Tuesday, December 1, 2009

NOSSA AMIZADE!





Não existe mais belo, de que encontramos pessoas amadas e carinhosas, que caminham lado a lado conosco.

Meu blog, hoje tem um papel muito importante, fazer o melhor para VOCÊ!
É com muito carinho, Amor e Dedicação, o que tudo faço aqui.
Pensando em ti, AMIGO SEGUIDOR, AMIGO VISITANTE.

Nossa amizade começou de um simples, oi tudo bem???
E hoje, somos quase inseparaveis.
Nos visitamos quase que todos os dias.
E quando, não nos vemos, sentimos saudades.
Saudades de Alguém Muito ESPECIAL: VOCÊ!

SEJAM SEMPRE BEM VINDOS.

Com muito carinho.

Venha para Portugal e veja quem está lá.
clique neste endereço.
http://olhardireito.blogspot.com/2009/12/momentos-8poema.html
deixe seu recadinho lá.

1º concurso de Poesia

1º concurso de poesia Olhar Direito


Monday, November 30, 2009

Big Pharma Drama in Iceland

Icelandic academic and Neuroskeptic reader Steindór J. Erlingsson reports that thanks to his efforts, pharmaceutical company GlaxoSmithKlein (GSK) has stopped distributing a booklet promoting the monoamine hypothesis of depression to pharmacies and doctors offices in Iceland.

His report is here, and it has links to more details on the story, although these are in Icelandic, a language I'm unfortunately not familiar with. In a nutshell, Erlingsson says he spoke to the Icelandic Medical Director of Health who, after some back-and-forth and consultations with psychiatrists, contacted GSK.

On September 29th GSK announced that they
have received information that its information booklet on depression needs to be improved. The company views favorably well argued suggestions and as a result it is going to review the booklet.
They went on to say that the booklet, which had been around since 1999, should no longer be distributed. According to Erlingsson, the booklet made three claims:
1. An imbalance in the neurotransmitter serotonin causes depression. 2. SSRIs treat depression by correcting the serotonin imbalance. 3. Psychological treatment is ineffective in treating the serotonin imbalance.
Coincidentally, GSK are the manufacturers of paroxetine (Paxil, Seroxat), one of the best-selling SSRIs. Iceland, like most countries (except the US and New Zealand), bans direct-to-consumer advertising for drugs, but this kind of thing is not covered by such laws.

Personally I believe that serotonin probably is involved in some cases of depression. My views on the serotonin hypothesis of depression are therefore more favorable than those of many critics for whom the whole idea is a myth. But even so, I'm happy that to hear that this booklet has been withdrawn. Drug companies have no business promoting the serotonin hypothesis to the public.

First off, because it's controversial science. There's no "smoking gun" proof linking serotonin to depression. There's a lot of circumstantial evidence, but we don't really know how antidepressants work, or indeed how well they work, at all. For once, we should be "Teaching the Controversy". Most of the time when people say that, they're wrong, because they're talking about science which is rock solid, like the theory of evolution. The monoamine theory, however actually is controversial, which is why there are articles in major scientific journals criticizing it and others defending it.

Second, because the monoamine theory is certainly not true in any simple sense. Low serotonin levels cannot be the sole cause of depression because you can temporarily deplete someone's serotonin with a technique called tryptophan depletion and for most people, this does nothing at all to their mood. On the other hand about 50% of people who have suffered from depression in the past do get depressed again after tryptophan depletion, which is why I think there is some truth in the serotonin theory, but this shows that it's not a straightforward picture.

Third, the idea that only drugs can correct the "chemical imbalance" and psychotherapy can't is simply wrong. I don't know what the wording of GSK's booklet was, but from Erlingsson's summary, it sounds like it was giving people medical advice - you won't benefit from therapy - via leaflet, which is very irresponsible. Only a clinician with personal experience of an individual patient can say what treatment is best for them. Some people benefit from therapy, others do well on medication, and some people get better with no treatment at all. It sounds like GSK is behaving just as Oliver James did when he used the Guardian to recommend Freudian psychoanalysis over drugs and other kinds of therapy for postnatal depression. They're both wrong.

On the other hand, information leaflets telling people about depression and encouraging sufferers to seek professional help sound like a great idea to me, because many people with depression go undiagnosed and untreated and that's a real tragedy. But drug companies are unlikely to be the best people to provide such information.

Big Pharma Drama in Iceland

Icelandic academic and Neuroskeptic reader Steindór J. Erlingsson reports that thanks to his efforts, pharmaceutical company GlaxoSmithKlein (GSK) has stopped distributing a booklet promoting the monoamine hypothesis of depression to pharmacies and doctors offices in Iceland.

