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<v Chair>Welcome everybody. My name's Professor Malcolm Battisby. I'm Professor of Psychiatry at Flinders University.

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<v Chair>And it's my great pleasure to welcome you to the session,

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<v Chair>What if drugs were developed that had no negative side effects?

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<v Chair>I'm going to do a little bit of housekeeping before we start.

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<v Chair>And we've got to get this right. It's about switching mobile phones to silent.

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<v Chair>You don't have to switch them off. Silent would be the great thing to do.

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<v Chair>And during this session, you're most welcome to tweet at

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<v Chair>at ideas Adelaide and the hashtag is hash AFOI.

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<v Chair>So I'd like to welcome Olivia Carter, who's our speaker this morning,

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<v Chair>and a bit of background to Olivia.

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<v Chair>She's conducted a series of experiments in Switzerland

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<v Chair>looking at the effects of hallucinogenic drugs on healthy volunteers during a PhD.

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<v Chair>Olivia then worked for three years at Harvard University as a research fellow

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<v Chair>in the Vision Sciences Laboratory.

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<v Chair>She received a Harvard University certificate for teaching for a contribution

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<v Chair>to neurobiology and neuroethics of psychostimulant drug use in society.

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<v Chair>A senior research fellow and lecturer at Psychological Sciences at the University of Melbourne,

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<v Chair>she heads a perception and pharmacology research lab

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<v Chair>working to understand how the brain's natural chemicals

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<v Chair>control complex behaviours, thoughts and perceptions.

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<v Chair>And before Olivia comes up, I've got a few little housekeeping things

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<v Chair>about the overall program.

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<v Chair>There's a couple of changes in the program.

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<v Chair>John Giuradini, who was to start at 11.30,

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<v Chair>starting at 11.45 in the Elder Hall.

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<v Chair>And the Women in Politics session will now be in the Gervois Room.

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<v Chair>Both sessions start at 11.45.

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<v Chair>So this session's going to be about 30 minutes,

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<v Chair>Olivia talking to us and giving us her ideas.

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<v Chair>And then we have an interactive session

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<v Chair>where we ask you, the audience, to provide comments and questions.

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<v Chair>And for you to do that, we ask you to move to the back of the theatre

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<v Chair>where there's a microphone.

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<v Chair>And what we've experienced in these sessions over the last couple of...

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<v Chair>over the last day or so,

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<v Chair>is that people often get very passionate

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<v Chair>about wanting to put their particular point of view.

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<v Chair>And that might take up a lot of air time.

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<v Chair>So I'm going to...

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<v Chair>When I ask people to make comments and questions,

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<v Chair>I want you to think of three things you want to say, not 23,

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<v Chair>and ask a question.

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<v Chair>So just prepare for that during Olivia's session.

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<v Chair>So without any further ado, Olivia, please come to the...

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<v Audience>APPLAUSE

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<v Olivia Carter>First of all, thanks to everyone for coming

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<v Olivia Carter>and thanks to the audience.

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<v Olivia Carter>Thanks to the organisers for inviting me.

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<v Olivia Carter>So over the next 30 minutes or so,

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<v Olivia Carter>I want to discuss some of the recent advances

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<v Olivia Carter>and developments in the use of drugs

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<v Olivia Carter>and research looking at new uses of old drugs

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<v Olivia Carter>and how these developments could impact on our future.

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<v Olivia Carter>And I'll be talking about a lot of specific examples

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<v Olivia Carter>of current research that's going on

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<v Olivia Carter>and then try and discuss a bit more broadly

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<v Olivia Carter>about what these types of...

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<v Olivia Carter>what implications this might have to us as individuals.

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<v Olivia Carter>and as a society.

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<v Olivia Carter>So here I have a picture where we're looking at drugs.

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<v Olivia Carter>Now, I want to make the point that my talk

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<v Olivia Carter>is not going to be about the use of drugs for medical purposes.

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<v Olivia Carter>This is something that...

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<v Olivia Carter>Obviously, there's huge amounts of research being done.

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<v Olivia Carter>Generally, if you go to the doctor,

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<v Olivia Carter>the doctors are very open and there's good discussions

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<v Olivia Carter>about positive and negative side effects to different drugs.

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<v Olivia Carter>And what I'm talking about is the use of drugs and pharmacology

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<v Olivia Carter>to...

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<v Olivia Carter>to improve and enhance our normal wellbeing

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<v Olivia Carter>above normal human sort of capacities,

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<v Olivia Carter>cognitive abilities and this type of thing

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<v Olivia Carter>throughout the entire lifespan.

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<v Olivia Carter>OK, and the first thing I'm going to talk a little bit about

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<v Olivia Carter>is something that's been termed cosmetic pharmacology.

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<v Olivia Carter>And this is the idea that there are drugs

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<v Olivia Carter>that might be able to enhance mood,

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<v Olivia Carter>increase confidence, reduce anxiety

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<v Olivia Carter>and generally improve our ability to live a life

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<v Olivia Carter>that's not just about the ability to socialise with each other.

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<v Olivia Carter>I mean, it all sounds like very positive things

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<v Olivia Carter>and it might sound a little bit ridiculous.

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<v Olivia Carter>But actually, a number of years ago now,

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<v Olivia Carter>there was a book by Peter Kramer.

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<v Olivia Carter>It was called Listening to Prozac.

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<v Olivia Carter>And he was one of the initial psychiatrists

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<v Olivia Carter>that really started using a lot of Prozac in the clinic.

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<v Olivia Carter>And he wrote this book, which became...

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<v Olivia Carter>ended up on the number one top sellers list.

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<v Olivia Carter>It was over a decade ago or so

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<v Olivia Carter>and it's very much...

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<v Olivia Carter>It's been credited with sort of increasing the general use

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<v Olivia Carter>of Prozac and antidepressants

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<v Olivia Carter>sort of outside of the pure clinical usage.

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<v Olivia Carter>And I have to say, it's an incredibly interesting book.

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<v Olivia Carter>It's now a number of years old, but it's all about case studies.

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<v Olivia Carter>And I'm going to take you through just one example.

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<v Olivia Carter>And it's somewhat mind-bending

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<v Olivia Carter>at how these drugs can change so many aspects of an individual's personality.

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<v Olivia Carter>So this is all about Prozac,

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<v Olivia Carter>but there's a number of...

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<v Olivia Carter>other antidepressants that sort of work in a similar way.

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<v Olivia Carter>So the example he gives is of Tess.

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<v Olivia Carter>Now, critically, Tess is not clinically depressed.

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<v Olivia Carter>She's come into...

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<v Olivia Carter>He's a psychiatrist.

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<v Olivia Carter>She's...

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<v Olivia Carter>A patient has come in

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<v Olivia Carter>because she's having a number of problems with her life.

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<v Olivia Carter>Now, it's a bit of background.

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<v Olivia Carter>Tess grew up as the eldest of ten children

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<v Olivia Carter>and she was physically abused growing up.

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<v Olivia Carter>And her father...

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<v Olivia Carter>Her father died and her mother was depressed.

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<v Olivia Carter>So in the end, Tess raised the family herself.

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<v Olivia Carter>Now, prior to Prozac, as I said,

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<v Olivia Carter>Tess was not clinically depressed.

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<v Olivia Carter>She was involved in one destructive relationship after another,

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<v Olivia Carter>including multiple failed marriages,

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<v Olivia Carter>many affairs with abusive married men,

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<v Olivia Carter>always felt obliged to help others,

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<v Olivia Carter>particularly her sick mother,

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<v Olivia Carter>had very low self-worth,

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<v Olivia Carter>regularly cried,

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<v Olivia Carter>unable to experience pleasure,

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<v Olivia Carter>absence of hope,

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<v Olivia Carter>loss of sleep and appetite,

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<v Olivia Carter>guilty thoughts.

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<v Olivia Carter>Sounds pretty dismal.

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<v Olivia Carter>Now, after Prozac, after taking for a few months,

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<v Olivia Carter>she reported being happier.

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<v Olivia Carter>This is what's amazing.

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<v Olivia Carter>Better social life.

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<v Olivia Carter>She went on three dates in a weekend.

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<v Olivia Carter>She was more confident and confident.

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<v Olivia Carter>She asked for a promotion at work and received it.

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<v Olivia Carter>She stopped looking after her mother,

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<v Olivia Carter>moved to a different town,

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<v Olivia Carter>changed friends.

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<v Olivia Carter>She clearly became...

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<v Olivia Carter>sort of had a personality that was more approachable.

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<v Olivia Carter>She said,

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<v Olivia Carter>people on the sidewalk asked me for directions.

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<v Olivia Carter>For the first time,

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<v Olivia Carter>I laugh more.

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<v Olivia Carter>All of these types of things.

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<v Olivia Carter>Then after the doctor took her off Prozac,

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<v Olivia Carter>the most remarkably said,

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<v Olivia Carter>I don't feel myself anymore.

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<v Olivia Carter>She returned to how she was before.

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<v Olivia Carter>And this is actually a theme throughout the book,

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<v Olivia Carter>which is really...

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<v Olivia Carter>I find incredibly interesting

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<v Olivia Carter>how many, many of the patients

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<v Olivia Carter>that were taking these,

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<v Olivia Carter>given these drugs for the first time

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<v Olivia Carter>in sort of 20, 30, 40 years

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<v Olivia Carter>were reporting,

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<v Olivia Carter>finally, for the first time in my life,

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<v Olivia Carter>I feel like myself.

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<v Olivia Carter>I mean,

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<v Olivia Carter>that's an issue that I'm not going to get into today,

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<v Olivia Carter>but this idea that you can fundamentally change

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<v Olivia Carter>who you feel,

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<v Olivia Carter>how you feel,

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<v Olivia Carter>who you think you are,

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<v Olivia Carter>to me is incredibly interesting.

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<v Olivia Carter>And one thing that I think this raises is

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<v Olivia Carter>people often, you know,

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<v Olivia Carter>think, well,

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<v Olivia Carter>it's not great if you're just taking a pill

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<v Olivia Carter>to sort of get more confident,

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<v Olivia Carter>feeling better about yourself.

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<v Olivia Carter>These types of things raises a lot of problems.

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<v Olivia Carter>And certainly across the US,

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<v Olivia Carter>there's a huge...

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<v Olivia Carter>there's a very large usage of these types of drugs

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<v Olivia Carter>for people that aren't clinically depressed.

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<v Olivia Carter>And my sense is that

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<v Olivia Carter>the average person on the street,

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<v Olivia Carter>if you had a colleague at work

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<v Olivia Carter>that was sort of...

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<v Olivia Carter>was a shy person sitting in the corner,

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<v Olivia Carter>had a low self-confidence,

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<v Olivia Carter>was never really being promoted

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<v Olivia Carter>and felt a bit sorry for themselves

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<v Olivia Carter>and was struggling through life,

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<v Olivia Carter>if they took a pill,

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<v Olivia Carter>felt better, felt confident, got a promotion,

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<v Olivia Carter>you'd probably be a bit annoyed about that.

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<v Olivia Carter>Whereas if you found out that actually,

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<v Olivia Carter>all of a sudden, this person's more confident,

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<v Olivia Carter>they'd been reading all these self-help books,

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<v Olivia Carter>they'd been working really hard,

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<v Olivia Carter>they took ownership of their problem,

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<v Olivia Carter>they thought,

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<v Olivia Carter>right, I really need to become more self-confident,

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<v Olivia Carter>I'm going to work hard at this,

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<v Olivia Carter>you'd somehow have admiration for that person.

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<v Olivia Carter>And one thing I'm just going to raise

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<v Olivia Carter>as sort of philosophical question is,

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<v Olivia Carter>well, why is that?

