Showing posts with label neuroscience research endangering patients with brain problems. Show all posts
Showing posts with label neuroscience research endangering patients with brain problems. Show all posts

Friday, June 19, 2026

"Microelectrode Rape": Experimenters Penetrating Sickest Epilepsy Patients Too Dazed to Provide Real Informed Consent

There is a very serious scandal that has been long covered on this blog, a scandal that the mainstream press has ignored. This is the scandal of very sick epilepsy patients being recklessly endangered by experiment-performing brain experts implanting medically unnecessary microelectrodes deep into the brains of such patients.

Epilepsy patients suffer from seizures, which have been described as electrical storms in the brain. When people have epilepsy, the first line of treatment is drugs such as levetiracetam. Such drugs work to prevent seizures for the great majority of epilepsy patients. But for a  small fraction of epilepsy patients, such drugs do not work. Such patients are called drug-resistant epilepsy patients.

The sickest type of epilepsy patient is one suffering from frequent seizures that cannot be controlled by drugs, seizures so bad and so frequent that brain surgery is needed, to stop seizures that may be occurring in the patient as often as 15 times a day. Such surgery typically involves extracting a portion of the brain, for the sake of preventing the seizures. It's a drastic approach, but it can be surprisingly effective. And the cognitive effects are typically relatively minor -- just as we would expect if the brain is not the source of your mind, and not the storage place of your memories. Amazingly, there has often occurred the removal of an entire half of the brain in operations to prevent epileptic seizures.  My post here discusses how such operations have often involved little damage to either memory or mental capacity, contrary to the dogma that brains store memories and that brains produce thinking. 

Usually the surgical operation to try to prevent seizures involves some excision of brain tissue less than the removal of a full half of a brain. To try to help determine where to extract brain tissue without causing cognitive damage or functional damage, medical professionals will typically use electrodes to try to determine which brain areas seizures are coming from. So the skull of a sick epilepsy patient may be opened up, and electrodes may be placed on particular spots of the brain.

At this point there may enter an experimental neuroscientist.  The experimental neuroscientist may say something like this to a doctor: 

"So, you're already opening up this guy's skull to implant electrodes on his brain. How about implanting some additional electrodes -- some more deeply implanted microelectrodes that will monitor the firing of individual neurons? I would like to do a particular type of experiment that requires data on the firing of individual neurons, and this is a great opportunity for such an experiment." 

At this point a good doctor properly guarding the best interests of his patients should always give the same answer, saying something like this:

 "Get the f*** out of here, you parasite! The last thing in the world my horribly suffering patient needs is to be involved in is some damn experiment that may endanger him unnecessarily! I am trying to HEAL this sick-as-hell person, goddammit!"

But very sadly, many doctors are failing to act in such a way. Instead many doctors are giving a green light to neuroscientists wanting to use very sick epilepsy patients for neuroscience experiments involving microelectrode implantation. The goal of the neuroscientist may be to monitor the exact firing rate of individual neurons. Such a thing has no use in evaluating what parts of the brain should be removed to stop seizures. And no reliable science results, because what goes on is typically pareidolia "noise mining" correlation fishing using study group sizes way too small to provide robust evidence of anything. 

While the implanting of regular electrodes may be necessary for surgical evaluation of epilepsy patients, the implanting of microelectrodes is not necessary for surgical evaluation. A scientific paper tells us, "Sixty-five years after single units were first recorded in the human brain, there remain no established clinical indications [i.e. medical justifications] for microelectrode recordings in the presurgical evaluation of patients with epilepsy (Cash and Hochberg, 2015)."

Implanting microelectrodes in the brain of very sick epilepsy patients about to undergo surgery is a sickening case of the abuse of the weakest for the sake of the powerful, the powerful being the scientists conducting such experiments. The medically unnecessary implantation of microelectrodes has very serious risks. 

