A
Sample Research Paper for English 1302
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Chase Lay
English 1302:770
Spring 1996
The Behavioral-Biological Approach: The Importance
of Procedure
In the
field of psychology, as well as other disciplines dealing with the human
mind, the bond that the behavioral and biological perspective share has
always been and important one. When observing the practitioners of the
science it is easy to see the relationship at work, and truly realize the
importance of the bond in text, in film, in the lab, and in the classroom.
The science of the mind enjoys a rich history; a history that chronicles
the shared triumphs of the behavioral and biological models. The history
continues to grow and can be followed by reading current newspapers, books,
and magazines. A particularly interesting article appeared in the December
1995 American Psychological Association Monitor, Beth Azar wrote
the eye-opening composition, “Mental disabilities and the brain-gene link,”
about the importance of collaboration between behavioral and biological
research of mental disabilities. A particularly interesting and touching
passage from the text describes:
| A woman
[phoned] Ursula Bellugi, Ph.D., 13 years ago and challenged her to explain
a conundrum--her daughter Sally. The 13 year old had a remarkable command
of language; her conversation was animated and grammatically complex--despite
an IQ in the low 50s.
That call
precipitated an [extensive] series of studies into the links between cognition,
brain structure and function, recently extending to their genetic basis.
The work highlights a new and powerful trend in behavioral research. |
Azar went on to write that even when the child
was diagnosed with William’s syndrome, a genetic syndrome, no one had a
behavioral profile of the syndrome despite all that was known about its
biological causes (Azar 1). Bellugi saw this as a problem and acted appropriately.
Continuing, Azar notes that by “feeding of behavioral, biological, and
[recent] genetic research,” Bellugi, and her contemporaries are starting
to truly understand the disorder by establishing thorough “brain-behavior-genetic
links”(Azar 2).1 Bellugi spent years investigating the bizarre condition,
searching for biological causes through behavioral observation. No where
else can you find a better representation of the importance of the relationship
the behavioral perspective and biological perspective experience.
It is
important that psychologists of the present and future use this relationship
between the two models in order to do their jobs to the best of their ability.
But most importantly they must never forget the virtues of the behavioral
view on which the biological relies. For while in all scientific disciplines
of the human mind the biological perspective works to help understand the
physiology and chemical function of the brain, it relies on the behavioral
perspective for guidance where research, diagnosis, and treatment are concerned.
Since
the beginning of the science of psychology there had been something shared
between these two models. Psychologists have been tying specific behaviors
to specific sites in the brain for over one-hundred years now and will
hopefully continue to do so. Psychologists, psychiatrist, and neurologists
alike will need to work together in order to unlock the mystery, the miracle,
the psychological phenomenon that is the human mind. Unfortunately medical
advancements and specialization are threatening to keep separate the mountains
of information that should be shared between behavioral and biological
viewpoints.
In the
field of psychology there are several different styles and perspectives
that address the study of the human mind. The “humanistic,” “ psychodynamic,”
“cognitive,” “biological,” and “behavioral” make up the varying approaches
of the discipline, but no two styles of psychology seem to have the relationship,
the correlation of data, that the biological and behavioral perspectives
quietly share. Sadly, this relationship is being forgotten, and the behavioral
perspective seems to be losing credit were credit is due.
John B.
Watson (1878-1958), the originator of the behavioral perspective, believed
in using only the overt data that could be collected from a patient. It
was Watson’s belief that biological function of the had little to do with
a person’s observable behavior or latent mental illness (Feldman 15). This
was obviously a narrow view, but it is a model for psychology that has
undoubtedly made major contributions in the advancement of the science.
And today, it is still a very effective means of diagnosis, but seems to
be losing out to biological perspective. Where the behavioral perspective
once preceded the biological--and actually aided in biological discovery--the
roles sometimes seem to be reversed. Faced with a mentally ill person a
doctor, rather than spending time observing the patient trying to correlate
a certain behavior to a particular part of the brain, hurries the afflicted
to the local hospital to have an EEG, or a PET scan run making a diagnosis
based on the read-out. While it would seem that such steps would seem to
work it is easy to link an unrelated brain lesion to the illness at hand.
