Think Smart: A Neuroscientist's Prescription for Improving Your Brain's Performance

Table of Contents
Also by Richard Restak, M.D.
The Naked Brain
Poe’s Heart and the Mountain Climber
Mysteries of the Mind
Mozart’s Brain and the Fighter Pilot
The New Brain
The Secret Life of the Brain
The Longevity Strategy
(with David Mahoney)
Older and Wiser
Brainscapes
The Modular Brain
Receptors
The Brain Has a Mind of Its Own
The Mind
The Infant Mind
The Brain
The Self Seekers
The Brain: The Last Frontier
Premeditated Man

THINK SMART

 

A Neuroscientist’s Prescription

for Improving Your Brain’s Performance

 

RICHARD RESTAK, M.D.

RIVERHEAD BOOKS
Published by the Penguin Group
Penguin Group (USA) Inc., 375 Hudson Street, New York, New York 10014, USA • Penguin Group
(Canada), 90 Eglinton Avenue East, Suite 700, Toronto, Ontario M4P 2Y3, Canada (a division of
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Penguin Books Ltd, Registered Offices: 80 Strand, London WC2R 0RL, England
 
Copyright © 2009 by Richard Restak
All rights reserved. 
Published simultaneously in Canada
 
The drawing on page 185 is by Ashley Tucker.
The chart on page 211 is reproduced with permission of the
Society for Human Resource Management (SHRM).
 
Library of Congress Cataloging-in-Publication Data
Restak, Richard M., date.
Think smart: a neuroscientist’s prescription for improving your brain’s performance /
Richard Restak.
p. cm.
Includes bibliographical references and index.
eISBN : 978-1101050453
1. Brain—Aging—Prevention. 2. Mental work. 3. Nutrition. 4. Mind and body.
5. Self-care, Health. I. Title.
QP398.R
612.8’2—dc22
      
Neither the publisher nor the author is engaged in rendering professional advice or services to the individual reader. The ideas, procedures, and suggestions in this book are not intended as a substitute for consulting with a physician. All matters regarding health require medical supervision. Neither the author nor the publisher shall be liable or responsible for any loss or damage allegedly arising from any information or suggestion in this book.
 
While the author has made every effort to provide accurate telephone numbers and Internet addresses at the time of publication, neither the publisher nor the author assumes any responsibility for errors, or for changes that occur after publication. Further, the publisher does not have any control over and does not assume any responsibility for author or third-party websites or their content.
To my brother, Christopher
To remain mentally sharp, you have to deal with familiar things in novel ways. But most important of all, you have to have a sense of curiosity. If interest and curiosity stop coming automatically to you, then you’re in trouble, no matter how young or old you are.
 
