Mental illness is different from physical illness.

Post 311 Oct 13 JDN 2458770

There’s something I have heard a lot of people say about mental illness that is obviously well-intentioned, but ultimately misguided: “Mental illness is just like physical illness.”

Sometimes they say it explicitly in those terms. Other times they make analogies, like “If you wouldn’t shame someone with diabetes for using insulin, why shame someone with depression for using SSRIs?”

Yet I don’t think this line of argument will ever meaningfully reduce the stigma surrounding mental illness, because, well, it’s obviously not true.

There are some characteristics of mental illness that are analogous to physical illness—but there are some that really are quite different. And these are not just superficial differences, the way that pancreatic disease is different from liver disease. No one would say that liver cancer is exactly the same as pancreatic cancer; but they’re both obviously of the same basic category. There are differences between physical and mental illness which are both obvious, and fundamental.

Here’s the biggest one: Talk therapy works on mental illness.

You can’t talk yourself out of diabetes. You can’t talk yourself out of myocardial infarct. You can’t even talk yourself out of migraine (though I’ll get back to that one in a little bit). But you can, in a very important sense, talk yourself out of depression.

In fact, talk therapy is one of the most effective treatments for most mental disorders. Cognitive behavioral therapy for depression is on its own as effective as most antidepressants (with far fewer harmful side effects), and the two combined are clearly more effective than either alone. Talk therapy is as effective as medication on bipolar disorder, and considerably better on social anxiety disorder.

To be clear: Talk therapy is not just people telling you to cheer up, or saying it’s “all in your head”, or suggesting that you get more exercise or eat some chocolate. Nor does it consist of you ruminating by yourself and trying to talk yourself out of your disorder. Cognitive behavioral therapy is a very complex, sophisticated series of techniques that require years of expert training to master. Yet, at its core, cognitive therapy really is just a very sophisticated form of talking.

The fact that mental disorders can be so strongly affected by talk therapy shows that there really is an important sense in which mental disorders are “all in your head”, and not just the trivial way that an axe wound or even a migraine is all in your head. It isn’t just the fact that it is physically located in your brain that makes a mental disorder different; it’s something deeper than that.

Here’s the best analogy I can come up with: Physical illness is hardware. Mental illness is software.

If a computer breaks after being dropped on the floor, that’s like an axe wound: An obvious, traumatic source of physical damage that is an unambiguous cause of the failure.

If a computer’s CPU starts overheating, that’s like a physical illness, like diabetes: There may be no particular traumatic cause, or even any clear cause at all, but there is obviously something physically wrong that needs physical intervention to correct.

But if a computer is suffering glitches and showing error messages when it tries to run particular programs, that is like mental illness: Something is wrong not on the low-level hardware, but on the high-level software.

These different types of problem require different types of solutions. If your CPU is overheating, you might want to see about replacing your cooling fan or your heat sink. But if your software is glitching while your CPU is otherwise running fine, there’s no point in replacing your fan or heat sink. You need to get a programmer in there to look at the code and find out where it’s going wrong. A talk therapist is like a programmer: The words they say to you are like code scripts they’re trying to get your processor to run correctly.

Of course, our understanding of computers is vastly better than our understanding of human brains, and as a result, programmers tend to get a lot better results than psychotherapists. (Interestingly they do actually get paid about the same, though! Programmers make about 10% more on average than psychotherapists, and both are solidly within the realm of average upper-middle-class service jobs.) But the basic process is the same: Using your expert knowledge of the system, find the right set of inputs that will fix the underlying code and solve the problem. At no point do you physically intervene on the system; you could do it remotely without ever touching it—and indeed, remote talk therapy is a thing.

What about other neurological illnesses, like migraine or fibromyalgia? Well, I think these are somewhere in between. They’re definitely more physical in some sense than a mental disorder like depression. There isn’t any cognitive content to a migraine the way there is to a depressive episode. When I feel depressed or anxious, I feel depressed or anxious about something. But there’s nothing a migraine is about. To use the technical term in cognitive science, neurological disorders lack the intentionality that mental disorders generally have. “What are you depressed about?” is a question you usually can answer. “What are you migrained about?” generally isn’t.

