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Yale Psychiatry Grand Rounds: November 5, 2021

November 05, 2021

Yale Psychiatry Grand Rounds: November 5, 2021

 .
  • 00:00I think I'm ready think. Oh
  • 00:03OK, everybody saw that UM so thanks.
  • 00:07Thanks John, and thank you
  • 00:08all for coming today. Up to
  • 00:1080 people and today's
  • 00:14yet another in series of pointer,
  • 00:17fellowship and journalism sponsored grand
  • 00:21rounds in this has been able to fund us
  • 00:25for this and several other presentations
  • 00:27throughout the years and always a
  • 00:29wonderful opportunity to hear from us,
  • 00:31from journalists and people.
  • 00:33For writing, I said.
  • 00:34I would not want to thank them.
  • 00:35I also want to thank the CMHC
  • 00:37Foundation for their support.
  • 00:38For the grand rounds today,
  • 00:40and I want a special shout
  • 00:42out to Kyle Peterson.
  • 00:44Not only is the director of the foundation,
  • 00:47but it just would tell you that every year
  • 00:50Kyle introduces me and you to some of
  • 00:53the most interesting voices in journalism.
  • 00:56It's an extraordinary opportunity for me,
  • 00:59and Kyle is so thoughtful in his
  • 01:02selections and reaching out to people.
  • 01:05So today I have the distinct
  • 01:07pleasure to introduce you to.
  • 01:09Any pollmer any Murphy paw?
  • 01:12She's an acclaimed science writer whose work
  • 01:14has appeared in New York Times magazine,
  • 01:16Scientific American,
  • 01:16and the best American Science writing
  • 01:19among many other publications.
  • 01:21Her latest book is the Extended Mind,
  • 01:24the power of thinking outside the brain.
  • 01:26So this was published in June of 2021,
  • 01:29and it's already been selected
  • 01:31as Amazon editors pick for Best
  • 01:33nonfiction and as an editor's choice
  • 01:35by the New York Times Book Review.
  • 01:37She's also the author of Origins,
  • 01:39named by the New York Times
  • 01:40Book Review as a notable book.
  • 01:42And the cult of personality,
  • 01:44hailed by Malcolm Gladwell in The New Yorker,
  • 01:46is a fascinating new book.
  • 01:48Her Ted talk has been viewed by
  • 01:50more than two more than 2.6 million
  • 01:52times at this point.
  • 01:54And she's the recipient of the Rosalyn
  • 01:56Carter Mental Health Journalism Fellowship.
  • 01:58The Spencer Education Journalism
  • 02:00Fellowship and the Bernard L
  • 02:02Schwartz Fellowship at New America.
  • 02:05She graduated a graduate from Yale
  • 02:07University and the Columbia University
  • 02:09Graduate School of Journalism,
  • 02:11and she's currently Learning Sciences
  • 02:13exchange fellow at New America.
  • 02:16So I I like you all,
  • 02:18join me in welcoming her and Kyle will
  • 02:22also be participating in this grand rounds.
  • 02:25So thank you and over to Annie Murphy Paul.
  • 02:28Thank you Mike.
  • 02:29Hearing those introductions is always
  • 02:31like this is your life, you know,
  • 02:33kind of like your life passing before you.
  • 02:35But thanks so much for that introduction.
  • 02:38Thanks for inviting me to
  • 02:39speak at grand Rounds.
  • 02:40I've certainly never done anything
  • 02:42like this before and I wanted to
  • 02:44start off by saying that I don't
  • 02:46want this to be a lecture where
  • 02:48I'm just talking at you guys.
  • 02:49I love a conversation and a back and forth,
  • 02:51so I encourage everyone who's here to
  • 02:54post questions in the chat and I'll.
  • 02:56I'll pause and look over there
  • 02:57and hopefully come.
  • 02:58Mike and Tricia and Chris and Kyle
  • 03:01and others can help me locate
  • 03:03questions when they come up.
  • 03:04I do want to thank Kyle for bringing
  • 03:07me into this this amazing forum.
  • 03:09Kyle and I know each other
  • 03:11because we're baseball, parents,
  • 03:13fellow baseball parents.
  • 03:15So just goes to show you these.
  • 03:18New Haven connections really can be
  • 03:21very fruitful and many directions,
  • 03:24so let's see where to start.
  • 03:26I mean,
  • 03:27I thought maybe I'd tell you a little
  • 03:29bit of a little bit of background
  • 03:30about me that helps can help you
  • 03:32understand how I came to write this book.
  • 03:34The extended mind I went to
  • 03:37Yale as an undergraduate.
  • 03:38I was dumb.
  • 03:39Planning to be an English major
  • 03:41until I was felled by the Fairy Queen.
  • 03:44You know that long,
  • 03:46dense poem by Spencer that just
  • 03:49was not like the novels that I that
  • 03:50I loved as a high school student.
  • 03:52When I was planning on being
  • 03:53an English major.
  • 03:54So I ended up being an
  • 03:56American studies major,
  • 03:57which is a major I didn't even know
  • 03:59existed when I got to college,
  • 04:00and I found it because,
  • 04:02you know, back in those days,
  • 04:04there was a hard copy course catalog
  • 04:07that was became dog eared with use.
  • 04:11And highlighted and you know post it
  • 04:13noted and all the most interesting
  • 04:15classes that I located where it
  • 04:17happened to be in American studies.
  • 04:19So American studies doesn't
  • 04:21prepare you to do much in life,
  • 04:23but it what did turn out to be a good
  • 04:26preparation for being a journalist in
  • 04:28that it was an interdisciplinary major.
  • 04:32And certainly what I do as a
  • 04:35journalist involves a lot of pulling
  • 04:37thread strands from different
  • 04:39areas and weaving them together.
  • 04:40And I started to.
  • 04:41Learn how to do that as an American
  • 04:44studies major as a Yale undergraduate.
  • 04:47So I graduated,
  • 04:48my first job was at Yale's Alumni magazine,
  • 04:52where I got to interview and
  • 04:55write about a lot of yells,
  • 04:58researchers and professors,
  • 05:00and that's when I began to realize that.
  • 05:04This is the kind of journalism
  • 05:06that I love to do.
  • 05:07You know,
  • 05:07I think I I at least had the impression
  • 05:09that a journalist is someone who goes
  • 05:11up to people on the street and says,
  • 05:14what do you think about,
  • 05:15you know yesterday's election or whatever,
  • 05:18and I was never comfortable
  • 05:19with that kind of journalism.
  • 05:21I wanted to write about big ideas.
  • 05:24I wanted to write about research.
  • 05:25I wanted to interview people
  • 05:28who had listed phone numbers.
  • 05:30You know, it's a very different kind of.
  • 05:35Journalism then say the more
  • 05:37adverse aerial journalism that
  • 05:39happens in the political realm.
  • 05:41I actually see my work with scientists
  • 05:44interviewing an writing about the work of
  • 05:47scientists as more like a collaboration.
  • 05:49It's it's really important for me
  • 05:51to get their input and their help,
  • 05:55and making sure that I get the
  • 05:56details right about their research.
  • 05:58They they are the experts.
  • 05:59I'm the person who's translating that
  • 06:02research for a for a broader audience.
  • 06:06So after two years at the Alumni magazine,
  • 06:09I moved on to New York City,
  • 06:11where I was an editor,
  • 06:12writer and editor at Psychology
  • 06:14Today magazine,
  • 06:15and that's when I sort of further refined my
  • 06:19interests and my my beat as a journalist.
  • 06:22I realized that I really liked
  • 06:24writing about research,
  • 06:25but specifically social science
  • 06:27research and I just find people
  • 06:30endlessly interesting human behavior,
  • 06:32endlessly interesting,
  • 06:33and I'm sure those of you who have
  • 06:35chosen to go into psychiatry can.
  • 06:37Can understand that, UM.
  • 06:39So after two years at Psychology Today I
  • 06:42went freelance and I've been freelance
  • 06:45for the last 20 something years.
  • 06:48I don't even really want to think
  • 06:49about how long it's been, but, uh,
  • 06:50I've been on my own in the sense
  • 06:53that I've been out here,
  • 06:55writing magazine articles and writing books.
  • 06:59Those were really my only two jobs.
  • 07:02Uhm, and my first book was.
  • 07:07About it was a cultural critique and signed.
  • 07:10It was a sorry, a scientific critique
  • 07:13and cultural history of personality testing,
  • 07:16which I became fascinated by this idea.
  • 07:20That test certainly tests have shaped my
  • 07:24own academic life and and professional life,
  • 07:28but at that a test could sum up a person's
  • 07:33character or or describe their personality.
  • 07:36I was skeptical of that idea.
  • 07:38And persuaded of the eventually
  • 07:40through my research,
  • 07:41persuaded of the idea that actually
  • 07:44those tests were capturing more about
  • 07:47the inventors of the tests and of the
  • 07:49time and the era in which they lived.
  • 07:52And then my next book was called Origins.
  • 07:55It was about the science of
  • 07:57prenatal influences.
  • 07:58And you know,
  • 07:59I'd like to say that or journalists
  • 08:01generally like to offer,
  • 08:02will often acknowledge that all
  • 08:04research is is me search, you know,
  • 08:06and this in the case of origins,
  • 08:08that was especially true.
  • 08:09I was pregnant with my second
  • 08:12child when I was researching and
  • 08:14researching and writing origins
  • 08:16and so you know that the research
  • 08:18for that book often found me,
  • 08:20you know,
  • 08:21eight months pregnant like heading
  • 08:23into a lab to talk to a scientist
  • 08:25about the science of fetal origins,
  • 08:27the idea that what of pregnant
  • 08:29woman feels and eats and experiences
  • 08:32while she's pregnant has an effect
  • 08:34on the fetus and potentially
  • 08:37potentially lasting into that.
  • 08:40Childs life.