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<v Olivia Carter>You know, why is it that the books and the...

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<v Olivia Carter>and the sort of therapy is considered

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<v Olivia Carter>necessarily so much better than drug use?

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<v Olivia Carter>Now, a lot of people would say...

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<v Olivia Carter>I should say, look, I'm being somewhat provocative here,

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<v Olivia Carter>but if you think about it,

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<v Olivia Carter>the extent to which anything is changing your mood,

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<v Olivia Carter>I mean, if you believe that the brain is what's generating your mood,

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<v Olivia Carter>then you need to think about how these books and therapies and things

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<v Olivia Carter>are actually influencing the same brain.

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<v Olivia Carter>And I think it's a very valid point that's often,

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<v Olivia Carter>you know, raised that, well, if you've got a problem,

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<v Olivia Carter>like if you're being abused and you're in abusive relationships,

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<v Olivia Carter>it's important to get to the bottom of that,

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<v Olivia Carter>you need to solve the larger life crisis.

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<v Olivia Carter>But if you think about it, here's a person who took a drug

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<v Olivia Carter>and she's on her own, has managed,

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<v Olivia Carter>with this extra confidence of the drug,

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<v Olivia Carter>has made massive life changes

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<v Olivia Carter>to actually put herself into a much safer environment.

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<v Olivia Carter>So, all right, I'll leave this here,

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<v Olivia Carter>but I'll just let you sort of think about this

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<v Olivia Carter>in terms of the ways that drugs can really, really help you.

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<v Olivia Carter>They can really have profound influences on the way you view yourself

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<v Olivia Carter>and those around you, and sometimes for the better.

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<v Olivia Carter>Now, as I have here with the pills and the books,

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<v Olivia Carter>people often think, well, drugs are bad,

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<v Olivia Carter>but, you know, vitamins, natural compounds, they're okay.

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<v Olivia Carter>So I'm going to switch to a compound called oxytocin,

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<v Olivia Carter>which is a hormone that's found naturally in the brain.

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<v Olivia Carter>It's released from very deep within the brain.

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<v Olivia Carter>And it's most sort of well-known or understood to be important

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<v Olivia Carter>with mother-baby bonding,

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<v Olivia Carter>and it's released during lactation, during breastfeeding,

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<v Olivia Carter>and is very important in that sort of unbreakable bond

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<v Olivia Carter>between mother and child.

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<v Olivia Carter>Now, I'm going to take you through this experiment.

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<v Olivia Carter>It's one of my sort of favourite experiments that I've ever come across.

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<v Olivia Carter>I think it's incredibly interesting.

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<v Olivia Carter>And I'll just explain.

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<v Olivia Carter>So this was done a couple of years ago by a group in Switzerland.

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<v Olivia Carter>And what they did is they set up a game.

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<v Olivia Carter>This was between university students.

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<v Olivia Carter>And there are a few important bits.

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<v Olivia Carter>They got a number of students in a waiting room prior to the experiment.

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<v Olivia Carter>So they had a sense that they were playing against real people.

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<v Olivia Carter>They knew not directly who their competitors were going to be,

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<v Olivia Carter>but it was believable enough that they were playing against a real person.

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<v Olivia Carter>And they were playing against a real person.

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<v Olivia Carter>And so then they were taken to separate rooms.

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<v Olivia Carter>They didn't know who they were going to be playing against,

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<v Olivia Carter>but they, as I said, they had a strong sense that it was a real person

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<v Olivia Carter>that they'd just been sitting next to,

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<v Olivia Carter>a sort of stranger that they'd been sitting next to.

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<v Olivia Carter>And the game is this.

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<v Olivia Carter>The experimenter gives them $12, all right,

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<v Olivia Carter>and they can take that $12, put it in their pocket and walk away.

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<v Olivia Carter>Or they can give the other person in a room that they won't see,

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<v Olivia Carter>but they give the other person $4,

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<v Olivia Carter>and they can take that $4 and put it in their pocket and walk away.

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<v Olivia Carter>So they've got $8 or $12.

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<v Olivia Carter>And any money given to the other person is automatically quadrupled.

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<v Olivia Carter>Okay, automatically.

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<v Olivia Carter>And then it's up to that other person to decide how much money to give back.

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<v Olivia Carter>All right.

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<v Olivia Carter>So it's a complete trust game.

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<v Olivia Carter>And basically what could happen is you could keep the $12,

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<v Olivia Carter>give zero, and you'd end up with $12.

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<v Olivia Carter>Very nice and safe.

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<v Olivia Carter>If you kept $8, gave the $4,

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<v Olivia Carter>you could end up with a minimum of $8, maximum of $24,

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<v Olivia Carter>all the way through.

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<v Olivia Carter>If you gave everything,

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<v Olivia Carter>you could lose everything,

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<v Olivia Carter>or you could win $48.

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<v Olivia Carter>All right.

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<v Olivia Carter>So does that all make sense?

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<v Olivia Carter>It's a very nifty experiment.

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<v Olivia Carter>Then they did a very simple thing.

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<v Olivia Carter>Prior to the experiment,

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<v Olivia Carter>they gave just the investor squirted oxytocin up the person's nose.

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<v Olivia Carter>All right.

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<v Olivia Carter>It's simple as that.

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<v Olivia Carter>So this is a hormone squirted up the nose,

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<v Olivia Carter>and they asked the people to play the same game.

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<v Olivia Carter>And what they found is for some people,

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<v Olivia Carter>they squirted the oxytocin up the nose.

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<v Olivia Carter>For other people,

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<v Olivia Carter>they just squirted a non-active ingredient,

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<v Olivia Carter>so just a placebo.

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<v Olivia Carter>And what they found is on the oxytocin,

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<v Olivia Carter>people were twice as likely to donate the full amount of money.

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<v Olivia Carter>And overall, including every sort of person,

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<v Olivia Carter>the overall increase in the amount donated

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<v Olivia Carter>or given over to the trustee was increased by 20%.

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<v Olivia Carter>So you think about it in terms of larger economic decisions,

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<v Olivia Carter>that's actually a huge proportion of money.

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<v Olivia Carter>And they did a very important control where,

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<v Olivia Carter>as I said,

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<v Olivia Carter>in the first case,

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<v Olivia Carter>they went to a lot of effort to give people the impression

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<v Olivia Carter>that they were playing against real people.

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<v Olivia Carter>Anonymous, but real people.

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<v Olivia Carter>Now, in the second experiment,

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<v Olivia Carter>they said,

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<v Olivia Carter>look, the game is exactly the same,

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<v Olivia Carter>but you're not playing against a real person this time.

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<v Olivia Carter>You're playing against a computer

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<v Olivia Carter>that's been programmed to behave like a real person.

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<v Olivia Carter>So based on hundreds of games that have been played before,

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<v Olivia Carter>we'll take the probability

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<v Olivia Carter>at which you just get one of these real human behavioural responses.

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<v Olivia Carter>OK, so it was a risk game,

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<v Olivia Carter>but the probabilities were exactly the same as the real human behaviour.

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<v Olivia Carter>And in this situation,

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<v Olivia Carter>there was no difference in terms of the money

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<v Olivia Carter>that people gave to the computer.

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<v Olivia Carter>So they, and I think quite convincingly,

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<v Olivia Carter>argued that this really is something specific about trust.

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<v Olivia Carter>It's not just about risk.

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<v Olivia Carter>These are people that are feeling more of a sense of bonding

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<v Olivia Carter>with their fellow human beings.

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<v Olivia Carter>OK.

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<v Olivia Carter>So the question is,

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<v Olivia Carter>what are the implications for this?

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<v Olivia Carter>Good or evil?

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<v Olivia Carter>And I mean, one thing that really strikes me

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<v Olivia Carter>if you think about this

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<v Olivia Carter>is the idea that it's a nasal spray.

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<v Olivia Carter>So I just keep thinking that, you know,

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<v Olivia Carter>one day we'll walk into some sort of car salesman's office

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<v Olivia Carter>and there'll be oxytocin being sprayed through the vents.

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<v Olivia Carter>And this is obviously not going to be a good scenario.

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<v Olivia Carter>But on the plus side,

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<v Olivia Carter>there's a lot of evidence has been,

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<v Olivia Carter>um, accumulating now.

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<v Olivia Carter>This is relatively early days,

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<v Olivia Carter>but a lot of studies have been looking at things like,

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<v Olivia Carter>um, autism and postnatal depression.

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<v Olivia Carter>So really working at the sort of bonds with mother and child.

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<v Olivia Carter>And, um, in a lot...

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<v Olivia Carter>And also sort of social anxiety and these types of things.

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<v Olivia Carter>And it's having clear benefits towards these populations.

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<v Olivia Carter>And, um, one thing that is a potential down the track

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<v Olivia Carter>is thinking about these types of drugs for...

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<v Olivia Carter>You know, if...

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<v Olivia Carter>It's known from the sort of psychological literature

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<v Olivia Carter>that a very strong mother-child bond in the early years of life

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<v Olivia Carter>and parent bond, shouldn't you say, mother,

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<v Olivia Carter>is absolutely critical for a child

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<v Olivia Carter>to develop a strong sense of self and healthy future adult life.

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<v Olivia Carter>And the idea that these types of drugs and application

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<v Olivia Carter>might actually be useful

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<v Olivia Carter>in developing a healthy, stronger sort of adult,

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<v Olivia Carter>I think is something that we need to...

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<v Olivia Carter>keep in the back of our minds.

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<v Olivia Carter>OK.

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<v Olivia Carter>But obviously there are some chances for evil there.

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<v Olivia Carter>Um...

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<v Olivia Carter>OK.

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<v Olivia Carter>Switching to another example,

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<v Olivia Carter>we've got the case of sort of productivity enhancing.

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<v Olivia Carter>So I think everyone's had this...

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<v Olivia Carter>this sensation of, you know, working too hard.

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<v Olivia Carter>I wish my three-year-old would fall asleep like that.

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<v Olivia Carter>But, um, anyway,

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<v Olivia Carter>partying too hard, staying awake all the time,

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<v Olivia Carter>it's very... it's very hard.

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<v Olivia Carter>And at the moment, there are...

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<v Olivia Carter>You know, the main alternative to this is sort of,

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<v Olivia Carter>well, you should sleep more.

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<v Olivia Carter>If you're too tired, just have your eight hours,

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<v Olivia Carter>ten hours sleep or whatever,

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<v Olivia Carter>and you'll probably be functioning better.

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<v Olivia Carter>Now, relatively recently, there was this drug, modafinil,

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<v Olivia Carter>that was designed specifically for narcolepsy.

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<v Olivia Carter>Um...

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<v Olivia Carter>And it's been found to be very effective.

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<v Olivia Carter>Um...

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<v Olivia Carter>And basically what... what this drug does

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<v Olivia Carter>is it...

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<v Olivia Carter>The claim is, is it reduces the need for sleep

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<v Olivia Carter>without disrupting the normal sort of sleep-wake cycle.

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<v Olivia Carter>So, unlike caffeine, that you can...

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<v Olivia Carter>If you need to push through... through the night,

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<v Olivia Carter>you could probably do it and stay awake.

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<v Olivia Carter>At the end of it, you'd be jittery and a little bit crazy,

390
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<v Olivia Carter>and you might really struggle to then fall asleep at the end of it all.

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<v Olivia Carter>So the claim with this drug is that that doesn't happen.

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<v Olivia Carter>You can take the drug, miss a night's sleep,

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<v Olivia Carter>and just sort of go back to sleep the next day.

394
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<v Olivia Carter>And then you can go back to sleep the next night.

395
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<v Olivia Carter>That's... that's the claim.

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<v Olivia Carter>And, um...