But like mental disorders, neurological disorders are directly linked to the functioning of the brain, and often seem to operate at a higher level of functional abstraction. The brain doesn’t have pain receptors on itself the way most of your body does; getting a migraine behind your left eye doesn’t actually mean that that specific lobe of your brain is what’s malfunctioning. It’s more like a general alert your brain is sending out that something is wrong, somewhere. And fibromyalgia often feels like it’s taking place in your entire body at once. Moreover, most neurological disorders are strongly correlated with mental disorders—indeed, the comorbidity of depression with migraine and fibromyalgia in particular is extremely high.

Which disorder causes the other? That’s a surprisingly difficult question. Intuitively we might expect the “more physical” disorder to be the primary cause, but that’s not always clear. Successful treatment for depression often improves symptoms of migraine and fibromyalgia as well (though the converse is also true). They seem to be mutually reinforcing one another, and it’s not at all clear which came first. I suppose if I had to venture a guess, I’d say the pain disorders probably have causal precedence over the mood disorders, but I don’t actually know that for a fact.

To stretch my analogy a little, it may be like a software problem that ends up causing a hardware problem, or a hardware problem that ends up causing a software problem. There actually have been a few examples of this, like games with graphics so demanding that they caused GPUs to overheat.

The human brain is a lot more complicated than a computer, and the distinction between software and hardware is fuzzier; we don’t actually have “code” that runs on a “processor”. We have synapses that continually fire on and off and rewire each other. The closest thing we have to code that gets processed in sequence would be our genome, and that is several orders of magnitude less complex than the structure of our brains. Aside from simply physically copying the entire brain down to every synapse, it’s not clear that you could ever “download” a mind, science fiction notwithstanding.

Indeed, anything that changes your mind necessarily also changes your brain; the effects of talking are generally subtler than the effects of a drug (and certainly subtler than the effects of an axe wound!), but they are nevertheless real, physical changes. (This is why it is so idiotic whenever the popular science press comes out with: “New study finds that X actually changes your brain!” where X might be anything from drinking coffee to reading romance novels. Of course it does! If it has an effect on your mind, it did so by having an effect on your brain. That’s the Basic Fact of Cognitive Science.) This is not so different from computers, however: Any change in software is also a physical change, in the form of some sequence of electrical charges that were moved from one place to another. Actual physical electrons are a few microns away from where they otherwise would have been because of what was typed into that code.

Of course I want to reduce the stigma surrounding mental illness. (For both selfish and altruistic reasons, really.) But blatantly false assertions don’t seem terribly productive toward that goal. Mental illness is different from physical illness; we can’t treat it the same.

There is no problem of free will, just a lot of really confused people

Jan 15, JDN 2457769

I was hoping for some sort of news item to use as a segue, but none in particular emerged, so I decided to go on with it anyway. I haven’t done any cognitive science posts in awhile, and this is one I’ve been meaning to write for a long time—actually it’s the sort of thing that even a remarkable number of cognitive scientists frequently get wrong, perhaps because the structure of human personality makes cognitive science inherently difficult.

Do we have free will?

The question has been asked so many times by so many people it is now a whole topic in philosophy. The Stanford Encyclopedia of Philosophy has an entire article on free will. The Information Philosopher has a gateway page “The Problem of Free Will” linking to a variety of subpages. There are even YouTube videos about “the problem of free will”.

The constant arguing back and forth about this would be problematic enough, but what really grates me are the many, many people who write “bold” articles and books about how “free will does not exist”. Examples include Sam Harris and Jerry Coyne, and have been published in everything from Psychology Today to the Chronicle of Higher Education. There’s even a TED talk.