A paper tells us this:

"A recent meta-analysis reviewed complication rates and types of complications in patients undergoing subdural grid implantation for seizure mapping [41]. The most common complication which was reported was intracranial haemorrhage with a mean rate of 4% closely followed by other complications such as neurologic infections, superficial infections and elevated intracranial pressure. They also found that an increased number of electrodes (>67 electrodes) was independently associated with complications."

Another paper tells us this:

"There are definite medical risks associated with the use of intracranial electrodes. The complication rate of subdural electrodes has been reported to range between 6% and 26%. Relatively common adverse events associated with subdural electrodes are fever, headache, and nausea. Another group reported transient cerebrospinal fluid (CSF) leakage (13–31%), infection (6–8%), intracranial bleeding (8%), and cerebral edema in addition to an intracranial mass effect. Nair et al. reported that complications included (in the order of their frequency) infection, transient neurological deficit, epidural hematoma, increased intracranial pressure, and infarction. An increase in the complication rate was associated with (a) a greater number of grids/electrodes, (b) longer duration of monitoring, (c) older age of the patient, (d) left-sided grid insertion, (e) the use of burr holes in addition to craniotomy, and (f) an earlier year of monitoring (most likely a reflection of the aforementioned surgeon’s experience)."

neuroscientist abuse of epilepsy patients

But, you may say, the scientists doing these experiments say that they got "informed consent" from the epilepsy patients who they penetrated with microelectrodes. But did they really do that? There is the serious question of whether it is really possible to get any meaningful or adequate degree of "informed consent" from some patient suffering from very bad or very frequent seizures, seizures so bad that doctors are about to cut out a sizable part of the person's brain. 

What do you call it when someone penetrates another person, a person who is not mentally fit to be providing full meaningful consent? Typically such actions fall under categories called second-degree rape or third-degree rape. 

When people think of rape, they think of first-degree rape, when someone rapes another person who is actively resisting or screaming her non-consent. But under the law there are other categories of rape, what are called second-degree rape or third-degree rape. In some of the 50 states of the United States, a person is guilty of third-degree rape if he commits sexual penetration into someone lacking the mental capacity to give consent.  That lack of mental capacity may be for various reasons including intoxication or other factors that may affect normal mental functioning. In Louisiana, for example, you can be found guilty of third-degree rape if you had sex with a person who was intoxicated. 

But, we may ask, is there any big difference between the mental incapacitation of someone intoxicated and someone suffering up to 15 seizures a day? Are not both of these in the same class of mental incapacitation?

What is it called in Louisiana if you unnecessarily penetrate the vagina of some woman who is drunk? That is called third-degree rape. But what should we call it when a neuroscientist unnecessarily penetrates with microelectrodes the brain of some epilepsy patient suffering many seizures a day, some patient too dazed and debilitated and confused to be giving any "informed consent" worthy of the name? Perhaps that should be called "microelectrode rape."

In the conversation below, an authority is setting up a rape.

Authority: So you have those horrible seizures 15 times a day -- I want to help. So can I open up your brain to evaluate you for surgery?

Groaning, dazed epilepsy patient: Sure, Doc, whatever you want, just stop these damn seizures that are driving me crazy!

Authority: And my colleague wants to insert his penis into your vagina. 

Groaning, dazed epilepsy patient: Sure, Doc, whatever you want, just stop these damn seizures that are knocking me out 15 times a day! 

No very meaningful degree of "informed consent" is going on here, so there would probably be a crime of third-degree rape if this proceeds. And what goes on in the conversation below seems just as bad. 

Authority: So you have those horrible seizures 15 times a day -- I want to help. So can I open up your brain to evaluate you for surgery, and hook up some electrodes?

Groaning, dazed epilepsy patient: Sure, Doc, whatever you want, just stop these damn seizures that are driving me crazy!

Authority: And I also want to insert into your brain another type of electrode called microelectrodes, for the sake of an experiment I want to perform.   

Groaning, dazed epilepsy patient: Sure, Doc, whatever you want, just stop these damn seizures that are knocking me out 15 times a day! 