His report is here, and it has links to more details on the story, although these are in Icelandic, a language I'm unfortunately not familiar with. In a nutshell, Erlingsson says he spoke to the Icelandic Medical Director of Health who, after some back-and-forth and consultations with psychiatrists, contacted GSK.

On September 29th GSK announced that they
have received information that its information booklet on depression needs to be improved. The company views favorably well argued suggestions and as a result it is going to review the booklet.
They went on to say that the booklet, which had been around since 1999, should no longer be distributed. According to Erlingsson, the booklet made three claims:
1. An imbalance in the neurotransmitter serotonin causes depression. 2. SSRIs treat depression by correcting the serotonin imbalance. 3. Psychological treatment is ineffective in treating the serotonin imbalance.
Coincidentally, GSK are the manufacturers of paroxetine (Paxil, Seroxat), one of the best-selling SSRIs. Iceland, like most countries (except the US and New Zealand), bans direct-to-consumer advertising for drugs, but this kind of thing is not covered by such laws.

Personally I believe that serotonin probably is involved in some cases of depression. My views on the serotonin hypothesis of depression are therefore more favorable than those of many critics for whom the whole idea is a myth. But even so, I'm happy that to hear that this booklet has been withdrawn. Drug companies have no business promoting the serotonin hypothesis to the public.

First off, because it's controversial science. There's no "smoking gun" proof linking serotonin to depression. There's a lot of circumstantial evidence, but we don't really know how antidepressants work, or indeed how well they work, at all. For once, we should be "Teaching the Controversy". Most of the time when people say that, they're wrong, because they're talking about science which is rock solid, like the theory of evolution. The monoamine theory, however actually is controversial, which is why there are articles in major scientific journals criticizing it and others defending it.

Second, because the monoamine theory is certainly not true in any simple sense. Low serotonin levels cannot be the sole cause of depression because you can temporarily deplete someone's serotonin with a technique called tryptophan depletion and for most people, this does nothing at all to their mood. On the other hand about 50% of people who have suffered from depression in the past do get depressed again after tryptophan depletion, which is why I think there is some truth in the serotonin theory, but this shows that it's not a straightforward picture.

Third, the idea that only drugs can correct the "chemical imbalance" and psychotherapy can't is simply wrong. I don't know what the wording of GSK's booklet was, but from Erlingsson's summary, it sounds like it was giving people medical advice - you won't benefit from therapy - via leaflet, which is very irresponsible. Only a clinician with personal experience of an individual patient can say what treatment is best for them. Some people benefit from therapy, others do well on medication, and some people get better with no treatment at all. It sounds like GSK is behaving just as Oliver James did when he used the Guardian to recommend Freudian psychoanalysis over drugs and other kinds of therapy for postnatal depression. They're both wrong.

On the other hand, information leaflets telling people about depression and encouraging sufferers to seek professional help sound like a great idea to me, because many people with depression go undiagnosed and untreated and that's a real tragedy. But drug companies are unlikely to be the best people to provide such information.

AGRADECIMENTO!!!!




EU, SANDRA, QUERO AGRADECER O ENORME CARINHO DE TODOS VOCÊS QUE VOTAREM NO CASO DE REGINA.
UMA HISTÓRIA LINDA E EMOCIONANTE. SABEMOS QUE HOJE TERMINA A VOTAÇÃO.
MAS, JÁ ESTOU ENTRE OS DEZ CONTOS MAIS VOTADOS.

ESTE PRÉMIO DE UM NOVO LAYOUT, SÓ FOI POSSÍVEL COM O SEU CARINHO, AMOR E CONFIABILIDADE.

ESTOU MUITO FELIZ, COM ESTE CARINHO E TERNURA, DEDICADO AO MEU BLOG, A MINHA PESSOA.
SEM ESTE CARINHO, NADA SERIA POSSÍVEL..

FOI SIM UM GRANDE PRESENTE DE NATAL, PARA MIM.
SEI QUE MUITOS OUTROS MOMENTOS ESTÃO ACONTECENDO. EU GOSTO DE PARTICIPAR. PORQUE É UM MOMENTO EM QUE APRENDEMOS E VAMOS DESENVOLVENDO NOSSA LEITURA E ESCRITA.
MUITO OBRIGADO MEU AMIGO COMPANHEIRO(A), DE BLOG. SUA PRESENÇA É UM CARINHO MUITO ESPECIAL.

