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Making a Good Brain Great: The Amen Clinic Program for Achieving and Sustaining Optimal Mental Performance Excerpt from Making a Good Brain Great: The Amen Clinic Program for Achieving and Sustaining Optimal Mental Performance

by Daniel G. Amen, M.D.


The great sins of the world take place in the brain: but it is in the brain that everything takes place . . . It is in the brain that the poppy is red, that the apple is odorous, that the skylark sings, (and that we love and hate each other).
--Oscar Wilde

Your brain is involved in everything you do. This is the first principle of the Amen Clinics. The sensation of waking up cuddled next to your husbandís or wifeís warm body is felt in the brain. The brain directs your urge to make love and be physically close. Getting ready for the day by planning, grooming, eating, and communicating with your husband and kids is directed by the brain. Negotiating traffic, while talking on your cell phone, is a result of your brain giving orders. Managing your business, planning trips, evaluating employees, running meetings, attending luncheons, and answering e-mails are all accomplished by your brainís hard work. Leaving the office on time, playing tennis, lifting weights, and joking with your friends to unwind are activities spearheaded by the brain. Enjoying the sunset, helping the kids with homework, and assisting your wife with dinner are a result of moment-by-moment brain function. Your brain is the command and control center that runs your life.

Our work at the Amen Clinics is based on nine deceptively simple principles. Understanding these ideas will lay the foundation for making a good brain great. These principles stem directly from the brain-imaging work that we have been doing intensely for the past fifteen years. Do not let the simplicity of these principles fool you. If you allow them to become part of your everyday life, they will change nearly everything you do in the direct service of brain health.

Your brain is involved in everything you do.

How you think, how you feel, how you act, and how well you get along with other people has to do with the moment-by-moment functioning of your brain. Most people know that the brain is the organ of behavior, but few people understand this principle at a deep emotional level. We spend more time and money on beautifying our hair, our skin, our clothes, and our homes than we do on caring for our brain. After looking at over thirty thousand brain scans, I have come to realize that how your brain works influences every part of who you are and what you do: from athletic skills to parenting, from management skills to your free time activities, from social aptitude to artistic talent, and from driving ability to the type of music you like. Look at any aspect of behavior -- relationships, school, work, religion, sports -- and in the middle of it all is brain function.

Letís take four common examples of behavior and look at them through the lens of this first principle: motherhood, business management, dating, and attending a sporting event.

There are many different types of mothers. There are mothers, like my own, who are outgoing, relaxed, fun-loving, upbeat, and playful. There are mothers who are more serious, who focus on their childrenís faults or tend to be too busy or preoccupied to play with them. There are mothers who constantly push their children to be their best and mothers who lead quietly by example. There are mothers who use guilt and nagging as the primary motivator of behavior, and mothers who cheer a childís every positive move. Ultimately, the type of mother a woman may be is determined by her brain. Mothers who are more serious tend to have higher amounts of activity in the prefrontal cortex (PFC). The prefrontal cortex is involved with goal-setting, planning, forethought, and judgment. High PFC levels are involved with goal-oriented behavior. Outgoing, playful, less serious mothers have a little less activity in this part of the brain. Guilt-driven mothers tend to have higher activity in the brainís emotional centers (limbic brain), which in turn causes them to focus on the negative, such as all of her childís faults. Few people know that the type of mother they have has everything to do with the moment-by-moment functioning of her brain.

There are in the world just as many different types of business managers as mothers, based in part on brain function. There are motivational managers and quiet managers. There are absent managers and micromanagers. There are managers who scream and yell to get their way and managers who encourage. There are managers who enjoy firing people and managers who hold on to employees much longer than they should. Managers who have high PFC activity tend to be very involved and directive; taken to an extreme, they are micromanagers. Managers with low PFC activity tend to be idea people and relatively hands-off; taken to an extreme, they are absent. A part of the brain that we will discuss in detail later on is the anterior cingulate gyrus, which runs lengthwise through the front part of the brain. It is the brainís gear shifter, allowing you to be flexible and shift between tasks. Managers who have good activity in this part of the brain tend to be flexible and are able to adapt to changes in the business climate. Managers who have excessive activity in this part of the brain tend to be rigid and inflexible. These managers tend to hold on to patterns of behavior long after they are helpful. Even though brains run businesses, few people think about the brain at work.

Our species has many varied ways to, as my eighteen-year-old daughter would say, hook up. Dating and mating are brain functions, even though the urges may feel like they come from lower in your body. There are shy people who rely on random chance to find a mate. There are outgoing people who will ask a hundred or more potential partners out on a date in search of their one true love. There are thoughtful, planning daters and those who do courtship on the spur of the moment. There are commitment-phobic daters who run at the first signs of attachment and those who commit too easily. There are people who are overwhelmed by feelings of insecurity and jealousy and those who lack sufficient caring. In the center of the dating scene is the brain. The brain allows us to pay attention to potential mates, to evaluate their suitability for us, to attach, to care, and to draw people toward us or push them away. The brain helps us evaluate honesty, fidelity, and reliability. Healthy PFC activity helps us follow through on our commitments, showing the other person that we are reliable, predictable, and likely to make a good dad or mom. Lower levels of activity in the PFC will make us more spontaneous and fun (with less forethought) but may also make us late for appointments, too pushy for early sex, and more driven by emotion. We often judge our dates based on looks, but we rarely consider their brain function. I believe this will change in the coming century. In fact, if you date my daughter for more than four months, you have to get a brain scan to determine if you can continue to see her. Iím not kidding.

There are many different types of sports fans, depending again, in part, on brain function. I watch many sports fans at the Staples Center in Los Angeles and at Angels Stadium in Anaheim, while undergoing the trials, tribulations, and joys of rooting for the Los Angeles Lakers and the Anaheim Angels. My big brother, Jim, is an intense fan. He yells at the referees and umpires when he thinks they make a mistake, and he often loudly second-guesses the coaches and managers when they play the subs. There are quiet fans who show little emotion and fans who seem as though they are going to wet their pants when the home team makes a mistake. There are forgiving fans and fans who hold grudges. There are fans who lack PFC activity and throw objects onto the court or field and fans with high PFC activity who worry the whole game through. There are fans who are rude to people who wear opposing jerseys and fans who make friends with the people around them. There are pseudofans who show up to be seen (Lakers games are always events), and fans who cry when the home team loses. There are family fans who use sporting events as a bonding mechanism, between father and son (or in my case, between father and two daughters). As the brain is involved in athletic skill, it is also involved in the type of sports fan you are.

The first principle, like all of the principles, is very simple. Your brain is involved in every aspect of your life and the person you are.

Excerpted from Making a Good Brain Great by Daniel G. Amen, M.D. Copyright © 2005 by Daniel G. Amen, M.D.. Excerpted by permission of Harmony, a division of Random House, Inc. All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.

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