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Descartes' Error: Emotion, Reason, and the Human Brain [Paperback]

Antonio R. Damasio
3.9 out of 5 stars  See all reviews (72 customer reviews)


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Book Description

November 1, 1995

In this wondrously lucid and engaging book, renowned neurologist Antonio Damasio demonstrates what many of us have long suspected: emotions are not a luxury, they are essential to rational thinking.

Descartes' Error takes the reader on an enthralling journey of scientific discovery, starting with the case of Phineas Gage--a construction foreman who in 1848 survived a freak accident in which a 3 1/2 foot iron rod passed through his head--and continuing on to Damasio's experiences with modern-day neurological patients affected by brain damage. Far from interfering with rationality, his research shows us, the absence of emotion and feeling can break down rationality and make wise decision making almost impossible.



Editorial Reviews

From Publishers Weekly

Neurologist Damasio's refutation of the Cartesian idea of the human mind as separate from bodily processes draws on neurochemistry to support his claim that emotions play a central role in human decision making.
Copyright 1995 Reed Business Information, Inc.

From Library Journal

The idea that the mind exists as a distinct entity from the body has profoundly influenced Western culture since Descartes proclaimed, "I think, therefore I am." Damasio, head of neurology at the University of Iowa and a prominent researcher on human brain function, challenges this premise in a fascinating and well-reasoned argument on the central role that emotion and feelings play in human rationality. According to Damasio, the same brain structures regulate both human biology and behavior and are indispensable to normal cognitive processes. Damasio demonstrates how patients (his own as well as the 19th-century railroad worker Nicholas Gage) with prefrontal cortical damage can no longer generate the emotions necessary for effective decision-making. A gifted scientist and writer, Damasio combines an Oliver Sack-like reportage with the presentation of complex, theoretical issues in neurobiology. Recommended for wide purchase.
Laurie Bartolini, Legislative Research, Springfield, Ill.
Copyright 1994 Reed Business Information, Inc. --This text refers to an out of print or unavailable edition of this title.

Product Details

  • Paperback: 336 pages
  • Publisher: Harper Perennial; 1 edition (November 1, 1995)
  • Language: English
  • ISBN-10: 0380726475
  • ISBN-13: 978-0380726479
  • Product Dimensions: 8 x 5.3 x 0.9 inches
  • Shipping Weight: 10.1 ounces
  • Average Customer Review: 3.9 out of 5 stars  See all reviews (72 customer reviews)
  • Amazon Best Sellers Rank: #811,940 in Books (See Top 100 in Books)

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Customer Reviews

If that were true, that would render Descartes' philosophy completely worthless. Fito  |  3 reviewers made a similar statement
Very well-done and highly recommended. J. Scott Shipman  |  11 reviewers made a similar statement
Most Helpful Customer Reviews
121 of 127 people found the following review helpful
5.0 out of 5 stars Excellent June 16, 2002
Format:Paperback
Damasio's book will be somewhat tough sledding for the non-specialist, but it's still a good book and worth sticking with to the end. Using Descartes's famous dictum as a departure point, and through a discussion of current theory and detailed case studies, he demonstrates the intimate relationship between the brain, mind, and body.

The case studies of sensory agnosia were very interesting, especially the one where the patient had apparently lost the functioning of the part of his brain that stored the awareness of one side of the patient's body, to the point where the patient had no awareness or perception of that half at all, and even denied that he even had a problem with it. There can be no clearer demonstration of the fact that our consciousness and awareness depends entirely on that 3-pound, convoluted mass of nerve cells we call the brain.

As someone with a pretty fair background in the area myself (I did a master's and almost completed a Ph.D. in psychobiology) I can vouch for Damasio's command of the scientific and technical issues and details (notwithstanding that fact that Damasio is both an M.D. and a Ph.D.) so he has a good command of the medical issues also. The book is very well written, although not easy, but Damasio does a fine job of explaining the more difficult ideas.

One further comment, I read one review that was critical of Damasio for supposedly misinterpreting Descartes's dictum, "I think, therefore I am," and then spent the whole review discussing Descartes instead of Damasio's book. The reviewer also stated that because of this Damasio lacks scientific objectivity. Since his comment is itself a good starting point for discussing the most important aspect of Damasio's book, I thought I'd write a little more on it here.