—Art Buchwald
INTRODUCTION
“What should I do to keep my brain working at its best?”
I’m frequently asked that question. It makes sense as I’ve written eighteen books about the human brain. But I recently decided to undertake a personal odyssey aimed at discovering what I can do to improve my brain. This seemed especially important, since I will soon be at an age when brain function typically declines unless deliberate steps are taken to maintain it.
I come to this task from a unique vantage point, based on my experience as both a neurologist and an author. Over the years, I’ve become acquainted with many of the world’s foremost neuroscientists (brain researchers). I’ve talked with them during neuroscience meetings, observed them in their laboratories, and read their published writings in which they explain their discoveries. What could be more natural, I wondered, than to ask these brain scientists, the best in their field, “What are
you
doing to keep your brain functioning at its best?”
Their answers often surprised me. And I suspect they will surprise you.
Using their answers, coupled with my own work in cutting-edge brain research, I’ve set out in these pages my personal program to improve your brain’s functioning. It can be used by anyone interested in developing and maintaining an optimally functioning brain. Whether you are young or old, rich or poor, male or female, these insights will help your brain to be more efficient, more effective, and more engaged.
PART ONE
Discovering the Brain
W
hen I was a medical student, neither teachers nor students placed much emphasis on the brain. The curriculum included only a first-year course in neuroanatomy, followed two years later by a one-month rotation spent working with patients on the neurology wards. After graduation, most medical students tended to avoid specialty training in careers devoted to treating the brain (neurology and neurosurgery), based on the general perception that not much could be done to heal or even improve the lives of many of the patients afflicted by brain diseases. I remember vividly my father’s disappointment when I told him I was interested in neurology and psychiatry rather than obstetrics (his specialty). “You can’t do anything for most of the patients you’ll encounter in either of those specialties, and it’s awfully depressing to just diagnose and not treat,” he told me.
A lot has changed since then. We have learned more about the brain in the past decade than we did in the previous two hundred years. If he were still alive, my father would be amazed at the effective treatments now available for many brain diseases such as multiple sclerosis, migraine, and epilepsy, to mention just the most common. Neuroscience (brain science) is currently one of the most popular career choices among students attracted to science. Psychiatry and neurology are in the process of merging into the hybrid discipline of neuropsychiatry. But these advances didn’t happen spontaneously. The advance from nihilism and pessimism toward curiosity and hope was stimulated principally by new ways of imaging the brain.
Until the middle part of the twentieth century, what little was known about the brain consisted of a mélange of speculation and dogmatism based on hosts of hoary old men staring through microscopes at brightly colored dye-stained neurons. Thanks to advances in brain-imaging techniques over the last thirty-plus years, it’s currently possible for neuroscientists (many of whom are now women) to observe the development of the brain in real time and without any need for either speculation or dogmatism. The principle behind these illuminating (in both senses of the term) imaging techniques is straightforward: blood flow to the brain varies with activity. The greater the activity, the greater the flow of blood needed to replenish the oxygen and glucose used by the active neurons. This isn’t any different from what happens elsewhere in the body.
When you lift a hundred-pound barbell at the health club in an effort to attract the attention of someone nearby in whom you’re romantically interested, blood flow increases in the muscles of your arms and chest based on the increased need by those muscles for oxygen and glucose. Similarly, when you use a specific circuit in the brain, the components of that circuit will become more active and call on the circulatory system to provide additional glucose and oxygen. Positron-emission tomography (PET) and functional magnetic resonance imaging (fMRI) detect the changes in blood flow within active parts of the brain and record them while the subject lies within a special scanner.
Thanks to fMRI imaging and other techniques, we know that the brain never wears out; it gets better the more we use it; it changes in structure and function throughout our lives. As a consequence of this
plasticity
we sculpt our brains according to our life experiences. As a result, no two brains are exactly alike, not even the brains of identical twins who, while they share the same genetic makeup, don’t share identical experiences. Due to this diversity in the brain’s organization and structure from one person to another, it’s often possible to reach valid conclusions about a person on the basis of his brain’s organization.
For instance, while looking at an fMRI, a trained observer can distinguish the brain of a skilled pianist from that of a nonpianist. That trained observer will note that the pianist’s brain shows increased activation in the finger areas of the motor cortex while she listens to a piano concerto. The same thing happens if she just watches someone playing any musical composition on the piano. But it won’t happen if she observes that person merely making random finger movements on the keyboard: under these circumstances, the pianist’s brain responses won’t differ from those of a person with no special musical expertise or interest. A similar specialization occurs in dancers. A ballet dancer will show greater brain activation while he watches other ballet dancers perform. This won’t happen if he watches ballroom dancers.
Nor is brain specialization limited to the arts. If that pianist at the conclusion of her performance takes a cab from the concert hall to her apartment, her cabdriver’s brain is likely to have an enlarged hippocampus—a brain area heavily involved in spatial visualization and navigation. The same is true for any specialized occupation: A surgeon will show greater activation in the hand area of the motor and sensory cortex than will a doctor who doesn’t perform surgery.
The pianist, the ballet dancer, the taxi driver, and the surgeon have shaped their brains by virtue of their experiences. The same thing is true for all of us. We create new patterns of neuronal organization according to what we see, what we do, what we imagine, and most of all, what we learn. Learning something new involves establishing a pathway within the brain made up of millions of brain cells. As we learn more, these pathways increase in complexity—a process similar to the branching of a tree as it grows.
Thanks to its plasticity, the brain can be thought of as a tree of knowledge. When in full bloom, a tree blossoms: roots give off branches, twigs, and leaves. Similarly, learning increases interaction within the brain with more and more other neurons establishing fuller and richer circuits. But if learning stops, the brain, like a tree losing the luxuriant structure seen at full bloom, reverts to a state corresponding to that of a tree in winter.
You can picture human brain development as a continuum ranging from infant-child to adolescent to adult and, finally, to the mature older brain. Each stage of development along this continuum calls for specific approaches to brain enhancement. Equally important, lessons learned at one stage of brain development can be usefully applied at every other level, starting from its earliest inception until its eventual dissolution and demise in old age. Thus knowing principles drawn from the study of the infant brain will help you enhance your adult brain.

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