VEJA O RESULTADO: Ganhadores do Layout ou scrapbooking digital: Traços de Vida - _________________ 151 votos
Judith's Secret Garden____________ 150 votos
sem (ser) mais _________________ 139 votos
Mosaicos do Sul _________________ 137 votos
A Madrasta Má___________________117 votos
O Cantinho da Danizitha ___________ 77 votos
Eu trilho, trago e assopro no ar _____ 65 votos
Carlos Soares ___________________59 votos
Uma integração de amigos ________ 31 votos

NÃO IMPORTATA, QUE SOMOS O DÉCIMO.
O IMPORTANTE É ESTAR, ENTRE.
MUITO OBRIGADO PELO CARINHO. AMO CADA UM QUE PASSA POR AQUI E DEIXA O SEU PERFUME.
APROVEITO PARA A GRADECER A REBECA E O JOTA CÊ, PELA OPORTUNIDADE DE ESTAR PARTICIPANDO DO CONTO. MUITO OBRIGADA MEUS AMIGOS.

(imagem net)


QUERO PEDIR LICENÇA A TODOS OS BLOGS, QUE ESTÃO CONCORRENDO A ESTE PRÊMIO, MARAVILHOSO, PARA SOLICITAR UM VOTO A ESTE MEU GRANDE AMIGO E QUERIDÍSSIMO JOÃO, DO BLOG GRIFO PLANANTE.

NÃO QUERO SER INDELICADA, COM NINGUÉM. AMO OS DEMAIS BLOGS, DA RAQUEL, DA REBECA, DO DANIEL, DA MADRASTA, E OUTROS QUE SÃO PESSOAS MARAVILHOSAS TAMBÉM.
MAS ESTE AMIGO É
MUITO ESPECIAL... ME ACOMPANHA DESDE O INICIO DO BLOG. A CURIOSA E INTERAÇÃO DE AMIGOS, APRENDEU MUITO COM ELE.

DESEJO A TODOS MUITA SORTE, SUCESSO E VITORIA. SEI QUE ESTA SENDO UM DISPUTA MUITO GRANDE.

SUCESSO E VENÇA O MELHOR!!! TODOS JÁ SÃO VENCEDORES, ESTANDO NA CLASSIFICAÇÃO.


PORTUGAL X BRASIL




The Best GB 2009. São 10 blogs participantes. Destes, os 3 blogs com maior quantidade de votos, serão premiados com o Troféu The Best GB 2009. A votação encontra-se na página principal da Gazeta dos Blogueiros. Boa sorte!

VENHA CONFERIR, CLICANDO AQUI

BOA SORTE JOÃO. FICAR ENTRE OS TRÊS SERA UM GRANDE PRÊMIO. BOA SORTE PARA A REBECA, RAQUEL MACHADO, MADRASTA MÁ, E VOCÊ DANIEL. A ELEIÇÃO ESTÁ MUITO DISPUTADA. SUCESSO A TODOS. E NÃO ESQUEÇAM: VOCÊS JÁ SÃO VENCEDORES, SENDO ESCOLHIDOS PARA ESTE PRÊMIO.

(imagem da net)


VISITE TAMBÉM: Poetas-Um Vôo Livre

Sinal de Liberdade-uma expressão de sentimento

Blog Coletivo-Uma Interação de Amigos

Meus Mimos!

(imagem da net)

Saturday, November 28, 2009

AINDA DÁ TEMPO...CONTO COM O SEU VOTO..

UM CONTO DE REGINA
http://2.bp.blogspot.com/_vzrlnu76oJw/SwvUx9dh2II/AAAAAAAACdI/rVMuKgaH-4w/s320/amorAGUA.gif
(imagem da net.)


ESTAMOS AI, NA CONTAGEM FINAL DO CONTO.
PARA QUE A HISTÓRIA DE REGINA, FIQUE ENTRE AS DEZ COLOCADAS, VOU PRECISAR DO SEU VOTO.

SE AINDA NÃO VOTOU PASSE LÁ.
SEU VOTO É IMPORTANTE.
O PRÊMIO É UM LAYOUT .
AGRADECO IMENSAMENTE O SEU CARINHO EM VOTAR NA HISTÓRIA DE REGINA. FICO MUITO FELIZ COM A SUA CONFIANÇA E TERNURA
.

A VOTAÇÃO AINDA CONTINUA ATÉ DIA 30.11. SE VOCÊ AINDA NÃO VOTOU PASSE LÁ.
BASTA CLICAR NO LINK ABAIXO.


TE AGRADEÇO DE CORAÇÃO O SEU CARINHO POR ESTE BLOG.
SÃO OS DEZ MAIS VOTADOS.