No very meaningful degree of "informed consent" is going on here, and the authority doing such penetration is probably guilty of a crime of abuse and endangerment, something as bad as third-degree rape. We might reasonably use the term "microelectrode rape" to describe such crimes of abuse and endangerment, which take place against people so sick and so dazed and mentally disabled that they probably are not giving any meaningful or sufficient degree of informed consent. 

The fact that the authorities doing such sinister penetrations get a signed document from those they abuse and endanger means very little. Is there any meaning when you get a "hurry up and sign" signature under conditions such as these? 


Almost always the brain experts we might suspect of being guilty of these "microelectrode rapes" (similar to third-degree rapes) fail to publish any informed consent document signed by the subjects horribly endangered by these experiments. Such studies almost always fail to give us specific information on the small number of patients that had microelectrodes implanted.  So we are left unable to judge just how dazed, confused, disabled and mentally damaged the victimized experimental subjects were. We never seem to get something such as MMSE test results allowing us to know how mentally competent the experimental subjects were, or links to videos demonstrating that the patients were mentally fit to be giving a sufficient amount of informed consent. We also never get follow-up information informing us about whether or not there were medical complications arising from such unnecessary implantation of microelectrodes. When analyzing these microelectrode implant experiments, our rule of thumb should be: whenever a paper fails to document mental competency in its experimental subjects, and fails to document them signing completely candid documents that people in their state would be able to understand, then we should assume a lack of any real informed consent, with the result being something we might rightfully call  "microelectrode rape" resembling third-degree rape.

I was able to find an example of an informed consent form for one of these microelectrode implant experimental studies. One was a 4-page form looking about as long as the form in my visual above. The form was so badly filled with jargon and confusing text that there would seem to be little chance that it would be adequately understood by anyone suffering from many seizures every day. This informed consent document falsely described the risks involved, claiming that microelectrodes do not involve risks beyond those posed by regular electrodes implanted in the brain. The reality is that the risk is proportional to the number of electrodes implanted, and that implanting microelectrodes (in addition to regular electrodes) always does involve very much additional risk to the patient, risk that does him no good. 

This so-called "informed consent" document I found for microelectrode experimentation fails to even state the most basic fact of what will occur, which is experimenters inserting tiny wires deep into someone's brain.  It is deceptive to claim that a document of this type is getting "informed consent" for microelectrode experimentation in which such penetrations occur in the brains of epilepsy patients. We can only wonder: how many other so-called "informed consent" documents for microelectrode experiments have the same huge defect?  

Informed consent documents for experiments like this routinely have a "Possible Benefits" section. Typically such sections confess that no benefit is coming to the patient participating. The same section will routinely have some claim such as the claim that "Society will benefit from the scientific knowledge obtained." Experiments involving microelectrode implants in epilepsy patients almost always are very low-quality junk science studies involving very bad Questionable Research Practices such as the use of way-too-small study group sizes much lower than 15. Failing to provide robust evidence of anything important, such studies do not actually benefit society, and often harm society to a tiny degree, when their authors write misleading boastful claims about their activities plagued by noise-mining, dubious correlation-fishing and pareidolia. Almost always, the only people really benefiting from such studies are scientists who get an additional paper to add to their count of published papers, and who get the desired research grant money from some government which should not be funding morally objectionable studies of this type.  

When neuroscience experiments are being done on humans, the very idea of following a mere "informed consent" is a profoundly defective one. A more stringent standard would have to be followed in order for good morality to be practiced in neuroscience experiments on humans. You might call such a standard the standard of "risk-cognizant consent."

The idea of risk-cognizant consent would be to verify that a subject understood all of the risks involved in an experiment, not merely that he had been informed of such risks in a way that might well have failed to cause a good understanding of the risks. Here is how such a protocol of risk-cognizant consent might work. 

