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Changing your mind

Imagine that you are on an Easter-egg hunt out in the garden, where your goal is to find all the delicious chocolate-egg-hiding locations. So you set off and check under a bush here, or a tree there. But what if you could not remember where you had searched? You would end up returning to locations that you had already checked.

In our laboratory, we investigate children’s searches using an automatic version of an Easter-egg hunt, where the goal is to check at all the locations that are lit up by pressing each light to see if it changes colour. A computer keeps track of all the searching, and we found that, below six years, children are very haphazard in how they go about the task and often return to locations they have already checked. They run around like headless chickens, drawn by each light even though they may have already checked it. The silent manager in their PFC is failing to coordinate and keep track of their behaviour. Rarely do they follow a systematic strategy.18

Easter-egg hunts might be a popular modern game but they are not too dissimilar to foraging. Not only did our ancestors hunt on the plains of the African savannahs, but they also foraged for nuts and berries. Remember how foraging requires a larger brain in the South American spider monkey in comparison to its close cousin the howler monkey, who simply loafs around eating leaves? Some of the extra brain tissue of the spider monkey is related to the need to remember locations and not make the mistake of returning to previous places they have visited. Even hunting requires remembering where you have been and not always going back to previous locations.

One way to be efficient in searching is by stopping yourself from returning to pastures old. This requires inhibiting the temptation to go back. Such flexibility to avoid doing something is an important role of the frontal lobes that can be conspicuous in its absence. Adults with frontal-lobe damage can easily sort cards with coloured shapes into piles corresponding to either shapes or colours. However, if you ask them to sort according to one dimension such as colour and then get them to change in the middle of the task to the other dimension of shapes, they find it difficult to switch to the new strategy. They get stuck or perseverate in the response that was correct previously. What is more striking is that they can often acknowledge that they need to switch to the new sorting rule but still cannot stop themselves. They lack the ability to change their ways.19

Figure 8: Searching for targets in our ‘foraging’ room

Again this is a pattern that you see in normal development. Young children often get stuck in routines and indeed often seem to like repetition. It may be the familiarity they enjoy or it may be that they lack the flexibility to process changing information. This lack of flexibility is again related to the immaturity of the PFC, which no only keeps thoughts in mind, but also prevents us doing things that are not longer appropriate. This is why babies will continue to reach directly for a desirable toy in a clear plastic box only to discover that they cannot grasp it when their tiny hands bash up against the edge of the box.20 Even though the side of the clear box is open and they can reach around to retrieve the toy, the sight of the goal is so compelling that they keep reaching directly for it. If you cover the object so that it is out of sight, they then learn to stop reaching directly for it. Something about the sight of the toy compels them to act. It’s like showing an addict the fix they so desperately seek; they cannot avoid the temptation.

Even well-adjusted adults are not immune from doing the first thing that pops into their heads. One simple way to demonstrate this problem of inhibitory control is the Stroop test – a very simple task where you have to give an answer as quickly as possible in a situation where there is competition or interference from another response.21 The most familiar version of the task can be found in a number of ‘brain-training’ games where you have to name the colour of ink that a word is written in. The task is easy if the word is ‘red’ and it is written in red ink. More difficult is when the word is ‘green’ but is written in red ink, because there is a conflict between naming the ink and the tendency to automatically read the word. Here is another Stroop task that you may not have encountered. Try counting the number of digits in each line as fast as you possibly can.

How many numbers are there in each row?

If you were answering as fast as you can, then you will have found the first four rows very easy but the next four much harder. You probably made mistakes, and if not, then you were probably much slower. Like the sight of a desirable toy for a baby, digits trigger the impulse to read them. As the digit conflicted with the number of items in some of the lines, the word had to be inhibited in order to give the correct answer.

If you break down a complex task into a list of things to do, then you can readily see why inhibition is so critical to performance. Some tasks need to be carried out in sequence, which is why I was hopeless at building model airplanes. I am too impulsive for the task – something that was evident as a child when I always wanted to start painting my models before they were fully assembled. I lacked the patience that such hobbies require. This is why inhibition is necessary for planning and controlling behaviour by avoiding thoughts and actions that get in the way of achieving your goals. We can all experience this to some extent and it changes as we age. As we grow elderly, we become stuck in our ways. We lose flexibility of thought and can become more impulsive. Both the stubbornness and impulsivity are linked to the diminishing activity of our frontal lobes, which is just part of the normal ageing process. As we age, the PFC and its connections that regulate behaviours deteriorate faster than other brain areas.22 At the beginning and the end of life, we lack the flexibility provided by our frontal lobes.

Disinhibited party animals

The EFs are not only important for reasoning, but play a vital role in our domestication that enables us to coordinate personal thoughts and behaviour with the wishes of others. They become facets of our personality that reflect the way we behave. Given their central role in shaping how we behave, you might imagine that the slightest damage to the PFC would immediately alter our personalities, but impairments in adult patients with frontal lobe damage are not always that easy to spot. Their language is usually intact and they also score within the normal range on IQ measures. However, frontal-lobe damage does change people in profound ways. Patients can be left unmotivated, with a dull, flat affect. Others can become very antisocial, doing things that the rest of us find unacceptable because they no longer care about the consequences of their behaviour.23

Frontal-lobe damage may mean living for the moment, but this state is not as appealing as it might seem. Imagine if you suddenly no longer thought about getting on in life or how other people viewed your behaviour. Forget planning for the future and avoiding things that might get you into trouble. You would become reckless with money and people. You would do whatever took your fancy, no matter what the consequences. It would be hard to trust such a person. Frontal-lobe-damaged patients may seem normal, but they are often irresponsible, lack appropriate emotional displays and have little regard for the future. They find it difficult to tolerate frustration and react impulsively to minor irritations that the rest of us would let pass.