Whether or not Damasio's interpretation of Descartes dictum is wrong or not, (and from the other reviewer's disjointed discussion, that itself isn't very clear), this is a minor detail, since Damasio simply uses this as a point of departure and from there on the vast majority of the book is devoted to a discussion of the neurological and brain issues, not to the technical details of the philosophy of mind-body dualism, for which there are already plenty of other discussions out there (having read many of them myself).

However one should precisely interpret Descartes's famous statement, Damasio is completely correct in pointing out the most important aspect of Descartes's idea--that the mind is fundamentally different from the brain itself and that one needs a dualistic theory to explain the separation of the apparently immaterial mind from the more material body--is wrong.

Although echoes of this theory can still be seen in modern philosophy, and were an important influence on idealist philosophers that followed Descartes, such as Kant, and even continue to have an influence on modern neo-Kantian theory and other thinkers, the advance of modern neurobiology has shown that these theories are fundamentally wrong.

Since we're on the subject--and to be completely fair--I will that say that one aspect of Kant's theory is quite accurate--that the mind is actively involved in organizing the data of the senses--and that ideas about the external world could not exist unless there were corresponding mental capabilities and constucts to match. Our understanding of sensory information processing and of advanced cortical abilities certainly show that the brain has evolved in a way that reflects the need for specific capabilities to enhance our survival in a dangerous world. Kant's idea that there are inborn mental faculties that allow us to form ideas about the external world isn't so different from this idea, and in that sense, Kant was right. (This would have been a good point for the other reviewer to make, but he got lost in the trivial details, and failed to see "the forest for the trees" (as he himself incorrectly said of Damasio)).

Anyway, returning to Damasio's book, this is well-written book on a fascinating aspect of modern neurobiology, and which has profound implications for western philosophies of idealism and dualism. Although not an easy book for the non-specialist, it's worth the effort.

I have one final suggestion to make, and that is you might want to read Michael Gazzaniga's more general introduction to neurobiology: "Nature's Mind: The Biological Roots of Thinking, Emotions, Sexuality, Language, and Intelligence," before tackling this one. It's also an excellent book and you'll have a more well-rounded understanding of the brain field which should stand you in good stead to tackle this book, or any other brain-oriented books, after reading it.

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43 of 45 people found the following review helpful
5.0 out of 5 stars Some hints for enjoying this book more December 24, 2003
Format:Paperback
Other reviewers have surely summarized and analyzed this modern classic far better than I could, so here are some hints that may help you productively enjoy it:

1.) scan sections of the book before and after you read them. The author's simple expositions are terrific but the book's organization and data blending can be confusing, and the pace often slows uncomfortably. 2.) If you are new to this subject (and any non-professional who hasn't had a CNS course recently is probably a beginner) I'd supplement this book with a good but lighter introduction to brain research (I'd strongly recommend the NYT Book of the Brain). 3.) Consider using a good neuroanatomy text or atlas, like Barr or Hanaway. The author's maps are surprisingly skimpy and I strongly hope he includes a few pages of neuroanatomical diagrams in any future editions. 4.) You may want to underline selected terms and definitions, and note the reference at the back of the book -- the book has no glossary and the index is annoyingly weak. 5.) I thought the most valuable sections were on the Somatic Marker Hypothesis, the Body-Minded Brain, and the Postscriptum -- consider scanning these sections as you begin the book.
Good luck and enjoy. The author's credentials are superb, his perspective complements other authors such as Edelmann and LeDoux, and he brings the unique and empathetic perspective of a neurologist who has specialized in analyzing the changes associated wtih discrete neuropathological conditions. The ideas you may receive from this wonderful book should be well worth the effort, and you should gain some insight into the miracle of how we think/feel/are.
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22 of 22 people found the following review helpful
Format:Paperback
This question has been pondered by many, from Descartes to William James to Morrissey, and more recently, Antonio Damasio. As a neuroscientist, I share Damasio's conviction that emotion is absolutely central to understanding the mind. Unfortunately, that is the extent of my sympathy for this book. Damasio takes this starting point, notes the correspondence between emotions and body states, and from it constructs his ill-conceived 'somatic marker hypothesis', casting his lot with the body-ruled mind.

This book fails on a number of levels. To begin with, it is almost unreadable. Such tangled and confused writing would never make it past the editing of any decent journal. It is not merely dull, it really obfuscates the issue unnecessarily. Thus, to the reader interested in Damasio's theory I suggest his published paper "The Somatic Marker Hypothesis and the Possible Functions of the Prefrontal Cortex", 1996, which can be found freely online.