397
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<v Olivia Carter>I don't think there's huge uses of this drug within Australia,

398
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<v Olivia Carter>but certainly in the US and I think in Europe as well,

399
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<v Olivia Carter>it's more common.

400
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<v Olivia Carter>I've been offered this drug before.

401
00:17:01.260 --> 00:17:03.240
<v Olivia Carter>Someone just completely casually sort of said,

402
00:17:03.320 --> 00:17:06.000
<v Olivia Carter>''Oh, have you ever been using this modafinil stuff?

403
00:17:06.140 --> 00:17:06.740
<v Olivia Carter>''It's the greatest thing.

404
00:17:06.820 --> 00:17:09.400
<v Olivia Carter>''If you get really busy, you just take... take a pill,

405
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<v Olivia Carter>''work through the night, you know, write a few grants,

406
00:17:11.360 --> 00:17:13.920
<v Olivia Carter>''you're done, and go on your... you know, away.''

407
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<v Olivia Carter>And I was just thinking, wow, there...

408
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<v Olivia Carter>There's just...

409
00:17:16.060 --> 00:17:17.940
<v Olivia Carter>There are some sort of attractive elements to this.

410
00:17:18.060 --> 00:17:19.000
<v Olivia Carter>But, um...

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<v Olivia Carter>Anyway, I haven't... I haven't tried it.

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<v Olivia Carter>But one thing that's quite interesting about this particular drug

413
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<v Olivia Carter>is I've now been teaching sort of in...

414
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<v Olivia Carter>..to university courses this... about these general topics.

415
00:17:31.580 --> 00:17:34.640
<v Olivia Carter>And five years ago, when I first taught the course,

416
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<v Olivia Carter>um...this...this issue was very speculative.

417
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<v Olivia Carter>Look, imagine if we had one day a situation

418
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<v Olivia Carter>where people were doing research on these drugs,

419
00:17:46.060 --> 00:17:48.260
<v Olivia Carter>and found that actually they really do improve,

420
00:17:48.340 --> 00:17:50.940
<v Olivia Carter>and all the claims can be... start being proved,

421
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<v Olivia Carter>what happens then?

422
00:17:52.640 --> 00:17:56.040
<v Olivia Carter>You know, should we start suggesting that, you know,

423
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<v Olivia Carter>doctors working through the night actually take these drugs?

424
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<v Olivia Carter>You know, if they... if they're going to do a double shift

425
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<v Olivia Carter>and they've got other people's lives at risk,

426
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<v Olivia Carter>you know, then maybe we should start mandating these types of...

427
00:18:05.540 --> 00:18:06.600
<v Olivia Carter>..these types of drugs.

428
00:18:06.700 --> 00:18:09.040
<v Olivia Carter>And it was very sort of up in the air.

429
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<v Olivia Carter>And then, preparing for this, I thought,

430
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<v Olivia Carter>''Well, I'd better just check up and read, see where things are at.''

431
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<v Olivia Carter>And I was quite astonished to...

432
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<v Olivia Carter>..read a paper that came out late last year

433
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<v Olivia Carter>by one of the leading... it was from a group at Harvard,

434
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<v Olivia Carter>a very senior researcher that, um, has been...

435
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<v Olivia Carter>..is a sleep sort of expert, the absolute sleep expert.

436
00:18:30.140 --> 00:18:33.320
<v Olivia Carter>And he did a study in healthy controls,

437
00:18:33.340 --> 00:18:35.440
<v Olivia Carter>just healthy people off the street,

438
00:18:35.500 --> 00:18:41.120
<v Olivia Carter>and he put these people... 25 days, he had people in basic...

439
00:18:41.120 --> 00:18:42.460
<v Olivia Carter>They were in a controlled environment,

440
00:18:42.640 --> 00:18:44.580
<v Olivia Carter>so there was no outside light and things,

441
00:18:44.580 --> 00:18:47.260
<v Olivia Carter>and he had them on 30... 30 hours awake,

442
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<v Olivia Carter>followed by sort of 14 hours in night-time sleep.

443
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<v Olivia Carter>So really stuffing up their circadian rhythms

444
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<v Olivia Carter>and really extending the amount that they needed to stay awake every day.

445
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<v Olivia Carter>And he was comparing this drug with caffeine use.

446
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<v Olivia Carter>And on every measure, it far outperformed sort of caffeine.

447
00:19:08.300 --> 00:19:10.900
<v Olivia Carter>And in terms of, you know, the jitteriness,

448
00:19:10.920 --> 00:19:13.580
<v Olivia Carter>the ability to respond in terms of motor...

449
00:19:14.720 --> 00:19:15.980
<v Olivia Carter>..actions without making mistakes,

450
00:19:16.160 --> 00:19:18.100
<v Olivia Carter>and also all types of cognitive memory,

451
00:19:18.700 --> 00:19:22.800
<v Olivia Carter>on every measure, it well outperformed caffeine.

452
00:19:23.000 --> 00:19:28.640
<v Olivia Carter>And also he made the point that the sleep in between these points

453
00:19:28.640 --> 00:19:31.400
<v Olivia Carter>was much closer to a normal night's sleep,

454
00:19:31.520 --> 00:19:33.320
<v Olivia Carter>and all of the types of increased...

455
00:19:35.580 --> 00:19:38.400
<v Olivia Carter>I'm not sure if he took cortisol, but things like blood pressure

456
00:19:38.400 --> 00:19:42.360
<v Olivia Carter>and these types of stress responses were reduced, OK?

457
00:19:42.800 --> 00:19:43.280
<v Olivia Carter>Now...

458
00:19:44.740 --> 00:19:45.940
<v Olivia Carter>..in science, there's...

459
00:19:45.940 --> 00:19:47.320
<v Olivia Carter>I need to sort of preface all of this,

460
00:19:47.380 --> 00:19:49.440
<v Olivia Carter>that for every study that says one thing,

461
00:19:49.520 --> 00:19:51.040
<v Olivia Carter>there's always going to be another study that says another thing,

462
00:19:51.120 --> 00:19:52.420
<v Olivia Carter>so we wait another year,

463
00:19:52.560 --> 00:19:54.940
<v Olivia Carter>and I'm sure there'll be a study coming out saying,

464
00:19:55.000 --> 00:19:56.420
<v Olivia Carter>actually, there are all these negative side effects.

465
00:19:57.280 --> 00:19:59.980
<v Olivia Carter>So I don't think we can sort of end the story here.

466
00:20:00.200 --> 00:20:03.040
<v Olivia Carter>But the final statement of this paper,

467
00:20:03.340 --> 00:20:06.140
<v Olivia Carter>which was published in the top pharmacology journal in the world,

468
00:20:07.600 --> 00:20:08.400
<v Olivia Carter>basically says,

469
00:20:08.500 --> 00:20:11.060
<v Olivia Carter>wakefulness promoting therapies may be an important strategy

470
00:20:11.060 --> 00:20:13.980
<v Olivia Carter>for improving safety in around-the-clock operations.

471
00:20:13.980 --> 00:20:16.660
<v Olivia Carter>Large-scale clinical research trials are needed

472
00:20:16.660 --> 00:20:18.460
<v Olivia Carter>to address this important public policy issue.

473
00:20:18.960 --> 00:20:22.460
<v Olivia Carter>So, as I said, just two or three years ago,

474
00:20:22.500 --> 00:20:23.980
<v Olivia Carter>this was really just speculation.

475
00:20:24.540 --> 00:20:25.460
<v Olivia Carter>Imagine one day...

476
00:20:25.460 --> 00:20:27.680
<v Olivia Carter>Now, here's a sleep expert basically saying

477
00:20:27.680 --> 00:20:31.080
<v Olivia Carter>that for safety, sort of public safety issues,

478
00:20:31.380 --> 00:20:33.880
<v Olivia Carter>maybe we should start considering using this drug

479
00:20:33.880 --> 00:20:36.340
<v Olivia Carter>in wide-scale sort of clinical...

480
00:20:36.940 --> 00:20:40.240
<v Olivia Carter>..not clinical, in just everyday sort of applications.

481
00:20:40.620 --> 00:20:42.220
<v Olivia Carter>So, I mean, I actually...

482
00:20:42.220 --> 00:20:43.960
<v Olivia Carter>I think it's a little bit dangerous going out there,

483
00:20:43.980 --> 00:20:44.520
<v Olivia Carter>but I think it's a little bit more...

484
00:20:44.520 --> 00:20:47.860
<v Olivia Carter>..in a research journal like this.

485
00:20:47.960 --> 00:20:55.880
<v Olivia Carter>But anyway, it really shows that the future is coming faster than I imagined.

486
00:20:56.100 --> 00:20:59.320
<v Olivia Carter>Now, you can probably think yourselves

487
00:20:59.320 --> 00:21:03.360
<v Olivia Carter>in terms of possible positive and negative implications

488
00:21:03.360 --> 00:21:04.420
<v Olivia Carter>to this type of research.

489
00:21:04.560 --> 00:21:06.440
<v Olivia Carter>And one of the most obvious things is,

490
00:21:07.020 --> 00:21:09.920
<v Olivia Carter>OK, so if we've got a drug that allows us to stay awake

491
00:21:09.920 --> 00:21:11.180
<v Olivia Carter>and everybody else is staying awake,

492
00:21:11.220 --> 00:21:12.360
<v Olivia Carter>does that mean we have to do it otherwise?

493
00:21:12.360 --> 00:21:13.720
<v Olivia Carter>We're never going to be able to compete.

494
00:21:13.880 --> 00:21:15.840
<v Olivia Carter>It's this huge, huge problem.

495
00:21:16.740 --> 00:21:17.940
<v Olivia Carter>On the plus side,

496
00:21:18.420 --> 00:21:21.820
<v Olivia Carter>if I had a doctor working on me that hadn't had enough sleep

497
00:21:21.820 --> 00:21:23.440
<v Olivia Carter>and there was an option they could take that drug,

498
00:21:23.480 --> 00:21:25.620
<v Olivia Carter>I'd be quite happy to have them take that drug

499
00:21:25.620 --> 00:21:27.100
<v Olivia Carter>and I wouldn't necessarily be disappointed

500
00:21:27.100 --> 00:21:29.360
<v Olivia Carter>if they were...it was sort of a requirement

501
00:21:29.360 --> 00:21:32.980
<v Olivia Carter>of someone that might be in a sleep-deprived state.

502
00:21:33.860 --> 00:21:36.180
<v Olivia Carter>But that's just, you know, speculation.

503
00:21:36.500 --> 00:21:36.900
<v Olivia Carter>So...

504
00:21:39.940 --> 00:21:42.200
<v Olivia Carter>..next thing I want to talk about is this...

505
00:21:42.360 --> 00:21:45.080
<v Olivia Carter>..example of reprogramming bad memories.

506
00:21:45.340 --> 00:21:49.660
<v Olivia Carter>Now, this is also a relatively new area of research

507
00:21:49.660 --> 00:21:53.120
<v Olivia Carter>and I'll talk a little bit about a recent experiment that was done

508
00:21:53.120 --> 00:21:54.840
<v Olivia Carter>that I, again, think is incredibly interesting.

509
00:21:55.040 --> 00:21:58.380
<v Olivia Carter>So, this is the idea that things like assault,

510
00:21:58.480 --> 00:22:02.960
<v Olivia Carter>sexual assault and physical assault and war and natural disasters

511
00:22:02.960 --> 00:22:06.040
<v Olivia Carter>can cause really traumatic experiences in an individual

512
00:22:06.040 --> 00:22:07.720
<v Olivia Carter>that persist well beyond the effects.