That these
wonderful, extremely helpful advancements in medical technology can have
only a limited effect if field study is neglected cannot be denied. Psychologists,
psychiatrists, and neurologists should never fail to sing the praises of
the behavioral perspective which is responsible for developing the science
the human mind to the point at which it stands today. And, especially,
let us not neglect to apply the perspective to our study of the mind. Not
only would such practices offer the opportunity for false diagnosis, but
also useless, even harmful treatment. Biopsychologists, neuropsychologists,
and the like still do not know enough about the physiology of the brain
to make speculation based on a read out from an EEG, or some other brain
scan. The biological perspective relies on the behavioral, the behavioral
perspective acting as a primer of sorts for the biological model, and more
collaborating group research should be done in order to strengthen the
bond between the two, and eventually map the brain completely.
The biological
perspective is defined in Robert S. Feldman’s third edition of Essentials
of Understanding Psychology: The biological perspective is the psychological
model that views behavior from the perspective of biological functioning
(Feldman 14). Biological purists who work with people suffering neurological
afflictions are more interested in what a patients brain is doing, rather
than what the patient is actually doing, observing the patients actions
and speech. The type of psychologist who might subscribe to such a view
may be a neuropsychologist or a biopsychologist. These scientists of the
mind could probably be found in a research facility, or working in a hospital
somewhere staring at EEG readouts on a monitor. Much of the biological
research that is done is genetic research, as the doctors are trying to
find genetic links to behavior, and mental illness. New discoveries are
being made everyday to help in our understanding of the brain and how it
works; as well as genes and how they effect us.
The biological
perspective does much for us and gets due respect from scientists as well
as journalists who cover stories of biological breakthrough whenever discoveries
are made. One such essay appeared in the January 21st edition of The
New York Times. In the article “Brian-Tied Gene Defect May Explain
Why Schizophrenics Hear Voices,” Denise Grady reports that scientists have
linked a genetic defect to a brain abnormality that could help explain
schizophrenia-this is the first time researchers have linked a genetic
defect to a specific brain abnormality were mental illness was concerned.
Researchers say that the defect alone does not cause the condition, but
could be one of the contributing factors (Grady 1). Their research involved
a brain structure that responds to nicotine which lead the researchers
to the theory that nicotine could provide momentary relief from the effects
of schizophrenia.2
Continuing,
Grady claims that the experiments were conducted by Dr. Robert Freedman,
professor of psychiatry at the University of Colorado and director of schizophrenia
research at the Veterans Affairs Medical in Denver, and his colleagues
designed their experiments around schizophrenics well documented inability
to filter stimuli. They made use of a tone test in which a tone is administered
and an electrical response is measured in order to find the schizophrenics
in a group. In a normal person the second response to the tone would be
less intense than the first, but in schizophrenics the second response
is as intense as the first. The researcher studied 9 families with 104
members, including 36 schizophrenics. Thirty-five of the schizophrenics,
along with 22 of their normal relatives, tested positive for the abnormal
brain to the tone test. Studying all the family members for a genetic pattern
relative to those with the abnormal response, they discovered a possible
location for a genetic defect in an area on chromosome 15. Simultaneously,
they studied rats to find which parts of the brain cells were involved
the response to the tone test. The key to a normal response, also the possible
source of schizophrenia, was a structure called the alpha-7-nicotinic receptor,
which responds to the chemical messengers acetylcholine and nicotine (Grady
2).3
These
new findings are wonderful and seem to be promising in the fight against
schizophrenia. However, in Grady’s article it could be inferred that the
data from Dr. Freedman’s research was reached by way of the biological
perspective alone. While, certainly, schizophrenia appears to be a biological
disease a psychiatrist would have to ask him or her self, was it the biological
perspective alone that helped in Dr. Freedman’s research.? The answer is
no. Almost all biological discovery is some how precipitated by the observation
of behavior.
On the
surface it may seem so, but this is not the case. Behavioral research had
a major role to play acting as a guide for biological researchers, offering
clues as to were to look for the causes of schizophrenia. Grady has failed
to represent the years and years of behavioral study that has gone into
the explication of schizophrenia.4 Grady wrote that “scientists
have linked a genetic defect . . . to schizophrenia.” It was also stated
that a person with “too few nicotinic receptors,” could be genetically
predisposed to being schizophrenic (Grady 2). This is certainly true, but
just because the genes are there does not mean a person is doomed. Grady
did not point out the fact that even though a person my have the right
genes giving them the potential to suffer from schizophrenia the disease
my never show if the environment in which a person lives is a healthy one.
A schizophrenic can lead a well adjusted life if he or she grows up in
a sound environment. And this is why the behavioral perspective is so important.
When one thinks of the behavioral model after reading this article it raises
a few questions. How did they come to look for such a defect? What made
researchers look for receptors the respond to nicotine?