CLICK NO NECTAR DA FLOR E VOTE - UMA INTERAÇÃO DE AMIGOS

CONHEÇA ESTA HISTÓRIA EM
Blog Coletivo-Uma Interação de Amigos. SE PRECISAR CONFERIR A HISTORIA É SÓ CLICAR NA LINK ABAIXO:
http://sandrarandrade7.blogspot.com/2009/11/hoje-tem-um-conto-de-amor.html

The Acting Brain!

The BBC promises us a look
Inside an actor's brain during a performance
Actress Fiona Shaw had an fMRI scan. Parts of her brain were more active while she was reading a poem by T. S. Eliot featuring dialogue than when she was merely counting. So what?

The fact that different parts of Shaw's brain were active whilst reading Eliot than when counting out loud is unsurprising. Different parts of the brain do different things - this is not news - and reading poetry is certainly very different from counting. This doesn't mean that "Fiona Shaw's brain appears to be adapted to acting", as the article says. If your brain was adapted to acting it would look like this:

All dressed up, skull in hand, ready to portray Hamlet - "Alas, poor Yorick..." Actually, brains generally do carry skulls around with them, so maybe there's something in it.

In fact, Shaw's brain presumably is adapted to acting - she's an actress. If you're able to do something, your brain must be able to do it, because you are your brain after all. In just the same way, my brain is adapted to being a neuroscientist and Barack Obama's brain is adapted to being President. This is not news either. However, the fMRI scan doesn't tell us anything about how Shaw's brain is adapted to acting.

We are told which areas of Shaw's brain lit up while she was reading poetry, and what this means -
Towards the front of the brain there is a part associated with "higher order" control of behaviour. Towards the top of the brain is a section which controls the movement of the hands and arms - even though she wasn't waving her arms about, she was apparently thinking about doing so.

And towards the back of the head is an area associated with complex visual imagery, even though she wasn't performing a complex visual task. The scan backs up work with professional impressionists, whose brains also conjure up visual images of the people they're imitating.

All very plausible - this is a nice convincing story to explain what these brain areas are doing while reading a passage of poetry in which people are talking to each other. It makes perfect sense. But the problem is, so would anything else.

Suppose that Shaw's hippocampus had lit up as well. That's involved in memory. She's remembering having read T. S. Eliot before! What if she's never read him? Well, the hippocampus must be forming a new memory. Her medial prefrontal cortex is activating? Clearly, that's the emotional impact of reading this masterpiece of modernist poetry. And so on. These areas did not, in fact, light up, but if they had, it would have made perfect sense too.

The point is that we all know what kinds of things go on in our heads while reading poetry - visual imagery, memories, emotions etc. And each brain region has numerous functions, many of which are sufficiently vague ("social cognition", "emotion") to cover almost anything, especially if you allow that a brain area can activate whenever someone is merely thinking about doing something rather than actually doing it. So whatever blobs appear on the brain, it's easy to invent a story linking these to the whatever task is going on.

It's like astrology. Astrological "readings" always seem accurate because they can be made to fit anyone. Actress Fiona Shaw is a Leo and Leo's have "a flair for drama. In fact, many Leos are attracted to the theatre, the performing arts and public relations". It fits so well! Actually, I made a mistake with my dates, she's a Libra. No problem, "Libra is among the most sociable of the signs...drawn toward creative endeavours." - obviously a born actress. And so on. (She's actually a Cancer.)

Perhaps it's unfair to criticize this experiment. It was a demonstration of fMRI technology for the "Wellcome Collection's new exhibition on identity". The scan was for educational purposes only, it wasn't meant to be proper science.

The problem is that a lot of what is meant to be rigorous science consists of this kind of thing. The Discussion sections of many fMRI papers are full of stories linking whatever brain regions happened to be activated to whatever the task in the experiment was. Most fMRI studies today are more sophisticated than simply scanning normal people doing some task, but the same kind of post-hoc storytelling can be applied to areas of the brain that light up differently in mentally ill people compared to healthy people, or areas that light up in response to a drug, etc.

Of course this doesn't mean that these stories are false. Shaw's visual cortex probably did activate because she was mentally imagining the people and the scene she was reading about - that explanation's good enough for me. The point, though, is that we don't really know, because whatever the fMRI data was, we could have made an equally convincing story having seen it.

What we need are hypotheses made up before doing the experiment, which can then be tested and verified, or falsified, on the basis of the data. As I wrote a couple of months back:
Much of today's neuroimaging research doesn't involve testable theories - it is merely the exploratory search for neural differences between two groups. Neuroimaging technology is powerful, and more advanced techniques are always being developed... the scope for finding differences between groups is enormous and growing.