513
00:22:07.880 --> 00:22:10.460
<v Olivia Carter>Now, just...I was listening to the radio the other day,

514
00:22:10.480 --> 00:22:11.100
<v Olivia Carter>a few weeks ago,

515
00:22:11.100 --> 00:22:13.880
<v Olivia Carter>and they interviewed someone from the floods in Queensland

516
00:22:13.880 --> 00:22:17.620
<v Olivia Carter>and this person reported having a full-blown panic attack

517
00:22:17.620 --> 00:22:18.900
<v Olivia Carter>every time it rained.

518
00:22:19.240 --> 00:22:22.660
<v Olivia Carter>So, every time it rained, this person's heart would race,

519
00:22:22.660 --> 00:22:23.740
<v Olivia Carter>felt incredibly anxious,

520
00:22:23.900 --> 00:22:26.700
<v Olivia Carter>was sort of feeling like they were dying, you know, sweating,

521
00:22:26.820 --> 00:22:29.360
<v Olivia Carter>I mean, unbelievably debilitating in a country that...

522
00:22:29.360 --> 00:22:31.740
<v Olivia Carter>..where it does rain on a relatively regular basis.

523
00:22:33.480 --> 00:22:34.020
<v Olivia Carter>Um...OK.

524
00:22:34.160 --> 00:22:36.160
<v Olivia Carter>So, this was...this was the experiment.

525
00:22:36.460 --> 00:22:37.840
<v Olivia Carter>So, um...

526
00:22:38.400 --> 00:22:41.080
<v Olivia Carter>What they did was they gave it so that the drug...

527
00:22:41.080 --> 00:22:42.860
<v Olivia Carter>The drug they used was propanolol

528
00:22:42.860 --> 00:22:48.400
<v Olivia Carter>and basically what it does is it blocks the...the natural fear response.

529
00:22:48.520 --> 00:22:52.880
<v Olivia Carter>So, the, um...that sort of flight or fight response

530
00:22:52.880 --> 00:22:55.180
<v Olivia Carter>that's associated with heart racing, anxiety,

531
00:22:55.440 --> 00:22:56.580
<v Olivia Carter>when something bad happens,

532
00:22:56.680 --> 00:22:57.840
<v Olivia Carter>I'm sure you've all been afraid before,

533
00:22:58.040 --> 00:23:00.080
<v Olivia Carter>it ends up as a physical response.

534
00:23:00.800 --> 00:23:02.740
<v Olivia Carter>You have a physical response to these types of fears.

535
00:23:02.940 --> 00:23:05.700
<v Olivia Carter>So, what they did was they had an experiment

536
00:23:06.620 --> 00:23:10.680
<v Olivia Carter>and for the first day, they showed people pictures of spiders,

537
00:23:10.680 --> 00:23:13.480
<v Olivia Carter>and as they showed people pictures of spiders,

538
00:23:13.640 --> 00:23:14.740
<v Olivia Carter>they gave them an electric shock.

539
00:23:15.080 --> 00:23:16.800
<v Olivia Carter>OK. And they did this for a while,

540
00:23:16.860 --> 00:23:18.560
<v Olivia Carter>so this was happening multiple, multiple times.

541
00:23:19.600 --> 00:23:21.700
<v Olivia Carter>Spider shock, spider shock, spider shock.

542
00:23:21.780 --> 00:23:24.240
<v Olivia Carter>Not surprisingly, they started getting some sort of fear response

543
00:23:24.240 --> 00:23:25.980
<v Olivia Carter>to the spider every time they saw the spider.

544
00:23:26.680 --> 00:23:32.960
<v Olivia Carter>Now, on the second day, what they did was they brought people in

545
00:23:32.960 --> 00:23:35.520
<v Olivia Carter>and they gave people either the propanolol

546
00:23:35.520 --> 00:23:38.680
<v Olivia Carter>or they gave them placebo, so a non-active compound,

547
00:23:38.940 --> 00:23:40.560
<v Olivia Carter>and then they just showed...

548
00:23:40.560 --> 00:23:41.900
<v Olivia Carter>..the spider.

549
00:23:42.180 --> 00:23:44.700
<v Olivia Carter>Now, in the example of the guy that I talked about

550
00:23:44.700 --> 00:23:47.360
<v Olivia Carter>in terms of having a panic attack every time it rained,

551
00:23:48.000 --> 00:23:54.420
<v Olivia Carter>the idea is that people think that with these really bad memories

552
00:23:54.420 --> 00:23:56.840
<v Olivia Carter>that are triggering these physical responses,

553
00:23:57.180 --> 00:24:00.480
<v Olivia Carter>every time the person relives that experience,

554
00:24:00.660 --> 00:24:03.760
<v Olivia Carter>when they have the physical fear response that goes with it,

555
00:24:03.840 --> 00:24:06.700
<v Olivia Carter>they just keep relearning this association

556
00:24:06.700 --> 00:24:08.560
<v Olivia Carter>with the fear and the physical response.

557
00:24:08.960 --> 00:24:10.540
<v Olivia Carter>And so, what they did was,

558
00:24:10.560 --> 00:24:12.580
<v Olivia Carter>they presented the spiders,

559
00:24:13.280 --> 00:24:18.740
<v Olivia Carter>and in one group, these people had all the fear responses being blocked,

560
00:24:18.920 --> 00:24:20.800
<v Olivia Carter>so they could relearn the,

561
00:24:20.980 --> 00:24:24.160
<v Olivia Carter>OK, now I'm seeing a spider, and there's no fear event.

562
00:24:24.440 --> 00:24:24.900
<v Olivia Carter>There's no...

563
00:24:24.900 --> 00:24:26.900
<v Olivia Carter>I feel perfectly calm every time I see a spider.

564
00:24:27.020 --> 00:24:27.360
<v Olivia Carter>This is great.

565
00:24:27.580 --> 00:24:30.740
<v Olivia Carter>So, what they did then on the third day

566
00:24:30.740 --> 00:24:33.100
<v Olivia Carter>is they just presented the spider again,

567
00:24:33.240 --> 00:24:36.360
<v Olivia Carter>and they used some measures to assess the sort of fear response of the people,

568
00:24:36.440 --> 00:24:40.540
<v Olivia Carter>and they found that the people that had taken the propanolol,

569
00:24:40.560 --> 00:24:42.340
<v Olivia Carter>in that intermediate day,

570
00:24:42.480 --> 00:24:44.440
<v Olivia Carter>had significantly less fear responses.

571
00:24:44.660 --> 00:24:46.000
<v Olivia Carter>They'd actually been removed.

572
00:24:46.240 --> 00:24:53.500
<v Olivia Carter>Now, to me, this is an incredibly interesting result.

573
00:24:53.800 --> 00:24:55.400
<v Olivia Carter>And when I first...

574
00:24:55.400 --> 00:24:57.220
<v Olivia Carter>I was interviewed once on the radio, and they sort of said,

575
00:24:57.320 --> 00:24:58.780
<v Olivia Carter>oh, can you...

576
00:24:58.780 --> 00:25:02.220
<v Olivia Carter>This doesn't sound good that you're erasing fearful memories.

577
00:25:02.320 --> 00:25:06.520
<v Olivia Carter>And I should add, one critical step is that people aren't becoming amnesic.

578
00:25:06.520 --> 00:25:07.980
<v Olivia Carter>They remember the content.

579
00:25:08.200 --> 00:25:09.500
<v Olivia Carter>They remember seeing spiders,

580
00:25:09.500 --> 00:25:11.440
<v Olivia Carter>but they no longer have this fear response.

581
00:25:11.740 --> 00:25:13.380
<v Olivia Carter>And initially, I was thinking,

582
00:25:13.460 --> 00:25:15.340
<v Olivia Carter>I can't really see too many negative...

583
00:25:16.500 --> 00:25:17.860
<v Olivia Carter>you know, uses to that.

584
00:25:17.940 --> 00:25:21.280
<v Olivia Carter>Certainly, the amount of trauma that people go through

585
00:25:21.280 --> 00:25:24.980
<v Olivia Carter>through sexual assaults or war or whatever is just...

586
00:25:24.980 --> 00:25:27.040
<v Olivia Carter>is massive, and anything that can be done to reduce that.

587
00:25:27.140 --> 00:25:29.280
<v Olivia Carter>And there are a lot of trials going on at the moment

588
00:25:29.280 --> 00:25:31.000
<v Olivia Carter>using this in sort of clinical settings.

589
00:25:31.860 --> 00:25:36.380
<v Olivia Carter>But since this has become more talked about

590
00:25:36.380 --> 00:25:37.420
<v Olivia Carter>and more studies have been done,

591
00:25:37.560 --> 00:25:39.480
<v Olivia Carter>there are a few issues that are starting to take place.

592
00:25:39.500 --> 00:25:39.820
<v Olivia Carter>And I think that's a good thing to come up.

593
00:25:39.960 --> 00:25:44.640
<v Olivia Carter>And one interesting one is compensation for victims.

594
00:25:45.240 --> 00:25:47.860
<v Olivia Carter>If you're a victim of a crime and you...

595
00:25:48.500 --> 00:25:50.580
<v Olivia Carter>You know, a big part of compensation

596
00:25:50.580 --> 00:25:54.180
<v Olivia Carter>is based on subsequent sort of, you know, harm

597
00:25:54.180 --> 00:25:55.780
<v Olivia Carter>and dealing with the suffering.

598
00:25:55.920 --> 00:25:58.800
<v Olivia Carter>So if at some point, you know, will a judge say,

599
00:25:58.880 --> 00:26:00.660
<v Olivia Carter>well, just take your pill and get over it, you know?

600
00:26:00.740 --> 00:26:02.240
<v Olivia Carter>I mean, that's obviously quite extreme.

601
00:26:02.340 --> 00:26:07.520
<v Olivia Carter>But the other thing is there are...

602
00:26:07.520 --> 00:26:09.320
<v Olivia Carter>I can imagine situations

603
00:26:09.500 --> 00:26:12.760
<v Olivia Carter>where it's possible that you could end up with situations

604
00:26:12.760 --> 00:26:18.540
<v Olivia Carter>where someone's forced to work in a dangerous environment,

605
00:26:18.720 --> 00:26:21.220
<v Olivia Carter>you know, or a war-type situation.

606
00:26:21.400 --> 00:26:22.780
<v Olivia Carter>They're having these horrible experiences.

607
00:26:22.980 --> 00:26:26.620
<v Olivia Carter>And at some point, normally, in these cases,

608
00:26:26.820 --> 00:26:28.180
<v Olivia Carter>you're allowed to step...

609
00:26:28.180 --> 00:26:31.160
<v Olivia Carter>You know, if you're really not struggling coping psychologically,

610
00:26:31.700 --> 00:26:33.900
<v Olivia Carter>you can pull yourself out of this scenario.

611
00:26:33.980 --> 00:26:34.720
<v Olivia Carter>Whereas if...

612
00:26:34.720 --> 00:26:37.660
<v Olivia Carter>We'll just take your pill and let's reprogram your memories

613
00:26:37.660 --> 00:26:38.560
<v Olivia Carter>and send you off again.

614
00:26:38.800 --> 00:26:39.480
<v Olivia Carter>It's obvious that...

615
00:26:39.500 --> 00:26:41.520
<v Olivia Carter>It's obviously some problems.

616
00:26:41.600 --> 00:26:43.640
<v Olivia Carter>And there's also issues of...

617
00:26:43.640 --> 00:26:46.040
<v Olivia Carter>I have less of a, you know, personally a problem with this,

618
00:26:46.100 --> 00:26:50.420
<v Olivia Carter>but how much is your history and memories and emotions

619
00:26:50.420 --> 00:26:52.060
<v Olivia Carter>part of who you are as a person?

620
00:26:52.200 --> 00:26:55.360
<v Olivia Carter>Now, you know, depending on...