The answer
is smoking. It would seem to be obvious. It has been well documented that
schizophrenics, frequently, are smokers. Nicotine appears to give brief
relief from the flood of stimuli that plagues the afflicted (Neergard 1).5
This is information that would have certainly been useful to know, for
it was written in the text that the alpha-7-nicotinic receptor responds
to acetylcholine and nicotine, but Grady, whether purposefully or by negligence,
ignored this important information. These findings are indeed profound;
however, this discovery may have never been made had the correlation between
smoking and schizophrenia not been made by an alert behavioral perspective-minded
psychologist.
So it
is easy to see how a narrow view my have profoundly grave effects on research;
as well as the diagnosis and treatment of patients. Behaviorists in the
varying specialized fields that make up the group that studies the mind
have always played an important role in study. From John B. Watson to the
extremely thorough behavioral purist Zing Yang Kuo, these scientists have
made great progress in better understanding the human mind (Rodkin 2).
Their seemingly simple-minded approach to the exploration of the human
mind is so very important. From the mapping of cultural norms to the way
we learn, behavioral psychologists help us help ourselves.
An illustration
of this principle occurred at the Center for Child and Media Studies at
Leiden University in the Netherlands. An experiment of pure behavior research
was conducted by Juliette H. Walma van der Molen, Ph.D., and Tom H.A. van
der Voort, Ph.D., and recounted in their article, “Children’s Recall of
Television and Print News: A Media Comparison Study,” that appeared in
the Journal of Educational Psychology, Vol. 89, No. 1. In the article
the pair claimed that they studied 152 fourth through sixth graders who
were tested to see how well they retained information from both text and
televised media. What was discovered was the children retained the televised
information better than printed text (Walma van der Molen, H. A. van der
Voort 1-2). In contrast to other studies of a more serious nature the data
from this experiment seems trite, but this certainly is useful information
that could be put to good use by parents, teachers, and psychological researchers.
However,
one must remember not to sing the praises of the behavioral model alone,
for it is important to approach any science from all perspectives. It brings
to mind a story in Richard A. Kasschau’s Understanding Psychology.
The story told of three very wise blind men who came upon a sleeping elephant.
Because they could not see the elephant they each began to touch different
parts of the elephant in order to discover what it was that blocked their
passage. One man felt of the tusk, and described a small, hard, pointed
creature. The second man explored the trunk describing it creature as long,
wormlike, and very flexible. The third man, positioned along side the animal,
disagreed with both men, and spoke of a very wide, very round object. Each
man was correct in illustrating the particulars of the beast, but not the
animal as a whole (Kasschau 7). This story told by so many psychology professors
is a simple but relevant analogy. Psychologists, psychiatrists, and neurologists
should take an eclectic approach in their quest to better understand the
mind. All to often this is not the case, and it is unfortunate.
An avid
reader, or even the occasional reader of psychology text would not find
it difficult to find glaring instances of a psychologist or psychiatrist
misinterpreted a patient’s symptoms and consequently making an inaccurate
diagnosis. Stories of such lack of rigor abound and causes for the false
diagnosis can be varied.6 However, more often than not the mistake
is caused by the failure to view symptoms from a behavioral perspective
first. Usually the person evaluating the patient will fail to pay close
attention to the subject’s behavior, trying to look for the simplest operant
causes first, as should be the procedure. While any faulty diagnosis is
damaging to a mental patient, in can be acutely harmful if the treatment
based on the prognosis is the prescription of drugs or the application
of some type of surgery.
One such
blunder occurred in Portugal in the 1930’s in Portugal when neurologist
Egos Moniz devised a procedure called the “prefrontal leucotomy.” According
to Oliver Sacks’ book An Anthropologist on Mars, Moniz created the
operation and quickly applied it to twenty patients, some with anxiety
disorders and depression, as well as a few with chronic schizophrenia.
The operation consisted of a tool, similar to an ice pick, that was inserted
into the frontal lobe in order to do damage to the lobe. The goal was to
relieve patients of mental ill, and while it succeeded in stopping the
anxiety, the depression, the chronic schizophrenia, the procedure for the
most part it was successful in turning the patients into incapacitated
burdens (Sacks 62-63). Dr. Moniz’s patients were not the only victims destined
to suffer from such a procedure. The operation created by Moniz, despite
his lack of thoroughness, and perhaps dishonesty, sparked a flood of interest
in the psychological community all over the world.7 The excitement was
most strong in America were neurologist Walter Freeman created a horrible
new form of surgery he called a “transorbital lobotomy.” Freeman’s description
of the procedure is horrible at best. It consisted of, “knocking [the patient]
out with a shock and while they are under. . .thrusting an ice pick up
between the eyeball and the eyelid through. . .orbital lobe. . . and making
the lateral cut by swinging the thing from side to side” (Sacks 62). This
operation is undoubtedly unsafe and more than likely unnecessary. It makes
one angry thinking of all the patients that could have successfully been
treated using the behavioral approach first, rather than just jumping in
blindly. Sacks himself recounts his days at a state hospital between 1966
to 1990 during which he reported seeing dozens of lobotomized patients,
describing them as “pathetic” and “murdered, by their ‘cure’ ” (Sacks 64).
