Monday, June 9, 2025

The Groundless Myth That "Floods"' or "Surges" Help Explain Near-Death Experiences

 The phenomena of near-death experiences and out-of-body experiences are strong evidence against a cherished claim of neuroscientists, the claim that your brain is the source of your mind. During near-death experiences and out-of-body experiences arising during cardiac arrest when brain activity flatlines, people often report having the most vivid experiences in which they observe their bodies from outside of the bodies. No such thing should ever occur if your brain is the source of your mind.  Under the idea that your brain is the source of your mind, nothing but unconsciousness should result from a state of cardiac arrest in which brain signals flatline.  And if the brain is the source of your mind, no one should ever observe his body from a viewing position meters away from the body, something commonly reported in near-death experiences and out-of-body experiences. 

To try and combat this evidence which so clearly refutes their most cherished dogmas, neuroscientists and materialists have resorted to spreading myths. There is the flood myth and the surge myth. 

The Flood Myth

DMT is some molecule that can produce hallucinations in humans. The main type of flood myth regarding near-death experiences is the utterly fictional claim that there occurs a flood of DMT or some other relevant chemicals when a person is dying. There is no scientific evidence for any such thing occurring in any organism.  It is sometimes claimed that some study showed that a flood of DMT occurs in rats when they die.  The claim has no basis in fact. 

The wikipedia.org article on DMT makes this claim: "A significant increase of DMT levels in the rat visual cortex was observed following induction of experimental cardiac arrest, a finding independent of an intact pineal gland."  The statement is based on a paper that failed to show any robust of such a thing. The paper is the paper "Biosynthesis and Extracellular Concentrations of N,N-dimethyltryptamine (DMT) in Mammalian Brain," which you can read here. Figure 4 of the paper has a graph that claims to show DMT levels in the brain of rats during normal times and during cardiac arrest. We see only negligible levels in both cases. The graph is below:



The nM on the left scale stands for nanomoles. The claimed amount in both cases is the negligible amount of only 1 or 2 nanomoles, something like about 1 billionth of a gram.  The "cardiac arrest" part of the graph is misleading. The measurement was not made during cardiac arrest. This should come as no surprise when you consider that cardiac arrest quickly kills an organism, within a few minutes, unless it is stopped. Within the few minutes of cardiac arrest, there would never be time to reliably make some very delicate measure of  some tiniest trace amount of a few nanomoles. 

A reading of the full caption of the figure above gives us the truth. The claimed measurement of DMT in rats did not actually occur during cardiac arrest, but between 30 minutes and an hour after cardiac arrest.  So the "cardiac arrest" in the graph is misleading. The graph should have been labeled like this. 


Should we have any confidence in the reliability of this claimed measurement, given the failure of the authors to correctly label their graph? There are three reasons we should not:

(1) The failure to correctly label the graph should cause us to doubt the reliability of the investigation. 
(2) The reported levels are so very low that they almost certainly fall within the measurement uncertainty of whatever measurement technique was used. We cannot even have confidence that there is any DMT at all in any of these rats. 
(3) The authors fail to mention any use of a blinding protocol, and their paper fails to use the word "blind" or "blinding." The very tiny difference reported is so small it can easily be explained by merely assuming that when the investigators studied the dead rats, they were more prone to report finding DMT, because of their desire to show some effect of DMT increasing when a rat dies. 

In short, we have no robust evidence here of anything that can reasonably be called a surge or a flood or even a significant increase in DMT levels in dying rats. No reliable evidence has been provided that DMT levels increase in rats when they undergo cardiac arrest. Claims of a flood of DMT in rats undergoing cardiac arrest are lies.  

The question of DMT in the brain was clarified by David E. Nichols in a paper he authored in the Journal of Psychopharmocology. Speaking of DMT (also known as N,N-dimethyltryptamine) in the paper Nichols says, “It is clear that very minute concentrations of N,N-dimethyltryptamine have been detected in the brain, but they are not sufficient to produce psychoactive effects.” Addressing speculations that DMT is produced by the tiny pea-sized pineal gland in the brain, Nichols points out that the main purpose of the pineal gland is to produce melatonin, but the pineal gland only produces 30 micrograms of melatonin per day. But the pineal gland would need to produce about 20 milligrams of DMT (about 660 times more than 30 micrograms) to produce a mystical or hallucinatory experience. “The rational scientist will recognize that it is simply impossible for the pineal gland to accomplish such a heroic biochemical feat,” says Nichols. In the article in which he states that, it is noted that “DMT is rapidly broken down by monoamine oxidase (MAO) and there is no evidence that the drug can naturally accumulate within the brain.” Strassman attempted to detect DMT in the brains of 10 human corpses, but was not able to find any.