Exploratory work can be useful as a starting point, but at least in my opinion, there is too much of it. If you want to understand the brain you need a theory sooner or later. That's what science is about.

The Acting Brain!

The BBC promises us a look
Inside an actor's brain during a performance
Actress Fiona Shaw had an fMRI scan. Parts of her brain were more active while she was reading a poem by T. S. Eliot featuring dialogue than when she was merely counting. So what?

The fact that different parts of Shaw's brain were active whilst reading Eliot than when counting out loud is unsurprising. Different parts of the brain do different things - this is not news - and reading poetry is certainly very different from counting. This doesn't mean that "Fiona Shaw's brain appears to be adapted to acting", as the article says. If your brain was adapted to acting it would look like this:

All dressed up, skull in hand, ready to portray Hamlet - "Alas, poor Yorick..." Actually, brains generally do carry skulls around with them, so maybe there's something in it.

In fact, Shaw's brain presumably is adapted to acting - she's an actress. If you're able to do something, your brain must be able to do it, because you are your brain after all. In just the same way, my brain is adapted to being a neuroscientist and Barack Obama's brain is adapted to being President. This is not news either. However, the fMRI scan doesn't tell us anything about how Shaw's brain is adapted to acting.

We are told which areas of Shaw's brain lit up while she was reading poetry, and what this means -
Towards the front of the brain there is a part associated with "higher order" control of behaviour. Towards the top of the brain is a section which controls the movement of the hands and arms - even though she wasn't waving her arms about, she was apparently thinking about doing so.

And towards the back of the head is an area associated with complex visual imagery, even though she wasn't performing a complex visual task. The scan backs up work with professional impressionists, whose brains also conjure up visual images of the people they're imitating.

All very plausible - this is a nice convincing story to explain what these brain areas are doing while reading a passage of poetry in which people are talking to each other. It makes perfect sense. But the problem is, so would anything else.

Suppose that Shaw's hippocampus had lit up as well. That's involved in memory. She's remembering having read T. S. Eliot before! What if she's never read him? Well, the hippocampus must be forming a new memory. Her medial prefrontal cortex is activating? Clearly, that's the emotional impact of reading this masterpiece of modernist poetry. And so on. These areas did not, in fact, light up, but if they had, it would have made perfect sense too.

The point is that we all know what kinds of things go on in our heads while reading poetry - visual imagery, memories, emotions etc. And each brain region has numerous functions, many of which are sufficiently vague ("social cognition", "emotion") to cover almost anything, especially if you allow that a brain area can activate whenever someone is merely thinking about doing something rather than actually doing it. So whatever blobs appear on the brain, it's easy to invent a story linking these to the whatever task is going on.

It's like astrology. Astrological "readings" always seem accurate because they can be made to fit anyone. Actress Fiona Shaw is a Leo and Leo's have "a flair for drama. In fact, many Leos are attracted to the theatre, the performing arts and public relations". It fits so well! Actually, I made a mistake with my dates, she's a Libra. No problem, "Libra is among the most sociable of the signs...drawn toward creative endeavours." - obviously a born actress. And so on. (She's actually a Cancer.)

Perhaps it's unfair to criticize this experiment. It was a demonstration of fMRI technology for the "Wellcome Collection's new exhibition on identity". The scan was for educational purposes only, it wasn't meant to be proper science.

The problem is that a lot of what is meant to be rigorous science consists of this kind of thing. The Discussion sections of many fMRI papers are full of stories linking whatever brain regions happened to be activated to whatever the task in the experiment was. Most fMRI studies today are more sophisticated than simply scanning normal people doing some task, but the same kind of post-hoc storytelling can be applied to areas of the brain that light up differently in mentally ill people compared to healthy people, or areas that light up in response to a drug, etc.

Of course this doesn't mean that these stories are false. Shaw's visual cortex probably did activate because she was mentally imagining the people and the scene she was reading about - that explanation's good enough for me. The point, though, is that we don't really know, because whatever the fMRI data was, we could have made an equally convincing story having seen it.

What we need are hypotheses made up before doing the experiment, which can then be tested and verified, or falsified, on the basis of the data. As I wrote a couple of months back:
Much of today's neuroimaging research doesn't involve testable theories - it is merely the exploratory search for neural differences between two groups. Neuroimaging technology is powerful, and more advanced techniques are always being developed... the scope for finding differences between groups is enormous and growing.

Exploratory work can be useful as a starting point, but at least in my opinion, there is too much of it. If you want to understand the brain you need a theory sooner or later. That's what science is about.