What Makes Me? The Brain with David Eagleman


What Makes Me?

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Inside every head, in every home,

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is the most complex object we've discovered in the universe.

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The human brain.

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I've spent many years of my life trying to decipher

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the mysteries of the brain, and yet I'm still in awe

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every time I hold one. And that's because although this

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marvel of biology seems so alien to us,

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somehow it IS us.

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Until recently, activity coursed through these cells.

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This was Barbara.

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She had opinions and passions.

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She loved,

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she had her own life.

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And this is where all of that happened.

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Just as it does for each one of us.

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This three-pound organ is made up of hundreds of billions of cells

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with a quadrillion connections between them.

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These cells fire trillions of electrochemical signals every

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second of your life.

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Somehow all this wet biological stuff

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results in the experience of being you.

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I'm going to explore a fundamental question about our lives.

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What shapes who you become?

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This is the story of how your life shapes your brain.

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And how your brain shapes your life.

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What makes you you?

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For a long time the answer was an immortal soul, or spirit,

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something that goes beyond mere matter and gives you your life

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and your identity.

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But the modern study of the brain tells a different story.

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Who we are can only be understood in terms of the three-pound

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organ in our heads.

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The story of becoming you begins with a remarkable fact.

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We are born utterly helpless.

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And this helplessness lasts longer in humans than in any other species.

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Compare human babies to our cousins across the animal kingdom.

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Many newborn animals arrive ready for the world.

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They have life skills built in right from birth.

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A baby zebra can run when it's just 45 minutes old.

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Baby giraffes learn how to stand within hours.

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Dolphins are born swimming.

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Now, that would seem to be an advantage, but put any of these

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animals in an ecosystem not tailored to them and they won't survive.

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Whoa, look at that animal. What is that?

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In contrast, my son, Ari, is two, and he is still dependent on me.

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But one day he could live in Alaska. Or in the Sahara

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or on the moon.

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In other words, he can adapt to any environment.

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All right. That was fun.

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And that's thanks to the unique and spectacular way that the

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human brain can mould to fit the world around it.

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Humans come to the table pre-programmed for certain

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things like absorbing language or mimicking facial expressions.

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But the thing that's really remarkable about humans is the degree to

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which their brains are unfinished.

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And this leads to a period of prolonged helplessness,

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but the plan is simple.

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Instead of hard-wiring everything, the way a rhino does,

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let life experience wire up the rest of the brain.

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Arrive with something that's a little bit sloppy and tune it up on the fly.

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We learn on the job.

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It sounds risky, but that's exactly what young human brains do.

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And it gives us an extraordinary advantage...as we grow

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and learn and adapt.

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What's the secret behind the flexibility of young brains?

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Well, it's not about growing new cells.

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The number of cells is the same in children and in adults.

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Instead, the secret lies in how those cells are connected.

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This five-year-old has essentially all of the brain

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cells he's going to have.

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But what's happening inside his head is very different to what is

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happening inside mine.

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In the brain of a newborn baby,

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the neurons are only starting to communicate. But then, over the first

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two years of life, those neurons begin connecting extremely rapidly,

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forming as many as two million new connections every second.

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By age two, a typical neuron has more than 15,000 connections.

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That is almost twice as many as found in an adult.

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So what happens in between?

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Well, after the age of two, the growth is halted.

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The process of becoming someone is about pruning back

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the possibilities that are already present.

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You become who you are not because of what grows in your brain,

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but because of what is removed.

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As we grow and learn new skills,

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we reduce the number of connections in our brain,

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in favour of focusing on a smaller number of stronger connections.

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As you learn to read,

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your circuitry gets carved to interpret squiggles on a page.

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The connections go from being universal to being specific.

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Those links you don't use, you lose.

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Over the course of childhood, brain circuitry is wired up

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according to experience...

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and interaction with the environment.

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But this dependence on the outside world is a gamble.

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The outside world won't always provide what a brain needs.

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I'm going to try...

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This is the Jensen family from Milwaukee.

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Carol, Bill, their sons, Tom and John,

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and daughter, Victoria.

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These are no ordinary children.

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All three were adopted from a Romanian orphanage

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when they were just four years old.

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So it was 1996 when we came to the United States.

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And then that's when I turned almost four, on August 5, 1996.

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So...yeah.

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In 1989, at the fall of Nicolae Ceausecu's regime,

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there were 170,000 children in Romanian orphanages.

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The children were often kept in appalling conditions,

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left to cry without human contact.

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You would walk into a room

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and you'd be surrounded by little kids who you've never seen before.

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And they would want to jump in your arms or sit in your lap or

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hold your hand or walk off with you.

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And this sort of indiscriminate behaviour is

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sort of the hallmark feature of kids who've grown up in an institution.

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It is so overwhelming that your tendency is to get very

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emotional, and so we'd have to keep that in check

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because you didn't want to do that in front of the kids.

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Dr Charles Nelson witnessed the children's behaviour

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and wondered if it went beyond mere loneliness or distress.

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Had all that neglect impacted the physical structure of their brains?

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Particularly postnatally, brains need experience in order to develop.

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The developing brain is seeking out information

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and seeking out experiences, and if they don't get those,

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the brain doesn't know how to get wired up and built correctly.

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The kids in the institution, they have IQs in the 60s and 70s,

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their language is very delayed.