  • 08:41That dumb,
  • 08:42you know,
  • 08:42those those seem like two very
  • 08:44different topics and they are,
  • 08:46but to me they're all kinds of,
  • 08:48they're all. They all kinds.
  • 08:49They both kind of all my work
  • 08:51orbits around the same question,
  • 08:53which is what makes us the way we are and
  • 08:56what makes us the way we are. And then,
  • 08:58more recently I've become interested
  • 09:00in the question of how do we change?
  • 09:02How do we move on from what we are?
  • 09:06But the personality testing book I think came
  • 09:09out of an interest in how society shapes.
  • 09:12Yes, or how society tells us who we are
  • 09:14and what we do with that information.
  • 09:16The the origins.
  • 09:18The book about prenatal influences emerged
  • 09:20out of an interest in this nurture nature.
  • 09:23Question this,
  • 09:24you know eternal debate between nature
  • 09:27and nurture and my sense that in our
  • 09:31discussions about nature and nurture
  • 09:33there was this nine month gap that
  • 09:35we weren't necessarily looking at.
  • 09:37We were, you know,
  • 09:38concerned with that moment of conception
  • 09:40when the DNA blueprint gets laid down.
  • 09:43And then we were concerned with nurture
  • 09:45as it begins at the moment of birth.
  • 09:48But there was this very consequential
  • 09:50time in between that I thought could
  • 09:53have something interesting and fresh and
  • 09:55new to say about that nurture nature.
  • 09:58Question what makes us who we are.
  • 10:00So then continuing this sort of me
  • 10:04search theme those those children that
  • 10:07I bore when I was writing origins.
  • 10:11They grew up, they started school.
  • 10:13And I became very interested in
  • 10:15the science of learning.
  • 10:16I was very interested in.
  • 10:18What my children were learning,
  • 10:20how they were learning how their
  • 10:22teachers were teaching them and
  • 10:24at the same time as a journalist.
  • 10:26I saw that there was a really
  • 10:29dynamic and exciting body of growing
  • 10:31body of research about learning
  • 10:33the science of of how we learn,
  • 10:35mostly psychology and cognitive science.
  • 10:38And so I started writing about that,
  • 10:40writing lots of articles and planned to
  • 10:43write a book about it that didn't work out.
  • 10:47I may yet write a book about
  • 10:48the science of learning,
  • 10:49but my struggle there was that I,
  • 10:53as I said, I really loved.
  • 10:55I love a big idea.
  • 10:56I love a big a big idea that can
  • 10:59transform the way we see something.
  • 11:01And I searched and searched for a
  • 11:04big idea that could kind of unite
  • 11:06all the findings that I was all the
  • 11:08very interesting and useful findings
  • 11:10that I was gathering from the science
  • 11:13of learning and eventually I had
  • 11:15to kind of concede defeat that.
  • 11:18There wasn't a unified theory of learning.
  • 11:20I'd be interested.
  • 11:21Interested to hear what and if you
  • 11:23have to say about this or what
  • 11:24you think about this,
  • 11:25especially those of you who are really
  • 11:28involved in educating and education.
  • 11:32There is no unified theory of learning.
  • 11:34I came to think because the brain
  • 11:37is this klugey patched together.
  • 11:39You know, cobbled together patchwork.
  • 11:43That evolved to help us survive,
  • 11:46but that did not in any way come.
  • 11:50It was not designed, you know,
  • 11:52in in any coherent way that
  • 11:55could be described in terms
  • 11:57of a a big idea. That's that.
  • 12:00That was my conclusion in any case,
  • 12:03so, but in the course of doing all
  • 12:06this research and reading that got
  • 12:08sort of progressively wider in its
  • 12:10scope while trying to write this
  • 12:12book on the science of learning,
  • 12:13I came across an article in a philosophy
  • 12:17journal that was published in 1998.
  • 12:20As by the philosophers Andy
  • 12:22Clark and David Chalmers,
  • 12:24it was titled the Extended Mind and
  • 12:27the Very first line of it said,
  • 12:29where does the mind stop and
  • 12:32the rest of the world began?
  • 12:35And I found this to be a very uhm.
  • 12:38You know an arresting question,
  • 12:39a provocative question.
  • 12:40Because partly because the answer seems to,
  • 12:43it seems so obvious initially,
  • 12:45so obvious that the mind stops at the skull.
  • 12:49The mind is contiguous with the brain,
  • 12:52but Clark and Chalmers were arguing that no,
  • 12:54that's not the case.
  • 12:56The mind extends beyond the brain to
  • 12:59the rest of our body below the neck,
  • 13:01to our physical environment,
  • 13:03to our relationships with other people.
  • 13:07And in particular,
  • 13:08the focus of their article was on
  • 13:10how we use tools to extend our
  • 13:12minds and the the the principal
  • 13:15tool that they were writing about.
  • 13:17And remember this is in 1998 before
  • 13:19smartphones became a part of our lives.
  • 13:22They were talking about a notebook
  • 13:24like a regular old fashioned
  • 13:26notebook and how when we when?
  • 13:29If it's such a notebook becomes a
  • 13:32reliable part of our our thinking
  • 13:35processes is coupled in a consistent way.
  • 13:37With our with our thinking processes,
  • 13:39it actually becomes a part
  • 13:41of that cognitive loop,
  • 13:42and there's no reason to call that notebook
  • 13:46not part of your not part of your mind.
  • 13:48It actually,
  • 13:49it does constitute a part of your mind
  • 13:51in a part of your thinking process.
  • 13:53And interestingly,
  • 13:54this article,
  • 13:55which subsequently became one of the most
  • 13:58cited articles in the philosophy literature,
  • 14:01was rejected from three journals
  • 14:03before it was finally accepted and
  • 14:05published in the journal Analysis.
  • 14:08And when it was published,
  • 14:09it it really occasioned a lot of division,
  • 14:12and a lot of, UM,
  • 14:13mocking,
  • 14:14sort of ridicule and skepticism from from
  • 14:17philosophers from other philosophers.
  • 14:20UM, who just thought this idea was,
  • 14:22was really wacky,
  • 14:24and what's interesting is that
  • 14:26events kind of overtook the
  • 14:28the reception of this paper,
  • 14:30in the sense that in 2007 the
  • 14:34Apple introduced the iPhone and
  • 14:36and all of a sudden.
  • 14:38Lots of us were offloading or extending
  • 14:41our minds by offloading mental functions
  • 14:45that had previously been performed
  • 14:48by our brains onto our phones.
  • 14:50You know,
  • 14:50like who remembers phone numbers anymore?
  • 14:52Because our phones remember them for
  • 14:55us and so the use of the smartphone,
  • 14:58which is nothing if not a reliable
  • 15:01and consistent present in our
  • 15:03presence in our lives,
  • 15:04became this sort of continual
  • 15:07proof of concept, you know.
  • 15:09And and every day and every day life
  • 15:11demonstrating how the mind is extended and
  • 15:15one of David Chalmers is colleagues at NYU,
  • 15:19another philosopher named Ned Block
  • 15:21likes to say that the the thesis of
  • 15:24the extended mind, the extended mind
  • 15:26thesis was false when it was written,
  • 15:28but subsequent subsequently became true
  • 15:31because of the way that technology has
  • 15:34begun to extend our minds in our in
  • 15:37our everyday lives in ways that we.
  • 15:39Can readily see I,
  • 15:41I myself and more interest less
  • 15:43interested in the way that tools
  • 15:46and technology can extend our mind,
  • 15:48although I think that's
  • 15:49very interesting as well.
  • 15:50I'm more interested in the way that
  • 15:53our bodies extend our minds through
  • 15:56things like our internal sensations,
  • 15:58our movements or gestures.
  • 16:01The way that our physical
  • 16:04surroundings extend our minds,
  • 16:06meaning nature,
  • 16:07natural settings,
  • 16:08but also built settings and are the
  • 16:11places where we learn and work and
  • 16:13also what I call the space of ideas,
  • 16:16which is when we do offload our meant
  • 16:19the contents of our minds onto physical
  • 16:21space and interact with them in new ways.
  • 16:24That's another way of
  • 16:26extending the mind with space,
  • 16:28and then finally the way that we
  • 16:29extend our minds with other people.
  • 16:31With our peers with experts that
  • 16:34we learn from and and in groups so.
  • 16:38B.
  • 16:39When I read the the this article
  • 16:41on the extended mind,
  • 16:44it really it was a kind of Eureka
  • 16:47moment because I had been collecting
  • 16:52and and gathering instances of research
  • 16:55in the science of learning with the
  • 16:58idea of writing a book about the
  • 17:01science of learning that fell into
  • 17:03into into three kind of buckets.
  • 17:05And I I felt that these buckets were
  • 17:08related in some way, but it was.
  • 17:10It was hard for me to put my finger
  • 17:12on how they were related.
  • 17:14The three buckets that I'm talking
  • 17:17about are embodied cognition.
  • 17:18This this this body of work that
  • 17:21suggests that our bodies are an
  • 17:23integral part of the thinking process.
  • 17:25Situated cognition.
  • 17:26The idea that where we are really
  • 17:29affects the way we think and
  • 17:32distributed cognition,
  • 17:33socially distributed cognition,
  • 17:34this the idea that we don't just
  • 17:36think with our own individual minds,
  • 17:39but we we think with.
  • 17:41Other people,
  • 17:41often in a kind of group mind or
  • 17:45or collective intelligence.
  • 17:47So it was really the discovery of
  • 17:50this article about the extended mind
  • 17:53that allowed me to pull together
  • 17:56those disparate threads and weave
  • 17:59them into a book that I wanted to bring.
  • 18:03This exciting idea.
  • 18:05I really find the idea of the
  • 18:07extended mind really generative and
  • 18:09really endlessly fascinating, and.
  • 18:12And uhm, fertile as an idea,
  • 18:14but I also really wanted to
  • 18:17operationalize it in the sense of OK,
  • 18:20if if these outside the brain
  • 18:22resources really do influence how
  • 18:24we think and are actually a part
  • 18:26of the thinking process.