A scientific paper says this on page 78: "Endogenous DMT has been proposed to cause NDEs...However, there is no empirical evidence that endogenous DMT is found in concentrations within the brain, or outside of the brain and capable of crossing the blood-brain barrier in concentrations required to produce such
shifts in perception."

Given these facts, it is quite absurd to suggest that near-death experiences are being produced by DMT in the brain. Judging from the amount of DMT in rat brains, we have about 100,000 times too little DMT in our bodies for DMT-produced experiences to appear. Web pages speculating that near-death experiences may be produced by DMT will typically tell us that DMT has been detected in rat brains, failing to tell us how much DMT was detected (merely trace levels 100,000 times too small to produce any remarkable mental experiences).

The latest news story to repeat the false claim about a flood of brain chemicals at the time of death is a very recent BBC Science Focus article "What Is It Like to Die? The Reassuring Science of Near-Death Experiences." After a bogus section header of "A Huge Release of Chemicals," the BBC article claims this:

"For instance, Borjigin's team have previously studied rats in a state of asphyxia (a lack of oxygen in the brain – comparable to when a human has a heart attack) and found that this triggered a sudden release of brain chemicals, including adenosine, dopamine, norepinephrine, gamma-aminobutyric acid, glutamate and aspartate. Serotonin also surged to 20 times its normal levels within just two minutes of asphyxiation. Given the key roles these chemicals play in emotions and dream-like states, scientists suggest that this swell in neurotransmitters may contribute to the intense subjective experiences reported by people who undergo NDEs."

The paper the article referred to is the 2015 Borjigin paper Borjigin "Asphyxia-activated corticocardiac signaling accelerates onset of cardiac arrest," which is a low-quality study. The main reason that the study is not reliable experimental science is that it uses a way-too-small study group size of only 7 rodents. To be robust evidence, experimental studies attempting to show the effects of interventions in rodents require a sample size of at least 15 or 20 rodents per study group, and almost always a much larger number of rodents. When such experimental studies use only much smaller study group sizes such as 7 rodents per study group, they in general deserve only scorn, particularly when they are guilty of two failures this paper was guilty of: a failure to follow a blinding protocol, and a failure to report a sample size calculation (which typically occurs when experimenters know the study group sizes are way too small). 

Another reason why this paper is not reliable evidence for any surge of chemicals in dying rodents is that it was attempting to do something that could not reliably be done in 2015: to track changes in levels of brain chemicals existing in only the tiniest trace amounts, over a time period of a few minutes. There did not exist in 2015 any technology capable of reliably tracking such chemicals over so short a time span. The relevant graph in the paper is Figure 4. There we see a graph purporting to track some brain chemicals existing at levels of only about 20 nanomoles. That's an incredibly tiny amount. In 2015 there did not exist any technology capable of reliably tracking changes in brain chemicals existing in such tiny amounts, over the span of a few minutes.  The authors state, "To probe the neurochemical basis of the heightened cortical activities, we performed minute-by-minute microdialysis in the frontal and occipital lobes of unanesthetized rats (n = 7) before and during asphyxiation and analyzed cortical dialysates using liquid chromatography-mass spectrometry (LC-MS)." In 2015 that was not a reliable technology for tracking changes in minute traces of neurotransmitters in rodents over a period of a few minutes, particularly when using a way-too-small study group size such as only 7 rodents.  For more on the unreliability of such claimed measurements, see the appendix of this post. None of the supposedly increasing chemicals listed in this 2015 paper are hallucinogens, so it makes no sense for the BBC Science Focus article to be claiming they have relevance to explaining near-death experiences. 

The recent BBC article is guilty of a particularly misleading claim by using the header "A Huge Release of Chemicals." The actual release of chemicals reported in the low-quality paper it cites is a level of something like 20 nanomoles, only the tiniest trace amount, something like 20 parts per billion. Calling that a "huge release of chemicals" is like calling a millionth of a raindrop a rain storm.  

I went looking for science papers that might have done an experiment similar to the 2015 Borjigin paper, perhaps using more advanced technology. I found such a paper. It is the 2023 paper "The Development and Full Validation of a Novel Liquid Chromatography Electrochemical Detection Method for Simultaneous Determination of Nine Catecholamines in Rat Brain," which you can read here. The authors (Saniye Özcan and others) did the same thing that Borjigin and his group did: they decapitated rats, and measured the levels of various neurotransmitters. The authors say they decapitated 3 rats. They report doing this:

"After each animal was sacrificed immediately [i.e. decapitated], all brain tissue was removed and placed in tubes containing prepared stability solutions. The tissues were quickly frozen with liquid nitrogen and stored in a -40 ºC freezer for EC analysis." 