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They have severe attachment problems,

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and they show signs of an underdeveloped brain.

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They had small heads and their EEG activity was very reduced.

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Dr Nelson began looking at the electrical activity in these

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children's brains.

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He was astounded to discover that the children had dramatically

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reduced neural activity.

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But there was more.

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He found evidence that children placed into families

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before the age of two generally recovered.

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But for those who didn't leave the institution

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until older than two, their brain development was compromised.

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The lack of experiences leads the brain to wire incorrectly,

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because it doesn't have any input into it.

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And as a result,

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neurons don't know which other neurons it should be communicating with.

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Nelson's work revealed that

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when the brain is starved of the things it needs, like touch,

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stimulation, love, a child's development is stunted.

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The only record the Jensen family have of their early years is

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a couple of Polaroids.

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In the orphanage, I really didn't speak any known language.

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So when my mom asked the taxi driver what we were speaking,

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the taxi driver was like, "Gibberish."

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The Jensens were all adopted after the age of two.

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In the orphanage, it's hard.

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It was rough. It was... It wasn't easy.

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Kids didn't get much attention.

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Almost 20 years have passed since they left Romania.

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They still live with the consequences of that early neglect.

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Tom has ADHD,

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and he has learning disabilities.

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But not to the same extent that John has.

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For John, I think it started out hard and it continues to be hard.

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We went to doctors, psychiatrists, physicians, helping me out

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through the tough times I have right now. So, it is working, so I like it.

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With the support of a loving family, the Jensen children are finding

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ways to cope with the scars of their early childhood.

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What we experience in our early years goes a long way towards

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defining who we become.

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Experience prunes the brain,

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but that's not the only thing that shapes who you are.

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Because no matter what kind of life you've led,

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the brain is also on a predetermined schedule dictated by genetics,

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and that means there are major changes in store.

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In our teenage years, hormones course around our bodies,

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causing dramatic physical transformations.

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But out of sight,

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our brains are undergoing equally monumental changes.

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Ones that profoundly affect how we behave

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and react to the world around us.

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We all intuit that teenagers have a different view on the world

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than children or adults, but what's not always obvious is that the

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way teens see the world is not simply a choice or an attitude.

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Instead, it is the consequence of a changing brain that's

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right on schedule.

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Who they are right now is biological and inevitable.

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To get a sense of the teen brain at work, we are running an experiment.

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With the help of my graduate student, Ricky Savjani, we are

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going to rig up volunteers of different ages to a machine that

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measures stress levels by gauging changes in their sweat glands.

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Then we have them

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sit in a shop window to be gawked at by passers-by.

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OK, cue the curtain.

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First up, an adult.

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Louise's stress response seems to be holding about steady,

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at a pretty low level.

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It's clear that she's responding to people being there,

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but her stress response is simply not going up.

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But in the same situation, the teen brain responds very differently.

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'Oh, wow, that is a big response.'

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I'm just going to auto-scale her heartbeat because it has gone up so much.

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Her galvanic skin response is really high now, it just keeps going up.

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It suggests she is stressed out.

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-Hi, Xander.

-Hi.

-How are you?

-I'm good.

-Good.

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The more that he averts his gaze,

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the higher his stress response is going.

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So this is presumably his response, is to pretend like he's not there.

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-What words would you use to describe how it felt?

-Awkward.

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-Weird, pretty much.

-It was different.

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Having people just, like, stare at you and not knowing what they were thinking.

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So why the big difference in response between the adults

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and the teenagers?

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The answer involves an area of the brain called the

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medial prefrontal cortex.

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It becomes active when you think about yourself, especially

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the emotional significance of a situation to yourself.

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As one grows from childhood into adolescence,

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the activity in this area rises, peaking around 15 years old.

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Now, social situations carry a lot of emotional weight.

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In adults, the stress response from that

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feeling of being looked at is relatively modest.

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But in teenagers,

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that same experience causes social emotions to go into overdrive.

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The result is a stress response of high intensity.

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It's not just about self-consciousness.

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The development of the teen brain has other consequences.

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Including poor impulse control.

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Parts of the prefrontal cortex are still developing.

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Those parts are involved in simulating the consequences

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of actions, and that translates into greater risk-taking.

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But what happens when things calm down?

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Once the rush of our teenage years is over,

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do our brains stop changing?

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Is who we are fixed in stone once we reach adulthood?

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Well, it's true that most of the dramatic shifts in

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brain structure are done by our early 20s,

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and for a long time, researchers thought that was that...

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..but I've come to London, to look at a pioneering study

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that reveals how, even in adulthood,

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our brains can undergo radical physical changes.

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The study of the Knowledge is 640 quarter-mile-radius areas.

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24,000 streets and roads that need to be learnt.

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50,000 places of interest.

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What is known as "the Knowledge"

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is a test of recall of all the streets in London.

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The driver of every black cab has to pass it to get a licence.

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Bayswater Road, before Marble Arch.

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Right at Park Lane. Left, Hyde Park Corner...

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It's one of the world's most difficult feats of memory

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and completing it usually takes over four years of intensive study.

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People will spend three to four hours a day

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reciting pretend journeys.

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That starts to make them - "see it" is the term we use -

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how to get around London.

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The unique mental challenge of passing the Knowledge

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made it of particular interest to a group of neuroscientists.