The worst ones are those that follow with “but you should believe in it anyway”. In The Atlantic we have “Free will does not exist. But we’re better off believing in it anyway.” Scientific American offers a similar view, “Scientists say free will probably doesn’t exist, but urge: “Don’t stop believing!””

This is a mind-bogglingly stupid approach. First of all, if you want someone to believe in something, you don’t tell them it doesn’t exist. Second, if something doesn’t exist, that is generally considered a pretty compelling reason not to believe in it. You’d need a really compelling counter-argument, and frankly I’m not even sure the whole idea is logically coherent. How can I believe in something if I know it doesn’t exist? Am I supposed to delude myself somehow?

But the really sad part is that it’s totally unnecessary. There is no problem of free will. There are just an awful lot of really, really confused people. (Fortunately not everyone is confused; there are those, such as Daniel Dennett, who actually understand what’s going on.)

The most important confusion is over what you mean by the phrase “free will”. There are really two core meanings here, and the conflation of them is about 90% of the problem.

1. Moral responsibility: We have “free will” if and only if we are morally responsible for our actions.

2. Noncausality: We have “free will” if and only if our actions are not caused by the laws of nature.

Basically, every debate over “free will” boils down to someone pointing out that noncausality doesn’t exist, and then arguing that this means that moral responsibility doesn’t exist. Then someone comes back and says that moral responsibility does exist, and then infers that this means noncausality must exist. Or someone points out that noncausality doesn’t exist, and then they realize how horrible it would be if moral responsibility didn’t exist, and then tells people they should go on believing in noncausality so that they don’t have to give up moral responsibility.

Let me be absolutely clear here: Noncausality could not possibly exist.

Noncausality isn’t even a coherent concept. Actions, insofar as they are actions, must, necessarily, by definition, be caused by the laws of nature.

I can sort of imagine an event not being caused; perhaps virtual electron-positron pairs can really pop into existence without ever being caused. (Even then I’m not entirely convinced; I think quantum mechanics might actually be deterministic at the most fundamental level.)

But an action isn’t just a particle popping into existence. It requires the coordinated behavior of some 10^26 or more particles, all in a precisely organized, unified way, structured so as to move some other similarly large quantity of particles through space in a precise way so as to change the universe from one state to another state according to some system of objectives. Typically, it involves human muscles intervening on human beings or inanimate objects. (Recently it has come to mean specifically human fingers on computer keyboards a rather large segment of the time!) If what you do is an action—not a muscle spasm, not a seizure, not a slip or a trip, but something you did on purpose—then it must be caused. And if something is caused, it must be caused according to the laws of nature, because the laws of nature are the laws underlying all causality in the universe!

And once you realize that, the “problem of free will” should strike you as one of the stupidest “problems” ever proposed. Of course our actions are caused by the laws of nature! Why in the world would you think otherwise?

If you think that noncausality is necessary—or even useful—for free will, what kind of universe do you think you live in? What kind of universe could someone live in, that would fit your idea of what free will is supposed to be?

It’s like I said in that much earlier post about The Basic Fact of Cognitive Science (we are our brains): If you don’t think a mind can be made of matter, what do you think minds are made of? What sort of magical invisible fairy dust would satisfy you? If you can’t even imagine something that would satisfy the constraints you’ve imposed, did it maybe occur to you that your constraints are too strong?

Noncausality isn’t worth fretting over for the same reason that you shouldn’t fret over the fact that pi is irrational and you can’t make a square circle. There is no possible universe in which that isn’t true. So if it bothers you, it’s not that there’s something wrong with the universe—it’s clearly that there’s something wrong with you. Your thinking on the matter must be too confused, too dependent on unquestioned intuitions, if you think that murder can’t be wrong unless 2+2=5.

