Ambika K's Profile

Through inquiry, the patient’s belief that when he goes outside he is being talked about in the street is uncovered. Work on this belief involves reasoning, ie, reality testing. The emphasis is on ascertaining precisely who is talking about him, what they are saying, and why they may be saying it. Diaries or detailed recall of circumstances can help unblock resistance. Assessing expectations and pressures with families can also be useful. Remember, you cannot push patients out of negative symptoms. It is essential that they are allowed to reestablish control.

Readily achievable and collaboratively developed short-term goals establish momentum.

Consider suggesting that the person take time off when he has been trying but repeatedly failing to achieve a goal: he may feel less pressured.

Improved concentration and cognitive ability enables work on positive symptoms that interfere with progress. When negative symptoms have emerged during periods of institutionalization, the identification of motivating factors—often long forgotten

surprising finding was classified as a mere mistake; perhaps a machine malfunctioned or an enzyme had gone stale. “The scientists were trying to explain away what they didn’t understand,” Dunbar says. “It’s as if they didn’t want to believe it.”

The experiment would then be carefully repeated. Sometimes, the weird blip would disappear, in which case the problem was solved. But the weirdness usually remained, an anomaly that wouldn’t go away.

This is when things get interesting. According to Dunbar, even after scientists had generated their “error” multiple times — it was a consistent inconsistency — they might fail to follow it up. “Given the amount of unexpected data in science, it’s just not feasible to pursue everything,” Dunbar says. “People have to pick and choose what’s interesting and what’s not, but they often choose badly.” And so the result was tossed aside, filed in a quickly forgotten notebook. The scientists had discovered a new fact, but they called it a failure.

The reason we’re so resistant to anomalous information — the real reason researchers automatically assume that every unexpected result is a stupid mistake — is rooted in the way the human brain works. Over the past few decades, psychologists have dismantled the myth of objectivity. The fact is, we carefully edit our reality, searching for evidence that confirms what we already believe. Although we pretend we’re empiricists — our views dictated by nothing but the facts — we’re actually blinkered, especially when it comes to information that contradicts our theories. The problem with science, then, isn’t that most experiments fail — it’s that most failures are ignored.

education enabled them to see the error, and for them it was the inaccurate video that triggered the ACC.

But there’s another region of the brain that can be activated as we go about editing reality. It’s called the dorsolateral prefrontal cortex, or DLPFC. It’s located just behind the forehead and is one of the last brain areas to develop in young adults. It plays a crucial role in suppressing so-called unwanted representations, getting rid of those thoughts that don’t square with our preconceptions. For scientists, it’s a problem.

When physics students saw the Aristotelian video with the aberrant balls, their DLPFCs kicked into gear and they quickly deleted the image from their consciousness

when it comes to noticing anomalies, an efficient prefrontal cortex can actually be a serious liability. The DLPFC is constantly censoring the world, erasing facts from our experience. If the ACC is the “Oh shit!” circuit, the DLPFC is the Delete key. When the ACC and DLPFC “turn on together, people aren’t just noticing that something doesn’t look right,” Dunbar says. “They’re also inhibiting that information.”

The lesson is that not all data is created equal in our mind’s eye: When it comes to interpreting our experiments, we see what we want to see and disregard the rest.

There are advantages to thinking on the margin. When we look at a problem from the outside, we’re more likely to notice what doesn’t work. Instead of suppressing the unexpected, shunting it aside with our “Oh shit!” circuit and Delete key, we can take the mistake seriously. A new theory emerges from the ashes of our surprise.

Modern science is populated by expert insiders, schooled in narrow disciplines. Researchers have all studied the same thick textbooks, which make the world of fact seem settled. This led Kuhn, the philosopher of science, to argue that the only scientists capable of acknowledging the anomalies — and thus shifting paradigms and starting revolutions — are “either very young or very new to the field.” In other words, they are classic outsiders, naive and untenured. They aren’t inhibited from noticing the failures that point toward new possibilities.

“They knew more about E. coli than anyone else, but that was what they knew,” he says. Dunbar watched how each of these labs dealt with their protein problem. The E. coli group took a brute-force approach, spending several weeks methodically testing various fixes. “It was extremely inefficient,” Dunbar says. “They eventually solved it, but they wasted a lot of valuable time.”

The diverse lab, in contrast, mulled the problem at a group meeting. None of the scientists were protein experts, so they began a wide-ranging discussion of possible solutions. At first, the conversation seemed rather useless. But then, as the chemists traded ideas with the biologists and the biologists bounced ideas off the med students, potential answers began to emerge.

forced to rely on metaphors and analogies to express themselves. (That’s because, unlike the E. coli group, the second lab lacked a specialized language that everyone could understand.) These abstractions proved essential for problem-solving, as they encouraged the scientists to reconsider their assumptions. Having to explain the problem to someone else forced them to think, if only for a moment, like an intellectual on the margins, filled with self-skepticism.

This is why other people are so helpful: They shock us out of our cognitive box