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They began doing brain scans of the drivers

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before, during and after the rigorous training.

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They were interested in an area of the brain

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called the posterior hippocampus.

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It underpins spatial memory.

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At the beginning, it looked just like everyone else's,

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but by the end of the training,

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it had grown physically larger.

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All the map-memorising, all the driving,

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all the simulation of future routes -

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this reshaped their brain anatomy to match the task at hand.

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The longer a cabbie had been doing his job,

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the bigger the change in that brain region.

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Even when we're adults, our brains can still change.

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Something that can be shaped, and hold on to that shape,

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is what we call "plastic",

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and that's how it goes with the adult brain.

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Experience changes it and it retains that change.

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It's malleable. It has plasticity.

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That means that who you are and who you can be is a work in progress.

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Many activities can cause the brain to transform.

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For example, learning a musical instrument

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can produce dramatic changes.

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Musicians can learn languages more quickly

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and have improved memory,

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as a result of the way years of practise have altered their brains.

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Albert Einstein's brain was examined after death by researchers.

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They were hunting for signs of genius

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but, instead, they discovered the brain area devoted to

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operating the fingers of the left-hand was much larger

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than normal, all thanks to his less commonly known

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passion for playing the violin.

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-Hello, sir.

-Paddington Station?

-Sure, jump in.

-OK.

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'In fact, everything we experience will alter the physical

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'structure of our brain in some way,

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'meaning that, for as long as we're alive,

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'our identities aren't fixed but constantly changing.

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'From our jobs to falling in love,

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'having kids and spending time with friends.'

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All of these change the wiring of your brain to make you

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who you are, and who you can become.

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But the brain can also change in ways that we have no control over...

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..ways that can have a terrible impact

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on our personality and actions.

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We see this in a letter,

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discovered by police in the wake of a violent tragedy

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that happened in Austin, Texas, in the summer of 1966.

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25-year-old Charles Whitman was a model citizen.

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He had been an Eagle Scout.

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He had been honourably discharged from the military.

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He was working as a bank teller and studying as an engineering student.

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Yet, what he'd written pointed to

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a disturbing change in his personality.

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"I don't really understand myself these days.

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"I'm supposed to be an average, reasonable

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"and intelligent young man.

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"However, lately - I can't recall when it started -

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"I've been a victim of many unusual and irrational thoughts."

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What Whitman was describing were thoughts that would lead to killing.

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Death and terror stalk the campus of the University of Texas in Austin,

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as a sniper's bullets force people to scurry for cover.

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GUNSHOT

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A stream of deadly, accurate fire

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sends bodies crumbling to the ground everywhere...

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On August 1st, 1966,

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Whitman took an elevator to the top of the University of Texas Tower.

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An armoured truck...

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There, he started firing indiscriminately

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at the people below.

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Victims were being hit at a rate of more than one every three minutes.

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13 people were killed and 33 wounded,

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until Whitman himself was finally shot dead by the police.

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His tower arsenal included three rifles,

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a shotgun, two pistols and a knife.

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When police reached his house, they discovered that

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he'd killed his wife and his mother the night before.

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There was only one thing more surprising than this

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random act of violence, and that is,

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there was nothing really about Charles Whitman

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that suggested he would do something like this.

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It seemed completely senseless,

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but the letter they'd found in his home,

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written prior to the killings,

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suggested a possible explanation for his actions.

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In the note, he made an unusual request.

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"After my death, I wish that an autopsy would be

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"performed on me, to see if there is any visible physical disorder."

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Whitman's wish was granted.

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During the autopsy,

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the pathologists found that Whitman had a brain tumour.

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It was about the size of a nickel

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and it was pressing against a part of his brain

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called the amygdala, which is involved in fear and aggression.

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This pressure on the amygdala led to a cascade of consequences

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in Whitman's brain, resulting in him taking actions

0:26:100:26:15

that would otherwise be completely out of character.

0:26:150:26:18

His brain matter had been changing,

0:26:190:26:22

and who he was changed with it.

0:26:220:26:24

Whitman's example is extreme,

0:26:260:26:28

but other less dramatic changes in the brain

0:26:280:26:30

also alter the fabric of who we are.

0:26:300:26:33

Parkinson's disease can lead some people, even the most devout,

0:26:360:26:41

to lose their faith,

0:26:410:26:44

and a medication for Parkinson's can lead to compulsive gambling,

0:26:440:26:51

and it's not just disease drugs that can change us.

0:26:510:26:55

From the things we consume,

0:26:550:26:57

to the simple process of ageing -

0:26:570:27:00

everything contributes to continually reshaping

0:27:000:27:04

the neural networks that amount to us.

0:27:040:27:07

So, who we are changes in the course of our life, as our brain changes,

0:27:150:27:23

but, thankfully,

0:27:230:27:24

there's one constant that links it all together.

0:27:240:27:28

It's a pillar of our personality -

0:27:280:27:33

memory.

0:27:330:27:34

Memory sits right at the core of our identity.

0:27:370:27:40

It gives our lives a narrative -

0:27:400:27:42

one that we can share, one that has meaning.

0:27:420:27:46

But there's a problem - memory isn't always reliable.

0:27:460:27:50

To understand how it alters, and why,

0:27:520:27:55

I've come up with a little thought experiment.