  • 18:28What does that mean in our
  • 18:30everyday lives for education?
  • 18:31For the workplace, for you know,
  • 18:34daily our daily lives.
  • 18:37Wanted to take this idea out
  • 18:40of the ivory tower
  • 18:42and kind of really show how it.
  • 18:44Uh, not only how it's operating in our lives
  • 18:47now because we all do extend our minds.
  • 18:50This is our our brains kind of evolved
  • 18:53to take advantage of all these all
  • 18:56these extra neural resources and and.
  • 19:01But also how how we could
  • 19:03potentially do that better?
  • 19:04How we could be more skilled and
  • 19:07more intentional in the way that
  • 19:09we use extra neural resources?
  • 19:11And finally, I also wanted this book
  • 19:13to be a social critique, you know,
  • 19:16and a critique of of the very common
  • 19:18and pervasive ideas about the brain and
  • 19:21about thinking that are out there that
  • 19:24you know what Andy Clark, one of the Co Co.
  • 19:27Authors of the the the extended
  • 19:30mind paper calls.
  • 19:31The brain bound mentality.
  • 19:33In other words,
  • 19:34this idea that thinking only goes on up here.
  • 19:37And when you think about it,
  • 19:38so many of our institutions and our practices
  • 19:42are rooted in this brain bound idea.
  • 19:45That thinking is contained within
  • 19:47the skull that we can evaluate
  • 19:51and rank people based on how
  • 19:53big the lump of intelligence is.
  • 19:55That's inside there inside their
  • 19:58heads and that really that there's
  • 20:01really a kind of blind spot.
  • 20:03For all the ways that the raw
  • 20:05materials of thinking you know
  • 20:07our ability to move our bodies,
  • 20:08the freedom we have to move our bodies,
  • 20:10the access we have to natural spaces
  • 20:13or two well designed interiors or
  • 20:16two networks of peers and mentors
  • 20:19and teachers who can help us.
  • 20:22All those things are actually a part
  • 20:24of our thinking processes and we
  • 20:26have a blind spot to those when we
  • 20:28insist on this brain bound model that,
  • 20:30like all that matters is is.
  • 20:33It goes on up here in the head,
  • 20:35so the book came out in in June this
  • 20:39past June and I've been very gratified by.
  • 20:43The reception and surprised by it
  • 20:45in some ways lots of teachers have
  • 20:48really enthusiastically embraced it.
  • 20:49Lots of people in the arts have embraced it,
  • 20:52which when I think about it,
  • 20:54shouldn't surprise me because I
  • 20:56think people in the arts have always
  • 20:58thought with their bodies and with
  • 21:01come with physical spaces and and
  • 21:03in collaboration with other people
  • 21:05and lots of people.
  • 21:07Lots of readers have told me that that
  • 21:09they had found their way to these techniques.
  • 21:12And these insights that I wrote
  • 21:14about in the book,
  • 21:16but that they were very glad
  • 21:18to have the scientific backing,
  • 21:20that that their intuitions or
  • 21:22their trial and error experiments,
  • 21:24had steered them in the right direction,
  • 21:26and that they felt seen by this book
  • 21:29in a way that they had not before,
  • 21:31that they that they used their
  • 21:33extended minds in their everyday lives.
  • 21:35And now they had a better understanding
  • 21:37of what they were already doing,
  • 21:38which was, you know, as an author.
  • 21:41You kind of never know.
  • 21:43Uh,
  • 21:43what kind of reception your book is
  • 21:45going to get until it's out there
  • 21:46and so that was a
  • 21:48very that was a surprising and
  • 21:49gratifying kind of feedback to get up,
  • 21:51so I'll just pause here for a moment and
  • 21:54I'll look to see if there's any questions,
  • 21:57then Kyle if you have any.
  • 21:59I know you Kyle was an early reader
  • 22:01of my book and I I really have
  • 22:04appreciated his enthusiasm and I know
  • 22:06we have lots of overlapping interests,
  • 22:09so perhaps Kyle has has a
  • 22:10question or a thought.
  • 22:13Thank you Andy.
  • 22:14Thank you so much for being
  • 22:15here today and for sharing.
  • 22:16You are your work with us,
  • 22:18particularly this book,
  • 22:19but also how you introduced yourself
  • 22:22and how you came to come through
  • 22:24the work on the extended mind.
  • 22:26I have a question when you know
  • 22:28you mentioned UM the iPhone
  • 22:30coming around and sort of being
  • 22:32a proof of concept for that that
  • 22:34question about the extended mind.
  • 22:36I know that you started this
  • 22:38book before the pandemic.
  • 22:39Yeah, and then the pandemic came yeah,
  • 22:42and I'm wondering what you see in
  • 22:45the pandemic that illuminates or
  • 22:48helps you understand this work on
  • 22:51the extended mind and and what, UM,
  • 22:54what applications you might be able to share.
  • 22:59Yeah, that's such an interesting question.
  • 23:00Call it the the pandemic was.
  • 23:03Uhm, happening.
  • 23:04Just as I was finishing up the book and
  • 23:06I really had a question as to you know,
  • 23:08do I include even a reference to
  • 23:11the pandemic in the book?
  • 23:12Because so little was known at that
  • 23:14point and everything was changing.
  • 23:16So in the end, in the end II really I didn't.
  • 23:18But I do think that the the
  • 23:22book coming out when it did.
  • 23:25The time I thought it was the
  • 23:26tail end of the pandemic.
  • 23:27You remember those brief,
  • 23:28glorious moments in the summer
  • 23:30when we all thought that it was.
  • 23:31It was in in retreat,
  • 23:33but that wasn't to be so,
  • 23:36but certainly by that point
  • 23:37in in June when it came out,
  • 23:40we'd been through more than
  • 23:41a year of of the pandemic,
  • 23:44and I really did feel that the pandemic,
  • 23:48oddly enough,
  • 23:49was almost like this vast
  • 23:52natural experiment that exposed.
  • 23:55In many ways,
  • 23:56the importance of the extended
  • 23:58mind precisely because it cut off.
  • 24:00So for so many of us it cut off from us.
  • 24:05The habitual use of our of our,
  • 24:07the mental extensions that
  • 24:09usually help us think in everyday
  • 24:12pre pandemic life for example.
  • 24:14I mean the most most obvious example is
  • 24:17that all of the sudden many of our students,
  • 24:20many of our children were not
  • 24:22interacting with their classmates
  • 24:23and teachers in person.
  • 24:24Many of us were no longer
  • 24:26interacting with their colleagues.
  • 24:27At work or even even with friends
  • 24:29or others outside our household,
  • 24:31and I think we really felt the
  • 24:33the contraction you know of
  • 24:35of not having that in person.
  • 24:37Interaction with other people and
  • 24:39the way that we can share mine space
  • 24:41with other people when we're having
  • 24:43that face to face conversation,
  • 24:45although of course we all did our
  • 24:47best with with zoom and these
  • 24:49these other platforms.
  • 24:50But there are other examples too,
  • 24:52like there was a professor who said to
  • 24:54me that he was no longer able to access.
  • 24:57His on campus office because
  • 24:58all during the pandemic,
  • 25:00all of that had been shut down and
  • 25:02he realized that he had an office
  • 25:05full of books that were arranged in
  • 25:07on shelves around him in a specific
  • 25:09order and that he actually had
  • 25:11become used to using the visual
  • 25:13cues of the books around him to
  • 25:16shape his thinking or structure.
  • 25:18His thinking,
  • 25:18and he felt sort of bereft, you know,
  • 25:21being cut off from this physical setting of,
  • 25:25you know,
  • 25:26there was some sense in which.
  • 25:27His mind was outside his his skull and
  • 25:30and and on his raid on his shelves and
  • 25:33he was no longer having access to that.
  • 25:36So,
  • 25:36you know,
  • 25:37philosophers have long played around
  • 25:39with this sort of thought experiment of
  • 25:41like what if we're all just brains in vats,
  • 25:44you know,
  • 25:45like the the movie The matrix?
  • 25:47Kind of, you know,
  • 25:48plays with this idea as well.
  • 25:49And I actually have the
  • 25:51I have the feeling that
  • 25:52come during the pandemic.
  • 25:54We all kind of were brains in vats.
  • 25:56You know? We were brains in front of.
  • 25:57Greens, lots of us were not moving around
  • 26:01as much as we used as we would normally.
  • 26:04We weren't commuting.
  • 26:05We weren't traveling.
  • 26:06We weren't visiting, stimulating new places,
  • 26:09we weren't seeing people in person.
  • 26:11Some of us may have been
  • 26:13getting out into nature more.
  • 26:14I think that was one upside of the pandemic,
  • 26:16but uhm. You know one of the, UM?
  • 26:21One of the points that I return to again and
  • 26:24again in the book is the metaphors we use
  • 26:27to understand the brain and and thinking,
  • 26:30and how, how profoundly those metaphors
  • 26:32affect the way we we think about thinking.
  • 26:36And one of those metaphors very common
  • 26:39and pervasive metaphor is the brain.
  • 26:42As computer, you know.
  • 26:43And it always strikes me as interesting
  • 26:45that human beings in the middle of
  • 26:47the last century created computers.
  • 26:49And then we kind of analogize
  • 26:51ourselves to them.
  • 26:52And compared ourselves to them in some ways,
  • 26:54we created computers to be a kind of
  • 26:58idealized version of the human brain.
  • 26:59You know,
  • 27:00a brain that we could give commands to
  • 27:02that would execute those commands that
  • 27:05would not be embroiled in all this messy
  • 27:08stuff of emotions and and and the body.
  • 27:11And that's interestingly, I think the.
  • 27:17B.
  • 27:19Miss the the misconceptions are Aurum.
  • 27:24You know faulty beliefs behind that
  • 27:26idea are becoming more and more
  • 27:29evident in in the failures or the the
  • 27:32deficits of artificial intelligence.
