Word: patiently
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...dreaded making rounds on a patient for whom there was no good news, no good plan. When his doctors rescanned his head, there was barely any brain left. The cerebral machine that talked and wondered, winked and sang, the machine that remembered jokes and birthdays and where the big fish hid on hot days, was nearly gone, replaced by lumps of haphazardly growing gray stuff. Gone with that machine seemed David as well. No expression, no response to anything we did to him. As far as I could tell, he was just not there...
What woke my patient that Friday was simply his mind, forcing its way through a broken brain, a father's final act to comfort his family. The mind is a uniquely personal domain of thought, dreams and countless other things, like the will, faith and hope. These fine things are as real as rocks and water but, like the mind, weightless and invisible, maybe even timeless. Material science shies from these things, calling them epiphenomena, programs running on a computer, tunes on a piano. This understanding can't be ignored; not too much seems to get done on earth without...
...mind have its way all the time when physical realities challenge it. In a patient stubbornly working to rehab after surgery, in a child practicing an instrument or struggling to create, a mind or will, clearly separate, hovers under the machinery, forcing it toward a goal. It's wonderful to see, such tangible evidence of that fine thing's power over the mere clumps of particles that, however pretty, will eventually clump differently and vanish...
Deep brain stimulation, or DBS, is a treatment given to Parkinson's patients who don't respond to medication. A neurosurgeon implants a set ofelectrodes deep into the victim's brain, where they give off little jolts of electricity to disrupt the involuntary tremors and other symptoms of the disease. But according to Martha Farah, a neuroscientist at the University of Pennsylvania, at least one patient routinely chooses which electrical contact to activate depending on how she wants to feel: calm for every day, more "revved up" for a party...
...totally consistent with old-fashioned talk therapy, and especially with cognitive behavioral therapy (CBT), currently the most effective nondrug technique dealing with phobias, PTSD and obsessive-compulsive disorder. The idea behind CBT--which first appeared in the 1950s, long before neuroscience could explain such things--is that the patient examines upsetting ideas and consciously assigns new, more positive associations to them. Even old-fashioned Freudian psychotherapy might fit in with this model. By dredging up forgotten memories, it may achieve the same thing, albeit in a much less efficient...