1/26/07
For those of us who've attempted to quit the old coffin nails and are left wanting, there is hope on the horizon. Although…it's not really what I had in mind.
As a slowly-weaning-myself-off-the-habit smoker, I can tell you that what everyone tells you is correct; it's bloody hard to stop smoking. Aside from just looking totally cool doing it, the habit is just so damned compulsive. Yes, there's the nicotine addiction and dopamine reward your brain gives you every time you suck sweet, sweet carcinogens deep into your lung tissue, but for me and many smokers, that's not the worst of the problem.
I half-assed tried to quit about six months ago. I bought "The Patch," wore it, and found that, yes, it totally alleviated my physical desire for the nicotine. Trouble was, it didn't make me not want to smoke. The urge was still there. I didn't need to light up, but I still wanted the cigarette between my fingers, and I still wanted the act of smoking. Unless I made some rather dramatic life decisions and took up blowing strangers on the street, I found it hard to imagine another habit which could simulate shoving that little paper cylinder between my lips ten or fifteen times a day. But recent information has come to light that a little well-placed brain damage could do the trick.
There's an article published in Science where researchers at the University of Southern California and the University of Iowa lay out how a man they call "Nathan" kicked a 2-pack a day habit without even trying. Oh, by the way, that was 40 unfiltered cigarettes every single day for 14 years. But at age 28 Nathan suffered a stroke which damaged a part of his brain called the insula or insular cortex. Nathan smoked his last grit the night he was carted off to the hospital. You have to be a real pillar of health to have a stroke at 28, wouldn't you think? After his insula went "pop" Nathan showed absolutely no inclination or craving to smoke. One of the authors of the study, Antoine Bechara, had this to say,
"When asked about his reason for quitting, he stated, 'I forgot that I was a smoker,'…he said he did not forget the fact that he was a smoker, but rather that his body forgot the urge to smoke."
The insula is thought to be responsible for transmitting emotional, subjective feelings as well as cravings, such as for food or drugs. These particular cravings are not physical, but rather linked to behavior, such as smelling something baking and craving chocolate, or seeing someone light up and craving a cigarette. For adolescents addiction is much more about the physical sensations your brain rewards you with for bad behavior, but adults are more fixated on the action or habit itself.
The insula is the middle section in blue.
The researchers wanted to know why Nathan underwent this sudden about-face, since people the world-over are ravenous for answers about how to kick a habit without having to do anything whatsoever. Of the 69 patients they studied with brain damage who smoked before their injury, 32 had quit. Out of that 32, it had been difficult for half of them to quit, but 16 patients just up and stopped spontaneously. [1] Not only did they not need to smoke, but they had absolutely no desire to do it either.
What does all this math mean? Essentially, if your insula is damaged, your odds of quitting with smoking addiction disruption go up 130 fold. Before you go bashing yourself in the head with a hammer to satisfy that New Year's resolution, I should point out that addiction specialists have heretofore largely ignored the insula in favor of the sexier parts of the brain, so tangible results from this discovery are probably better than a decade away. My best suggestion is to smoke until you eventually have a stroke, and pray like hell that it targets the insular cortex part of your crazy little mind.
[1] VOA News
Other Sources: NPR.org
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About Me
- Ryan Jett
- Springfield, Missouri, United States
- I’m in my mid-30s and still trying to figure out what I want to do with my life. Most of my interests do not exactly come with a reasonable expectation of financial success, things such as artwork and fiction writing. I’ve been married to a delightful, attractive woman for five years, and, thankfully, neither of us wants to have children, so we can look forward to adult vacations, sleeping late, and disposable income. We do have two dogs, two chinchillas, a gerbil, and three chickens. Only the chickens seem to be pulling their weight vis-à-vis contributions to the household other than excrement.
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