  • 27:34It turns out that we can create
  • 27:37computers that play chess.
  • 27:38You know better than than
  • 27:40the world's grandmasters.
  • 27:41But it turns out to be really hard to
  • 27:44program a robot to navigate through space,
  • 27:47as well as a child can or or interact with
  • 27:50another person as fluidly as a child can.
  • 27:53So when we.
  • 27:54Think of the brain as a computer.
  • 27:57We're actually cutting off or ignoring
  • 28:00many of the wellsprings of human
  • 28:02intelligence which are the body.
  • 28:04Which are the fact that which do
  • 28:06in here in the sense that we are
  • 28:08embedded in a physical environment
  • 28:10and we're embedded in a social
  • 28:12network of social connections.
  • 28:14So the other prominent metaphor that
  • 28:16you will often hear in regards to the
  • 28:19brain is the brain is a muscle and this
  • 28:21is I'm circling back around to the to the.
  • 28:24To the pandemic and your
  • 28:26question about the pandemic.
  • 28:27Kyle because although the idea of the
  • 28:31brain is a muscle which is prominent
  • 28:33in theories like the growth mindset
  • 28:35which is put put forth by psychologist,
  • 28:38Carol Dweck,
  • 28:39or the theory of grit put forward by
  • 28:42psychologist and Angela Duckworth.
  • 28:45Although I think that idea that the brain
  • 28:47is a muscle and the more we work our brains,
  • 28:50the the stronger they get,
  • 28:52the smarter we get that can
  • 28:54be a very empowering message.
  • 28:55In a positive message,
  • 28:57I think it's limited in the sense
  • 28:59that it's still brain bound.
  • 29:01It's still focused on on the
  • 29:02brain and the brain alone.
  • 29:04And what happened during the pandemic?
  • 29:06You know, as many of us found that we
  • 29:08were working longer hours than ever
  • 29:10because we didn't have a commute.
  • 29:13We didn't have a water cooler chats,
  • 29:15you know. It was just us in
  • 29:17our computers working, working,
  • 29:19working, exercising our brains.
  • 29:22But we weren't a lot,
  • 29:23so I don't think many of us
  • 29:24felt that we were, you know.
  • 29:26At the top of our game during the pandemic,
  • 29:28it actually many people felt less
  • 29:32productive or had a sense of languishing.
  • 29:35Or, you know,
  • 29:37simply working our brains is not enough.
  • 29:40So again,
  • 29:41I feel like there was almost a natural
  • 29:43experiment that could help make visible
  • 29:46how important mental extensions are,
  • 29:48and I'll just say one more thing about that,
  • 29:50which is that the thing I love
  • 29:52about the theory of the extended
  • 29:54mind is that it gives us so many.
  • 29:56Avenues and so many choices.
  • 29:58You know,
  • 29:59if you are a committed devotee
  • 30:02of the growth mindset.
  • 30:05What's what's your option when you're
  • 30:08confronted with some really difficult
  • 30:10cognitive problem or or piece of work?
  • 30:13It's just to keep at it and keep trying,
  • 30:16and keep exercising them that muscle.
  • 30:18Whereas with the with the
  • 30:20theory of the extended mind,
  • 30:22suddenly there's literally a whole
  • 30:24world of extra neural resources
  • 30:27that you can bring in to help your
  • 30:29performance to enhance your thinking.
  • 30:31You know you might, you might use gesture.
  • 30:34You might act it out.
  • 30:35You might go for a run.
  • 30:36You might go outside.
  • 30:37You might talk to a friend you know.
  • 30:39I just come to me.
  • 30:40It opens up the IT opens up
  • 30:43the universe of options that we
  • 30:46have for enhancing our thinking.
  • 30:48And that's partly why I feel like
  • 30:51such an evangelist for this idea.
  • 30:53And it did turn out to be the
  • 30:55big idea that I was looking for.
  • 31:00Thank you Andy. I see John you
  • 31:02have your hand up, yeah so.
  • 31:07You know, I, I think the idea of
  • 31:10of the extended mind is really
  • 31:12resonates with a kind of fundamental
  • 31:14and transformational process that's
  • 31:17happening in in our universities,
  • 31:20particularly in medical schools
  • 31:21and research enterprises,
  • 31:22which is a shift from a traditional
  • 31:25focus on an individual.
  • 31:28Scientists with the idea that
  • 31:30there would be a certain rigid
  • 31:32narrow set of metrics by which we
  • 31:35could evaluate all individuals.
  • 31:37Scientists and and a certain kind
  • 31:39of individual productivity to
  • 31:41a shift to thinking about team
  • 31:44science and and that shift to Team
  • 31:47Science has really had as its as a
  • 31:50kind of evolves in our community.
  • 31:54Profound consequences.
  • 31:54Because we it's moved us away
  • 31:57from a certain prototype of what
  • 32:00a successful scientist works like.
  • 32:03Thinking about a diversity,
  • 32:05how diversity of abilities.
  • 32:08Backgrounds perspectives can work
  • 32:09together to make an overall team
  • 32:12better than it would otherwise
  • 32:14be and and and,
  • 32:15and that in turn has changed our the
  • 32:18way we evaluate people for promotion.
  • 32:21We have different kinds of tracks
  • 32:24we not only consider what an
  • 32:27individual person does,
  • 32:28but what do they bring to the
  • 32:30team and how is the team advanced
  • 32:32the community or the field?
  • 32:34And it's it's really in some ways
  • 32:38a very fundamental.
  • 32:40Miffed in the way we think of
  • 32:42what it is that we're trying to
  • 32:44do and how we go about.
  • 32:46Seems very much linked to this idea of
  • 32:49the consciousness of the team as they,
  • 32:51as opposed to the individual
  • 32:53yes and John. I'm curious,
  • 32:55is that what have been the challenges in?
  • 32:58How do you? How do you evaluate what
  • 33:01someone brings to a team or or do
  • 33:03you evaluate the team as a whole
  • 33:05rather than on the individual level?
  • 33:08Well, you put your finger right
  • 33:09on some of the hardest challenges,
  • 33:11which is oftentimes the whole point
  • 33:13of the team is to make invisible
  • 33:16the individual contributions.
  • 33:18And what what people bring
  • 33:20to the success of the team?
  • 33:22Because sometimes what people bring
  • 33:23to the team is the ability to hold
  • 33:27people together as they are making
  • 33:29engaged in a difficult process,
  • 33:32socially or emotionally difficult process.
  • 33:35And so that can be a challenge.
  • 33:39I would say that it's
  • 33:40kind of an evolving process,
  • 33:43but what people look for is
  • 33:47precisely that what what do
  • 33:48people bring to the team? What?
  • 33:51What is a person's unique?
  • 33:53Ability to contribute to the
  • 33:55success of a group of people,
  • 33:57and it's not often easy to to
  • 34:00as precisely estimate,
  • 34:01but it's something that we're trying to do.
  • 34:05So interesting, yeah,
  • 34:05that makes me think of the research.
  • 34:07UM, by Anita Woolley at Carnegie
  • 34:10Mellon who's looked at what, what?
  • 34:13What are the UM constituent parts that
  • 34:17add up to a group being collectively
  • 34:20intelligent and one of the major factors
  • 34:23that she has found is psychological
  • 34:25perceptiveness you know the the
  • 34:28individuals ability to understand other
  • 34:30people empathize with other people.
  • 34:34Take the perspective of other people
  • 34:36and and she's also found that collective
  • 34:38intelligence of a really important
  • 34:41contributing factor to collective
  • 34:42intelligence is how many women are
  • 34:44on the team and those two things,
  • 34:46not surprisingly, are they overlap.
  • 34:52Annie, we've got a few questions in the chat,
  • 34:55and I think Kendall has her hand raised.
  • 34:57I'm gonna take some from the chat
  • 34:59first and I'll read them aloud.
  • 35:00I think this is a wonderful example
  • 35:03of the extended mind in practice,
  • 35:05and I think what you were hoping for,
  • 35:06not just conversation but a
  • 35:08kind of a collective effort.
  • 35:10So the first question is this.
  • 35:12How does empathy come into
  • 35:15cognition and purposeful action?
  • 35:17Any emotion for that matter?
  • 35:20Yeah, really interesting question as I
  • 35:23was I was saying a moment ago empathy,
  • 35:26and particularly the ability to take
  • 35:29the perspective of the other person,
  • 35:31turns out to be. Perhaps the most
  • 35:35important factor creating what?
  • 35:38What scientists, what psychologists call?
  • 35:41Collective intelligence,
  • 35:41when the the intelligence of a
  • 35:43group can actually be sort of
  • 35:45more than the sum of its parts
  • 35:47greater than the intelligence of
  • 35:49the most intelligent individual.
  • 35:56I'm thinking too about this
  • 35:57is a bit of a diversion,
  • 35:59but the first chapter of my
  • 36:01book is about interoception,
  • 36:03which is the perception of these
  • 36:05internal signals and what one of
  • 36:07the most interesting things to me
  • 36:09about the study of interoception
  • 36:11is not only that the the the,
  • 36:14how informative, those internal signals,
  • 36:16which were often interestingly,
  • 36:18you know as a culture where we're
  • 36:20often encouraged to sort of suppress
  • 36:22or push aside in the interests of just
  • 36:24powering through and getting getting it.
  • 36:26Done with our big brains.
  • 36:28You know, when actually this
  • 36:29flow of internal sensations,
  • 36:31which is always there.
  • 36:33Has carried so much non conscious
  • 36:36information that we we have that otherwise
  • 36:38we have no access to or little access to.
  • 36:41But what's so interesting to me
  • 36:43about Interoception is not only
  • 36:45that it informs us about how we
  • 36:48feel and and what our past,
  • 36:50how our past experiences can
  • 36:52inform our current behavior,
  • 36:54but also there's such a thing as
  • 36:57social interoception that this is
  • 36:58going back to that question of empathy
  • 37:00that you know when we're talking
  • 37:02to another person face to face.