(1)  Consent documents would be crystal-clear documents carefully written according to a "plain English" standard.
(2) All risks would be candidly discussed, including known risks, and unknown risks that it might be reasonable to suspect the subject was incurring. 
(3) Before any subject was asked to sign such a document, his or her reading skills would be verified (for example, he might be asked to read the first paragraph aloud). 
(4) Anyone lacking very good reading skills would be offered the consent document in an audio form or video form, or would have the consent document read to him.
(5) It would be made clear that a test would be given on the content of the consent document, and that therefore it should be studied very carefully. 
(6) It would always be verified that the person had spent adequate time studying the written consent document or listening to the audio form of the document, without any of the nonsense going on in emergency rooms, where people are routinely given long documents and pressured to quickly sign them, with medical personnel routinely accepting signatures when people obviously had not taken adequate time to sign what they had read. 
(7) All persons signing such a document would then be given a ten-question multiple-choice test trying to determine how well they understood the information in the consent document. 
(8) Any persons failing to score very highly on such a test (such as scoring 9 out of 10 or higher) would be excluded from participation in the experimental study.

It is not practical to follow this type of protocol in a rushed hurry-up environment such as a hospital emergency room in which someone's life may depend on speedy action  But neuroscience experiments never have so tight a time factor. With neuroscience experiments, there is abundant available time to follow a morally responsible protocol such as the risk-cognizant standard I have described. A mere "informed consent" protocol is not an adequate standard for neuroscience experiments. 

I advise anyone involved in any type of neuroscience experiments to save a copy of any consent document signed,  to gather the names of any persons involved in the experiment, and to carefully document any health problems that may conceivably have been caused by participation in the experiment. Such data may be useful if the person wants to later file a lawsuit seeking damages. 

Sunday, June 1, 2025

"Consciousness Theory Showdown" Shows Mainly Shady Neuroscientist Sleight-of-Hand

When talking about the problem of explaining human minds, those in academia love to use the term "problem of consciousness." But is is a huge fallacy to think there is merely some "problem of consciousness" when there is a trillion times bigger "problem of explaining human minds, human mental capabilities and human mental phenomena."  Once you realize this, you may realize that presenting some "theory of consciousness" can never do much to solve the explanatory problems in the philosophy of mind, which are huge and "all over the place."  

consciousness babbling

The trick of posing a mere "problem of consciousness" is a ridiculous ruse. A human being is not merely "some consciousness." A human being is an enormously complex reality, and the mental reality is as complex as the physical reality.  You dehumanize and degrade human beings when you refer to their minds as mere "consciousness." The problem of human mentality is the problem of credibly explaining the forty or fifty most interesting types of human mental experiences, human mental characteristics and human mental capabilities.

It is always a silly, stupid trick when someone tries to reduce so complex a reality to try and make it sound like the faintest shadow of what it is, by speaking as if there is a mere "problem of consciousness," and talking as if humans are just "some consciousness" that needs to be explained.  Such a shabby, pathetic trick (which can be called consciousness shadow-speaking) is as silly as ignoring the vast complexity of the organization of the human body, and speaking as if explaining the origin of human bodies is just a task of explaining how there might occur "some carbon concentrations." 

The person attempting so pathetic a trick is acting as silly as a person who stands at the seashore, fills a glass with seawater, and says, "Oceans are easy to explain -- they're just water."  Just as the ocean includes trillions of deep, baffling complexities such as all of the organization and biochemistry of sea creatures -- something infinitely more complex than mere water -- the human mind and human mental experiences involve trillions of complexities, and such a reality is something almost infinitely more complex than mere "consciousness."  The reductionist who engages in consciousness shadow-speaking is someone engaging in a trick as misleading as someone who says, "Mathematics is real simple -- it's just counting." 

consciousness misspeaking

The majority of people who try to reduce the mountain-sized problem of explaining human minds and human mental experiences in all their variety into the mouse-sized problem of explaining some mere dry abstraction of "consciousness"  are people who were too lazy to very deeply study minds and brains, and who used this stupid trick of consciousness shadow-speaking to try to make their explanation job a million times easier.  People who lack credible explanations for very complex realities (whether physical or mental) love to use poorly descriptive language in which they try to make the complex realities sound a million times simpler than they are. 