My main objection to the theory is the excessive role that it gives the body in influencing brain states. Undoubtably, the brain is capable of sensing and being influenced by changes in the body state. However, Damasio gives this pathway a primary role in emotion. Presumably Damasio imagines a stimulus activating some part of the brain (e.g. amygdala), which then triggers an emotional body state, which in turn is observed by the brain, creating an emotional 'feeling'. While such feedback loops are possible, they would be incredibly inefficient - why wouldn't the amygdala just communicate the emotional state directly to other brain regions instead of relying on the 'somatic markers' of a body feedback loop? Damasio's view is not parsimonious, nor is it supported by much evidence.

Damasio's attempts to justify this Jamesian hypothesis are an elementary exercise in distinguishing correlation and causation. He begins by discussing patients with prefrontal lesions, noting that they have altered skin conductance responses. But to quote the neuroscientist Edmund Rolls: this "does not prove the hypothesis that behavioural responses elicited by conditional reinforcers are mediated via peripheral changes... Instead the much more direct neural route from the orbitofrontal cortex and amygdala to the basal ganglia provides a pathway which is much more efficient..." Next, Damasio reviews the effects of prefrontal lesions on a decision-making task known as the Iowa gambling task, and notes how the 'modern Phineas Gage' is lacking in an anticipatory skin response. Again, intriguing, but causal? Since this publication, patients with autonomic nervous system failure have been tested and found to be unimpaired on this task, raising a serious challenge to Damasio's assertion that heightened body response is causal. Today, these effects are largely considered within the computational framework of reinforcement learning.

One final point: Damasio repeatedly attempts to justify his hypothesis by references to unconscious learning, as though unconscious learning necessarily requires his hypothesis. But there too, the brain is well-equipped for subcortical unconscious modeling (e.g. cerebellum). There is simply no need for 'somatic markers' to account for any of these effects, and the reader would be misled to believe that Damasio's hypothesis is widely believed by many of today's neuroscientists.
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Most Recent Customer Reviews
5.0 out of 5 stars excellent, but not easy
I bought the book some time ago, but I was able to read only a few pages, because of my total lack of knowledge in philosophy and neuroscience. Read more
Published 3 days ago by gianni
4.0 out of 5 stars A book that deserves to be like a (king) among other books, though i...
This is a very valuable book, which i read last year from the library and i decided recently to buy and keep, it is a very important book. Read more
Published 5 days ago by victor ayoube
4.0 out of 5 stars Really Good
This is one book I really enjoyed, from the beginning to the end. Some of the basic concepts are familiar to me, as I have read about. Read more
Published 15 days ago by Rajiv Chopra
5.0 out of 5 stars important reading
This book lays out all the information in a readable way. Very helpful for basic understanding.I recommend it even though more research has been done since its publication.
Published 2 months ago by MongolMaid
5.0 out of 5 stars Engaging to the Last
Superb read by Dr. Damasio-- both inspirational and engaging. The walk through how the mind sorts reasoning in cooperation with emotion is compelling and fascinating.
Published 3 months ago by greenlionplanck
5.0 out of 5 stars Defining book on emotions
This is absolutely the book one should pick to start understanding the role of emotions in our lives. Read more
Published 5 months ago by Anurag Vaish
3.0 out of 5 stars Elementary Consciousness began?
My critique is not with writing style as others have stated. I think this an interesting read. I'm stuck with the premise found on page 248, "Yet long before the dawn of... Read more
Published 9 months ago by Michael C. Sevcik
5.0 out of 5 stars Nobel prize overdue
Nobel prize overdue!

The book is just the greatest. The mind created by the brain/body, though not proven, is very convincing. Read more
Published 11 months ago by Robert H. Van Ligten
5.0 out of 5 stars neuroscience is fun to read!
Descartes' Error: Emotion, Reason, and the Human BrainOne of the best non-fiction science book ever read

This is the best non-fiction book ever read. Read more
Published 17 months ago by backpain rescue
4.0 out of 5 stars Would give it a 5 star, but...
The other reviews cover the pluses and minuses of the book quite well, so I will be brief. I will give the book a 5 star rating on the subject and the insight it bestows. Read more
Published 20 months ago by Emu
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Faulty Logic
I'm not really sure that's his hypothesis.

As you may recall the Cartesian "res cogitans" postulates a kind of soul or spirit world, which isn't really software. You can measure software, observe it directly, it's physical, just like bioelectrical currents in our bodies. The postulated... Read more
Oct 22, 2008 by J. Kristensen |  See all 2 posts
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