In philosophical jargon I am called a “compatibilist” because I maintain that free will and determinism are “compatible”. But this is much too weak a term. I much prefer Eleizer Yudkowsky’s “requiredism”, which he explains in one of the greatest blog posts of all time (seriously, read it immediately if you haven’t before—I’m okay with you cutting off my blog post here and reading his instead, because it truly is that brilliant), entitled simply “Thou Art Physics”. This quote sums it up briefly:

My position might perhaps be called “Requiredism.” When agency, choice, control, and moral responsibility are cashed out in a sensible way, they require determinism—at least some patches of determinism within the universe. If you choose, and plan, and act, and bring some future into being, in accordance with your desire, then all this requires a lawful sort of reality; you cannot do it amid utter chaos. There must be order over at least over those parts of reality that are being controlled by you. You are within physics, and so you/physics have determined the future. If it were not determined by physics, it could not be determined by you.

Free will requires a certain minimum level of determinism in the universe, because the universe must be orderly enough that actions make sense and there isn’t simply an endless succession of random events. Call me a “requiredist” if you need to call me something. I’d prefer you just realize the whole debate is silly because moral responsibility exists and noncausality couldn’t possibly.

We could of course use different terms besides “free will”. “Moral responsibility” is certainly a good one, but it is missing one key piece, which is the issue of why we can assign moral responsibility to human beings and a few other entities (animals, perhaps robots) and not to the vast majority of entities (trees, rocks, planets, tables), and why we are sometimes willing to say that even a human being does not have moral responsibility (infancy, duress, impairment).

This is why my favored term is actually “rational volition”. The characteristic that human beings have (at least most of us, most of the time), which also many animals and possibly some robots share (if not now, then soon enough), which justifies our moral responsibility is precisely our capacity to reason. Things don’t just happen to us the way they do to some 99.999,999,999% of the universe; we do things. We experience the world through our senses, have goals we want to achieve, and act in ways that are planned to make the world move closer to achieving those goals. We have causes, sure enough; but not just any causes. We have a specific class of causes, which are related to our desires and intentions—we call these causes reasons.

So if you want to say that we don’t have “free will” because that implies some mysterious nonsensical noncausality, sure; that’s fine. But then don’t go telling us that this means we don’t have moral responsibility, or that we should somehow try to delude ourselves into believing otherwise in order to preserve moral responsibility. Just recognize that we do have rational volition.

How do I know we have rational volition? That’s the best part, really: Experiments. While you’re off in la-la land imagining fanciful universes where somehow causes aren’t really causes even though they are, I can point to not only centuries of human experience but decades of direct, controlled experiments in operant conditioning. Human beings and most other animals behave quite differently in behavioral experiments than, say, plants or coffee tables. Indeed, it is precisely because of this radical difference that it seems foolish to even speak of a “behavioral experiment” about coffee tables—because coffee tables don’t behave, they just are. Coffee tables don’t learn. They don’t decide. They don’t plan or consider or hope or seek.

Japanese, as it turns out, may be a uniquely good language for cognitive science, because it has two fundamentally different verbs for “to be” depending on whether an entity is sentient. Humans and animals imasu, while inanimate objects merely arimasu. We have free will because and insofar as we imasu.

Once you get past that most basic confusion of moral responsibility with noncausality, there are a few other confusions you might run into as well. Another one is two senses of “reductionism”, which Dennett refers to as “ordinary” and “greedy”:

1. Ordinary reductionism: All systems in the universe are ultimately made up of components that always and everywhere obey the laws of nature.

2. Greedy reductionism: All systems in the universe just are their components, and have no existence, structure, or meaning aside from those components.

I actually had trouble formulating greedy reductionism as a coherent statement, because it’s such a nonsensical notion. Does anyone really think that a pile of two-by-fours is the same thing as a house? But people do speak as though they think this about human brains, when they say that “love is just dopamine” or “happiness is just serotonin”. But dopamine in a petri dish isn’t love, any more than a pile of two-by-fours is a house; and what I really can’t quite grok is why anyone would think otherwise.

Maybe they’re simply too baffled by the fact that love is made of dopamine (among other things)? They can’t quite visualize how that would work (nor can I, nor, I think, can anyone in the world at this level of scientific knowledge). You can see how the two-by-fours get nailed together and assembled into the house, but you can’t see how dopamine and action potentials would somehow combine into love.