The preceding
is a sobering case in which it can clearly be seen that the doctor failed
to examine the patient’s behavior and past. In the case of Dr. Moniz’s
and Dr. Freeman it was a fatal mistake. And it is also analogous to things
that occur today. With our brain scanning equipment at a doctor’s disposal,
making their job easier, it would not be surprising to find that an abomination
similar to the story of Dr. Moniz be repeated. When looking at an MRI readout,
a doctor could tie an unrelated brain lesion to a person’s recent feelings
of depression. The patient could be suffering only from passing depression
caused by the death of a loved one (Feldman 419). If the doctor prescribes
a therapeutic drug he or she could be setting up the patient for a dependency.
These are the sorts of things that can happen when the collaboration of
the behavioral and biological models are ignored, but when they are brought
together wonderful discoveries, that can effect us as humans, are made.
A mental
disease that most people have been exposed to, either directly or indirectly,
is Alzheimer’s disease. This disease has an expansive body of research
that has been conducted using both perspectives. In the Discovery Channel
film, The Brain: Our Universe Within, the history of Alzheimer’s
is related for the viewer. The illness was first discovered in 1906 by
the German psychiatrist Alois Alzheimer who was perplexed by a patient
of his. Dr. Alzheimer’s patient was a woman about in her 50’s who was experiencing
memory loss, paranoia, and hallucinations. After she died at the age of
56, Dr. Alzheimer performed an autopsy and dissected her brain. What he
found was a tangled web of dendrites and axons belonging to diseased neurons.
At the time, the good doctor did not know what it was that caused theses
neurons to become so diseased and disfigured.
Since
those early days in Alzheimer’s research, much has been discovered about
the disease using behavioral-biological discoveries. We now know that the
neurons are destroyed throughout the brain, particularly in the hippocampus.
The hippocampus acts as a distributor of new memory; holding the memories
until it is time for the memories to be moved to the cortex-one of the
reasons Alzheimer’s patients have trouble forming new memories (The
Brian: Our Universe Within). It is now believed that the destruction
of the neurons is caused by the formation of senile or neuritic plaques,
or chemical deposits of degenerating nerve cells combined with the protein
beta amyloid. These cause the neurofibrillary tangles, or malformations
in the nerve cells, essentially attacking the neurons (Alzheimer’s Disease).
As a result of this neuron destruction, a diseased brain can actually weight
one pound where a healthy brain weights as much as three pounds. Also revealed
about Alzheimer’s has been that there is low production of the neurotransmitter
acetylcholine which is used by the brain to produce new memory (The
Brian: Our Universe Within).
With all
that has been learned about the condition the trend in behavioral-biological
study continues. Also found in the Discovery Channel video is the
research being conducted by Dr. David Snowden of the University of Kentucky.
Dr. Snowden has been doing a case study on the sisters of the order of
Notre Dame who have agreed to donate their brains to study after their
respective deaths. What he has encountered with the sisters is that there
is a low incidence of Alzheimer’s among them, and the ones who do experience
symptoms they are usually mild. The sisters are well educated and maintain
a relatively high level of intellectual activity. This lead Dr. Snowden
to believe that early brain development and a high level of brain activity
kept fairly constant through one’s life can help to fend off Alzheimer’s
until late in life, or at least keep symptoms mild with the onset of the
affliction (The Brain: Our Universe Within). Another shinning, well documented
example of behavioral study leading the way to biological discovery.
After
reading this paper the initial claim that says the relationship between
the behavioral and biological perspectives has always been an important
one stands firm. The representations for such a claim thrive in text and
are plainly shown in this paper. The fact that the behavioral perspective
helps in acting as a primer for research, and a guide in diagnosing and
treating disease is apparent. The profound mistakes made by Dr. Moniz and
Dr. Freeman that illustrate clearly the significance of the bond, were
recounted for the reader by Oliver Sacks. For every patient treated by
the two men there could have been an alternative treatment had the doctors
only taken the time to look a little deeper using the duel source strategy,
a treatment that would not have robbed those people of their livelihoods.