0:27:550:27:59

Meet 35-year-old Daisy.

0:27:590:28:02

So, imagine Daisy could meet her five-year-old self.

0:28:020:28:05

Same person, same life experiences, a subset of her memories.

0:28:050:28:12

Or what if Daisy could meet her 85-year-old self?

0:28:120:28:16

The same person, but experience is played out more.

0:28:160:28:20

Imagine that Daisy could meet all of her selves

0:28:200:28:23

across the spectrum of her lifetime.

0:28:230:28:26

You might think that all these Daisys

0:28:290:28:31

would share the exact same memories,

0:28:310:28:35

but although their memories relate back to the same events,

0:28:350:28:39

in fact, what they remember is likely to be quite different.

0:28:390:28:45

And that's because of what a memory actually is.

0:28:450:28:49

'So, a few years ago, I went out for dinner to celebrate

0:28:530:28:57

'my friend Cheryl's birthday,

0:28:570:28:58

'with her boyfriend Joe.

0:28:580:29:00

'I remember it distinctly because it was so enjoyable.

0:29:000:29:03

'Everything I experienced that evening triggered particular

0:29:060:29:09

'patterns of activity in my brain,

0:29:090:29:12

'lighting up constellations of cells.

0:29:120:29:14

'The conversation between Joe and Cheryl,

0:29:160:29:19

'the smell of the coffee,

0:29:190:29:22

'the taste of this little French cake.

0:29:220:29:25

'All of these constellations became linked with one another

0:29:250:29:29

'in a vast, associative network of neurons,

0:29:290:29:33

'that the hippocampus replayed over and over

0:29:330:29:36

'until the association became fixed,

0:29:360:29:39

'and that was the unique signature of this experience.

0:29:390:29:44

'That would become my memory of Cheryl's birthday.

0:29:440:29:47

'So, is a memory simply like watching an old video recording

0:29:500:29:53

'that we just call up and replay?

0:29:530:29:57

'It feels like that, but in reality, it's quite different.

0:29:570:30:00

'Memories are actually brain states from a bygone time

0:30:020:30:06

'that we have to resurrect.'

0:30:060:30:08

So, here I am, six months later, in a totally different city,

0:30:130:30:15

and I taste one of these little French cakes again,

0:30:150:30:18

and it's just like the one that I had at Cheryl's birthday party.

0:30:180:30:21

And, in my brain, this very specific trigger

0:30:210:30:24

lights up a whole web of associations,

0:30:240:30:27

like the lights of a city coming online,

0:30:270:30:29

and suddenly I'm back in that memory.

0:30:290:30:31

'But it's not as rich as I would have imagined.'

0:30:340:30:36

I know that Joe and Cheryl were there,

0:30:390:30:41

and Cheryl, I think, was wearing a blue shirt,

0:30:410:30:44

or maybe it was purple.

0:30:440:30:47

Actually, maybe it was green.

0:30:470:30:48

'The memory of Cheryl's birthday, in my brain, has started to fade.

0:30:500:30:54

'Our memories fade gradually

0:30:550:30:57

'because our brain only has

0:30:570:30:58

'a finite number of neurons,

0:30:580:31:00

'which, over time,

0:31:000:31:01

'get used for other memories.

0:31:010:31:04

'It means that the details have now become a little hazy.'

0:31:040:31:08

What matters is that I remember that we had a great time,

0:31:100:31:15

but even that's not totally certain,

0:31:150:31:17

because, in the intervening months,

0:31:170:31:20

Joe and Cheryl have broken up,

0:31:200:31:23

and so, now, I'm wondering,

0:31:230:31:24

did I sense any red flags there?

0:31:240:31:29

The state of my emotions right now

0:31:290:31:31

changes the network that corresponds to then.

0:31:310:31:35

My present colours my past.

0:31:350:31:37

What this means for all of us

0:31:410:31:43

is that the same event will be remembered differently,

0:31:430:31:46

depending on where you are at that point in your life.

0:31:460:31:49

So, how reliable are our memories?

0:31:520:31:55

How far can they be altered and why do our brains work that way?

0:31:550:31:59

'The first suggestion about how vulnerable our memory is

0:32:050:32:09

'came with the ground-breaking work of Professor Elizabeth Loftus.'

0:32:090:32:13

TYRES SCREECH

0:32:150:32:17

'She devised a simple experiment,

0:32:190:32:21

'in which volunteers watched films of car crashes.

0:32:210:32:24

'She then asked them a series of questions,

0:32:240:32:27

'to test what they remembered.'

0:32:270:32:28

So, if I ask you a question, you know,

0:32:300:32:33

"How fast were the cars going when they hit each other?"

0:32:330:32:36

-TYRES SCREECH

-Versus,

0:32:360:32:38

"How fast were the cars going when they smashed into each other?"

0:32:380:32:41

CARS SMASH

0:32:410:32:43

Witnesses give different estimates of speed.

0:32:430:32:46

They think the cars were going faster

0:32:460:32:48

-if you use the word "smashed".

-CARS SMASH

0:32:480:32:51

And so, this was one of my earliest examples showing that

0:32:510:32:54

leading questions can distort the answers

0:32:540:32:57

and can contaminate a person's memory.

