João Luis Modesto dos Santos (Sixth Year of Medical School ... › documents › 29044 › 6265047...

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Neurobiology of decision making: An approach from neuroscience and philosophy to the decision making process in extreme cases Contact: João Luis Modesto dos Santos Email: [email protected] Dr. Javier Bernácer María (Institute for Culture and Society, Mind-Brain Project, University of Navarra) João Luis Modesto dos Santos (Sixth Year of Medical School, University of Navarra) The facts The cases Tsarnaev brothers Anders Breivik 4. Philosophy of Action Actions happeningsAgency Intentionality: “A reason to do something is also a reason to intend to do it”. Immediate intentions and future intentions. Intention “with which”: the purpose or aim of the action. Intention “in acting”: characteristic traits of the agent by showing directedness towards some ends. Intentional state is a huge network of beliefs: Coherence Directedness Normativity Holism Subjectivity Mental context Physical world 5. Neuroscience of decision making 6. Theory of minimal error and adaptation How can a rational decision take to such evil actions? Rational decision making process 3. The psychopath and the martyr Psychopath is the most important “I want to kill, now” is justified “I must do this” “The consequence is worth it” is irrelevant, “I just want to kill” Outcome Action Martyr Cognitive decisions Reactive decisions VMPFC mPFC, vStriatum and pCingulate LOFC Mesolimbic dopamine system Orbitofrontal system Stimulus value Outcome value Updating values Prediction error Midbrain dopamine neurons Cortical and striatal targets Moral decisions PFC FPC FPC and angular gyrus FPC, mOFC and STS Cortical and subcortical-limbic system Moral behavior impairment Factual vs moral statements Personal moral implication Moral sensitivity Adapted from Moll et al.: The Neural Basis of Moral Cognition 8. Bibliography Carlos J. Moya. The Philosophy of Action: An Introduction. (Polity Press, ed.). Oxford, UK: Basil Blackwell Ltd; 1990. Leonard C, Tørrissen T. The Case of Anders Behring Breivik Language of a Lone Terrorist. Behav Sci Law. 2014;32:408-422. Levy DJ, Glimcher PW. The root of all value: a neural common currency for choice. Curr Opin Neurobiol. 2012;22(6):1027-1038. Moll J, et al. The neural basis of moral cognition: sentiments, concepts, and values. Ann N Y Acad Sci. 2008;1124:161-180. Z Action 1 Action 2 Action x Habit formed A B D C A B D C Z A B D C Z A B D C Z System of beliefs (range) Action difficulty to the system of beliefs (degrees) 45º 20º -10º 2. Psychiatric evaluation Psychiatric evaluations of the cases demonstrated no psychiatric pathology explaining their actions. “Even for a forensic psychiatrist, it can be difficult to reconcile the possibility that a person could carry out such a massacre without some form of mental incapacity. However, when one begins to look below the surface and dig a little more deeply into Breivik’s compendium, as well as his statements since the attack, a different picture begins to emerge, of a man who possessed the capacity for complex thought and a well-developed understanding of human nature and emotions. A man whose words and actions () demonstrate a mind significantly more rational and reality-based than one might presume at first glance.(Tørrissen, the psychiatrist assigned by the court to Breivik’s case) 1. Introduction In 2011, Anders Behring Breivik placed a bomb in Oslo’s city center and entered Utøya’s island where he caused the death of 77 people. The Tsarnaev brothers, 19 year-old Jahar and his older brother, were responsible for the Boston Marathon bombing in 2013 where four people died and 264 were injured. The first intuition when reading such facts is to search for the psychiatric pathology explaining it. I have found that when people are confronted with these cases the tendency is uniform in finding an explanation: “He is crazy”. However, is this the case? 7. Conclusion Philosophy of action and neuroscience of decision making are complementary visions of the human action that, when considered together, shed some light on rational decision making. This investigation does not deny psychiatric disorders as one explanation of criminology, but calls the attention to free will and rational wrong decisions to be real. Further investigations on how beliefs, ideals and habits condition human action are fundamental to understand the reality of decision making.

Transcript of João Luis Modesto dos Santos (Sixth Year of Medical School ... › documents › 29044 › 6265047...