We can assume that the procedure described must have taken at least five minutes. So the results they got are useful as a check on the accuracy of the 2015 Borjigin paper. That 2015 Borjigin paper reported that when rats were decapitated, their serotonin levels went up from almost nothing (less than 1 nanomole per milliliter) to about 40 nanomoles per milliliter, with such a rise occurring within 5 minutes of the decapitation, and persisting for another 15 minutes.  But the 2023 paper contradicts such a finding.  The 2023 paper "The Development and Full Validation of a Novel Liquid Chromatography Electrochemical Detection Method for Simultaneous Determination of Nine Catecholamines in Rat Brain" found a level of less than a fifth of 1 nanomole per milliliter of serotonin in the rat brains it studied (Table 4, final row). This was a study of tissue that was "quickly" extracted from decapitated rats, and then frozen. The reported serotonin result differs from the serotonin result reported by the 2015 Borjigin paper, differing by a factor of more than 100 times. These 2023 results cast doubt on the accuracy of Borjigin's 2015 results. 

The Surge Myth

What we can call the surge myth is the utterly fictional claim that there is a surge of some type of brain activity when a person undergoes cardiac arrest. The claim is the exact opposite of the truth. 

The claim seems to have got started after the publication of a 2013 paper with the misleading title "Surge of neurophysiological coherence and connectivity in the dying brain." The paper was based on EEG readings of dying rats. An EEG is a device for measuring brain waves, one requiring the attachment of multiple electrodes on the head.  

95% of the people reading a title of "Surge of neurophysiological coherence and connectivity in the dying brain" will think that some indication was found of increased cognitive activity in dying brains. The paper found no such thing.  The "coherence" and "connectivity" supposedly found was not a surge but merely a momentary blip, and it did not involve anything like some surge of mental activity. Nothing whatsoever was found that can help to give a neural explanation for near-death experiences. In fact, there is every reason to think that at the time when this little blip of claimed "coherence" and "connectivity" occurred, all of the rats were unconscious. 

Figure 1 of the paper is shown below. We see EEG brain wave signals from rats who were injected with a chemical causing the heart to stop. 


Nothing impressive is seen. It's just what you would expect: brain signals trailing off and dying out very quickly after the heart stops. This data offers no justification for a title of "Surge of neurophysiological coherence and connectivity in the dying brain." An honest title of the paper would have been:  "Brain waves very quickly trail off and die out after hearts stop in rats." 

After this paper with a very misleading title was published, we had innumerable misleading citations of it in the articles of materialist or mainstream writers, claiming or insinuating that the paper showed or suggested something it did not either show or suggest. An example was a National Geographic article with the misleading title "In Dying Brains, Signs of Heightened Consciousness." The 2013 "Surge of neurophysiological coherence and connectivity in the dying brain" paper had not anything whatsoever to show "signs of heightened consciousness" in the dying rats it studied. Similarly, a 2017 Big Think article linked to the 2013 paper and claimed, "One 2013 study, which examined electrical signals inside the heads of rats, found that the rodents entered a hyper-alert state just before death." This claim is totally false, and the paper suggested nothing of the sort.  

A 2023 paper discussed brain readings of coma patients in Michigan, USA who had their life-support systems turned off. Like the rat death paper described above, the paper had a misleading use of the word "surge." I previously described this paper like this:
  • "Surge of neurophysiological coupling and connectivity of gamma oscillations in the dying human brain." Here we have another misleading use of the word "surge" in a science paper headline, a paper co-authored by one of the researchers who authored the equally mistitled rat study "Surge of neurophysiological coherence and connectivity in the dying brain."  The paper merely describes a little brain activity in two people after a respirator was turned off, with no evidence of brain activity continuing for more than a few seconds after the heart has stopped. The lines on brain waves charts go up and down, and there are seven or so channels of brain waves (including a gamma channel); so at any second you can usually find some little line going up and call that a "surge," although at the same time other lines (representing other brain wave channels) will probably be going down. Using the term "surge" in the title of the paper was misleading, rather like  tracking the price of Microsoft, seeing it go up 2% at 2:00, and calling that a surge. The authors of the study did not even report a surge in gamma waves, one of the brain wave channels. Eager to get something they could call a surge, the authors got their little "surge" after some statistical fiddling with the signals, to get some statistical measure that only shows up after arbitrary analytics. Almost any random ten seconds of brain wave activity can be statistically analyzed to show a little "surge" somewhere, if you're willing to dredge up secondary statistical measures. Keep torturing the data, and it will confess as you wish.  Shamefully, the journal Science has an article on this paper with the misleading headline "Burst of brain activity during dying could explain life passing before your eyes"; and the Smithsonian site has an equally misleading click-bait headline of "Surging Brain Activity in Dying People May Be a Sign of Near-Death Experiences." There is no evidence that either of these two people had an experience of "life passing before their eyes" or anything like near-death experiences. The subjects were unconscious when the respirator was turned off, and there is no evidence of any consciousness. Unconscious people have gamma wave activity (the activity reported), and you have plenty of gamma activity while you are sleeping. No "neural correlates of the NDE" were reported by the paper. As two MDs point out in a commentary on this paper, "The researchers reported no evidence whatsoever that these brain activities were correlated with conscious experiences in those two patients—and no reason to compare these results with prospective NDE studies in patients who have survived a cardiac arrest."