0:32:570:33:00

The discovery that existing memories could be distorted

0:33:030:33:07

led Loftus to ask a more radical question -

0:33:070:33:11

would it be possible to implant entirely false memories?

0:33:110:33:16

To find out, she devised another experiment.

0:33:190:33:22

She recruited volunteers and then had her team

0:33:250:33:29

call their families for information about events from their past.

0:33:290:33:34

The researchers then put together

0:33:340:33:36

a number of stories about their childhoods.

0:33:360:33:40

Three were true but, one, while sounding plausible,

0:33:400:33:44

was entirely made up.

0:33:440:33:45

The story involved the volunteer

0:33:510:33:53

getting lost in a shopping mall as a child...

0:33:530:33:55

..then being found by a kind old person

0:34:000:34:05

and then reunited with her parent.

0:34:050:34:07

When told the four stories,

0:34:130:34:15

at least a quarter of the participants

0:34:150:34:18

claimed they could remember being lost in the mall,

0:34:180:34:21

-even though it never happened...

-I was really young.

0:34:210:34:24

I would have been about six at the time.

0:34:240:34:25

Six, five, something like that.

0:34:250:34:27

Yeah, no, I did cry. I cried a lot.

0:34:270:34:29

..and the experiment didn't stop there.

0:34:290:34:32

They may start to remember a little bit about it,

0:34:320:34:35

but when they come back a week later,

0:34:350:34:38

they are starting to remember more.

0:34:380:34:40

Maybe they'll talk about the older woman who rescued them.

0:34:400:34:44

"I think I heard my name over a loudspeaker."

0:34:440:34:47

Over time, more and more detail crept into their false memory.

0:34:480:34:53

"The old lady was wearing this crazy hat.

0:34:540:34:57

"I had my favourite toy.

0:34:570:35:00

"My mum was so mad."

0:35:000:35:02

The invention of these new details that go way beyond anything

0:35:020:35:06

we presented to them as coming from their mother

0:35:060:35:09

were pretty impressive to us.

0:35:090:35:11

'Loftus had discovered that not only is it possible to implant

0:35:120:35:16

'entirely new memories in the brain,'

0:35:160:35:19

we naturally embrace and embellish them,

0:35:190:35:22

unknowingly weaving fantasy into the very fabric of who we are...

0:35:220:35:28

..and we're all susceptible, even Loftus herself.

0:35:300:35:34

My mother had drowned when I was 14...

0:35:370:35:40

..and years later I had gone to a birthday celebration,

0:35:440:35:49

and one of my other relatives started to talk about my mother,

0:35:490:35:55

and this relative started to tell me

0:35:550:35:58

that I was the one that found my mother's body in the swimming pool,

0:35:580:36:02

and he was so convincing that I went home from that birthday

0:36:020:36:05

and I started to think, "Maybe I did."

0:36:050:36:08

I started to think about other things that I did remember,

0:36:110:36:13

like when the firemen came, they gave me oxygen.

0:36:130:36:16

Maybe, maybe I needed the oxygen cos I was so upset that

0:36:160:36:19

had I found the body,

0:36:190:36:21

and I could almost visualise my mother in the swimming pool.

0:36:210:36:25

But then something happened that would make Loftus realise

0:36:280:36:32

her memory had been tricked.

0:36:320:36:34

The relative called and said,

0:36:360:36:37

"I made a mistake. It wasn't you. It was the aunt who found the body."

0:36:370:36:42

And so, I thought, "Boy..."

0:36:420:36:43

That's... That's what it feels like when you're on your way to...

0:36:430:36:48

to developing such a rich false memory.

0:36:480:36:51

Our past is not a faithful record but, instead, it's a reconstruction.

0:36:550:37:00

In part, it's a mythology,

0:37:000:37:02

so what does this mean for who we are?

0:37:020:37:05

Well, think about your life memories.

0:37:050:37:07

Not all the details are accurate.

0:37:070:37:09

Some came from things that people told you about yourself.

0:37:090:37:13

Other details were filled in by what you think must have happened,

0:37:130:37:17

but that's OK -

0:37:170:37:19

it's all part of the evolving story that is you.

0:37:190:37:23

So, why do we have memories that are so unreliable?

0:37:280:37:31

Well, as strange as it sounds,

0:37:330:37:34

memory isn't just used for recording our past.

0:37:340:37:37

It also serves another important function.

0:37:420:37:44

That function would be revealed by a singular case

0:37:470:37:50

that revolutionised neuroscience.

0:37:500:37:53

How long have you had trouble remembering things?

0:38:010:38:05

I don't know, myself.

0:38:050:38:07

I can't tell you because I don't remember.

0:38:070:38:10

But do you think it's been more than a year

0:38:100:38:12

that you've had this problem?

0:38:120:38:14

I think it's about...about that,

0:38:140:38:16

cos this is just a thought that I'm having myself

0:38:160:38:21

that I possibly have had an operation or something.

0:38:210:38:26

Henry Molaison was born in 1926.

0:38:260:38:30

His early life was like any other young boy's,

0:38:300:38:34

until his tenth birthday,

0:38:340:38:35

when he suffered his first epileptic seizure.

0:38:350:38:39

By 16, his epilepsy had worsened,

0:38:390:38:42

and by 27, he could no longer function normally.

0:38:420:38:46

These major seizures increased in frequency,

0:38:470:38:51

up to the point where his life was pretty much on hold.