The dialog below illustrates the stupidity of trying to explain human minds by describing a human mind as mere "consciousness" and then trying to create a "theory of consciousness" that applies to everything conscious. 

James: John, I've made great progress in explaining how the human body arises during a mother's pregnancy.

John: Great, tell me about it.

James: I call my explanation a “theory of solidity.”

John: A theory of solidity?

James: Yes, because that's the essential nature of human bodies, that they are solid. So my theory attempts to explain how solidity arises.

John: I think you've gone in the wrong direction, and made a big mistake.

James: Why?

John: Because a human body is something gigantically greater than mere “solidity.” A human body is a state of vast hierarchical organization, with a oceanic level of functional complexity. For example, in our bodies are 20,000 different types of protein inventions, most very special arrangements of many thousands of atoms. And we have 200 types of cells, each so complex they are compared to factories. You would do nothing to explain so impressive a reality of physical organization by merely explaining “solidity.” Your body is something gigantically more than mere “solidity.”


James: John, I've made great progress in explaining how the human mind arises.

John: Great, tell me about it.


James: I call my explanation a “theory of consciousness.”

John: A theory of consciousness?

James: Yes, because that's the essential nature of human minds, that they are conscious. So my theory attempts to explain how consciousness arises.

John: I think you've gone in the wrong direction, and made a big mistake.

James: Why?

John: Because a human mind is something gigantically greater than mere “consciousness.” You and I are not merely “some consciousness.” We are thinking, believing, seeing, reading, hearing, loving imagining minds with insight, emotions, viewpoints, and a great variety of mental powers such as instant learning ability, the ability to hold memories for decades, and the ability to instantly recall knowledge when only hearing a word or seeing a face. Human minds and human mental experiences are a reality of oceanic depth, so much more than mere “consciousness.”

A recent study attempted to do a "showdown" between two different theories called "theories of consciousness," in an attempt to reveal a winner and a loser. The experimental study should be regarded with the greatest of suspicion, because of all the suspicions we should have about any thing at all calling itself a "theory of consciousness." An experimental showdown between two different theories calling themselves a "theory of consciousness" is rather like trying to do an experimental showdown between the theory of palm-reading and the theory of astrology. The paper is entitled "Adversarial testing of global neuronal workspace and integrated information theories of consciousness."

The paper makes quite a few dubious claims about predictions made by one or the other of these theories.  We should treat with suspicion claims made about what is predicted by either of these theories (the global workspace theory and the integrated information theory). Scientists often make unwarranted claims that this or that theory predicts something. Often such claims are made to try to achieve some aura of predictive success for some theory. It works like this:

(1) A scientist claims that some theory he favors predicts the observation of X. 

(2) The scientist then tries to show that X was observed. 

(3) The scientist then says we should have confidence in the theory because it made a successful prediction. 

Very often this is misleading in one way or another. The claim that the theory predicted the observation of X may be untrue. The claim that X was observed may be untrue. And just because some theory predicts something does not mean the theory is true or likely to be true. There are all kinds of false theories that may predict 1001 things, and some of those things may be true. 

We read in the paper claims about predictions of two rival theories of consciousness:

"We tested three preregistered, peer-reviewed predictions of IIT and GNWT for how the brain enables conscious experience (Fig. 1a). Prediction 1 addresses the cortical areas holding information about different aspects of conscious content. IIT predicts that conscious content is maximal in posterior brain areas, whereas GNWT predicts a necessary role for PFC. Prediction 2 pertains to the maintenance of conscious percepts over time. IIT predicts that conscious content is actively maintained by neural activity in the posterior ‘hot zone’ throughout the duration of a conscious experience, whereas GNWT predicts ignition events in PFC at stimulus onset and offset, updating the global workspace, with activity-silent information maintenance in between. Prediction 3 examines interareal connectivity during conscious perception. IIT predicts sustained short-range connectivity within the posterior cortex, linking low-level sensory (V1/V2) with high-level category-selective areas (for example, fusiform face area and lateral occipital cortex), whereas GNWT predicts long-range connectivity between high-level category-selective areas and PFC."