Innumerable false claims have appeared in the press based on these papers which made misleading uses of the word "surge" in their titles. What we have is a "give them an inch, and they'll take a mile" situation. Materialists are very eager consumers for any tiny scrap that may sound like something offering the faintest hope of some neural explanation for near-death experiences. So when a neuroscientist incorrectly uses the term "surge" in describing momentary blips that are not actual surges, then there may occur a "give them an inch, and they'll take a mile" effect, and before long the press may be talking all over the place about a surge of brain activity in dying patients. Such claims are lies. What actually happens to brains when cardiac arrest occurs is the exact opposite of a surge in brain activity. 

The latest news story to repeat the false claim about a surge in brain activity at the time of death is a very recent BBC Science Focus article  "What Is It Like to Die? The Reassuring Science of Near-Death Experiences." The article makes this false claim:  "Led by Dr. Jimo Borjigin, the team made the remarkable observation that two of the patients observed a surge of brain activity after their relatives had agreed to the removal of life support."  The untrue claim is similar to equally bogus claims made by the British newspaper The Guardian. For a very detailed discussion of the untrue claims that this newspaper  made on this topic and about these two patients who had no such surges of brain activity, read my widely read post here. I was invited by someone at a science journal to turn that post into a scientific paper, but I declined because I prefer to keep my writings entirely on my blog sites so that everyone can read them for free, without encountering any paywall or advertisements. There was no such surge of brain activity in any such patients studied by the paper mentioned.  

The term "isoelectric" or iso-electric in reference to brain waves means a flat-lining equivalent to no electrical activity in the brain, as measured by EEG readings. The paper here states, "Within 10 to 40 seconds after circulatory arrest the EEG becomes iso-electric." Figure 1 of the paper here says that such an isoelectric flat-lining occurred within 26 seconds after the start of ventricular fibrillation, the "V-fib" that is a common cause of sudden cardiac death, with "cortical activity absent." Also referring to a flat-lining of brain waves meaning a stopping of brain electrical activity, another scientific paper says, "several studies have shown that EEG becomes isoelectric within 15 s [seconds] after ischemia [heart stopping] without a significant decrease in ATP level (Naritomi et al., 1988; Alger et al., 1989)."  Another paper tells us this about brain waves and infarction (obstruction of blood flow), using CBF to mean cerebral blood flow, and the phrase "the EEG becomes isoelectric" to mean a flat-lining of brain electrical signals:

"When normal CBF declines, the EEG first loses the higher frequencies (alpha and beta bands), while the lower frequencies (delta and theta bands) gradually increase. When the CBF decreases further towards an infarction threshold, the EEG becomes isoelectric." 

Similarly, another paper refers to blood pressure, and tells us, "When flow is below 20 mL/100 g/min (60% below normal), EEG becomes isoelectric." meaning that brain electrical activity flat-lines. The 85-page "Cerebral Protection" document here states, "During cardiac arrest, the EEG becomes isoelectric within 20-30 sec and this persists for several minutes after resuscitation." Another scientific paper states this: 

"Of importance, during cardiac arrest, chest compliance is not confounded by muscle activity. The EEG becomes isoelectric within 15 to 20 seconds, and the patient becomes flaccid (Clark, 1992; Bang, 2003)."

You can find quite a few additional papers asserting that brains flat-line very quickly after cardiac arrest by doing Google or Google Scholar searches for the phrase "EEG becomes isoelectric" or "EEG becomes iso-electric." 

A recent scientific paper referring to EEG readings of brain waves states this: 

"The trajectory of EEG activity following cardiac arrest is both well defined and simple. It consists of an almost immediate decline in EEG power, which culminates in a state of isoelectricity [flatlining] within 20 s [seconds]." 

The paper refers to three studies "where gamma oscillations are essentially or mostly artifactual and non-functional biorhythms masquerading as authentic EEG signals," noting how such oscillations can be produced by muscle movements. The paper concludes by saying this about the blips reported in the papers with "surge" in their titles: "Regardless of what the electrogenesis of the gamma spikes ultimately turns out to be, it is highly unlikely that they could be responsible for generating an NDE [near-death experience]."