0:38:510:38:54

His doctors proposed an experimental surgery that would remove

0:38:560:39:00

the hippocampus on both sides of Henry's brain,

0:39:000:39:04

leaving two yawning, black holes.

0:39:040:39:07

The operation proceeded without incident,

0:39:090:39:12

and within a few days, he recovered.

0:39:120:39:16

Henry's epilepsy was cured.

0:39:170:39:19

That was when they realised that he couldn't remember anything.

0:39:200:39:24

For the remaining 55 years of his life,

0:39:260:39:29

he never formed a single new long-term memory...

0:39:290:39:33

..and there was something more.

0:39:400:39:44

What do you think you'll do tomorrow?

0:39:440:39:46

Whatever's beneficial.

0:39:500:39:52

You might think, when you'd say to him,

0:39:530:39:56

"What do you think you'll do tomorrow?"

0:39:560:39:58

He might say, "Well, you know, I'll get up, as usual,

0:39:580:40:01

"and get dressed and shave and have breakfast."

0:40:010:40:05

But he didn't even come up with that.

0:40:050:40:07

It was like he was absolutely stuck in the present moment.

0:40:070:40:11

Henry Molaison's misfortune had revealed something profound.

0:40:130:40:17

The brain areas that underlie memory are the same as those

0:40:190:40:23

that are used to simulate what's coming next.

0:40:230:40:26

Both the past and the future are creations in the brain.

0:40:270:40:32

Who we are, at any moment in time, is an ongoing narrative.

0:40:330:40:38

As we live longer than ever before,

0:40:430:40:46

this presents real problems for brain health.

0:40:460:40:49

Diseases like Alzheimer's and Parkinson's attack our brain tissue,

0:40:500:40:54

and with it, who we are...

0:40:540:40:56

..but in the same way that your environment

0:40:590:41:01

and behaviour shape your brain when you're younger,

0:41:010:41:04

they're just as important in your later years.

0:41:040:41:07

If you don't mind me asking, how old are you this year?

0:41:130:41:15

Oh, I'm just 94.

0:41:150:41:17

OK. For how long have you been here?

0:41:170:41:20

Well, I've been in the convent over 70 years.

0:41:200:41:22

Do people live into their 100s or something, here?

0:41:220:41:26

Oh, we had one - one I know that went over 100.

0:41:260:41:29

How was she doing cognitively at that age?

0:41:290:41:31

She was very smart.

0:41:310:41:33

She was very smart, OK.

0:41:330:41:35

She sure was and she didn't miss anything.

0:41:350:41:37

OK.

0:41:370:41:38

Quite alert.

0:41:380:41:39

Across the US, more than 1,200 nuns, priests and brothers

0:41:410:41:46

have been taking part in a unique research study,

0:41:460:41:49

exploring the effects of ageing on the brain.

0:41:490:41:53

Well, they figure the sisters are a good study group

0:41:540:41:57

because we're kind of stable.

0:41:570:41:59

You know where to find us.

0:41:590:42:00

Each year, the participants have to provide detailed records

0:42:020:42:06

of how they spend their time.

0:42:060:42:09

They also commit to

0:42:090:42:10

extensive physical, genetic and cognitive tests,

0:42:100:42:14

and it doesn't end there.

0:42:140:42:16

When I first heard about the study,

0:42:170:42:19

I said, "Well, even after I die,

0:42:190:42:23

"whatever I'm contributing can still go on."

0:42:230:42:27

After they die, all the participants will give up their brains.

0:42:270:42:33

My staff in Chicago is on call 24 hours a day,

0:42:360:42:39

seven days a week.

0:42:390:42:41

When someone dies in New York, they call us.

0:42:410:42:45

The researchers carefully examine the brains for the telltale

0:42:450:42:49

microscopic evidence of age-related brain disease.

0:42:490:42:53

They're looking to establish links between brain degeneration

0:42:560:43:00

and cognitive performance,

0:43:000:43:03

but the first set of results was entirely unexpected.

0:43:030:43:07

When we first started publishing it,

0:43:080:43:11

a lot of people were surprised.

0:43:110:43:14

It turned out that nearly a third of the brains tested

0:43:140:43:18

had characteristic signs of full-blown Alzheimer's...

0:43:180:43:22

# When I fall on my knees... #

0:43:220:43:28

..but the cognitive tests revealed that the brain owners

0:43:290:43:33

had shown no symptoms of this terrible disease.

0:43:330:43:37

Their brains were sick, yet they remain unaffected.

0:43:370:43:43

It didn't make sense.

0:43:430:43:45

What had happened?

0:43:450:43:46

I have a game on my smartphone - Ruzzle.

0:43:490:43:52

And some of our sisters have been involved in teaching and nursing.

0:43:550:44:01

Having responsibilities and learning new skills,

0:44:010:44:04

keeping the brain active -

0:44:040:44:06

this was protecting the nuns

0:44:060:44:08

from the cognitive symptoms of the disease.

0:44:080:44:12

I am interested in, very much, in science.

0:44:120:44:15

I love Scrabble.

0:44:150:44:17

I drive the sisters to the doctor's.

0:44:170:44:19

Mass every day, and that's...

0:44:210:44:23

If I didn't have that, I'd be completely nuts.