But isn’t that a reason to say that love isn’t the same thing as dopamine, rather than that it is? I can understand why some people are still dualists who think that consciousness is somehow separate from the functioning of the brain. That’s wrong—totally, utterly, ridiculously wrong—but I can at least appreciate the intuition that underlies it. What I can’t quite grasp is why someone would go so far the other way and say that the consciousness they are currently experiencing does not exist.

Another thing that might confuse people is the fact that minds, as far as we know, are platform independentthat is, your mind could most likely be created out of a variety of different materials, from the gelatinous brain it currently is to some sort of silicon supercomputer, to perhaps something even more exotic. This independence follows from the widely-believed Church-Turing thesis, which essentially says that all computation is computation, regardless of how it is done. This may not actually be right, but I see many reasons to think that it is, and if so, this means that minds aren’t really what they are made of at all—they could be made of lots of things. What makes a mind a mind is how it is structured and above all what it does.

If this is baffling to you, let me show you how platform-independence works on a much simpler concept: Tables. Tables are also in fact platform-independent. You can make a table out of wood, or steel, or plastic, or ice, or bone. You could take out literally every single atom of a table and replace it will a completely different atom of a completely different element—carbon for iron, for example—and still end up with a table. You could conceivably even do so without changing the table’s weight, strength, size, etc., though that would be considerably more difficult.
Does this mean that tables somehow exist “beyond” their constituent matter? In some very basic sense, I suppose so—they are, again, platform-independent. But not in any deep, mysterious sense. Start with a wooden table, take away all the wood, and you no longer have a table. Take apart the table and you have a bunch of wood, which you could use to build something else. There is no “essence” comprising the table. There is no “table soul” that would persist when the table is deconstructed.

And—now for the hard part—so it is with minds. Your mind is your brain. The constituent atoms of your brain are gradually being replaced, day by day, but your mind is the same, because it exists in the arrangement and behavior, not the atoms themselves. Yet there is nothing “extra” or “beyond” that makes up your mind. You have no “soul” that lies beyond your brain. If your brain is destroyed, your mind will also be destroyed. If your brain could be copied, your mind would also be copied. And one day it may even be possible to construct your mind in some other medium—some complex computer made of silicon and tantalum, most likely—and it would still be a mind, and in all its thoughts, feelings and behaviors your mind, if not numerically identical to you.

Thus, when we engage in rational volition—when we use our “free will” if you like that term—there is no special “extra” process beyond what’s going on in our brains, but there doesn’t have to be. Those particular configurations of action potentials and neurotransmitters are our thoughts, desires, plans, intentions, hopes, fears, goals, beliefs. These mental concepts are not in addition to the physical material; they are made of that physical material. Your soul is made of gelatin.

Again, this is not some deep mystery. There is no “paradox” here. We don’t actually know the details of how it works, but that makes this no different from a Homo erectus who doesn’t know how fire works. Maybe he thinks there needs to be some extra “fire soul” that makes it burn, but we know better; and in far fewer centuries than separate that Homo erectus from us, our descendants will know precisely how the brain creates the mind.

Until then, simply remember that any mystery here lies in us—in our ignorance—and not in the universe. And take heart that the kind of “free will” that matters—moral responsibility—has absolutely no need for the kind of “free will” that doesn’t exist—noncausality. They’re totally different things.

The Cognitive Science of Morality Part II: Molly Crockett

JDN 2457140 EDT 20:16.

This weekend has been very busy for me, so this post is going to be shorter than most—which is probably a good thing anyway, since my posts tend to run a bit long.

In an earlier post I discussed the Weinberg Cognitive Science Conference and my favorite speaker in the lineup, Joshua Greene. After a brief interlude from Capybara Day, it’s now time to talk about my second-favorite speaker, Molly Crockett. (Is it just me, or does the name “Molly” somehow seem incongruous with a person of such prestige?)