  • 37:04We are automatically and unconsciously
  • 37:06mimicking in a very subtle way,
  • 37:09their facial expressions,
  • 37:11their gestures, their postures.
  • 37:13And then we read off our own bodies,
  • 37:15what what, that other person is feeling,
  • 37:19because otherwise,
  • 37:19you know,
  • 37:20we have no direct access to what
  • 37:21another person is thinking or feeling.
  • 37:23They're their brain is a kind of
  • 37:25black box and it's it's the body
  • 37:27that creates a kind of channel
  • 37:29or conduit between two people.
  • 37:31And interestingly,
  • 37:32therapists are kind of the are the ultimate.
  • 37:35Experts at this,
  • 37:36you know therapists use their
  • 37:38bodies to sense what the other,
  • 37:40what the patient is is feeling
  • 37:42even when the patient may hurt him
  • 37:44or herself may not be consciously
  • 37:45aware of what they're feeling.
  • 37:47That you know.
  • 37:48And and I don't need to tell all of you.
  • 37:50And in psychiatry this,
  • 37:51but I think it's so interesting again,
  • 37:53in the context of our Western culture,
  • 37:56which says mind and body are separate,
  • 37:59mind is superior.
  • 38:00Mind is this sort of spotless
  • 38:03celestial sphere of rational.
  • 38:06Thought and the body is this irrational,
  • 38:09ungovernable,
  • 38:09grubby kind of animal being that has
  • 38:12nothing to contribute to intelligent thought.
  • 38:15When really as I've been saying,
  • 38:17the body is a wellspring of
  • 38:20human intelligence.
  • 38:20And to cut it off or to disregard
  • 38:23it is is to make,
  • 38:24uh, it's.
  • 38:25It's to leave a lot of potential
  • 38:27intelligence on the table.
  • 38:31Thanks Annie, I'm gonna take
  • 38:33one more from the chat and then
  • 38:35invite Kendall after question.
  • 38:36So from the chat we have thank you for this.
  • 38:39Literally mind expanding work.
  • 38:41It inspires a memory of a superb and
  • 38:43inventive mentor saying if you do
  • 38:46not understand what you are thinking,
  • 38:48take a walk along,
  • 38:49walk and see what more comes to your mind.
  • 38:53This is enormously helpful over many years,
  • 38:56and I wonder what you have seen about
  • 38:58such efforts to harness minds via bodies.
  • 39:01Yeah, I love that.
  • 39:04I love that I for me it's a bike ride.
  • 39:06I always find that if I can't
  • 39:09solve some tricky problem.
  • 39:11If I go on a bike ride it comes to me,
  • 39:14you know. And Steve Jobs,
  • 39:16the Apple founder, said that the computer
  • 39:19computer is a bicycle for the mind.
  • 39:21You know, it makes the mind go
  • 39:22faster and I've always thought like,
  • 39:23well, the bicycles are really
  • 39:25good bicycle for the mind.
  • 39:27But what's interesting about that
  • 39:29experience that so many of us have had,
  • 39:31that, uh, that physical activity,
  • 39:34especially physical activity in the outdoors,
  • 39:37can. And enhance our thinking or change
  • 39:40our thinking in a beneficial way.
  • 39:43There's you know,
  • 39:43there's there's reasons behind that.
  • 39:45There's science behind that, and a couple.
  • 39:48I'll just mention a couple of
  • 39:50those of the relevant findings.
  • 39:51One is that you know, we are.
  • 39:54Again, we're embodied creatures.
  • 39:56We understand abstract ideas
  • 39:58through reference to our physical
  • 40:01experiences in the world.
  • 40:02And so a lot of our thinking
  • 40:05is metaphorical in nature.
  • 40:07And when we can move our bodies.
  • 40:09In ways that stimulate the metaphor,
  • 40:12the the associated metaphor,
  • 40:14then we can prime the.
  • 40:17You know we can Prime R think
  • 40:19we can prime thoughts in the
  • 40:21direction that we're looking for.
  • 40:23This is sounding very vague,
  • 40:24but I'll be more specific.
  • 40:25Which is that when you think about
  • 40:28creativity when we talk about creativity,
  • 40:31you notice that the metaphors we use
  • 40:33have to do with motion and movement.
  • 40:35Like if if if you're not being creative.
  • 40:38If you're if you're not.
  • 40:40Coming up with fresh ideas often,
  • 40:42you'll say you're stuck, or you're in a rut,
  • 40:45but when things are going well,
  • 40:47you might say I'm on a roll or my
  • 40:49thoughts are flowing, you know,
  • 40:51and the physical experience of
  • 40:53walking or biking is one.
  • 40:55It's kind of a loose metaphor for creativity.
  • 40:58You know, there's an idea.
  • 41:00There's the sights and sounds
  • 41:02that are sort of flowing past you.
  • 41:04You're moving forward.
  • 41:05It's kind of a dumb.
  • 41:07You're priming your brain
  • 41:09to think in creative.
  • 41:11Open minded wide Vista ways,
  • 41:14right?
  • 41:14And then the part about being outdoors
  • 41:18and you know again we this is all really
  • 41:21about thinking about what the brain is.
  • 41:23It's a biological organ that evolved
  • 41:26to solve certain problems that are
  • 41:28often very different from the problems
  • 41:30we give it to solve these days.
  • 41:32So we have to kind of keep the
  • 41:34nature of the brain in mind and
  • 41:36not not mistake it for a computer,
  • 41:38for example,
  • 41:39because the the brain,
  • 41:41unlike a computer.
  • 41:42Is exquisitely sensitive to
  • 41:44its context where it is,
  • 41:47and you know to go back to
  • 41:48that evolution piece.
  • 41:49We evolved human beings
  • 41:51evolved outdoors this life.
  • 41:53We live where we are almost always
  • 41:55inside a house or in a car is a very
  • 41:58recent development in our human history,
  • 42:00and so the kind of information or
  • 42:03stimuli available out outside.
  • 42:06It's very easy for our brain to process.
  • 42:08It's very effortless to process and in fact,
  • 42:11the things that the brain finds easy and.
  • 42:12Effortless to process,
  • 42:13it also finds pleasant,
  • 42:15so that's part of why we get such
  • 42:17a mood boost from being outside.
  • 42:19But because we are able to be sort of
  • 42:22just our attention is sort of pleasantly
  • 42:24diverted when we're outside, we do.
  • 42:27It's not that kind of focused,
  • 42:28hard edged attention that we have to
  • 42:31pay to our work that refills the tank,
  • 42:33so to speak, of our attention.
  • 42:35It's it's this is known as
  • 42:37attention restoration theory.
  • 42:39You know we come.
  • 42:40We focus so much on directing.
  • 42:43Our attention and managing our
  • 42:44attention and being upset that
  • 42:46our attention is being distracted,
  • 42:48but we don't often think about like the
  • 42:51supply side of of attention like where,
  • 42:54where and how are we restoring our attention,
  • 42:56not just spending it down,
  • 42:57but restoring it.
  • 42:59And it turns out that spending time
  • 43:02outside is the fastest and easiest and
  • 43:04most effective way to restore our attention.
  • 43:06So I think that helps to explain.
  • 43:08At least I find it useful.
  • 43:10Those two things,
  • 43:11the metaphorical movements that
  • 43:13are associated with creativity.
  • 43:14And the attention restoring
  • 43:16aspects of being outside.
  • 43:18I think that's why taking a walk
  • 43:20or taking a bike route outside can
  • 43:22so often be the the place and the
  • 43:24time where we get our best ideas.
  • 43:28Thanks Danny, I'm gonna invite Kendall now.
  • 43:34Thanks Andy for your talk.
  • 43:37I actually I never join.
  • 43:39I'm a little bit nervous 'cause
  • 43:40I never come to grand rounds.
  • 43:43Ever, but I'm a postdoc at Yale
  • 43:46and a person with lived experience.
  • 43:49I'm a little fascinated.
  • 43:52But also in about 2 weeks I'm
  • 43:54teaching Clark and Chalmers essay
  • 43:55to a bunch of graduate students.
  • 43:57So title of your talk drew me in.
  • 44:01And I had a question when I raised my hand,
  • 44:04but it's gotten really complicated
  • 44:05since then. But the so maybe it's more.
  • 44:08Maybe I'm just more, sort of.
  • 44:10Questions to raise,
  • 44:11then ones I expect answers to.
  • 44:15And I do.
  • 44:16I was the first thing I thought of was
  • 44:18the neuroscience that just came out of it.
  • 44:20I think it's very preliminary and those
  • 44:21of you who are actually neuro scientists
  • 44:23will know more about it than I do.
  • 44:25But and I think Doctor Crystal
  • 44:28was referencing it the the.
  • 44:30Caltech. It's the idea of flow.
  • 44:34I'm working in and sort of
  • 44:35the neuroimaging that came.
  • 44:36I think it was when teams
  • 44:39worked together well and.
  • 44:41But it sort of seemed like that
  • 44:44was one possible extension of
  • 44:46this idea that we aren't all
  • 44:48captured in our own atomistic way,
  • 44:51and also the idea of sort
  • 44:53of non representation list.
  • 44:55You know,
  • 44:56cognitive models that that maybe don't
  • 44:58just manipulate internal representations
  • 44:59and then act out in the world.
  • 45:01And I think I don't know what to do with
  • 45:04all of this because it's a heuristic.
  • 45:06It's a really nice idea.
  • 45:07It's both captivating.
  • 45:08But also it's a little too
  • 45:11cap capturing like it's.
  • 45:12So things like nothing
  • 45:14can explain everything.
  • 45:17That said, I it.
  • 45:20I find it an interesting UM,
  • 45:22so the way I think of it with
  • 45:24the Clark and Chalmers is sort
  • 45:26of its mind body artifact and
  • 45:27how we all interact and and how
  • 45:30we use our environments to help us
  • 45:32think and to change our thinking.