621
00:26:55.940 --> 00:26:56.380
<v Olivia Carter>Probably...

622
00:26:56.380 --> 00:26:59.360
<v Olivia Carter>I imagine the people that experience post-traumatic stress disorder

623
00:26:59.860 --> 00:27:01.640
<v Olivia Carter>don't feel like that element of fear

624
00:27:01.640 --> 00:27:02.860
<v Olivia Carter>is a big part of their personality.

625
00:27:02.880 --> 00:27:07.620
<v Olivia Carter>But the extent to which you can just do things

626
00:27:07.620 --> 00:27:09.480
<v Olivia Carter>that might make you feel guilty or anxious,

627
00:27:09.480 --> 00:27:12.900
<v Olivia Carter>and just be able to remove that effect later,

628
00:27:13.060 --> 00:27:15.460
<v Olivia Carter>certainly could have a lot of implications.

629
00:27:18.080 --> 00:27:18.540
<v Olivia Carter>OK.

630
00:27:18.660 --> 00:27:19.920
<v Olivia Carter>I'm sort of coming towards the end.

631
00:27:20.120 --> 00:27:23.720
<v Olivia Carter>I just wanted to touch on the pure cognitive enhances.

632
00:27:23.880 --> 00:27:27.660
<v Olivia Carter>Now, more discussions have been talked about

633
00:27:28.620 --> 00:27:31.520
<v Olivia Carter>in terms of memory and attention.

634
00:27:31.740 --> 00:27:33.680
<v Olivia Carter>So I didn't want to talk in as much detail,

635
00:27:33.720 --> 00:27:36.480
<v Olivia Carter>but I want to make the point that things like...

636
00:27:37.640 --> 00:27:39.460
<v Olivia Carter>There's just huge amounts of money out there.

637
00:27:39.460 --> 00:27:39.920
<v Olivia Carter>There's huge amounts of money at the moment

638
00:27:39.920 --> 00:27:42.800
<v Olivia Carter>being spent by drug companies and individual research labs

639
00:27:42.800 --> 00:27:48.420
<v Olivia Carter>on better understanding memory and Alzheimer's and dementia

640
00:27:48.420 --> 00:27:53.260
<v Olivia Carter>and all these types of things that result in reduced memory.

641
00:27:53.720 --> 00:27:53.780
<v Olivia Carter>OK?

642
00:27:53.880 --> 00:27:55.840
<v Olivia Carter>And in terms of biologically,

643
00:27:55.920 --> 00:27:59.640
<v Olivia Carter>we have a fairly good understanding of what memory is.

644
00:27:59.760 --> 00:28:01.820
<v Olivia Carter>We don't understand... You know, it can't cure Alzheimer's,

645
00:28:01.860 --> 00:28:05.880
<v Olivia Carter>but the biological basis of memory is relatively well understood,

646
00:28:06.020 --> 00:28:08.680
<v Olivia Carter>and it's pretty much accepted

647
00:28:08.680 --> 00:28:11.360
<v Olivia Carter>that whatever... exactly how it's working is...

648
00:28:11.360 --> 00:28:12.940
<v Olivia Carter>You know, they need to work out the details,

649
00:28:13.080 --> 00:28:16.080
<v Olivia Carter>but it certainly involves a degree of increased connectivity.

650
00:28:16.420 --> 00:28:19.960
<v Olivia Carter>So the memories are actually physical,

651
00:28:21.200 --> 00:28:22.760
<v Olivia Carter>either new connections

652
00:28:22.760 --> 00:28:24.480
<v Olivia Carter>or just increased strength of connections

653
00:28:24.480 --> 00:28:27.140
<v Olivia Carter>within these neural networks, OK, within the brain.

654
00:28:27.420 --> 00:28:31.940
<v Olivia Carter>And I guess the point is that if you've got drugs

655
00:28:31.940 --> 00:28:34.480
<v Olivia Carter>that are improving memory for people with Alzheimer's,

656
00:28:34.540 --> 00:28:36.860
<v Olivia Carter>they're very, very likely to be improving memory

657
00:28:36.860 --> 00:28:38.580
<v Olivia Carter>for the average person.

658
00:28:38.680 --> 00:28:38.880
<v Olivia Carter>So, you know, we've got a lot of people

659
00:28:38.880 --> 00:28:39.800
<v Olivia Carter>that don't have Alzheimer's.

660
00:28:39.800 --> 00:28:45.700
<v Olivia Carter>So the pressure in terms of the financial gain

661
00:28:45.700 --> 00:28:48.820
<v Olivia Carter>for developing memory-enhancing drugs for clinical purposes is massive.

662
00:28:49.000 --> 00:28:53.360
<v Olivia Carter>And definitely progress is being made in that direction.

663
00:28:54.140 --> 00:28:57.020
<v Olivia Carter>And when that happens, as it starts to increase,

664
00:28:57.980 --> 00:29:00.900
<v Olivia Carter>it's sort of guaranteed that there are going to be uses

665
00:29:00.900 --> 00:29:02.560
<v Olivia Carter>for these drugs in the healthy population.

666
00:29:02.560 --> 00:29:05.060
<v Olivia Carter>So we do need to start thinking about that.

667
00:29:05.060 --> 00:29:07.180
<v Olivia Carter>And the same with ADHD and attention.

668
00:29:07.440 --> 00:29:07.980
<v Olivia Carter>Already...

669
00:29:10.600 --> 00:29:12.820
<v Olivia Carter>..there's a lot of sort of anecdotal evidence

670
00:29:12.820 --> 00:29:15.040
<v Olivia Carter>and even some smaller studies showing

671
00:29:15.040 --> 00:29:17.740
<v Olivia Carter>that the drugs that are helping,

672
00:29:17.800 --> 00:29:20.020
<v Olivia Carter>things like Ritalin that help children with ADHD,

673
00:29:20.360 --> 00:29:24.100
<v Olivia Carter>also help other students without ADHD study for exams,

674
00:29:24.380 --> 00:29:25.560
<v Olivia Carter>pay better attention,

675
00:29:25.860 --> 00:29:29.640
<v Olivia Carter>and even sort of, you know, if they're studying for exams,

676
00:29:29.720 --> 00:29:31.260
<v Olivia Carter>they're learning more and these types of things.

677
00:29:31.320 --> 00:29:33.900
<v Olivia Carter>So at the moment...

678
00:29:34.500 --> 00:29:35.040
<v Olivia Carter>..at the moment,

679
00:29:35.060 --> 00:29:36.480
<v Olivia Carter>particularly in the US,

680
00:29:36.600 --> 00:29:40.240
<v Olivia Carter>the use of these types of drugs for the ADHD,

681
00:29:40.640 --> 00:29:41.980
<v Olivia Carter>things like Ritalin,

682
00:29:42.100 --> 00:29:44.600
<v Olivia Carter>was initially thought that the problem was going to be,

683
00:29:45.260 --> 00:29:46.420
<v Olivia Carter>OK, we've got...

684
00:29:47.000 --> 00:29:49.080
<v Olivia Carter>In the poorer socioeconomic groups,

685
00:29:49.220 --> 00:29:51.900
<v Olivia Carter>we're going to have situations with overcrowded classrooms,

686
00:29:52.680 --> 00:29:53.900
<v Olivia Carter>kids out of control,

687
00:29:54.280 --> 00:29:55.820
<v Olivia Carter>they'll all just start drugging them,

688
00:29:55.960 --> 00:29:59.060
<v Olivia Carter>you know, just to sort of save money and make things easier.

689
00:29:59.200 --> 00:30:00.520
<v Olivia Carter>That's not what's happening.

690
00:30:00.620 --> 00:30:02.560
<v Olivia Carter>That's not the way things have turned out.

691
00:30:02.660 --> 00:30:04.960
<v Olivia Carter>The greatest use of these drugs is in the...

692
00:30:05.060 --> 00:30:07.140
<v Olivia Carter>..in the richest schools with the smallest class size,

693
00:30:07.220 --> 00:30:09.700
<v Olivia Carter>where the students are having their piano lessons

694
00:30:09.700 --> 00:30:11.240
<v Olivia Carter>and their swimming lessons and their tutoring,

695
00:30:11.420 --> 00:30:14.560
<v Olivia Carter>and as one extra thing, they're taking these drugs.

696
00:30:14.740 --> 00:30:17.200
<v Olivia Carter>And at the top US colleges,

697
00:30:17.280 --> 00:30:20.240
<v Olivia Carter>that's where the use of these drugs is the highest.

698
00:30:20.320 --> 00:30:23.100
<v Olivia Carter>So this idea that, you know,

699
00:30:23.120 --> 00:30:28.320
<v Olivia Carter>you can really have drugs that improve cognitive performance,

700
00:30:28.580 --> 00:30:29.820
<v Olivia Carter>memory, attention, this sort of thing,

701
00:30:29.880 --> 00:30:31.620
<v Olivia Carter>is already starting to happen.

702
00:30:32.980 --> 00:30:34.000
<v Olivia Carter>And I guess...

703
00:30:35.140 --> 00:30:38.440
<v Olivia Carter>Yeah, one thing I do want to sort of stress again

704
00:30:38.440 --> 00:30:41.140
<v Olivia Carter>is that the extent that the drug works,

705
00:30:41.240 --> 00:30:44.100
<v Olivia Carter>it's probably working because it's acting on exactly the same thing

706
00:30:44.100 --> 00:30:45.120
<v Olivia Carter>that's happening in the normal brain.

707
00:30:45.240 --> 00:30:50.480
<v Olivia Carter>So I do feel like one problem when we talk about drugs

708
00:30:50.480 --> 00:30:54.220
<v Olivia Carter>is that we think that some radically different thing

709
00:30:54.220 --> 00:30:56.200
<v Olivia Carter>is happening in the world of drugs

710
00:30:56.200 --> 00:30:58.120
<v Olivia Carter>and that must be necessarily bad.

711
00:30:58.420 --> 00:31:02.400
<v Olivia Carter>And that's where I get to hear, so are drugs bad?

712
00:31:02.480 --> 00:31:05.040
<v Olivia Carter>I said in the... I think the title of this talk was,

713
00:31:05.600 --> 00:31:06.900
<v Olivia Carter>you know, something along the lines of,

714
00:31:06.920 --> 00:31:09.740
<v Olivia Carter>what if there were drugs that had no negative side effects?

715
00:31:09.940 --> 00:31:12.200
<v Olivia Carter>And one...

716
00:31:12.200 --> 00:31:14.560
<v Olivia Carter>The reason I sort of framed it like that

717
00:31:14.560 --> 00:31:17.800
<v Olivia Carter>is because I think that there are a lot of consequences to drug use

718
00:31:17.800 --> 00:31:20.100
<v Olivia Carter>that don't...

719
00:31:20.100 --> 00:31:24.360
<v Olivia Carter>Like, that aren't necessarily sort of captured by this,

720
00:31:24.440 --> 00:31:26.880
<v Olivia Carter>well, it's going to cause damage to your brain.

721
00:31:27.080 --> 00:31:31.100
<v Olivia Carter>And I think that a lot of people sort of put down the shutters

722
00:31:31.100 --> 00:31:33.040
<v Olivia Carter>or stick their head in the sand and just say,

723
00:31:33.200 --> 00:31:35.040
<v Olivia Carter>oh, drugs are bad, drugs are bad, you know,

724
00:31:35.060 --> 00:31:36.700
<v Olivia Carter>look, if there's a memory-enhancing drug

725
00:31:36.700 --> 00:31:39.420
<v Olivia Carter>and some other kid is having this drug,

726
00:31:39.540 --> 00:31:40.920
<v Olivia Carter>then I definitely don't want to give it to my child

727
00:31:40.920 --> 00:31:43.900
<v Olivia Carter>because I'm sure it's going to have long-term negative side effects

728
00:31:43.900 --> 00:31:45.740
<v Olivia Carter>and so that would be a really bad thing.

