Consciousness Problem - Sacks' Confabulations - Bovine Braininess - Postpartum Depression

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Jan 21, 2026, 6:56:26 AMJan 21

https://www.scientificamerican.com/article/what-is-consciousness-science-faces-its-hardest-problem-yet/

Why consciousness is the hardest problem in science

By Allison Parshall

Until half a billion years ago, life on Earth was slow. The seas were home to single-celled microbes and largely stationary soft-bodied creatures. But at the dawn of the Cambrian era, some 540 million years ago, everything exploded. Bodies diversified in all directions, and many organisms developed appendages that let them move quickly around their environment. These ecosystems became competitive places full of predators and prey. And our branch of the tree of life evolved an incredible structure to navigate it all: the brain.

We don’t know whether this was the moment when consciousness first arose on Earth. But it might have been when living creatures began to really need something like it to combine a barrage of sensory information into one unified experience that could guide their actions. It’s because of this ability to experience that, eventually, we began to feel pain and pleasure. Eventually, we became guided not just by base needs but by curiosity, emotions and introspection. Over time we became aware of ourselves.

This last step is what we have to thank for most of art, science and philosophy—and the millennia-long quest to understand consciousness itself. This state of awareness of ourselves and our environment comes with many mysteries. Why does being awake and alive, being yourself, feel like anything at all, and where does this singular sense of awareness come from in the brain? These questions may have objective answers, but because they are about private, subjective experiences that can’t be directly measured, they exist at the very boundaries of what the scientific method can reveal.

Still, in the past 30 years neuroscientists scouring the brain for the so-called neural correlates of consciousness have learned a lot. Their search has revealed constellations of brain networks whose connections help to explain what happens when we lose consciousness. We now have troves of data and working theories, some with mind-bending implications. We have tools to help us detect consciousness in people with brain injuries. But we still don’t have easy answers—researchers can’t even agree on what consciousness is, let alone how best to reveal its secrets. The past few years have seen accusations of pseudoscience, results that challenge leading theories, and the uneasy feeling of a field at a crossroads.

https://nautil.us/the-confabulations-of-oliver-sacks-1262447/

The Confabulations of Oliver Sacks

By Pria Anand

I loved literature before I loved medicine, and as a medical student, I often found that my textbooks left me cold, their medical jargon somehow missing the point of profound diseases able to rewrite a person’s life and identity. I was born, I decided, a century too late: I found the stories I craved, not in contemporary textbooks, but in outdated case reports, 18th- and 19-century descriptions of how the diseases I was studying might shape the life of a single patient.

These reports were alive with vivid details: how someone’s vision loss affected their golf game or their smoking habit, their work or their love life. They were all tragedies: Each ended with an autopsy, a patient’s brain dissected to discover where, exactly, the problem lay, to inch closer to an understanding of the geography of the soul. To write these case studies, neurologists awaited the deaths and brains of living patients, robbing their subjects of the ability to choose what would become of their own bodies—the ability to write the endings of their own stories—after they had already been sapped of agency by their illnesses.

Among these case reports was one from a forbidding state hospital in the north of Moscow: the story of a 19th-century Russian journalist referred to simply as “a learned man.” The journalist suffered a type of alcoholic dementia because of the brandy he often drank to cure his writer’s block and he developed a profound amnesia. He could not remember where he was or why. He could win a game of checkers but would forget that he had even played the minute the game ended. In the place of these lost memories, the journalist’s imagination spun elaborate narratives; he believed he had written an article when in fact he had barely begun to conceive it before he became sick, would describe the prior day’s visit to a far-off place when in actuality he had been too weak to get out of bed, and maintained that some of his possessions—kept in a hospital safe—had been taken from him as part of an elaborate heist.

Sacks’ journals suggest he injected his own experiences into the stories of his patients.

https://www.sciencenews.org/article/tool-using-cow-cognition-scratch

This tool-using cow defies expectations for bovine braininess

By Erin Garcia de Jesús

A deck brush can be a good tool for the right task. Just ask Veronika, the Brown Swiss cow.

Veronika uses both ends of a deck brush to scratch various parts of her body, researchers report January 19 in Current Biology. It’s the first reported tool use in a cow, a species that is often “cognitively underestimated,” the researchers say.

Cows usually rub against trees, rocks or wooden planks to scratch, but Veronika’s handy tool allows her to reach parts of her body that she couldn’t otherwise, says Antonio Osuna-Mascaró, a cognitive biologist at the Messerli Research Institute of the University of Veterinary Medicine, Vienna. It’s unclear how the cow figured it out, but “somehow Veronika learned to use tools, and she’s doing something that other cows simply can’t.”

Veronika, a pet cow that lives in a pasture on a small Austrian farm, picks up the brush by its handle with her tongue and twists her neck to place the brush where she needs it. Setting the brush in front of her in different orientations showed that she uses the hard, bristled end to target most areas, including the tough, thick skin on her back. She also uses the nonbristled end, slowly moving the handle over softer body parts such as her belly button and udder.

Veronika uses different parts of a deck brush to reach various parts of her body. She uses the brush end to scratch large areas such as her thigh (top left) and back (top right). She uses the handle to scratch more delicate areas such as her navel flap (bottom left) and anus (bottom right).

https://www.nytimes.com/2026/01/20/health/postpartum-psychosis-dsm-diagnosis.html

Will ‘Psychiatry’s Bible’ Add a Postpartum Psychosis Diagnosis?

By Ellen Barry and Pam Belluck

Emily Sliwinski got home from the hospital after giving birth to her first child three years ago, and almost immediately began spiraling.

Her thoughts raced; she was unable to sleep; she began hallucinating that her dog was speaking to her. She became obsessed with solving the national shortage of infant formula, covering a corkboard with notes and ideas.

About a week later, Ms. Sliwinski, of Greensboro, N.C., went to a hospital emergency room, thinking she would be given medication to help her sleep, she said. She had no history of mental health issues. When doctors decided to commit her for inpatient psychiatric treatment, she became so agitated and fearful that she slapped her mother and her husband.

She spent 11 days in the psychiatric hospital, but it didn’t help. “Every day I was trying to figure out where I was and what was happening,” Ms. Sliwinski, 33, recalled.

Doctors there did not connect her symptoms to childbirth, she said, and diagnosed her with schizophrenia. It was only when her family got her transferred to a specialized perinatal psychiatric unit at the University of North Carolina at Chapel Hill that doctors zeroed in on the right diagnosis: postpartum psychosis.

Ms. Sliwinski’s delayed diagnosis reflects an issue simmering in the highest echelons of American psychiatry. For more than five years, a group of women’s health specialists have been pushing for postpartum psychosis to be listed as a distinct diagnosis in the Diagnostic and Statistical Manual of Mental Disorders, the thousand-page guidebook that influences research funding, medical training and clinical care.

But two committees at the apex of the D.S.M. have been split over whether to add it. “Psychiatry’s Bible,” as it is sometimes known, has raised the evidentiary bar for including new diagnoses — only one, prolonged grief syndrome, has been added since 2013.