We should treat with skepticism all of these claims that such statements are actually predictions of such theories, and we should note that none of the claimed "predictions" qualify as precise predictions or exact numerical predictions. The claimed "predictions" are wooly kind of statements that are vague enough to be claimed as true no matter what is observed. Also the claimed "predictions" are not clearly at odds with each other, meaning you don't actually have a situation which is suitable for doing observations and announcing that one of the theories is the winner and the other the loser. 

To perform this dubious "showdown" of these two theories of consciousness, a large number of subjects had their brains scanned in fMRI machines, and another group had their eyes scanned while their brain waves were read using invasive brain-implanted electrodes.  Different images were shown to these observers, with each sight appearing for only about a second. We read this:

"To test critical predictions of the theories, five experimental manipulations were included in the experimental design: (1) four stimulus categories (faces, objects, letters and false fonts), (2) 20 stimulus identities (20 different exemplars per stimulus category), (3) three stimulus orientations (front, left and right view), (4) three stimulus durations (0.5 s, 1.0 s and 1.5 s), and (5) task relevance (relevant targets, relevant non-targets and irrelevant)."

So apparently subjects were shown pictures for a tiny instant, ranging from between half a second and 1.5 seconds. The pictures might have been a picture of a face, an object, a letter such as A or B, or a "false font."  The authors claim to have done "decoding of conscious content" from analyzing data obtained from these subjects: fMRI brain scan data, EEG brain wave data, eye movement data using an eye movement tracker, and magnetoencephalography  brain scan data. The claim is misleading. No robust evidence of any "decoding of conscious content" has occurred. 

To try to back up this claim of "decoding of conscious content," we have a Figure 2 that shows us some result obtained by an AI-type pattern recognizer after analyzing both EEG brain wave data and eye movement data gathered using an eye tracker device (the Eyelink 1000 Plus system shown in a photo below).  We see a "decoding accuracy" graph in which accuracy above 50% completely dies off after 1 second of someone seeing the visual stimulus. This is for 29 subjects who had intracranial electrodes inserted into their brains. The analytics are black-box analytics, and it is hard to unravel what flaws or tricks may have gone on to get these results. A look at the programming code used shows a byzantine maze of spaghetti code. No evidence is provided of being able to predict from brain data alone what a person is thinking or imagining. All we have is some attempt to show that by analyzing brain wave data and eye movement data taken at the instant someone was seeing something, you can predict the category of what the person was seeing. 

It is well known that EEG readings are extremely sensitive to muscle movements, which cause blips in the lines picked up electrodes. So imagine some experiment in which you get EEG readings while someone is shown a picture that may be a recognizable face, a picture of a cute or scary animal, or something neutral like the letter "X" or "Y."  A person might more often make muscle movements when seeing certain types of images. He might give a smile of recognition or appreciation when seeing a celebrity's face or a kitten, or he might squint when seeing some puzzling image, or he might raise his eyebrow when seeing some scary image; or he might grimace when seeing an offensive image. No such muscle movements might occur when the person sees something like the letter X or the letter Y. From such muscle movements alone, an AI pattern classifier might be able to guess higher than 50% what the category was of the thing the person saw. But that would not be "decoding of conscious content." 

Then there's the fact that the eye movement data gathered by some hi-tech eye movement device could have tended to pick up eye movement differences when different categories of images were shown.  Show a human a picture of face, and his eye will tend to focus on the face, or his eye may widen if he is surprised. Show a human a picture of a mere character (such as X) or some meaningless symbol, and the person's eye will not tend to focus as strongly, and it will not widen. 

So the evidence presented for "decoding of conscious content" in this paper is not robust evidence of being able to detect the type of thing someone is thinking about or seeing by analyzing brain data. The evidence the paper presents is all data based on "the moment of perception," when different type of muscle movements or eye movements may have occurred when different type of things are seen. 