A recent new study I discuss here gives us additional evidence that at death brain waves flatline, the exact opposite of undergoing some surge in activity. 

We have seen above how mainstream news sources tend to be utterly unreliable in their coverage of neuroscience attempts to explain near-death experiences. The same BBC Science Focus site that misinformed us so badly on this topic (as described above) is a site that has recently been guilty of very bogus science-related headlines, as I document in my post here

Appendix: The 2015 paper mentioned above entitled "Asphyxia-activated corticocardiac signaling accelerates onset of cardiac arrest" claimed to use a technology called liquid chromatography-mass spectrometry (LC-MS). In 2015 there did not exist any technology for reliably tracking changes over a few minutes in neurotransmitters such as serotonin existing in only the tiniest trace amounts such as a  few nanomoles.  The pitfalls of this LC-MS technology are discussed in the 2012 paper here ("Pitfalls Associated with the Use of Liquid Chromatography–Tandem Mass Spectrometry in the Clinical Laboratory"), which states this:

"However, application of this technology is not automatically or necessarily translated into accurate results. Its pitfalls have to be recognized and must be addressed systematically. In particular interferences from in-source transformation of metabolites, differential matrix effects of analyte and internal standard and isobaric transitions can lead to inaccurate results of LC-MS/MS analyses."

Mass spectrometry does not measure the levels of neurotransmitters in a sample. As a wikipedia.org article tells us, "Mass spectrometry (MS) is an analytical technique that measures the mass-to-charge ratio (m/z) of charged particles (ions)." Attempting to deduce changes in the level of a particular neurotransmitter chemical (over a time span of a few minutes) from mass spectrometry readings would involve guesswork and some complex and largely arbitrary analysis pathway that would be very hard to get right. 

To get an analogy what it is like for some scientists trying to find traces of neurotransmitters by analyzing mass spectroscopy data from the brain of a rodent, consider the visual below:


This text consists of many different sentences, overlaid on top of each other. Imagine trying to extract a particular word from such a mess. That's pretty much impossible. It's a similar deal for a scientist analyzing mass spectroscopy data derived from the tiny brain of a rodent, because what such a person gets is signals from many different elements and compounds and chemicals, arriving all at once. Unless you are very lucky, there is almost no way to reliably extract which part is a signal from which chemical, compound or element. But with a mess like a neuroscientist gets in such a situation (or a mess like the one shown above), there are unlimited opportunities to see what you are fervently hoping to see. All that can be truthfully said about such a mess is something like this: "The data is too noisy for me to say much of anything reliable about it." 

We have seen the pitfalls of mass spectrometry analysis claiming tiniest trace amounts in the recent K2-18b affair, in which overeager scientists claimed to have found something called dimethyl sulfide in the tiniest trace amounts in a planet in another solar system. As discussed here, the claims were soon discredited by other scientists who basically said: no, your data did not show any such thing.

The LC-MS/MS technology was not designed for analyzing real-time changes over a short time span such as a few minutes. It was instead designed for a more leisurely type of analysis such as determining what is in a static sample of something.  Any claims of using such a technology in 2015 for real-time analysis of very short term in vivo changes in blood levels of neurotransmitters (over a time span of a few minutes) should be regarded with the great suspicion. To have any confidence in such claims, you would need to have best practices such as sufficient study group sizes and the use of a blinding protocol. Neither occurred in the 2015 paper "Asphyxia-activated corticocardiac signaling accelerates onset of cardiac arrest." The paper makes no mention of using any blinding protocol. 

We can make a good guess about what probably went on. One or more analysts motivated to report some increase in neurotransmitters in dying rodents analyzed some mass spectroscopy data that could be analyzed in a 1001 conflicting ways, and then claimed to see the desired result. Such an event has little value as evidence. There might have some good evidence of neurotransmitter levels if you had used a much larger number of rodents, and given the mass spectroscopy data to some independent analyst, asking him, "Tell me if you can find any reliable evidence of any chemicals, and how much of such things you see." 

It takes the human body hours or days to produce the most minute generation of the tiniest amounts of chemicals such as melatonin and serotonin. The human body produces about 30 micrograms (millionth of a gram) of melatonin daily. Rates of serotonin production in the brain are estimated at about 70 picomoles per gram per minute, which is some extremely minute amount like .000000000070 of a gram. There is no credible mechanism by which an organism could produce any strong increase in very-hard-to-produce neurotransmitters such as serotonin over the course of only a few minutes, as something like a response to death or a loss of oxygen or a stopping of a heart. If readings were to show a difference of, say, 300% over such a short interval of a few minutes, by far the best explanation would be the uncertainty and error levels and subjectivity of the claimed readings, rather than any actual increase over so short a time, which would not be time for any substantial increase. When you are attempting to measure in a tight time frame the levels of chemicals existing in only the tiniest trace amounts, the uncertainty from one attempted reading to another can easily be something like 1000%. 