  • 45:34And I think within this is speaking
  • 45:37as a person with lived experience.
  • 45:39I think with within the psychiatric
  • 45:41sort of services realm there's actually
  • 45:44a place to think about that as we.
  • 45:47Often seem to try to change people to
  • 45:49adapt to how we want them to think.
  • 45:52CBT is one interesting way,
  • 45:54like it's it's a way of.
  • 45:58A sort of. We say what you know,
  • 46:01thought thoughts start wrong,
  • 46:02feelings aren't wrong.
  • 46:04But then we immediately
  • 46:06try to manipulate help a person
  • 46:08aren't to reach shift those
  • 46:10without taking as much account of.
  • 46:13This isn't about meaning, but about
  • 46:15how the world they're experiencing
  • 46:17might be influencing how those
  • 46:20representations are being like it's it's.
  • 46:23It's almost like we're
  • 46:24starting in the wrong place.
  • 46:25Starting one step two up,
  • 46:28the causal chain potentially,
  • 46:29even though it may not be causal,
  • 46:32I'm not really sure,
  • 46:33but that's as you were talking.
  • 46:34I just kept thinking this is both.
  • 46:37Really interesting from a
  • 46:39philosophical perspective,
  • 46:41potentially from a therapeutic perspective,
  • 46:44although I think that had
  • 46:45would have to get worked out.
  • 46:46Pretty washed out more.
  • 46:52Yeah, I wonder. As you're talking,
  • 46:54I'm thinking about how much the field of
  • 46:56mental health and the treatment of mental
  • 46:59illness has itself been brain bound.
  • 47:01I mean all the people on this call
  • 47:02will know more about this than I do,
  • 47:04but it strikes me that not just
  • 47:07intelligence and thinking,
  • 47:08but also mental conditions and mental
  • 47:11illness have been assumed to originate
  • 47:13in in the in the inside the skull,
  • 47:16when really, you know.
  • 47:19And this is not, you know, not new to me,
  • 47:22but the the the, these extra neural, UM?
  • 47:26Factors are an enormously important
  • 47:28part of what contributes to mental
  • 47:30health and mental illness as well,
  • 47:33I mean, and I'm thinking in I'll,
  • 47:34I'll just mention two examples
  • 47:36that I've come across recently.
  • 47:37One is that an interception and faulty
  • 47:40Intraception has is increasingly being
  • 47:43recognized as a contributor to all kinds
  • 47:46of mental conditions like eating disorders,
  • 47:50depression, anxiety,
  • 47:51panic attacks, addiction,
  • 47:54and that's a recognition
  • 47:56of the role of the body.
  • 47:58In in these conditions that maybe was
  • 48:00not fully present before and then the
  • 48:03other thing I'm thinking about is,
  • 48:04is Alzheimer's and other kinds of
  • 48:08dementia and cognitive decline?
  • 48:10And how much caregivers become and
  • 48:13even the physical environment for
  • 48:15people suffering from Alzheimer's
  • 48:16becomes a part of their extended mind,
  • 48:19and that that's that's kind of
  • 48:22potentially revolutionary and
  • 48:23thinking about the ethics and the
  • 48:26treatment of people with with these
  • 48:28conditions to to understand that there.
  • 48:30That their minds don't just exist
  • 48:32in their skulls,
  • 48:33but are extend outside of them to their
  • 48:36relationships and their physical setting.
  • 48:39Yeah, I I. I think that's true.
  • 48:41I just think we have to be I I
  • 48:43want to be like I I think we can
  • 48:45go too far sometimes with with.
  • 48:50I want to be careful I'm in
  • 48:51a room with psychiatrist.
  • 48:53I think that I think I think we actually
  • 48:55give more credit than we realize.
  • 48:57Sometimes two external factors now,
  • 48:59like I think the I think psychiatry
  • 49:01has a sophistication that doesn't
  • 49:03always get translated out to the world.
  • 49:06Sometimes I also think it can be
  • 49:08very destructive and very healing.
  • 49:12So I just want but I II I
  • 49:14don't doubt any of that.
  • 49:16I think it's and I think what I
  • 49:18what I really heard from you is
  • 49:19it's the ethics of it. Actually,
  • 49:21like what the ethics are huge yeah, that
  • 49:24to me is what this challenge is.
  • 49:26It's the ethics of what we do and why we
  • 49:28do it more than the the science of it.
  • 49:30Because I don't think I fear the
  • 49:31day where we think we've become
  • 49:33transparent to ourselves like I
  • 49:35think that is a not a goal worth
  • 49:37chasing when when human beings try
  • 49:39to understand themselves completely.
  • 49:41But that's a philosophical conversation.
  • 49:43But it plays into how we proceed
  • 49:45with our research and the
  • 49:46questions we ask and what we're
  • 49:47willing to listen to and hear.
  • 49:49And that's where I think this
  • 49:50may have a really big impact on
  • 49:53sort of deepening conversations
  • 49:56that. Sometimes with a computational
  • 49:59model, we run away from
  • 50:00me, but I don't have the ethics.
  • 50:03You know, this has become a really
  • 50:06active piece of the extended mind.
  • 50:09Literature and research is on the what.
  • 50:11What are the implications for the
  • 50:15ethics of dealing with people when we
  • 50:18once we start thinking of their their
  • 50:20minds is extending beyond their brains.
  • 50:22For example, if someone hacks your iPhone,
  • 50:26is that simply a kind of property crime,
  • 50:29or is it now almost like a kind
  • 50:33of violation of your person?
  • 50:34You know if that if your thoughts
  • 50:36and your your mind is to some
  • 50:39extent contained in that device.
  • 50:40That's a whole different way of
  • 50:42looking at what what happened.
  • 50:43What has happened to you and how we
  • 50:45should deal with that as a society.
  • 50:48Kyle, did you? Did you see somebody
  • 50:51somebody else with the question there we
  • 50:53have some more questions in the
  • 50:56chat was wonderful conversation
  • 50:58on on the extended mind.
  • 51:00You can contribute to the conversation
  • 51:02by raising your hand in the chat
  • 51:05and and joining us that way or
  • 51:06by putting your question in the
  • 51:08chat and I'll read it out loud.
  • 51:09So I've got a couple more from
  • 51:11the chat to read to any first one.
  • 51:13Is this sorry I haven't read your book yet,
  • 51:16so I think that it's in the 60s.
  • 51:18Failed to explain. How cognition works.
  • 51:21But BCL biological computing
  • 51:23laboratory in technical Report number
  • 51:269 the neurophysiology of cognition
  • 51:29plays an interesting idea about
  • 51:31cognition being modulated by the
  • 51:33interaction with the environment.
  • 51:36How do you think that education is
  • 51:38modulated for the interaction between
  • 51:40teacher and student brain flash body?
  • 51:45That's so interesting.
  • 51:45I mean, I think that's something
  • 51:47we're just beginning to explore,
  • 51:49at least on a neuroscientific level.
  • 51:51And I thought of this with when
  • 51:53Kendall was speaking a moment ago
  • 51:55that we were starting to get evidence
  • 51:58that when two people are In Sync,
  • 52:00including and some of these
  • 52:02experiments have been carried
  • 52:03out in a classroom setting.
  • 52:05When people are In Sync,
  • 52:06are on the same page,
  • 52:08there is a kind of neural synchrony
  • 52:10that's that's happening that their
  • 52:13their people's brain waves are kind of.
  • 52:15Syncing up in a way that is
  • 52:18is is visible or measurable,
  • 52:20which is such a sort of lovely UM
  • 52:24confirmation in a way of of the feeling of
  • 52:26the sense that we have when we're kind of.
  • 52:28When were, you know,
  • 52:29we feel like we're on the same page
  • 52:32or our brains are firing in the
  • 52:33same pattern as as another person,
  • 52:35but what's you know what?
  • 52:38What's interesting to me or what
  • 52:41what's what's iaccessible at this
  • 52:43point in terms of what we can do
  • 52:45to get people on the same page?
  • 52:47Including teachers and students you know,
  • 52:50I write in the chapter about
  • 52:53thinking with groups about how
  • 52:55do you create a sense of you?
  • 52:58Know what psychologists
  • 52:59called call entitativity like?
  • 53:01How does a group of individuals come
  • 53:04to feel like an entity like a group,
  • 53:06like something like a more than
  • 53:09a collection of individuals but
  • 53:11actually a a coherent group and
  • 53:13another sort of catchy or word that
  • 53:15psychologists use is group INAS?
  • 53:17Literally like how do you.
  • 53:18How do you cultivate a sense of group enus?
  • 53:21And there are some very old and
  • 53:23and familiar or sort of hacks that
  • 53:26people over the centuries have used
  • 53:28to get to get a group of people
  • 53:31feeling like a collective one of
  • 53:33those is synchronous movement.
  • 53:35You know,
  • 53:36if you think about armies marching
  • 53:39together or even in churches,
  • 53:41people engaging in rituals where they're
  • 53:44sort of moving as one or even like like a.
  • 53:47Rave like when people dance and get
  • 53:49this feeling that this ecstatic kind
  • 53:52of feeling of being not an individual,
  • 53:54but part of a group.
  • 53:56That's like a very old visceral
  • 54:00kind of primitive.
  • 54:02Human,
  • 54:02it's almost like a technology of
  • 54:05group group biotechnology of group
  • 54:07formation that when we move in the
  • 54:10same way at the same time as other people,
  • 54:13there's a a cognitive change that
  • 54:15we kind of we come to understand
  • 54:18ourselves as as being in a way
  • 54:20like them or or part of them,
  • 54:22or part of a whole and that makes
  • 54:24it easier for us to cooperate and
  • 54:26to think together so you know it.
  • 54:28It often strikes me that human beings are.
  • 54:31We've evolved to think.
  • 54:33Together and work together,
  • 54:34you know,
  • 54:35to work in isolation or alone is not at
  • 54:38all was not at all the the way we evolved.