Page 1: João Luis Modesto dos Santos (Sixth Year of Medical School ... › documents › 29044 › 6265047 › mp1t8.pdf · Neurobiology of decision making: An approach from neuroscience

Neurobiology of decision making: An approach from neuroscience and philosophy to the

decision making process in extreme cases

Contact: João Luis Modesto dos Santos Email: [email protected]

Dr. Javier Bernácer María (Institute for Culture and Society, Mind-Brain Project, University of Navarra) João Luis Modesto dos Santos (Sixth Year of Medical School, University of Navarra)

The facts

The cases

Tsarnaev brothers Anders Breivik

4. Philosophy of Action Actions ≠ happeningsAgency

Intentionality: “A reason to do something is also a reason to intend to do it”. • Immediate intentions and future intentions. • Intention “with which”: the purpose or aim of the action. • Intention “in acting”: characteristic traits of the agent by showing directedness towards some ends.

Intentional state is a huge network of beliefs: • Coherence • Directedness • Normativity • Holism • Subjectivity

Mental context

Physical world

5. Neuroscience of decision making

6. Theory of minimal error and adaptation

How can a rational decision take to such evil actions?

Rational decision making process

3. The psychopath and the martyr

Psychopath is the most important

“I want to kill, now”

is justified “I must do this”

“The consequence is worth it”

is irrelevant,

“I just want to kill” Outcome Action

Martyr

Cognitive decisions

Reactive decisions

VMPFC

mPFC, vStriatum and pCingulate

LOFC

Mesolimbic dopamine

system

Orbitofrontal system

•Stimulus value

•Outcome value

•Updating values

•Prediction error Midbrain dopamine neurons

Cortical and striatal targets

Moral

decisions

PFC FPC FPC and angular gyrus FPC, mOFC and STS

Cortical and subcortical-limbic

system

• Moral behavior impairment • Factual vs moral statements • Personal moral implication • Moral sensitivity

Adapted from Moll et al.: The Neural Basis of Moral Cognition

8. Bibliography Carlos J. Moya. The Philosophy of Action: An Introduction. (Polity Press, ed.). Oxford, UK: Basil Blackwell Ltd; 1990.

Leonard C, Tørrissen T. The Case of Anders Behring Breivik – Language of a Lone Terrorist. Behav Sci Law. 2014;32:408-422.

Levy DJ, Glimcher PW. The root of all value: a neural common currency for choice. Curr Opin Neurobiol. 2012;22(6):1027-1038.

Moll J, et al. The neural basis of moral cognition: sentiments, concepts, and values. Ann N Y Acad Sci. 2008;1124:161-180.

Z

Action 1 Action 2 Action x Habit formed

A

B

DC

A

B

DC

Z

A

B

DC

Z A

B

DC

Z

System of beliefs(range)

Action difficultyto the system of beliefs

(degrees)

45º 20º 0º -10º

2. Psychiatric evaluation

Psychiatric evaluations of the cases demonstrated no psychiatric pathology explaining their actions.

“Even for a forensic psychiatrist, it can be difficult to reconcile the possibility that a person could carry out such a massacre without some form of mental incapacity. However, when one begins to look below the surface and dig a little more deeply into Breivik’s compendium, as well as his statements since the attack, a different picture begins to emerge, of a man who possessed the capacity for complex thought and a well-developed understanding of human nature and emotions. A man whose words and actions (…) demonstrate a mind significantly more rational and reality-based than one might presume at first glance.”

(Tørrissen, the psychiatrist assigned by the court to Breivik’s case)

1. Introduction In 2011, Anders Behring Breivik placed a bomb in Oslo’s city center and entered Utøya’s island where

he caused the death of 77 people. The Tsarnaev brothers, 19 year-old Jahar and his older brother, were

responsible for the Boston Marathon bombing in 2013 where four people died and 264 were injured.

The first intuition when reading such facts is to search for the psychiatric pathology explaining it. I have found that when people are confronted with these cases the tendency is uniform in finding an explanation: “He is crazy”. However, is this the case?

7. Conclusion • Philosophy of action and neuroscience of decision making are

complementary visions of the human action that, when considered together, shed some light on rational decision making.

• This investigation does not deny psychiatric disorders as one explanation of

criminology, but calls the attention to free will and rational wrong decisions to be real.

• Further investigations on how beliefs, ideals and habits condition human

action are fundamental to understand the reality of decision making.