A 2022 article mentions some new technology for measuring in real time changes in neurotransmitters such as serotonin. The article speaks just as if no such technology existed prior to 2022, which should make us further doubt year 2015 claims about neurotransmitter changes occurring at the minutes around death. It states this:

"Now, for the first time, UCLA scientists have attached nanoscale biochemical sensors, which are tuned to identify specific neurotransmitters, to a soft, implantable brain probe in order to continuously monitor these chemicals in real time. The new brain probe, described in a paper published in ACS Sensors, would allow scientists to track neurotransmitters in laboratory animals — and, ultimately, humans — during their day-to-day activities. 

The ability to continuously measure neurotransmitters in high resolution over long periods would provide a more accurate understanding of how serotonin, dopamine and other neurotransmitters affect psychological states, potentially leading to more effective treatments for depression and other mental health disorders, said the paper’s corresponding author, Anne Andrews, a UCLA professor of psychiatry and biobehavioral sciences and of chemistry and biochemistry."

A 2025 paper highlighting the unreliability of serotonin measurements is entitled "The Continued Mismeasurement of Plasma Serotonin: A Systematic Review." It states this:

" The review covered the period from 2010 to July 2024 and is a follow-up of a similar review published in 2011 which found that nearly all published reports of PPP 5-HT [serotonin] were clearly and markedly erroneously high. This problem has persisted unabated with nearly all retrieved 47 reports from the past 14 years also apparently being erroneously high." 

It seems rather clear that the  2015 paper mentioned above (entitled "Asphyxia-activated corticocardiac signaling accelerates onset of cardiac arrest") did not actually provide any robust evidence of a surge or even a substantial increase of cognition-relevant chemicals in the brains of dying rodents. The Figure 4 of the paper purporting to show an increase in certain neurotransmitters in dying rats is a figure reporting two statistical significances, both of only "p < .05," which is very unimpressive. It is widely regarded in experimental science that evidence listed as "p < .05" is mere borderline evidence, and when papers present such a "p < .05" other researchers may scorn it and use the derisive term "p-hacking" to describe it. Look at the error bars in the graph (indications of uncertainty in measurement) -- they are very large, and probably underestimate the uncertainty.  Even if there had been some big increase in the chemicals listed in the Figure 4 of the paper, it would do nothing to explain near-death experiences, because none of the chemicals mentioned are hallucinogens. A serotonin surge might explain a little perk in your mood, but could never explain you reporting seeing yourself out of your body, or visiting some realm of the dead or having mystical experiences. Also, Figure 5 of the paper contradicts claims of brain waves persisting after heart rate stops. In Figure 5A we see the brain waves of the rats completely flatlining by the time the red EKG reading shows a cessation of heart rate. 

The fact that the BBC Science Focus article has referred us to a 2015 paper rather than a more recent paper hints that the claimed  result of an increase in brain chemicals of dying rats has not been replicated by any high-quality paper. 

Postscript:  None of the chemicals mentioned above (denosine, dopamine, norepinephrine, gamma-aminobutyric acid, glutamate, aspartate or serotonin) is a hallucinogenic substance, which makes irrelevant all claims of increases in such chemicals at the time of death or during cardiac arrest. Attempts have been made to claim that some people having auditory hallucinations have untypical dopamine levels, but such claims are shaky, and do not involve any clear dose/response relationship.  The paper "Effects of dopamine in man" describes an experiment in which authorities gave 13 subjects a 1% infusion of dopamine, which is enough to cause levels of dopamine to increase by very many times. The paper makes no mention of any hallucinations produced, nor does it mention any mental effects. The paper here involved experiments that increased by very many times (between 100 times and 1000 times, in other words 10000% to 100000%)  the serotonin levels in human volunteers, by infusions of serotonin. No hallucinations were reported.

The latest scientist to mislead us on this topic is David Luke, who contradicts himself within seconds by saying this:

"There is good indirect evidence to suggest that DMT is released in greater quantities at the point of death in the human brain. We have evidence from animal brains, but we don’t have any direct evidence from humans. However, we can infer that this also happens,"

There is no reliable evidence from any animal studies that DMT is released in greater quantities at the point of death. If "we don’t have any direct evidence from humans" as Luke concedes, then it is misleading for Luke to claim that "we can infer that this also happens" in humans. 