Molly Crockett is a neuroeconomist, though you’d never hear her say that. She doesn’t think of herself as an economist at all, but purely as a neuroscientist. I suspect this is because when she hears the word “economist” she thinks of only mainstream neoclassical economists, and she doesn’t want to be associated with such things.

Still, what she studies is clearly neuroeconomics—I in fact first learned of her work by reading the textbook Neuroeconomics, though I really got interested in her work after watching her TED Talk. It’s one of the better TED talks (they put out so many of them now that the quality is mixed at best); she talks about news reporting on neuroscience, how it is invariably ridiculous and sensationalist. This is particularly frustrating because of how amazing and important neuroscience actually is.

I could almost forgive the sensationalism if they were talking about something that’s actually fantastically boring, like, say, tax codes, or financial regulations. Of course, even then there is the Oliver Effect: You can hide a lot of evil by putting it in something boring. But Dodd-Frank is 2300 pages long; I read an earlier draft that was only (“only”) 600 pages, and it literally contained a three-page section explaining how to define the word “bank”. (Assuming direct proportionality, I would infer that there is now a twelve-page section defining the word “bank”. Hopefully not?) It doesn’t get a whole lot more snoozeworthy than that. So if you must be a bit sensationalist in order to get people to see why eliminating margin requirements and the swaps pushout rule are terrible, terrible ideas, so be it.

But neuroscience is not boring, and so sensationalism only means that news outlets are making up exciting things that aren’t true instead of saying the actually true things that are incredibly exciting.

Here, let me express without sensationalism what Molly Crockett does for a living: Molly Crockett experimentally determines how psychoactive drugs modulate moral judgments. The effects she observes are small, but they are real; and since these experiments are done using small doses for a short period of time, if these effects scale up they could be profound. This is the basic research component—when it comes to technological fruition it will be literally A Clockwork Orange. But it may be A Clockwork Orange in the best possible way: It could be, at last, a medical cure for psychopathy, a pill to make us not just happier or healthier, but better. We are not there yet by any means, but this is clearly the first step: Molly Crockett is to A Clockwork Orange roughly as Michael Faraday is to the Internet.

In one of the experiments she talked about at the conference, Crockett found that serotonin reuptake inhibitors enhance harm aversion. Serotonin reuptake inhibitors are very commonly used drugs—you are likely familiar with one called Prozac. So basically what this study means is that Prozac makes people more averse to causing pain in themselves or others. It doesn’t necessarily make them more altruistic, let alone more ethical; but it does make them more averse to causing pain. (To see the difference, imagine a 19th-century field surgeon dealing with a wounded soldier; there is no anesthetic, but an amputation must be made. Sometimes being ethical requires causing pain.)

The experiment is actually what Crockett calls “the honest Milgram Experiment“; under Milgram, the experimenters told their subjects they would be causing shocks, but no actual shocks were administered. Under Crockett, the shocks are absolutely 100% real (though they are restricted to a much lower voltage of course). People are given competing offers that contain an amount of money and a number of shocks to be delivered, either to you or to the other subject. They decide how much it’s worth to them to bear the shocks—or to make someone else bear them. It’s a classic willingness-to-pay paradigm, applied to the Milgram Experiment.

What Crockett found did not surprise me, nor do I expect it will surprise you if you imagine yourself in the same place; but it would totally knock the socks off of any neoclassical economist. People are much more willing to bear shocks for money than they are to give shocks for money. They are what Crockett terms hyper-altruistic; I would say that they are exhibiting an apparent solidarity coefficient greater than 1. They seem to be valuing others more than they value themselves.

Normally I’d say that this makes no sense at all—why would you value some random stranger more than yourself? Equally perhaps, and obviously only a psychopath would value them not at all; but more? And there’s no way you can actually live this way in your daily life; you’d give away all your possessions and perhaps even starve yourself to death. (I guess maybe Jesus lived that way.) But Crockett came up with a model that explains it pretty well: We are morally risk-averse. If we knew we were dealing with someone very strong who had no trouble dealing with shocks, we’d be willing to shock them a fairly large amount. But we might actually be dealing with someone very vulnerable who would suffer greatly; and we don’t want to take that chance.

