Getting inside their heads ... really inside / LATimes (Shrink Worries About Candidates)

[Demeter]

http://www.latimes.com/news/opinion/commentary/la-oe-amen5dec05,0,4238314.story?coll=la-news-comment-opinions


Presidential candidates' health is a campaign issue. So what about their brains?
By Daniel G. Amen
December 5, 2007

What do Rudy Giuliani's messy personal life, John McCain's temper and Hillary Clinton's inability to seem authentic have in common? Maybe nothing. They may be just overblown issues in the otherwise normal lives of candidates under the political microscope.

Such symptoms, however, may mean a lot -- such as evidence of underlying brain dysfunction. Sometimes people with messy personal lives have low prefrontal cortex activity associated with poor judgment; sometimes people with temper problems have brain damage and impulse control problems; sometimes people who struggle with authenticity have trouble really seeing things from someone else's perspective.

Is the brain health of a presidential candidate a fair topic in an election year? Certainly Dick Cheney's heart condition wasn't off-limits in 2000, nor have questions about McCain's age been considered out of bounds. The White House issues a complete medical history of the president each year -- detailing everything from his seasonal allergic rhinitis to his adenomatous colon polyps. Clearly we care about the health outlook for our elected leaders. Should we go so far as to do brain scans? Of candidates for the Oval Office? Some people might consider discussing brain health a ridiculous idea. Not me.

As a neuropsychiatrist and brain-imaging expert, I want our elected leaders to be some of the "brain healthiest people" in the land. How do you know about the brain health of a presidential candidate unless you look? The brain is involved in everything humans do: how we think, how we feel, how we get along with others, how we negotiate, how we pay attention in meetings and how we turn away the advances of White House interns or decide to invade a country based on contradictory intelligence.

Three of the last four presidents have shown clear brain pathology. President Reagan's Alzheimer's disease was evident during his second term in office. Nonelected people were covering up his forgetfulness and directing the country's business. Few people knew it, but we had a national crisis. Brain studies have been shown to predict Alzheimer's five to nine years before people have their first symptoms....One could argue that our current president's struggles with language and emotional rigidity are symptoms of temporal lobe pathology. The temporal lobes, underneath your temples and behind your eyes, are involved with language, mood stability, reading social cues and emotional flexibility....

AND SINCE NOBODY HAS EVER DEMONSTRATED COMPLETELY NORMAL MENTAL HEALTH, NO ONE WILL EVER BE ELECTED TO OFFICE AGAIN....