  • 54:41And yet we find it so difficult
  • 54:43often to work in groups and people.
  • 54:45So often you know, students resist
  • 54:47group work and teams are often,
  • 54:49like other people are often the like most
  • 54:53difficult parts of doing a job right?
  • 54:55And so, and my view about that
  • 54:57is that we have all these very
  • 55:01individualistic practices and protocols.
  • 55:03Ways of working that are arranged
  • 55:05around being an individual,
  • 55:06thinking alone and we need to invent
  • 55:09and implement a whole new array
  • 55:11of practices and protocols that
  • 55:13are oriented towards getting us to
  • 55:16think together and productive ways.
  • 55:18And you know, interestingly,
  • 55:19there are industries that are
  • 55:21kind of leading the way,
  • 55:23UM, things like often wear.
  • 55:27In industries and fields where it's
  • 55:29like a matter of life and death,
  • 55:30things like airplane pilots or
  • 55:32I think I think even you know,
  • 55:35in medicine,
  • 55:36surgical teams are often very
  • 55:38skilled at thinking together,
  • 55:40and so we know how to do this in a way,
  • 55:42it's just that we haven't put as much
  • 55:45energy and thought and intention
  • 55:47into it as we should because we are
  • 55:51such an individualistic culture.
  • 55:53That was a long answer, sorry,
  • 55:55yeah.
  • 55:57We've got a few more in the chat anti,
  • 55:58so I'll take the next one here.
  • 56:00How does the mind extended for people who
  • 56:03are creative and are working in art or
  • 56:05using colors in their day-to-day life?
  • 56:10Oh gosh. That's a beautiful question,
  • 56:13but I'm not sure I can answer that.
  • 56:15Uhm, I'd love to think of
  • 56:17color as a kind of extension.
  • 56:20I you know, again, I find the the brain
  • 56:23bound model of just using the brain so
  • 56:26impoverished and so sterile in a way.
  • 56:28I mean again, I have this image of us
  • 56:30all just sitting in front of our screens
  • 56:32for hours and hours during the pandemic.
  • 56:34You know, so much of the richness
  • 56:37of our thoughts and our imagination
  • 56:39and our creativity comes from
  • 56:42experiencing and sensing and.
  • 56:44Interacting with the world,
  • 56:46and so you know when I hear Mark
  • 56:49Zuckerberg talked about the metaverse
  • 56:50and how we're all going to be living
  • 56:52like these virtual lives online.
  • 56:54I'm like, please now we need
  • 56:55to go the opposite direction.
  • 56:57We need to remember that where bodies in
  • 57:00physical space interacting with real people,
  • 57:02please can we?
  • 57:03Whatever the opposite of the metaverse is.
  • 57:05Please, let's like, let's retreat to that.
  • 57:11Here's another question.
  • 57:12Are there implications for re framing?
  • 57:14Are diagnostics of some systems,
  • 57:17for example schizophrenia and hallucinations
  • 57:20are a dissonance between body flash
  • 57:23perception and mind or autism is a
  • 57:26breakdown in the body's capacity to
  • 57:28read the social environment, etc. Yeah,
  • 57:33I mean I I you all are are more much more
  • 57:35expert in this kind of thing than I am.
  • 57:38I would just suggest or or.
  • 57:41Note that I have seen more and
  • 57:44more emphasis in what I have read.
  • 57:48Ah, in the literatures that I have read on.
  • 57:52The body, the role of the
  • 57:54body in in mental conditions,
  • 57:56the role of physical space,
  • 57:59the role of of relationships that
  • 58:02all these things are constituent,
  • 58:04if not only of our thinking but of
  • 58:06our our mental health and the ways
  • 58:09our mental health can can go wrong.
  • 58:11And that this again this this
  • 58:14it's so pervasive.
  • 58:15It's so baked into our culture again,
  • 58:18the separation between mind and
  • 58:19body is just so it's insupportable,
  • 58:22you know,
  • 58:23and it's it has dictated so much
  • 58:25of what we do and how we do it,
  • 58:28including in the mental health field.
  • 58:29And I I,
  • 58:30the more that come.
  • 58:34An integrative kind of holistic
  • 58:36approach is is one that's going
  • 58:38to be the most accurate in terms
  • 58:40of describing any human being,
  • 58:42and any problems that a human
  • 58:43being is struggling with.
  • 58:49There's a comment here from
  • 58:50Doctor Crystal two that Doctor
  • 58:52Morris Bell in our department has
  • 58:54been developing assessments and
  • 58:55rehabilitative interventions based
  • 58:57on the notion of embodied cognition
  • 58:59that's so fascinating, huh?
  • 59:04Yeah, I mean when you think about
  • 59:07assessments and how and what kinds of
  • 59:10questions are asked are people are
  • 59:12people being or patients being asked
  • 59:15about their physical environment?
  • 59:16Are they being asked about?
  • 59:18Yes, they're being asked about
  • 59:19their social relationships,
  • 59:20but I just I wonder how much more
  • 59:23we could broaden those questions
  • 59:26and those those inquiries to
  • 59:28include the the whole world of
  • 59:30the patient and not just you know,
  • 59:32not just their biochemistry.
  • 59:35I'd love to hear more about them
  • 59:36here. Here's another
  • 59:39really wonderful question.
  • 59:41Thank you very much for the informative talk.
  • 59:43Do you think that people need some
  • 59:47training flash education to use slash?
  • 59:49Activate the extended brain in
  • 59:52Eastern traditions and philosophy.
  • 59:54Mind body space are never separated.
  • 59:57When I present this idea for my
  • 59:59research and practice of architecture,
  • 01:00:01I'm an architect.
  • 01:00:02I sometimes meet the resistance
  • 01:00:04in which people imply that
  • 01:00:06it is hard to feel the space.
  • 01:00:08As your extended brain when they were
  • 01:00:10grown up with Western tradition?
  • 01:00:12Yeah,
  • 01:00:14that's so interesting.
  • 01:00:15I do see this very rigid
  • 01:00:18separation of mind and body as a
  • 01:00:21particularly Western kind of UM,
  • 01:00:23motif and and one that is not as
  • 01:00:25enforced and as far as I've been able
  • 01:00:28to tell in in many Eastern cultures,
  • 01:00:30I'm really interested to that the
  • 01:00:33speaker is an architect because
  • 01:00:35to answer the first question,
  • 01:00:37yes, I really do think.
  • 01:00:38That we need essentially a second education.
  • 01:00:41You know, our first education has been
  • 01:00:43so oriented to training the brain.
  • 01:00:45We now need a second education to give
  • 01:00:49us the skills to to effectively and
  • 01:00:52skillfully use extra neural resources,
  • 01:00:55which is not an education that we get.
  • 01:00:56We're not really taught taught
  • 01:00:58how to use our bodies to think
  • 01:01:00how to arrange our our physical
  • 01:01:02setting in order to think better.
  • 01:01:04How, how, to as I was saying,
  • 01:01:06how to use the minds of other people.
  • 01:01:09To think better,
  • 01:01:10but I do think that there are spots like
  • 01:01:13bright spots in various industries in
  • 01:01:15various fields or people are already
  • 01:01:17doing this and architecture is one.
  • 01:01:19You know when you think about how much
  • 01:01:22we try to do in our heads and how much
  • 01:01:25more effective and efficient it would
  • 01:01:27be to do our thinking out in the world.
  • 01:01:29Architects are already doing that.
  • 01:01:31You know,
  • 01:01:32they build models of a building that
  • 01:01:34they are thinking about constructing
  • 01:01:36and not only can they see the the.
  • 01:01:39Three dimensional kind of
  • 01:01:41affordances of of the model,
  • 01:01:43when they've, once they've built it,
  • 01:01:44they can Orient their bodies to it.
  • 01:01:46They can move around it.
  • 01:01:47They can manipulate different parts of it,
  • 01:01:50and all of those are really
  • 01:01:53effective ways of that.
  • 01:01:54That is thinking, you know,
  • 01:01:56when they're moving.
  • 01:01:57When architects are looking at and
  • 01:01:59interacting with the model that is thinking,
  • 01:02:01and I think that kind of interactivity
  • 01:02:05could be incorporated into a
  • 01:02:06lot of other fields as well.
  • 01:02:08It always strikes me that.
  • 01:02:10Like we think it's OK for kindergarteners
  • 01:02:12and first graders to use the manipulatives.
  • 01:02:15You know when they're learning
  • 01:02:16math or something.
  • 01:02:17But as you get older,
  • 01:02:18you really should put away those
  • 01:02:20those external tools and start
  • 01:02:21to do it all up here.
  • 01:02:22And that's actually it's really a
  • 01:02:25mistaken idea that mature thinkers
  • 01:02:26always do it in their head.
  • 01:02:28It's it's.
  • 01:02:29It's quite the opposite,
  • 01:02:31and I think we can see that in in
  • 01:02:33certain professions and certain
  • 01:02:36industries where externalized
  • 01:02:37thinking has become, it's it's.
  • 01:02:40Part of the culture.
  • 01:02:44Any a couple more things from the chat.
  • 01:02:46One is someone worked who works with
  • 01:02:49Maurice Bell says knows that she would be.
  • 01:02:52He would be delighted to
  • 01:02:53speak with you about Chris
  • 01:02:55working. Yeah yeah, great.
  • 01:02:58And then another yeah and
  • 01:03:00then another question here,
  • 01:03:02particularly in light of what I
  • 01:03:03understand to be the relationship
  • 01:03:05between your thinking on this
  • 01:03:07topic and previous questions
  • 01:03:09about education slash learning.
  • 01:03:11Is it your view that the
  • 01:03:13extended brain thesis?
  • 01:03:14Has implications for contemporary
  • 01:03:17debates surrounding economic inequality?
  • 01:03:19If So what are those implications? Yes,
  • 01:03:23thank you to hand staff for
  • 01:03:25asking that I I that is a very
  • 01:03:29important aspect of this inquiry.