I think there’s some truth to that. But her model leaves something else out that I think is quite important: We are also averse to unfairness. We don’t like the idea of raising one person while lowering another. (Obviously not so averse as to never do it—we do it all the time—but without a compelling reason we consider it morally unjustified.) So if the two subjects are in roughly the same condition (being two undergrads at Oxford, they probably are), then helping one while hurting the other is likely to create inequality where none previously existed. But if you hurt yourself in order to help yourself, no such inequality is created; all you do is raise yourself up, provided that you do believe that the money is good enough to be worth the shocks. It’s actually quite Rawslian; lifting one person up while not affecting the other is exactly the sort of inequality you’re allowed to create according to the Difference Principle.

There’s also the fact that the subjects can’t communicate; I think if I could make a deal to share the money afterward, I’d feel better about shocking someone more in order to get us both more money. So perhaps with communication people would actually be willing to shock others more. (And the sensation headline would of course be: “Talking makes people hurt each other.”)

But all of these ideas are things that could be tested in future experiments! And maybe I’ll do those experiments someday, or Crockett, or one of her students. And with clever experimental paradigms we might find out all sorts of things about how the human mind works, how moral intuitions are structured, and ultimately how chemical interventions can actually change human moral behavior. The potential for both good and evil is so huge, it’s both wondrous and terrifying—but can you deny that it is exciting?

And that’s not even getting into the Basic Fact of Cognitive Science, which undermines all concepts of afterlife and theistic religion. I already talked about it before—as the sort of thing that I sort of wish I could say when I introduce myself as a cognitive scientist—but I think it bears repeating.

As Patricia Churchland said on the Colbert Report: Colbert asked, “Are you saying I have no soul?” and she answered, “Yes.” I actually prefer Daniel Dennett’s formulation: “Yes, we have a soul, but it’s made of lots of tiny robots.”

We don’t have a magical, supernatural soul (whatever that means); we don’t have an immortal soul that will rise into Heaven or be reincarnated in someone else. But we do have something worth preserving: We have minds that are capable of consciousness. We love and hate, exalt and suffer, remember and imagine, understand and wonder. And yes, we are born and we die. Once the unique electrochemical pattern that defines your consciousness is sufficiently degraded, you are gone. Nothing remains of what you were—except perhaps the memories of others, or things you have created. But even this legacy is unlikely to last forever. One day it is likely that all of us—and everything we know, and everything we have built, from the Great Pyramids to Hamlet to Beethoven’s Ninth to Principia Mathematica to the US Interstate Highway System—will be gone. I don’t have any consolation to offer you on that point; I can’t promise you that anything will survive a thousand years, much less a million. There is a chance—even a chance that at some point in the distant future, whatever humanity has become will find a way to reverse the entropic decay of the universe itself—but nothing remotely like a guarantee. In all probability you, and I, and all of this will be gone someday, and that is absolutely terrifying.

But it is also undeniably true. The fundamental link between the mind and the brain is one of the basic facts of cognitive science; indeed I like to call it The Basic Fact of Cognitive Science. We know specifically which kinds of brain damage will make you unable to form memories, comprehend language, speak language (a totally different area), see, hear, smell, feel anger, integrate emotions with logic… do I need to go on? Everything that you are is done by your brain—because you are your brain.

Now why can’t the science journalists write about that? Instead we get “The Simple Trick That Can Boost Your Confidence Immediately” and “When it Comes to Picking Art, Men & Women Just Don’t See Eye to Eye.” HuffPo is particularly awful of course; the New York Times is better, but still hardly as good as one might like. They keep trying to find ways to make it exciting—but so rarely seem to grasp how exciting it already is.