The continuing journey towards the understanding and cure of Alzheimer’s
is yet another prime lesson in research and medical practition as well;
a journey that was initiated by the observation of behavior. And for all
that we have learned about the latent biological causes-guided there by
behavioral study in almost every discovery-there is much more to learn.
And even though current medical technology is so good at leading us away
from the behavioral me must do our best to hold tight to the model. Denise
Grady’s article of schizophrenia showed us how biological research can
bring us closer to the cause of disease, but failed to show the behavioral
study done to help the progress of these studies.
The varying
fields that deal with the study of the human mind have always relied on
the behavioral-biological duel approach to study and treatment. Obviously,
the science enjoys a rich history portraying the bond in text, film, and
in the classroom. Beth Azar’s article illustrated this for us very well.
She told of little 13 year old Sally who had astounding command of the
English language despite an IQ in the low 50’s, and of the behavioral-biological
research that was precipitated by the “conundrum” (Azar 2). And it showed
how all research should be conducted, with an eclectic appeal.
And what
now? How can this knowledge of procedure be used in the future? Hopefully,
psychologists, psychiatrists, and neurologists alike will subscribe to
the behavioral-biological approach to study in the future. And in doing
so scientists will rep great rewards for the human race, by working hard
to map the human mind ethically and with patients. In the future there
will be a less indiscreet action, and more logical thinking when practicing
their respective disciplines. But is only through this cooperation and
compromise that such grade achievements can be made. The effectiveness
of the behavioral-biological approach cannot be disputed. The usefulness
of the view is solidified by all of the evidence that surrounds us, and
a researcher would be hard pressed to prove otherwise. No matter the end
result in genetic or biological study, it is always precipitated by the
observation of behavior, and the recognition of a mental condition that
some how correlates to the biological discovery.
Notes
1William’s
syndrome is an extremely rare congenital condition in which suffers may
have incredible command of language but are severely deficient in most
other intellectual areas.
2Grady
went on to write that the reaction to the findings were mixed among researchers.
Some were positive, Dr. Richard Wyatt, head of neuropsychiatry at the National
Institute of Mental Health said that the findings were “intuitively very
strong.” Dr. Wyatt digressed and went on to express that the findings needed
validity through replication (Grady 1).
3According
to Grady another team verified Freedman’s findings, still Freedman feels
further study is needed to solidify the findings. If the data holds true
it would suggest that people having defective or too few nicotinic receptors
may be predisposed to schizophrenia (Grady 2).
4Grady
also failed to point out the environmental factors that can play a role
in causing schizophrenia. Often the disease while have operant causes contributing
such as traumatic environment, isolated traumatic experience. It can also
be caused by damage to the limbic system (The Brain: Our Universe Within).
5The
nicotine stimulates the subcortical brain reward mechanisms and the prefrontal
cortex, thought by some to be hypoactive in schizophrenia (Long 1).
6One
particularly humorous instance of subtle oversight was recounted by Dr.
George Mount of Mountain View College. According to Dr. Mount a patient
at the Dallas Veterans’ Administration Hospital was diagnosed with schizophrenia
when he complained of hearing voices. One day, after being placed behind
a lead wall designed to protect radiologists, the voices stopped. As it
was the man’s fillings in his molars were picking up radio signals causing
him to hear “voices” (Mount).
7Ironically
Moniz was acclaimed as a “savior” and was awarded the Nobel Prize in 1951.
This was described by Macdonald Critchley as a “chronicle of shame” (Sacks
63).
Works Cited
Azar, Beth. "Mental Disabilities and the Brain-Gene Link." American
Psychological Association Monitor I (1996): 1-2. 20 Feb. 1997 <http://www.apa.org>.
Feldman, Robert. Essentials of Understanding Psychology. 3rd ed. New
York: McGraw-Hill, 1997.
Grady, Denise. "Brain-Tied Gene Defect May Explain Why Schizophrenics
Hear Voices." New York Times 21-1 (1997) 1-3.
Long, Phillip W. "Smoking and Schizophrenic Patients." The Harvard
Medical School Mental Health Letter1 (1988): 1.
Neergaard, Lauran. "Study Links Gene to Schizophrenia, Discovery Solves
Smoking Mystery." Detroit Free Press 21-1 (1997): 1.
Sacks, Oliver. An Anthropologist on Mars. New York: Vintage,
1995.
(Reprinted by permission from
Chase Lay)
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