  • 01:03:31To me it's something that I write about
  • 01:03:33in the book and something that became
  • 01:03:35increasingly apparent to me over the
  • 01:03:37course of researching and writing it.
  • 01:03:39That if we are to understand thinking as.
  • 01:03:44Fundamentally,
  • 01:03:45including these extra neural resources,
  • 01:03:47and in fact depending for its it's
  • 01:03:50quality on these external resources,
  • 01:03:52then the quality of the resources that
  • 01:03:55people have access to really matters.
  • 01:03:57You know?
  • 01:03:57I mean, we have this fiction,
  • 01:03:59this myth that all that matters
  • 01:04:01is what's inside your head,
  • 01:04:03and that a test or an IQ test or some
  • 01:04:06other kind of achievement test is
  • 01:04:08that it's almost like a readout of of.
  • 01:04:11It's almost like weighing, you know,
  • 01:04:12the way the eugenicists used to.
  • 01:04:14Used to literally way people's
  • 01:04:16brains that it's some kind of
  • 01:04:19accurate reading of someone's
  • 01:04:20intelligence in someone's potential.
  • 01:04:22When you start thinking of.
  • 01:04:25Thinking when you when you start
  • 01:04:27viewing the process of thinking as a as
  • 01:04:31really a dynamic process of assembling
  • 01:04:33external and internal resources,
  • 01:04:36integrating external and internal resources,
  • 01:04:38then you then you have to pay
  • 01:04:42attention to again the access
  • 01:04:44and Equitable Ness of of the raw
  • 01:04:47materials that people have access to.
  • 01:04:49And we know that those raw materials
  • 01:04:51are in no way equitably distributed.
  • 01:04:53People don't have the same.
  • 01:04:56Freedom to move their bodies the
  • 01:04:58same access to natural spaces.
  • 01:04:59The same access to safe and well
  • 01:05:03designed interiors or even you know,
  • 01:05:06access to a quiet place to to work
  • 01:05:08or a quiet place to sleep at night.
  • 01:05:10All these things are they they influence
  • 01:05:13our cognition so substantially
  • 01:05:15and yet somehow,
  • 01:05:17it's like we erased them all when
  • 01:05:19we have people take these tests
  • 01:05:22that that determines so much of
  • 01:05:25of a person's opportunity.
  • 01:05:26In life,
  • 01:05:27so in the book I write about how we
  • 01:05:30should be talking about extension inequality.
  • 01:05:32You know the inequality that
  • 01:05:34people face in terms of the mental
  • 01:05:36extensions that are available to them.
  • 01:05:38We should be talking about extension
  • 01:05:42inequality alongside wealth inequality
  • 01:05:44or or social capital inequality
  • 01:05:46or or income inequality.
  • 01:05:48I think it's just as important.
  • 01:05:55Older, you're muted.
  • 01:05:58Sorry bout that we have time
  • 01:06:00for a few more questions.
  • 01:06:01If you'd like to either raise your
  • 01:06:04hand in zoom or add it to the
  • 01:06:07chat and we can read it out loud.
  • 01:06:09Just working, closing in on 11:30,
  • 01:06:12I do see another question here.
  • 01:06:15How do you see the curriculum of
  • 01:06:17the extended mind changing the way
  • 01:06:19we teach our medical students?
  • 01:06:21Oh, wow. This is something
  • 01:06:23I'd love to think about.
  • 01:06:24I I actually don't know very much
  • 01:06:27about a medical education, UM.
  • 01:06:29Except through some some intriguing
  • 01:06:32things that people have told me.
  • 01:06:34For example, that there's and
  • 01:06:36maybe some of you know about this.
  • 01:06:38There's a a platform that allows medical
  • 01:06:41students to to learn all the voluminous
  • 01:06:44information that they have to learn
  • 01:06:46through through drawings and sketch,
  • 01:06:48and like a kind.
  • 01:06:50That's the kind of drawing
  • 01:06:51based approach to to memory,
  • 01:06:54which can be very effective,
  • 01:06:55and I think is is a super interesting
  • 01:06:58way to externalize thought.
  • 01:07:01And capture capture information
  • 01:07:04that may be very difficult to learn
  • 01:07:06in a more conventional format,
  • 01:07:08but so I again I don't know much about
  • 01:07:11medical education in particular.
  • 01:07:14I think in general, if I were to say,
  • 01:07:16you know, yeah,
  • 01:07:17let's reinvent education along
  • 01:07:19the lines of the extended mind.
  • 01:07:21I would.
  • 01:07:21I think you could go through those
  • 01:07:24three major categories and say how are
  • 01:07:26we involving the body in learning?
  • 01:07:29How are we giving people embodied
  • 01:07:32experience students embodied experiences of?
  • 01:07:35Of what they're learning in ways
  • 01:07:37that ground abstract ideas in their
  • 01:07:40sort of lived bodily experience.
  • 01:07:42How are we using physical space
  • 01:07:45to support intelligent thought?
  • 01:07:47And how are we cultivating the
  • 01:07:49ability to think as a group?
  • 01:07:51And how are we, you know,
  • 01:07:52one particular aspect of medical
  • 01:07:55education that I think the extended
  • 01:07:58mind could have a helpful influence on,
  • 01:08:01is, you know.
  • 01:08:02As in many other fields in medical education,
  • 01:08:06experts teach novices, but experts,
  • 01:08:10by virtue of being experts,
  • 01:08:12are often unable literally unable to
  • 01:08:15share all that they know because their
  • 01:08:19knowledge has become so automated.
  • 01:08:22So well practiced that they actually
  • 01:08:25don't have conscious access to
  • 01:08:27their their knowledge anymore,
  • 01:08:28and that can be very frustrating
  • 01:08:30for the novice for the beginner,
  • 01:08:32because they are still.
  • 01:08:34Learning step by step they have
  • 01:08:37not chunked their their their
  • 01:08:39knowledge the way a an expert has
  • 01:08:42and so those the those chunks,
  • 01:08:45those consolidated pieces of
  • 01:08:47information used by an expert
  • 01:08:49make no sense to the novice.
  • 01:08:51So I think we need to,
  • 01:08:54as as educators think more about
  • 01:08:59how experts teachers can be
  • 01:09:02more legible models for.
  • 01:09:04Learners, you know,
  • 01:09:06because so much of what we do
  • 01:09:08these days is in internal.
  • 01:09:10You know,
  • 01:09:11in in the days of apprenticeships,
  • 01:09:14where a an apprentice could watch a,
  • 01:09:18a Carpenter or a Taylor do what they do,
  • 01:09:22copy it and emulate it and learn that way.
  • 01:09:27That's a very effective way of learning,
  • 01:09:29and often and one that's often been used.
  • 01:09:31Of course in in medical education you know
  • 01:09:34what's the old saying like come see one.
  • 01:09:36Do one, teach one or whatever you know.
  • 01:09:38But then again,
  • 01:09:40like so many other fields,
  • 01:09:41so much of the work in medicine
  • 01:09:44is now cognitive as internal,
  • 01:09:46and so we need to design kind
  • 01:09:48of a new generation of what are
  • 01:09:51called cognitive apprenticeships,
  • 01:09:52which is all about making the thought
  • 01:09:55processes of the expert visible.
  • 01:09:57And legible to the to
  • 01:10:00the learner so you know,
  • 01:10:01I think there's there's so much
  • 01:10:03that could be from the extended
  • 01:10:04mind that could be applied to education.
  • 01:10:06I really think we're just
  • 01:10:08getting started with that.
  • 01:10:12Andy, I'm gonna invite Doctor
  • 01:10:14Cernak Mike to come back.
  • 01:10:16I just want to say thank you so much,
  • 01:10:18especially for inviting us
  • 01:10:20into this conversation.
  • 01:10:22It may sound weird but I I think
  • 01:10:23we were delighted to be part
  • 01:10:25of your extra neural resources
  • 01:10:27and we part of yours today.
  • 01:10:29Yeah, it
  • 01:10:30was a great proof of concept.
  • 01:10:32We've got it. We've got it
  • 01:10:33going on right here. There you
  • 01:10:35go, so I'll turn it to Mike. So
  • 01:10:37I would just add my thanks to Kyle,
  • 01:10:40a very free ranging and freeform
  • 01:10:43conversation that it's just a
  • 01:10:46wonderful format and to kind of
  • 01:10:49have a group pick your brain.
  • 01:10:51In this very wide ranging
  • 01:10:53conversation it was just wonderful.
  • 01:10:55Thank you again and we should again
  • 01:10:59thank the Pointer Foundation for
  • 01:11:01bringing people like you to us.
  • 01:11:02Yes, I'm so great and we hope to check
  • 01:11:07in with you again at some future date to
  • 01:11:09see how these ideas that have come up.
  • 01:11:12And there was a a few times or at least
  • 01:11:15once the question came up was will
  • 01:11:17the recording be shared and it's yes.
  • 01:11:20And so that would be available on our
  • 01:11:22website pretty soon after this conclusion.
  • 01:11:25And if I could just mention
  • 01:11:27if anyone wants to email me,
  • 01:11:29I'm at Annie Murphy, Paul
  • 01:11:33alloneword@gmail.com.
  • 01:11:34And I'm also really active on Twitter.
  • 01:11:36If anybody wants to continue
  • 01:11:37the conversation on Twitter,
  • 01:11:39my handle is at Annie Murphy, Paul.
  • 01:11:43And I I can make a plug. Thank you,
  • 01:11:48shameless plug for any for any
  • 01:11:51extended mind came out this year.
  • 01:11:53Wonderful read. Maybe something
  • 01:11:54you wanna enjoy with others,
  • 01:11:56so hopefully pick it
  • 01:11:57up. Thanks, Kyle. Holiday
  • 01:11:59seasons are upon us.
  • 01:12:01Right?
  • 01:12:03OK, thank you.