729
00:31:46.100 --> 00:31:48.980
<v Olivia Carter>But I think you need to get past that

730
00:31:48.980 --> 00:31:51.880
<v Olivia Carter>and imagine a future where these types of drugs

731
00:31:51.880 --> 00:31:54.620
<v Olivia Carter>might be shown to have less of a sort of...

732
00:31:54.620 --> 00:31:55.780
<v Olivia Carter>less negative side effects.

733
00:31:55.960 --> 00:32:00.980
<v Olivia Carter>And, like I said, the pressure of the drug companies,

734
00:32:00.980 --> 00:32:03.840
<v Olivia Carter>just the financial motivation for these drug companies

735
00:32:03.840 --> 00:32:05.440
<v Olivia Carter>to create these drugs,

736
00:32:05.600 --> 00:32:07.500
<v Olivia Carter>it's just as strong for them to create drugs

737
00:32:07.500 --> 00:32:08.820
<v Olivia Carter>with fewer and fewer side effects

738
00:32:08.820 --> 00:32:11.520
<v Olivia Carter>because the side effects are the reason people aren't taking the drugs

739
00:32:11.520 --> 00:32:12.260
<v Olivia Carter>and aren't spending the money.

740
00:32:12.360 --> 00:32:15.560
<v Olivia Carter>So there is a lot of research being done

741
00:32:15.560 --> 00:32:18.140
<v Olivia Carter>to reduce negative side effects to drugs.

742
00:32:19.260 --> 00:32:24.160
<v Olivia Carter>So I think the most important thing, you know, moving forward,

743
00:32:24.180 --> 00:32:26.820
<v Olivia Carter>is that, first of all, in terms of medicine,

744
00:32:27.180 --> 00:32:29.260
<v Olivia Carter>there's very rigorous studies looking at

745
00:32:29.260 --> 00:32:31.420
<v Olivia Carter>what are all the positive, negative consequences

746
00:32:31.420 --> 00:32:33.540
<v Olivia Carter>and if something, you know,

747
00:32:33.840 --> 00:32:35.120
<v Olivia Carter>is going really extreme like chemotherapy,

748
00:32:35.700 --> 00:32:37.800
<v Olivia Carter>if you have cancer, then you're told,

749
00:32:37.960 --> 00:32:40.480
<v Olivia Carter>look, you know, your hair will fall out, you'll feel incredibly sick,

750
00:32:40.580 --> 00:32:42.640
<v Olivia Carter>there are a lot of very negative side effects to this drug,

751
00:32:43.200 --> 00:32:46.080
<v Olivia Carter>but if you have cancer, it's an appropriate...

752
00:32:46.740 --> 00:32:49.200
<v Olivia Carter>you know, the positives will outweigh the negatives,

753
00:32:49.340 --> 00:32:51.800
<v Olivia Carter>whereas if that same drug was given for the common cold,

754
00:32:51.880 --> 00:32:52.680
<v Olivia Carter>you'd never take it.

755
00:32:52.780 --> 00:32:54.680
<v Olivia Carter>I mean, it's sort of crazy,

756
00:32:54.780 --> 00:32:57.640
<v Olivia Carter>but we have the ability to weigh up these types of things

757
00:32:57.640 --> 00:33:01.060
<v Olivia Carter>and not necessarily suggesting that there will be a future

758
00:33:01.060 --> 00:33:03.720
<v Olivia Carter>where there will be drugs that have no negative side effects,

759
00:33:03.840 --> 00:33:06.860
<v Olivia Carter>because it always depends on the context and the individual

760
00:33:06.860 --> 00:33:09.900
<v Olivia Carter>of how different drugs are going to affect people.

761
00:33:10.020 --> 00:33:13.720
<v Olivia Carter>But the idea that you might have drugs with more positive than negative,

762
00:33:13.800 --> 00:33:17.080
<v Olivia Carter>I think, is a real possibility.

763
00:33:17.120 --> 00:33:20.300
<v Olivia Carter>And just as an example, I'm sort of nearly finishing up now,

764
00:33:20.400 --> 00:33:24.480
<v Olivia Carter>but I gave the example of the oxytocin, which is the trust drug.

765
00:33:24.720 --> 00:33:28.480
<v Olivia Carter>Now, to me, it's just not too far a stretch of the imagination

766
00:33:29.200 --> 00:33:32.520
<v Olivia Carter>to say that maybe one day in the future studies will come out

767
00:33:32.520 --> 00:33:33.560
<v Olivia Carter>really showing that, yes,

768
00:33:33.560 --> 00:33:36.280
<v Olivia Carter>between birth to the age of three,

769
00:33:36.880 --> 00:33:39.480
<v Olivia Carter>giving this drug, you know, every day,

770
00:33:39.520 --> 00:33:42.400
<v Olivia Carter>mother and child, father and child, every day,

771
00:33:42.400 --> 00:33:44.320
<v Olivia Carter>really strengthens this bond

772
00:33:44.320 --> 00:33:48.720
<v Olivia Carter>and sets a child up for a fantastically sort of healthy, strong life.

773
00:33:48.780 --> 00:33:52.720
<v Olivia Carter>It's important for the sort of emotional development of the child,

774
00:33:52.780 --> 00:33:53.380
<v Olivia Carter>something like this.

775
00:33:53.460 --> 00:33:58.480
<v Olivia Carter>Now, you might say, well, let's wean the child off tablets like this

776
00:33:58.480 --> 00:33:59.800
<v Olivia Carter>as soon as there has to be an environment

777
00:33:59.800 --> 00:34:03.000
<v Olivia Carter>where they need to be sceptical and cautious of strangers.

778
00:34:03.080 --> 00:34:03.540
<v Olivia Carter>But, you know, it's not that.

779
00:34:03.560 --> 00:34:04.760
<v Olivia Carter>You know, a two-year-old's always by your side,

780
00:34:04.860 --> 00:34:07.160
<v Olivia Carter>so it's not like they're going to get in a car with a stranger.

781
00:34:08.700 --> 00:34:12.880
<v Olivia Carter>So, you know, given that we know that these types of strong relationships

782
00:34:12.880 --> 00:34:16.580
<v Olivia Carter>are absolutely critical to the development of a child,

783
00:34:17.220 --> 00:34:20.660
<v Olivia Carter>to me, it's not ridiculous that things that help that

784
00:34:20.660 --> 00:34:23.220
<v Olivia Carter>might actually be considered beneficial.

785
00:34:23.420 --> 00:34:24.760
<v Olivia Carter>They might start telling us,

786
00:34:24.820 --> 00:34:27.880
<v Olivia Carter>look, if you want the best emotional sort of outcome for your child,

787
00:34:27.940 --> 00:34:29.160
<v Olivia Carter>maybe you start taking these drugs.

788
00:34:30.620 --> 00:34:33.240
<v Olivia Carter>OK, that's a bit out there.

789
00:34:33.240 --> 00:34:35.660
<v Olivia Carter>Now, if you look at the level of the individual,

790
00:34:35.960 --> 00:34:37.540
<v Olivia Carter>we might say things like,

791
00:34:37.580 --> 00:34:41.220
<v Olivia Carter>look, these drugs that reduce the need for sleep.

792
00:34:41.520 --> 00:34:43.660
<v Olivia Carter>It might not be great if we all are taking them,

793
00:34:43.700 --> 00:34:46.120
<v Olivia Carter>but there are situations with things like,

794
00:34:46.120 --> 00:34:49.720
<v Olivia Carter>if you, you know, drivers, long-haul drivers,

795
00:34:49.920 --> 00:34:51.900
<v Olivia Carter>shift workers that are working through the night,

796
00:34:52.460 --> 00:34:54.680
<v Olivia Carter>doctors that are working late-night surgeries.

797
00:34:55.380 --> 00:34:59.300
<v Olivia Carter>It's in the interest, less accidents happen, fewer deaths,

798
00:34:59.420 --> 00:35:01.120
<v Olivia Carter>if people are taking these drugs.

799
00:35:01.320 --> 00:35:02.840
<v Olivia Carter>OK, so let's have a situation

800
00:35:02.840 --> 00:35:05.600
<v Olivia Carter>where we start mandating this type of drug use

801
00:35:05.600 --> 00:35:10.080
<v Olivia Carter>for society's benefit, you know, for the individuals.

802
00:35:11.420 --> 00:35:13.840
<v Olivia Carter>And if you think...

803
00:35:14.380 --> 00:35:15.980
<v Olivia Carter>When we talk about drugs,

804
00:35:16.060 --> 00:35:19.760
<v Olivia Carter>I think you also need to think about the effect of society on a whole.

805
00:35:20.000 --> 00:35:23.820
<v Olivia Carter>And most of these types of enhancement drugs

806
00:35:23.820 --> 00:35:26.260
<v Olivia Carter>have very big effects on...

807
00:35:26.740 --> 00:35:29.380
<v Olivia Carter>You know, if they're actually helping one child

808
00:35:29.380 --> 00:35:32.420
<v Olivia Carter>get ahead of another child, then that in itself is a huge problem.

809
00:35:32.500 --> 00:35:32.760
<v Olivia Carter>And...

810
00:35:32.840 --> 00:35:36.640
<v Olivia Carter>Let's say we did some studies, really extensive studies,

811
00:35:36.820 --> 00:35:38.880
<v Olivia Carter>and we found that some of these memory-enhancing drugs

812
00:35:38.880 --> 00:35:41.580
<v Olivia Carter>improved memory by 5%.

813
00:35:41.580 --> 00:35:43.880
<v Olivia Carter>Everyone's memory was improved by 5%.

814
00:35:45.860 --> 00:35:49.580
<v Olivia Carter>And they'd showed studies and said that that 5% improvement

815
00:35:51.380 --> 00:35:54.600
<v Olivia Carter>improved general quality of life, ability to perform at work,

816
00:35:54.740 --> 00:35:56.500
<v Olivia Carter>students were able to learn more.

817
00:35:56.680 --> 00:35:58.180
<v Olivia Carter>And the studies came back and they said,

818
00:35:58.220 --> 00:36:01.420
<v Olivia Carter>look, there seems to be overall a benefit to this type of...

819
00:36:01.420 --> 00:36:03.420
<v Olivia Carter>..of drug use.

820
00:36:03.480 --> 00:36:05.740
<v Olivia Carter>And what's really important is that we don't end up with a situation

821
00:36:05.740 --> 00:36:07.100
<v Olivia Carter>where only the rich kids can have it.

822
00:36:07.240 --> 00:36:09.060
<v Olivia Carter>So let's make it available to everyone.

823
00:36:09.460 --> 00:36:11.420
<v Olivia Carter>Let's put it in the drinking water or something ridiculous.

824
00:36:11.660 --> 00:36:12.060
<v Olivia Carter>Now...

825
00:36:13.300 --> 00:36:15.880
<v Olivia Carter>I put all of these things out there to sort of say...

826
00:36:15.880 --> 00:36:17.760
<v Olivia Carter>..make you think, well, this is probably ridiculous.

827
00:36:17.920 --> 00:36:21.520
<v Olivia Carter>But as I stand here, I'm four months pregnant,

828
00:36:21.600 --> 00:36:24.020
<v Olivia Carter>and every morning I take two tablets...

829
00:36:24.020 --> 00:36:26.680
<v Olivia Carter>One tablet in the evening, one tablet in the morning,

830
00:36:26.760 --> 00:36:30.140
<v Olivia Carter>because every doctor I've spoken to tells me I have to do this.