0:44:230:44:26

Even as parts of the brain tissue degenerate,

0:44:270:44:30

mental and physical activity can build new pathways

0:44:300:44:33

for solving problems.

0:44:330:44:37

This is called cognitive reserve.

0:44:370:44:40

Think of the brain like a tool box.

0:44:450:44:48

If it's a good tool box, you have all the tools you need,

0:44:480:44:50

so I might choose a ratchet to disengage this bolt here,

0:44:500:44:55

but what if I didn't have access to this ratchet?

0:44:550:44:57

I might be able to find something else,

0:44:570:44:59

like, this wrench would do the trick,

0:44:590:45:02

and if I didn't have the wrench, I could find something else,

0:45:020:45:05

like this adjustable wrench,

0:45:050:45:08

and it's the same idea in an active, cognitively-fit brain.

0:45:080:45:12

Even as parts of the brain degenerate,

0:45:120:45:15

the brain can find other solutions.

0:45:150:45:17

By making sure our mental tool box is equipped with

0:45:210:45:24

a variety of working tools,

0:45:240:45:27

we may be able to slow down the effects of our ageing brains,

0:45:270:45:31

and hold on to who we are for as long as possible...

0:45:310:45:34

..but who we are is more than just the tasks we can accomplish.

0:45:370:45:41

There's something else -

0:45:430:45:45

something that's perhaps the greatest mystery

0:45:450:45:47

about how the brain works.

0:45:470:45:50

It's the sense of "I" -

0:45:500:45:53

of "me".

0:45:530:45:55

I am a conscious being.

0:45:560:45:58

When I think about who I am,

0:45:580:46:00

it's taking place inside this head, through these eyes,

0:46:000:46:03

from this particular point of view.

0:46:030:46:05

Conscious experience is at once the most familiar

0:46:080:46:12

and the most perplexing aspect of our identity.

0:46:120:46:16

How does the physical stuff of the brain

0:46:190:46:22

equal the mental experience of being a conscious human?

0:46:220:46:26

How do billions of brain cells produce the extraordinary,

0:46:280:46:33

unique feeling of being alive?

0:46:330:46:37

Of being me?

0:46:370:46:39

I'm made up of 100 billion neurons,

0:46:390:46:42

and when I die,

0:46:420:46:44

they'll still be there,

0:46:440:46:45

but I won't be me any more -

0:46:450:46:47

I'll be dead.

0:46:470:46:48

So that means who I am is not about the existence of the neurons -

0:46:480:46:53

it's about what they do and how they interact.

0:46:530:46:56

Imagine that the neurons in your brain

0:46:560:46:58

are like a collection of drummers.

0:46:580:47:01

THEY DRUM CHAOTICALLY

0:47:010:47:04

If each drummer plays completely independently,

0:47:070:47:10

the noise that emerges is just that - noise...

0:47:100:47:13

..but if they start listening to one another, something more emerges.

0:47:180:47:23

THEY DRUM IN TIME WITH EACH OTHER

0:47:230:47:26

Out of cacophony appears a rhythm - a performance -

0:47:290:47:33

a complex interaction in which all the drummers are playing

0:47:330:47:36

both as individuals and as something greater.

0:47:360:47:40

And in the same way,

0:47:420:47:44

this is how the experience of consciousness arises in the brain.

0:47:440:47:49

Billions of interacting neurons work in concert,

0:47:490:47:54

and under the right circumstances,

0:47:540:47:56

they hit a sweet spot -

0:47:560:47:58

the place where the singular,

0:47:580:48:01

private experience of being you emerges.

0:48:010:48:05

Consciousness is a performance our brain puts on for us

0:48:090:48:13

throughout our day.

0:48:130:48:15

But there comes a time - in fact, once a day -

0:48:190:48:22

when the character of that drumming changes, and it takes me with it.

0:48:220:48:27

The best way for me to show you how is for me to go to sleep...

0:48:270:48:30

..wearing this.

0:48:330:48:35

I'm wearing an electroencephalogram, or EEG.

0:48:370:48:42

It records my brain's activity,

0:48:420:48:44

giving an idea of how my neurons are interacting while I sleep.

0:48:440:48:48

SWITCH CLICKS

0:48:500:48:52

When you go to sleep,

0:48:520:48:53

your body seems to shut down,

0:48:530:48:55

so you might think that the drumbeat in your brain would do the same...

0:48:550:48:59

BIRDS TWITTER

0:49:010:49:03

..but the reality is quite different.

0:49:030:49:06

So, at the beginning of the night, this is my brain activity.

0:49:080:49:11

I was still awake.

0:49:110:49:12

But if I go a little bit later,

0:49:120:49:15

I have activity that looks as though I'm still awake,

0:49:150:49:17

but in fact, I wasn't.

0:49:170:49:19

I was in dream sleep here,

0:49:190:49:21

which is a form of consciousness full of vision and sounds

0:49:210:49:25

and strange situations and magnified emotions.

0:49:250:49:29

It's me, but a bizarre form of me, but things get stranger.

0:49:290:49:34

At this part of the night, I'm in deep sleep.

0:49:340:49:37

SLOW, STEADY DRUMBEAT

0:49:370:49:39

My brain is still there, and it's still active,

0:49:390:49:43

but I am gone.

0:49:430:49:45

In deep sleep, our neurons become more synchronised.