EEG is sensitive to muscle movements

Figure 3 in the paper is very similar to Figure 2. We are shown a line graph which seems to indicate some above-average predictive success coming from analyzing iEEG brain wave data (and also eye movement data) coming from 31 patients with implanted electrodes. The claimed success is purely in predicting the category of a type of image someone saw.  But the predictive success only occurs at the half-second mark, vanishing at the one second mark.  The result is consistent with the idea that the claimed predictive success comes purely from picking up different types of muscle movements (such as eye movements) which occur differently when a person has different types  of facial expressions in reacting to things he sees. 

The paper is one of many neuroscience papers which makes false claims about neural representations. There is no evidence that the brain contains any representations of anything anyone learns, recalls or sees. But neuroscientists love to claim that this or that thing they see in the brain is a "representation" of something. In this case the authors again and again refer to "representations" in the brain, without producing any good evidence for any such thing. 

An example of the paper's misrepresentations about representations is its statement "In posterior cortex ROIs, cross-temporal RSA revealed sustained face–object categorical representation." The evidence given for this claim is Figure 3D, which shows no sign of anything beyond the 1.5 second mark after someone saw something.  Whatever is being graphed is some momentary response to a stimulus, and it is  misleading to refer to that as either "sustained" or a "representation."  A similar misstatement would occur if I showed you a picture of something disgusting, and then claimed that your momentary facial expression was a representation of what I showed you. Momentary responses are not representations. 

The authors of this study have failed to produce any robust evidence for either the global workspace theory or the integrated information theory, and the authors give a kind of "it's a draw" verdict about their results, without saying that either theory was the winner. The global workspace theory is not a credible theory of consciousness, for reasons discussed hereThe integrated information theory theory is not a credible theory of consciousness, for reasons discussed here and here

We have in this study a classic example of how neuroscientists resort to "something else" kind of cheats. Here's how it works:

(1) A neuroscientist will produce a study claiming to have determined something or predicted something based on brain data. 
(2) Sneaked into the study design will be some other source of data other than brain data.  That "something else" may be some software facility that the study is using, such as a database that has text annotations corresponding to images subjects were shown. Or the "something else" may be an eye-tracking system, which allows the study to make predictions not merely on brain data, but on how a person's eyes are behaving. Or the "something else" may be any number of other things, such as some AI system that predicts words someone is about to state, based on historical tendencies of people to say one word after saying a previous word. 
(3) Misleadingly it will be claimed or insinuated (in either the paper itself or the paper's press release) that the study predicted successfully based only on brain data, when any predictive success was crucially dependent on something other than just brain data. 

In this study the sleazy "something else" was eye movement data gathered by some high-tech eye tracker in addition to the EEG data  being taken to detect brain waves. The paper tells us that the Eye Link 1000 Plus system was used. Below is how that system looks (from a page promoting that system). 


Figure 4 of the paper shows the same defects as Figure 3 and Figure 2, as no predictive success beyond the 1.5 second mark is shown, and there is the same reliance on a combination of EEG brain wave data and eye-scanning data, which cannot be called a prediction from brain states alone. Figure 4 is even less reliable as evidence that Figure 2 and Figure 3, because the sample size used is much less than 31. 

In the Supplementary Notes, we read about this funny business going on:

"In the preregistration document, it is stated that iEEG patients with poor behavioral performance, defined as <70% hits or >30% FAs, were to be excluded (Data quality checks and exclusion of subjects, page 15). This threshold was considered based on a target recruitment of 50 patients. However, due to the coronavirus pandemic and despite our best efforts, only 34 patients were collected at the time of manuscript completion. To weigh the pros and cons of data inclusion and to increase sample size and coverage to better test the theories, it was decided to include in the analysis three iEEG patients whose behavior fell marginally short of the predefined behavioral criteria (i.e., hits < 70%, FA > 30%) to compensate for the lower number of participants."

