[…] the fact that a given region activates when people are in a particular psychological state (e.g., love) doesn’t give you license to conclude that that state is present just because you see activity in the region in question. If language, working memory, physical pain, anger, visual perception, motor sequencing, and memory retrieval all activate the insula, then knowing that the insula is active is of very little diagnostic value.
Oh NYT. This was a delicious take down.
Take first the central premise–that an fMRI experiment could help determine whether iPhones are no less addictive than alcohol or cocaine. The tacit assumption here is that all the behavioral evidence you could muster–say, from people’s reports about how they use their iPhones, or clinicians’ observations about how iPhones affect their users–isn’t sufficient to make that determination; to “really, truly” know if something’s addictive, you need to look at what the brain is doing when people think about their iPhones. This idea is absurd inasmuch as addiction is defined on the basis of its behavioral consequences, not (right now, anyway) by the presence or absence of some biomarker. What makes someone an alcoholic is the fact that they’re dependent on alcohol, have trouble going without it, find that their alcohol use interferes with multiple aspects of their day-to-day life, and generally suffer functional impairment because of it–not the fact that their brain lights up when they look at pictures of Johnny Walker red. If someone couldn’t stop drinking–to the point where they lost their job, family, and friends–but their brain failed to display a putative biomarker for addiction, it would be strange indeed to say “well, you show all the signs, but I guess you’re not really addicted to alcohol after all.”