Luke also misstates the facts when making the claim quoted here: "According to Luke, animal studies have shown that their brains at the point of death undergo a cascade of neurochemical changes, including massive releases of serotonin and noradrenaline—brain chemicals that help regulate mood, emotions, and stress." There have been no such animal studies. For a look at some of the studies incorrectly claimed to support such an idea, read my post "Physically Unrealistic NEPTUNE 'Model' of Near-Death Experiences Is a Misleading Mishmash." In that post I point out that different experiments infusing humans with high levels of serotonin have all failed to produce any hallucinations, meaning that claims of serotonin surges are worthless in regard to explaining the type of things reported in near-death experiences. Similarly, noradrenaline infusions in humans increase alertness, but do not produce hallucinations, making appeals to imagined noradrenaline increases of no value in explaining near-death experiences.

Postscript: A year 2025 scientific paper ("Near-death experience during cardiac arrest and consciousness beyond the brain: a narrative review") states this:

"In the context of circulatory arrest, cortical electrical waves in the alpha (8-13Hz) and beta (13-30Hz) bands disappear after an average of 6.5 seconds, while at the same time, the background activity of EEG is replaced by slow waves at delta frequency (<4Hz), which progressively attenuate and lead to a flat EEG recording with no measurable electrical wave pattern around 10-30 seconds—a neural process called isoelectricity or electrocerebral silence (Clute & Levy, 1990; de Vries et  al., 1998; Singer et  al., 1991; Smith et  al., 1990; van Lommel, 2023, p. 28; Visser et  al., 2001; Vriens et  al., 1996). Furthermore, in monkeys and cats, the EEG becomes isoelectric within 20 seconds of the cessation of cerebral blood flow (Hossmann & Kleihues, 1973). The EEG results suggest that cortical electrical activity critical for consciousness, namely alpha and beta activity reflecting top-down connectivity, is eliminated within an average of 6.5 seconds following CA [cardiac arrest]."

Thursday, June 5, 2025

They Did Well After a Huge Loss of Brain Tissue

The 1935 newspaper account below (which you can read here) is entitled "Half a Brain Good As Whole." We read of operations removing a half a brain, "without the least reduction of intellectual  ability."

half a brain is as good as whole

An article on Buzzfeed.com is entitled "Autopsy Professionals Are Revealing The Most Bizarre Anomalies They've Seen, And Wow, The Human Body Is Truly A Wonder."  We hear some amazing stories about autopsies revealing brains that are mostly gone. 

The accounts are anonymous, giving them less credibility than testimony from named witnesses. But only a very tiny fraction of the population seems to realize the philosophical significance of an autopsy report showing someone who had few symptoms had huge brain tissue loss. So we can rather safely assume that these stories are not being made up to score points in the debate about whether the brain is the source of the mind. 

One user reports this coming up in an autopsy:

"An old woman with an incredibly thick skull all the way around. Her brain was much, much smaller than it should have been, but according to her family, she was fully functional and displayed no deficits of any kind. She actually ran her own cheese-making company and died from a carbon monoxide leak. Strangest case I ever saw!"

Another user reports this:

"I did an autopsy of a young kid, around 10 years old, who had hydrocephalus and was quadriplegic, yet retained some of his normal functions, like talking and understanding — albeit minimally. When I opened his skull, there was no brain. I was shocked. This was my first time witnessing something like this. There was approximately 1.5 liters of fluid and just an empty skull. The brain was so severely atrophied it was smaller than a golf ball."

How can someone do talking and understanding without a brain? Only if the brain is not the source of your mind. 

Another user reports this:

"I observed a lot of things during my professional autopsies. The most notorious was a guy with four .22 bullets in his cranium. He didn't claim pain and apparently lived a normal life."

We can only imagine how much brain tissue must have been lost in total when the last of these four bullets appeared in the person's brain. But nonetheless we are told he "lived a normal life."

Compared to such a case, the case reported below is much less impressive:

"An 85-year-old patient had a tumor in her brain. It was the size of a golf ball on her right lobe — unknown to her before death." 

The 2024 article here is entitled, "Doctors Successfully Remove a Tennis Ball-Sized Tumor in an 8-Hour Surgery." We read of a woman who had a huge brain tumor of 7 to 8 centimeters. We have a visual showing the tumor. The tumor appears as a whitish mass. 

huge brain tumor

We get a vague listing of some symptoms the patient suffered, without  much of anything in the way of specifics. Referring to resection of the tumor (which means removal) we read this:

"Radhika underwent a successful bifrontal craniotomy, guided by navigation and tumor fluorescence technology, allowing for complete excision of the tumor. Remarkably, within one week of the surgery, she returned to her normal life."

She returned to her normal life? That's not what we would expect after the removal of so large a part of the brain, under the hypothesis that your brain makes your mind. 