So the authors set a standard for subjects that would be included, and found that they did not have enough subjects if that standard were to be followed. So the standard was then lowered.  But even with that  bit of malfeasance, was the study group size adequate for a good statistical power? We don't know, because no sample size calculation was done

The results in this study were highly dependent upon the patients with implanted electrodes, referred to in the paper as iEEG subjects. These were very sick patients with treatment-resistant epilepsy, who were being evaluated for surgery, through a method in which electrodes were implanted to try and find suitable spots for surgery. We are told, "A total of 4,057 electrodes (892 grids, 346 strips and 2,819 depths) were implanted across 32 patients with drug-resistant focal epilepsy undergoing clinically motivated invasive monitoring."  So each of these patients had an average of about 126 electrodes implanted in their brains. Most of the times people have electrodes implanted for epilepsy surgery evaluation, it is a much smaller number of electrodes such as only 20.  

A key question is: were all these electrode implantations medically necessary? Or was there only a medical need to implant a much smaller number of electrodes?  Were many of the risky electrode implants into the brains of these sick patients done purely for the sake of this poorly designed study? We do not know the answer to these questions, because the authors have not told us. They have not made any claim that all of the electrode implants were medically necessary. 

The abuse of very sick epilepsy patients is one of the most appalling scandals of modern experimental neuroscience. Neuroscientists hungry for brain data are luring very sick epilepsy patients into agreeing to implants inside their brains of more electrodes than are needed for surgical evaluation. When this happens, the patient undergoes very serious risks that are not medically necessary, for the sake of the research needs of the neuroscientist and not the needs of the patient. A paper tells us this:

"A recent meta-analysis reviewed complication rates and types of complications in patients undergoing subdural grid implantation for seizure mapping [41]. The most common complication which was reported was intracranial haemorrhage with a mean rate of 4% closely followed by other complications such as neurologic infections, superficial infections and elevated intracranial pressure. They also found that an increased number of electrodes (>67 electrodes) was independently associated with complications."

Another paper tells us this:

"There are definite medical risks associated with the use of intracranial electrodes. The complication rate of subdural electrodes has been reported to range between 6% and 26%. Relatively common adverse events associated with subdural electrodes are fever, headache, and nausea. Another group reported transient cerebrospinal fluid (CSF) leakage (13–31%), infection (6–8%), intracranial bleeding (8%), and cerebral edema in addition to an intracranial mass effect. Nair et al. reported that complications included (in the order of their frequency) infection, transient neurological deficit, epidural hematoma, increased intracranial pressure, and infarction. An increase in the complication rate was associated with (a) a greater number of grids/electrodes, (b) longer duration of monitoring, (c) older age of the patient, (d) left-sided grid insertion, (e) the use of burr holes in addition to craniotomy, and (f) an earlier year of monitoring (most likely a reflection of the aforementioned surgeon’s experience)."

The authors of any paper that reports on readings of electrodes implanted in the brains of epilepsy patients  have a duty to fully inform us about whether epilepsy patients were endangered by the implantation of additional electrodes that were not medically necessary, and which were implanted mainly for the research purposes of the paper authors.  Any such paper authors that fail to do that are authors we should tend to distrust. 

Postscript: A paper on pre-registration in psychology research finds some dismal results. We read this:

"In this paper, we have investigated adherence and  disclosure of deviations for all articles published with the Preregistered badge in Psychological Science between February 2015 and November 2017 and shared our findings with the corresponding authors for feedback. Two out of 27 preregistered studies contained no deviations from the
preregistration plan. In one study, all deviations were disclosed.
Nine studies disclosed none of the deviations."

What is supposed to go with a pre-registered paper is that scientists publish an exact plan for how they will gather and analyze data, before gathering data, and that they adhere to such a plan. The paper suggests that almost all pre-registered studies actually deviate from their pre-registered plan, and that a large fraction (maybe one third) of studies that deviate from their pre-registered plan fail to report that they deviated from their plan.