831
00:36:30.380 --> 00:36:30.800
<v Olivia Carter>Um...

832
00:36:31.280 --> 00:36:32.580
<v Olivia Carter>So these are just vitamins.

833
00:36:32.640 --> 00:36:34.980
<v Olivia Carter>They say you should take them before you even get pregnant

834
00:36:34.980 --> 00:36:35.660
<v Olivia Carter>because it's...

835
00:36:35.660 --> 00:36:39.580
<v Olivia Carter>There's 17 essential ingredients for the healthy development of your baby.

836
00:36:39.960 --> 00:36:41.520
<v Olivia Carter>It reduces spina bifida.

837
00:36:41.780 --> 00:36:43.280
<v Olivia Carter>But this is the important thing.

838
00:36:43.420 --> 00:36:46.680
<v Olivia Carter>Iodine and omega-3 fatty acids for brain and eyesight development.

839
00:36:46.960 --> 00:36:47.200
<v Olivia Carter>So...

840
00:36:48.200 --> 00:36:52.640
<v Olivia Carter>Spina bifida is a clear medical sort of condition.

841
00:36:52.760 --> 00:36:54.920
<v Olivia Carter>Let's try and reduce the incidence of this.

842
00:36:55.360 --> 00:36:57.740
<v Olivia Carter>They're just saying, if you don't take these tablets,

843
00:36:57.780 --> 00:36:58.940
<v Olivia Carter>your child's not going to be blind.

844
00:36:59.100 --> 00:37:00.620
<v Olivia Carter>There's no... No-one's claiming that.

845
00:37:00.800 --> 00:37:04.600
<v Olivia Carter>But there is a general claim that if you want the best for your child

846
00:37:04.600 --> 00:37:07.580
<v Olivia Carter>and you want them to have a healthy development of the brain

847
00:37:07.580 --> 00:37:09.600
<v Olivia Carter>and visual system and auditory system,

848
00:37:09.720 --> 00:37:11.240
<v Olivia Carter>you should be taking these vitamins.

849
00:37:12.620 --> 00:37:16.020
<v Olivia Carter>Now, every... You know, this just seems to be an accepted thing,

850
00:37:16.100 --> 00:37:18.680
<v Olivia Carter>and I'm happy to believe the evidence,

851
00:37:18.860 --> 00:37:20.400
<v Olivia Carter>and, um...

852
00:37:21.040 --> 00:37:24.200
<v Olivia Carter>It's almost to the extent that I would feel like a neglected parent

853
00:37:24.800 --> 00:37:26.140
<v Olivia Carter>if I wasn't taking these tablets.

854
00:37:26.260 --> 00:37:27.660
<v Olivia Carter>I mean, that's how it sort of is at the moment.

855
00:37:28.000 --> 00:37:30.600
<v Olivia Carter>Now, the next example I give is immunisation.

856
00:37:30.800 --> 00:37:33.460
<v Olivia Carter>I talked about the idea that the doctors might be mandated

857
00:37:33.460 --> 00:37:36.240
<v Olivia Carter>to sort of take these drugs for the betterment of society.

858
00:37:37.380 --> 00:37:38.100
<v Olivia Carter>Now, um...

859
00:37:39.160 --> 00:37:40.820
<v Olivia Carter>I'm also happy to believe

860
00:37:40.820 --> 00:37:43.780
<v Olivia Carter>that immunisation is a positive thing for my child,

861
00:37:43.840 --> 00:37:46.000
<v Olivia Carter>happy to immunise my child,

862
00:37:46.080 --> 00:37:48.460
<v Olivia Carter>but I was quite astounded that...

863
00:37:49.120 --> 00:37:52.400
<v Olivia Carter>Then I discovered after, you know, the doctors would say,

864
00:37:52.500 --> 00:37:53.820
<v Olivia Carter>of course, it's a personal choice,

865
00:37:53.840 --> 00:37:55.500
<v Olivia Carter>you don't have to immunise a child if you don't want to.

866
00:37:55.640 --> 00:37:58.140
<v Olivia Carter>But if the child's not immunised, they can't go to daycare

867
00:37:58.140 --> 00:37:59.320
<v Olivia Carter>and they can't go to school.

868
00:37:59.360 --> 00:38:00.780
<v Olivia Carter>Most of the daycare,

869
00:38:00.780 --> 00:38:02.420
<v Olivia Carter>most of the daycares around the place have exclusion policies,

870
00:38:02.640 --> 00:38:05.480
<v Olivia Carter>so if your child's not, you know, immunised,

871
00:38:05.540 --> 00:38:07.880
<v Olivia Carter>they can't go to the daycare and they can't go to school.

872
00:38:08.040 --> 00:38:11.500
<v Olivia Carter>So, at one point, then, you know, yeah, you've got the freedom to do this,

873
00:38:11.560 --> 00:38:13.720
<v Olivia Carter>but then you can't actually live your life.

874
00:38:13.820 --> 00:38:17.380
<v Olivia Carter>So, I don't think it's too much of a stretch of the imagination.

875
00:38:17.460 --> 00:38:20.040
<v Olivia Carter>If there were multiple studies out there saying,

876
00:38:22.460 --> 00:38:25.100
<v Olivia Carter>look, significantly more lives are being saved

877
00:38:25.100 --> 00:38:27.940
<v Olivia Carter>by doctors that are taking these drugs than those that are not,

878
00:38:28.080 --> 00:38:30.560
<v Olivia Carter>then you might be given...

879
00:38:30.780 --> 00:38:31.980
<v Olivia Carter>Well, look, you don't have to take the drug,

880
00:38:32.020 --> 00:38:35.020
<v Olivia Carter>but you can't work under these situations if you don't.

881
00:38:35.080 --> 00:38:35.800
<v Olivia Carter>You know, it's not...

882
00:38:35.800 --> 00:38:38.640
<v Olivia Carter>Look, I'm trying to be a little bit sort of speculative,

883
00:38:38.700 --> 00:38:41.120
<v Olivia Carter>but to me, it's not outside the realms of possibility.

884
00:38:41.360 --> 00:38:43.740
<v Olivia Carter>And finally, we all know about fluoride in water.

885
00:38:43.860 --> 00:38:47.320
<v Olivia Carter>And at some point, it was just decided that this was a good thing

886
00:38:47.320 --> 00:38:50.180
<v Olivia Carter>for everyone to have more fluoride in the water.

887
00:38:50.240 --> 00:38:53.560
<v Olivia Carter>And, look, I'm not denying that maybe it is useful.

888
00:38:54.200 --> 00:38:58.800
<v Olivia Carter>And certainly, I'm sure a lot of research was done

889
00:38:58.800 --> 00:39:00.760
<v Olivia Carter>in terms of looking at the...

890
00:39:00.780 --> 00:39:03.940
<v Olivia Carter>..the sort of short-term benefits to our teeth and all the rest of it.

891
00:39:04.180 --> 00:39:06.400
<v Olivia Carter>But the idea that...

892
00:39:06.400 --> 00:39:07.880
<v Olivia Carter>I can be quite sure...

893
00:39:07.880 --> 00:39:10.740
<v Olivia Carter>Fluoride's been in the water since the sort of early 70s.

894
00:39:10.980 --> 00:39:14.340
<v Olivia Carter>That studies were not done with a full lifetime

895
00:39:14.880 --> 00:39:18.420
<v Olivia Carter>to say what is the exposure of fluoride to the, you know,

896
00:39:18.420 --> 00:39:20.700
<v Olivia Carter>healthy human being across an entire lifetime.

897
00:39:21.140 --> 00:39:24.480
<v Olivia Carter>Those studies couldn't have been done because, you know,

898
00:39:24.500 --> 00:39:26.680
<v Olivia Carter>this type of research hasn't been going on for that long.

899
00:39:26.960 --> 00:39:29.640
<v Olivia Carter>So, it was just decided by the governments.

900
00:39:29.640 --> 00:39:32.820
<v Olivia Carter>And I think history would probably show that over the 30 years,

901
00:39:32.940 --> 00:39:34.380
<v Olivia Carter>there hasn't been...

902
00:39:34.380 --> 00:39:35.300
<v Olivia Carter>I think it was the right decision.

903
00:39:35.440 --> 00:39:36.720
<v Olivia Carter>I don't think there's a lot of evidence out there saying

904
00:39:36.720 --> 00:39:38.540
<v Olivia Carter>that fluoride has been bad for us.

905
00:39:39.560 --> 00:39:42.740
<v Olivia Carter>But this idea that these types of decisions are made

906
00:39:42.740 --> 00:39:44.580
<v Olivia Carter>on the behalf of us already.

907
00:39:45.420 --> 00:39:47.420
<v Olivia Carter>OK, so, I'll just finish up here.

908
00:39:47.540 --> 00:39:52.000
<v Olivia Carter>And I guess my whole point is that maybe in the future,

909
00:39:52.560 --> 00:39:56.140
<v Olivia Carter>if you want to live an active life, if you want to be healthy,

910
00:39:56.180 --> 00:39:59.240
<v Olivia Carter>if you want your kids to learn and be the best that they can,

911
00:39:59.240 --> 00:40:04.340
<v Olivia Carter>maybe part of that will be to take the drugs that will help you do that,

912
00:40:04.420 --> 00:40:06.960
<v Olivia Carter>along with exercise and all the rest of it might be part of the...

913
00:40:08.880 --> 00:40:11.220
<v Olivia Carter>..how you become the best person you can be

914
00:40:11.220 --> 00:40:12.620
<v Olivia Carter>or the happiest person you can be.

915
00:40:13.520 --> 00:40:15.500
<v Olivia Carter>Anyway, that's it. Thanks.

916
00:40:18.060 --> 00:40:25.440
<v Chair>Thank you, Olivia, for that stimulating and provocative talk.

917
00:40:26.380 --> 00:40:28.680
<v Chair>I couldn't stop writing notes, as I've seen there.

918
00:40:29.240 --> 00:40:30.420
<v Chair>As a psychiatrist, thinking,

919
00:40:30.500 --> 00:40:31.940
<v Chair>what is she trying to tell me to do here?

920
00:40:33.300 --> 00:40:35.580
<v Chair>But, so, over to you as the audience.

921
00:40:35.640 --> 00:40:37.920
<v Chair>We've got people, we've got a microphone at the back of the room.

922
00:40:38.760 --> 00:40:42.180
<v Chair>Please feel free to queue up, have a few ideas,

923
00:40:42.240 --> 00:40:43.440
<v Chair>a few comments, a few questions.

924
00:40:44.080 --> 00:40:46.260
<v Chair>And I should have asked you before that you're not...

925
00:40:48.280 --> 00:40:50.060
<v Chair>..sort of on a retainer by any drug company.

926
00:40:50.120 --> 00:40:50.380
<v Olivia Carter>No.

927
00:40:52.420 --> 00:40:54.560
<v Chair>There's not free oxytocin at the back of the room.

928
00:40:54.620 --> 00:40:56.240
<v Chair>No, Definitely not.

929
00:40:57.020 --> 00:40:57.900
<v Olivia Carter>No, she is. Definitely not.

930
00:40:59.480 --> 00:41:01.140
<v Chair>There's a number of provocative things you're saying.

931
00:41:01.280 --> 00:41:03.920
<v Chair>And my take on part of what you're doing

932
00:41:03.920 --> 00:41:06.860
<v Chair>is that you're being a brave member of our academic community

933
00:41:06.860 --> 00:41:08.760
<v Chair>saying, let's talk about this. Yeah.

934
00:41:08.880 --> 00:41:10.180
<v Chair>Which is a fantastic thing.

935
00:41:10.520 --> 00:41:12.240
<v Chair>And we've got three people lined up there to...

936
00:41:12.980 --> 00:41:14.120
<v Chair>Please. OK.

