. | ||
people with Alzheimer's disease or Parkinson's. -- like modafinil. If | :14:24. | :14:34. | |
:14:34. | :14:35. | ||
you would like to take that. Here we go. How do we actually conduct | :14:35. | :14:41. | |
the test? This is the second Test at the Cambridge unit, I am about | :14:41. | :14:45. | |
to take the tablets. I do not know | :14:45. | :14:55. | |
:14:55. | :14:56. | ||
modafinil. I have got to wait for a co cours for the drug to | :14:56. | :15:06. | |
:15:06. | :15:07. | ||
take effect. This professor is part of the Cambridge team working with | :15:07. | :15:12. | |
ep deprived surprived surorm better on | :15:12. | :15:17. | |
van. She thinks these drugs could play a far wider role in society. | :15:17. | :15:26. | |
think we have undervalued them. -- better on modafinil. We have seen a | :15:26. | :15:30. | |
10% improvement on memory score could lead to a higher A-level | :15:30. | :15:35. | |
grade. That is a big improvement. As a society we could move forward | :15:35. | :15:41. | |
if we all had a form of cognitive and has meant that was a. Taking | :15:41. | :15:51. | |
:15:51. | :16:01. | ||
drugs to enhance cognition... -- enhance ment that was safe. Back in | :16:01. | :16:06. | |
1998 Kevin Warwick became the world's first cyborg. Part human, | :16:06. | :16:11. | |
part robot. He had a chip in planted in his arm and wide up into | :16:11. | :16:18. | |
his nervous system. His wife had a similar operation. There is became | :16:18. | :16:21. | |
the first central nervous systems to communicate electronically over | :16:21. | :16:31. | |
:16:31. | :16:36. | ||
the internet. -- theirs. The next step is brain to brain. The big | :16:36. | :16:39. | |
advantage is that we will not have to communicate in this mechanical | :16:39. | :16:45. | |
speech form, it will be able to communicate in terms of images, | :16:45. | :16:51. | |
ideas, emotions, feelings. It is tremendously exciting. This is the | :16:51. | :16:56. | |
second time we are going to do the test. In Cambridge I am about to do | :16:56. | :17:02. | |
a bit of self experimentation of my own. In the first half you are | :17:02. | :17:07. | |
going to see a square in the middle of a screen. I have to complete two | :17:07. | :17:13. | |
sets of computer-games over 1.5 hours, to test my memory, strategy | :17:13. | :17:23. | |
:17:23. | :17:28. | ||
and planning, to see if modafinil has any effect on me. If I said one, | :17:28. | :17:38. | |
two, three, you would say three, two, one. This is to rate how | :17:38. | :17:44. | |
you're feeling. How are you feeling? Physically I am feeling | :17:44. | :17:50. | |
more myself. I would have to guess that last time was when I was given | :17:50. | :17:58. | |
the modafinil. I will find out if I was right in a minute. In our | :17:58. | :18:02. | |
pressurised society you might be tempted to pop a pill to achieve | :18:02. | :18:06. | |
the best we can the fast as we can. What if there were drugs that could | :18:06. | :18:12. | |
make us kinder, more considerate, more moral? Scientists are about to | :18:12. | :18:20. | |
start tests on a range of hormones that could do just that. We could | :18:20. | :18:25. | |
reduce the testosterone levels. Testosterone generally chance to | :18:25. | :18:35. | |
:18:35. | :18:39. | ||
make people more aggressive. -- tends. They could become | :18:40. | :18:45. | |
problematic in certain situations, like on the stock market for sports | :18:45. | :18:49. | |
fields. Professor John Harris supports the idea of cognitive | :18:49. | :18:54. | |
enhance ment but sees risks in dabbling with values. They are | :18:54. | :19:00. | |
morally enhanced if they are better capable of making moral judgments. | :19:00. | :19:03. | |
Better capable of considering alternatives, realising the | :19:03. | :19:07. | |
consequences of their actions, realising the wider context in | :19:08. | :19:12. | |
which they act. Most of that is likely to be more achievable | :19:12. | :19:20. | |
through cognitive enhance ment rather than moral. Moment of truth. | :19:20. | :19:29. | |
Can you guess? It is very hard. I think it is quite marginal. If I | :19:29. | :19:35. | |
was forced to guess I was the first time was when I had modafinil. | :19:35. | :19:42. | |
is very interesting, you are not correct. That is interesting. I | :19:42. | :19:50. | |
would definitely say I feel more myself today. On the Test, when it | :19:50. | :19:56. | |
came to moving those balls on the screen, you did very well. He did | :19:56. | :20:00. | |
even better today on the modafinil. On the memory recognition task my | :20:00. | :20:07. | |
score went up from eight out of ten to nine out of ten. A 10% increase. | :20:07. | :20:16. | |
What we have seen when you are taking van are some very striking | :20:16. | :20:25. | |
improvements in memory. -- taking modafinil. What about the risks? My | :20:25. | :20:33. | |
Test Brom medically supervised. With these drugs we do not know the | :20:33. | :20:40. | |
long-term effects on the brain. -- my guests were medically supervised. | :20:40. | :20:45. | |
If he can show long-term safety and health in humans, we should | :20:45. | :20:52. | |
regulate the strides in the normal way. -- you can shave. If safety is | :20:52. | :20:56. | |
improved, some see no reason to hold back. It is difficult to think | :20:56. | :21:01. | |
of a possible place to limit your intelligence or cognitive powers. | :21:01. | :21:10. | |
If you can improve your cognitive powers, and by doing so allow | :21:10. | :21:14. | |
education to operate from a higher base, it might be cost-effective to | :21:14. | :21:20. | |
society. We can increase the power of our brain through exercise and | :21:20. | :21:24. |