0:49:480:49:53

It's impossible for a complex rhythm to emerge from this,

0:49:530:49:58

which means, in this brain state,

0:49:580:50:00

there's no hope of conscious experience.

0:50:000:50:05

No identity, no personality - nothing.

0:50:050:50:09

ONE LAST BEAT AND DRUMMING STOPS

0:50:110:50:14

I am the relationship between my neurons.

0:50:140:50:17

Change their interaction just a little bit,

0:50:170:50:19

and then I find myself in a dream world,

0:50:190:50:22

where I disappear... LIGHT DRUMMING

0:50:220:50:25

..or I return.

0:50:250:50:27

When the neurons find themselves back in their proper rhythm,

0:50:270:50:31

I miraculously come back online.

0:50:310:50:33

Consciousness, in the sense of being "me",

0:50:360:50:39

somehow emerges from the complex rhythms of our neurons firing...

0:50:390:50:44

..but why consciousness emerges at all still remains

0:50:500:50:54

one of the great unsolved mysteries of modern science.

0:50:540:50:58

After I finished graduate school,

0:51:000:51:02

I had the opportunity to work with one of my scientific heroes -

0:51:020:51:05

Francis Crick, who had codiscovered the structure of DNA.

0:51:050:51:09

By the time I met him,

0:51:100:51:11

he had turned his attention to the question of consciousness -

0:51:110:51:14

why does it feel like anything to be alive?

0:51:140:51:17

And I remember when I went into his office that he had

0:51:170:51:20

a lot of writing on the chalkboard,

0:51:200:51:21

but there was one word that was written in the middle,

0:51:210:51:24

and it was bigger than the rest.

0:51:240:51:25

That word was "meaning".

0:51:250:51:28

You see, we know a lot about the mechanics of neurons

0:51:280:51:31

and networks and brain regions, but what we don't know

0:51:310:51:34

about those signals coursing around in the brain,

0:51:340:51:36

is why we care about any of them -

0:51:360:51:38

why anything carries meaning.

0:51:380:51:40

How can the physical cells in my brain

0:51:420:51:45

cause me to care about anything?

0:51:450:51:48

The "meaning" problem is not yet solved,

0:51:490:51:52

but here's what I think we can say.

0:51:520:51:54

The meaning of something to you

0:51:540:51:56

is all about your web of associations,

0:51:560:51:59

based on your whole history of experiences.

0:51:590:52:02

Just imagine I were to take a piece of cloth

0:52:020:52:04

and put some coloured pigments on it,

0:52:040:52:06

and then put that in front of your visual system.

0:52:060:52:09

Is that likely to trigger memories and fire up your imagination?

0:52:090:52:13

Well, probably not, because it's just a piece of cloth, right?

0:52:130:52:16

Here it is -

0:52:210:52:22

pigments arranged on a cloth in the pattern of a national flag.

0:52:220:52:26

Presumably, this triggers something for you,

0:52:300:52:33

but the meaning is unique to your history of experiences.

0:52:330:52:36

We don't perceive objects as they are.

0:52:410:52:44

We perceive them as we are.

0:52:440:52:47

Each of us is on our own trajectory,

0:52:500:52:53

steered by our genes and our experiences, and as a result,

0:52:530:52:57

every brain has a different neural reality.

0:52:570:53:00

Brains end up being as unique as snowflakes.

0:53:000:53:04

Your story plays out across a lifetime.

0:53:070:53:10

Trillions of new connections are continually forming

0:53:100:53:14

and reforming, as we learn, and create memories

0:53:140:53:19

and become who we are.

0:53:190:53:21

The unique connections in your brain

0:53:230:53:26

mean no-one like you has ever existed...

0:53:260:53:29

..or will ever exist again.

0:53:320:53:34

For me, the wonder of the human brain is that,

0:53:360:53:39

from a vast network of physical pieces and parts,

0:53:390:53:42

the experience of being you or me emerges,

0:53:420:53:47

and because the physical stuff is changing, we are too.

0:53:470:53:51

We're not fixed.

0:53:510:53:53

From cradle to grave, we are works in progress.

0:53:530:53:57

Next time on The Brain...

0:54:130:54:15

I'm going to investigate the weird ways our brain

0:54:150:54:18

secretly controls everything that we do.

0:54:180:54:21

Oh, God, that was amazing.

0:54:220:54:25

This is the story of everything the brain does

0:54:260:54:30

that remains hidden from us.

0:54:300:54:32

How, without our awareness, the brain makes decisions

0:54:330:54:37

and controls the complex machinery of the body.

0:54:370:54:40

ALARM BEEPS

0:54:450:54:47

This is the birth of you.

0:54:470:54:50

Waking up is the moment when our conscious brains come online,

0:54:510:54:56

but it's also the beginning of a great deception.

0:54:560:54:59

But here's the surprise -

0:55:000:55:02

all of that conscious you

0:55:020:55:05

makes up the smallest bit of the activity in your brain.

0:55:050:55:08

The conscious you thinks it's the captain of the ship,

0:55:100:55:15

but in truth, it's nothing more than a stowaway.

0:55:150:55:18

This is the story of everything the brain does

0:55:200:55:23

that remains hidden from us.

0:55:230:55:27

It is the story of who's really in control.

0:55:270:55:31

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