The story below (which you can read here) describes children who had half of their brains removed to treat epilepsy. The story flatly states that the children "do not lose any of their intelligence, but their fits and antisocial behavior disappear, according to Dr. Eugene P. Spitz of Children's Hospital, Philadelphia." 

hemispherectomy effect on intelligence

Below (from the news account here) is a description of tests on the surgical removal of half of the brain of monkeys. The result is one we might expect under the idea that the brain is not the source of the mind. 

half a brain is good enough

Here is a new story from 1933 noting "no changes in intellect" after an operation that removed "almost all of the right half of a woman's brain."

removal of half of brain

Below we have a 1937 newspaper account (which you can read here) of a woman who had the right half of her brain removed in an operation. We are told that after this operation she had an IQ of 115, which is 15% higher than average. This is not what we would expect under the hypothesis that the brain is the source of the human mind. 

above average IQ with half a brain

Below from a 1957 newspaper is another case of someone doing very well intellectually after the removal of the right half of the brain. 

half a brain normal intelligence

In the news story here, we read that "Mark, of Palm Bay, Fla., is reading better and playing longer since the left side of his brain was removed in May." Note the exact words: "reading better," not reading worse. The news article here tells how a brain tumor of between 5 and 7 centimeters (about 2 to 3 inches) was discovered in the brain of the manager of a major league baseball team. The tumor was in the left front part of the brain, the same part reputed to be involved in executive functions. The manager had just successfully managed the American League team to victory in the All Star game. 

The news story here documents a very clear case of the preservation of memory after the removal of the left half of the cerebrum. We read of a 47-year-old man who had the left half of his cerebrum removed. We read this:

"Dr. Smith said the patient's memory of events before the operation 'was well preserved, much better than anyone expected.' Tests following surgery show Coe can perform many functions traditionally thought impossible after removal of the brain's dominant hemisphere. Immediately following surgery, Coe still had the ability to speak spontaneously."

A report like this does not merely contradict the claim that the brain is the source of the mind. It also contradicts the claim that the brain is a storage place of memories. 

The 1963 newspaper account here is entitled "Monkeys With Half a Brain." We read this:

"Fifty monkeys have had half of their brains removed. Their memories appear to be as complete as before surgery. Until this experiment was made, even doctors thought that such surgery would affect memory....Not only is memory retained; the monkeys are alert, intelligent, sociable, and have the same enthusiasm as doing things as before....What are some of things the team has discovered from observation of monkeys with half their brain removed? The monkeys remember how do things taught them before surgery. Such as which of two blocks of wood place under them has a reward under it -- a raisin or other food. Fears are recalled....'While the rhesus monkeys we test remember everything taught them before surgery, it takes them twice as long to learn something new as monkeys with both half of their brain,' explains Dr. Kruper. 'But the important thing is that they DO learn, even if it does take them longer.' "

I have by now published posts describing many different cases in which learned knowledge and episodic memories were well-preserved after the destruction of the left half of the brain. I have also published posts describing many other cases in which learned knowledge and episodic memories were well-preserved after the destruction of the right half of the brain. You can read about such cases in the text above and in my posts here, here and here. Such cases are all cases deserving the closest study by any neuroscientist claiming that brains store memories. The failure of most neuroscientists to collect and study cases of this type is a severe example of dereliction of duty, and a bad example of people failing to study whether a very important claim such people are making (the claim that brains store memories) is supported or discredited by observational evidence. 

Then there is the case of Sharon Parker. She is described in a 2003 news story entitled "Success of Nurse Who Lost Most of Her Brain." You can read the story here. We read this:

"When she was a baby, Sharon Parker's parents were told a rare and incurable condition meant she would not reach her fifth birthday.

She was left with only 15 per cent of her brain and there was little hope she could lead a normal life. But she defied the experts to become an astonishing success story.

Now 39, Mrs Parker is a nurse with a high IQ who is happily married with three children....She was diagnosed with congenital hydrocephalus - water on the brain - when she was nine months old. Doctors drained the liquid from her skull with a tube but her brain mass had been compacted in the outer edges of her skull, leaving a gaping hole in the middle....As a 16-year-old, she passed eight O-Levels and her IQ was later found to be 113, putting her in the top 20 per cent of the population.

The hydrocephalus has left her with a below-average short=term memory so she carries a notebook to remind herself to do things. However, tests have found that her long-term memory is better than average.

After leaving school, Mrs Parker decided to become a nurse and soon after starting her training, she met her future husband David, a builder who is now 45. The couple were married three years later and have three children...

She often participates in studies, including one recently in Ohio when she was examined by one of the world's leading experts on brain mass. Graham Teesdale, Professor of Neurosurgery at the University of Glasgow, said she demonstrated how adaptable the brain can be even when it is incomplete. 'She shows how the brain has an immense capacity to cope and adapt,' he said. 'Some people with the same acute problem experience problems in thought processes but others are able to function totally normally.' "

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.