937
00:41:14.920 --> 00:41:16.640
<v Audience>Terrific talk. Very interesting. Thank you.

938
00:41:17.740 --> 00:41:21.460
<v Audience>One comment, and that is the idea of erasing bad memories

939
00:41:21.460 --> 00:41:23.060
<v Audience>and the possible legal consequences.

940
00:41:24.080 --> 00:41:25.440
<v Audience>Actually, I don't think that's any different

941
00:41:25.440 --> 00:41:26.920
<v Audience>from what exists at the moment.

942
00:41:26.940 --> 00:41:29.180
<v Audience>If you have a way of minimising

943
00:41:29.240 --> 00:41:30.240
<v Audience>the harm that you've suffered,

944
00:41:30.380 --> 00:41:32.240
<v Audience>then you have an obligation to minimise it

945
00:41:32.240 --> 00:41:35.240
<v Audience>and you won't be compensated for harm that could be minimised.

946
00:41:35.420 --> 00:41:37.500
<v Audience>I mean, you know, if you don't get the wound stitched up

947
00:41:37.500 --> 00:41:40.120
<v Audience>and get gangrene, well, you probably can't complain

948
00:41:40.120 --> 00:41:40.900
<v Audience>too much about that.

949
00:41:41.460 --> 00:41:43.300
<v Audience>In relation to modafinil,

950
00:41:43.320 --> 00:41:47.320
<v Audience>it seems to me to carry a really significant side effect,

951
00:41:47.520 --> 00:41:50.700
<v Audience>which is it would probably just set a new benchmark

952
00:41:51.240 --> 00:41:53.120
<v Audience>for acceptable levels of endurance.

953
00:41:53.900 --> 00:41:56.520
<v Audience>So that we'll all be on it, and you'll see people, you know,

954
00:41:56.560 --> 00:41:57.800
<v Audience>sort of madly doing their emails

955
00:41:59.240 --> 00:42:00.480
<v Audience>and their shower and all this sort of thing,

956
00:42:00.520 --> 00:42:03.500
<v Audience>and working around the clock, and we'll all be on par again.

957
00:42:03.820 --> 00:42:05.580
<v Olivia Carter>Yeah. Look, absolutely.

958
00:42:06.140 --> 00:42:09.580
<v Olivia Carter>And that's something that's brought up a lot.

959
00:42:09.660 --> 00:42:14.560
<v Olivia Carter>I mean, I guess in a way that's part of this point of this discussion,

960
00:42:14.720 --> 00:42:19.080
<v Olivia Carter>is to...people would initially say,

961
00:42:19.540 --> 00:42:21.040
<v Olivia Carter>we can't be taking modafinil

962
00:42:21.040 --> 00:42:23.120
<v Olivia Carter>because it's got to be bad for our long-term use.

963
00:42:23.160 --> 00:42:24.560
<v Olivia Carter>You know, maybe we'll become addicted, all these things.

964
00:42:24.720 --> 00:42:26.960
<v Olivia Carter>Well, what if we don't? What if we don't become addicted?

965
00:42:26.960 --> 00:42:29.480
<v Olivia Carter>What if there's no negative side effects to your brain?

966
00:42:29.720 --> 00:42:31.700
<v Olivia Carter>There's a massive negative side effect to society.

967
00:42:32.700 --> 00:42:36.060
<v Olivia Carter>And I agree now, having said that,

968
00:42:36.120 --> 00:42:37.340
<v Olivia Carter>we all drink coffee

969
00:42:37.960 --> 00:42:41.100
<v Olivia Carter>and we do our best to sort of push ourselves as far as possible.

970
00:42:41.200 --> 00:42:45.820
<v Olivia Carter>Now, the claim of the man who...

971
00:42:45.820 --> 00:42:48.080
<v Olivia Carter>..the sleep researcher that put this in here was...

972
00:42:48.080 --> 00:42:50.420
<v Olivia Carter>His point was...

973
00:42:51.920 --> 00:42:53.780
<v Olivia Carter>Anyway, this is his point, not my point,

974
00:42:53.820 --> 00:42:56.240
<v Olivia Carter>that we are already living lives

975
00:42:56.240 --> 00:42:58.500
<v Olivia Carter>that we're not sleeping enough, OK?

976
00:42:58.580 --> 00:43:00.500
<v Olivia Carter>And we're pushing ourselves and we're taking caffeine,

977
00:43:00.680 --> 00:43:05.820
<v Olivia Carter>and those...that lifestyle, we're not actually able to catch up.

978
00:43:06.040 --> 00:43:07.800
<v Olivia Carter>And I guess if you look into the future, you say,

979
00:43:07.880 --> 00:43:08.620
<v Olivia Carter>what's more likely?

980
00:43:08.740 --> 00:43:10.500
<v Olivia Carter>Are people more likely to sleep 10 hours a day

981
00:43:10.500 --> 00:43:13.860
<v Olivia Carter>or are they more likely to start trying to take drugs

982
00:43:13.860 --> 00:43:17.020
<v Olivia Carter>that reduce the harm to living the lifestyle they're currently living?

983
00:43:17.300 --> 00:43:19.420
<v Olivia Carter>Now, that's a very sort of positive spin on things.

984
00:43:21.260 --> 00:43:24.240
<v Olivia Carter>But I guess this is...if the question is harm minimisation...

985
00:43:24.780 --> 00:43:25.600
<v Olivia Carter>I mean, I totally...

986
00:43:25.600 --> 00:43:27.740
<v Olivia Carter>And the biggest...

987
00:43:27.740 --> 00:43:30.680
<v Olivia Carter>Actually, I didn't talk about this, but the biggest problem is...

988
00:43:31.620 --> 00:43:32.720
<v Olivia Carter>I mean, it's already happening.

989
00:43:32.780 --> 00:43:35.980
<v Olivia Carter>So that drug was developed as narcolepsy,

990
00:43:36.040 --> 00:43:39.340
<v Olivia Carter>a very sort of rare but genuine medical condition

991
00:43:39.340 --> 00:43:40.620
<v Olivia Carter>where people fall asleep all the time.

992
00:43:41.000 --> 00:43:43.640
<v Olivia Carter>The drug companies in the States, at least,

993
00:43:43.680 --> 00:43:44.780
<v Olivia Carter>I'm not sure if it's happened here too,

994
00:43:45.260 --> 00:43:46.080
<v Olivia Carter>they've actually...

995
00:43:46.080 --> 00:43:49.660
<v Olivia Carter>A new syndrome has been developed, which is basically...

996
00:43:49.660 --> 00:43:50.520
<v Olivia Carter>Forget what it's called.

997
00:43:50.540 --> 00:43:53.000
<v Olivia Carter>Something like shift worker syndrome or something.

998
00:43:53.140 --> 00:43:55.380
<v Olivia Carter>But it's a medical condition, OK?

999
00:43:55.380 --> 00:43:59.080
<v Olivia Carter>And it's now been shown that there's a lot of negative side effects,

1000
00:43:59.220 --> 00:44:00.680
<v Olivia Carter>like to your health,

1001
00:44:00.740 --> 00:44:03.400
<v Olivia Carter>really bad consequences to people that spend...

1002
00:44:03.400 --> 00:44:07.100
<v Olivia Carter>..are up all night and constantly shifting their circadian cycle.

1003
00:44:07.280 --> 00:44:09.040
<v Olivia Carter>And there's a genuinely negative side effect.

1004
00:44:09.260 --> 00:44:12.360
<v Olivia Carter>And this is being marketed as a treatment

1005
00:44:12.360 --> 00:44:14.980
<v Olivia Carter>for those side effects of the work that they're currently doing.

1006
00:44:15.240 --> 00:44:19.380
<v Olivia Carter>Now, I completely agree that demands will increase,

1007
00:44:20.060 --> 00:44:21.300
<v Olivia Carter>but at the same time, if the...

1008
00:44:21.780 --> 00:44:24.940
<v Olivia Carter>Do we, you know, try and help people in the current situation?

1009
00:44:24.940 --> 00:44:25.840
<v Olivia Carter>It's a hard thing.

1010
00:44:25.960 --> 00:44:29.580
<v Olivia Carter>Now, just on the initial point about the legal system,

1011
00:44:31.060 --> 00:44:32.760
<v Olivia Carter>so in terms of the compensation,

1012
00:44:32.780 --> 00:44:34.920
<v Olivia Carter>this is just, you know, a question to a lawyer,

1013
00:44:34.980 --> 00:44:38.980
<v Olivia Carter>is there's one issue saying, OK, so the victim gets less compensation,

1014
00:44:39.480 --> 00:44:44.400
<v Olivia Carter>but then also, to an extent, does the criminal get...

1015
00:44:44.400 --> 00:44:47.780
<v Olivia Carter>Like, if it's a small cut and the person dies because they get gangrene,

1016
00:44:47.940 --> 00:44:51.040
<v Olivia Carter>I presume you're not going to be convicted of murder in this,

1017
00:44:51.140 --> 00:44:52.300
<v Olivia Carter>you know, as if...

1018
00:44:52.300 --> 00:44:54.200
<v Olivia Carter>Do you know what I mean? In the extreme situation.

1019
00:44:54.200 --> 00:44:57.720
<v Olivia Carter>So if the crime itself is considered worse

1020
00:44:57.720 --> 00:45:01.040
<v Olivia Carter>because the suffering of the individual is significantly reduced,

1021
00:45:01.300 --> 00:45:03.960
<v Olivia Carter>does that mean that we end up with a society

1022
00:45:03.960 --> 00:45:05.920
<v Olivia Carter>where rape and high-level crime...

1023
00:45:05.920 --> 00:45:07.300
<v Chair>You're raising too many questions here.

1024
00:45:07.440 --> 00:45:09.780
<v Chair>OK. OK. I'll leave it there.

1025
00:45:10.000 --> 00:45:12.360
<v Chair>Let some of these other people respond.

1026
00:45:13.580 --> 00:45:16.680
<v Audience>I'm a mother of two sons, 134 and 124,

1027
00:45:16.780 --> 00:45:19.840
<v Audience>both of whom have been researching and investigating,

1028
00:45:20.400 --> 00:45:22.480
<v Audience>taking enhancers of some kind or other.

1029
00:45:23.180 --> 00:45:23.700
<v Audience>Um...

1030
00:45:24.620 --> 00:45:27.700
<v Audience>One, because I think he's decided at 34 he may be ADD

1031
00:45:27.700 --> 00:45:30.120
<v Audience>and he's ordered, because they can do this on the internet,

1032
00:45:30.240 --> 00:45:31.420
<v Audience>he's already ordered his...

1033
00:45:33.160 --> 00:45:34.320
<v Audience>Drugs? Supplements? Whatever.

1034
00:45:34.480 --> 00:45:36.020
<v Audience>And another for anxiety.

1035
00:45:36.140 --> 00:45:39.600
<v Audience>And he's already got his and he's tried it for a few days

1036
00:45:39.600 --> 00:45:40.560
<v Audience>and thinks it's working.

1037
00:45:42.500 --> 00:45:45.020
<v Audience>Um...so I'm interested from the point of view of...

1038
00:45:46.300 --> 00:45:48.540
<v Audience>Because they do discuss this stuff with me.

1039
00:45:48.700 --> 00:45:53.080
<v Audience>Long-term side effects, you know, how do we really explore those?

1040
00:45:53.300 --> 00:45:54.160
<v Audience>I mean, where are they...

1041
00:45:54.160 --> 00:45:55.840
<v Audience>Can they just get that information off the internet?

1042
00:45:57.920 --> 00:46:00.140
<v Audience>Um...yeah, I guess I really just want to be more informed.

1043
00:46:00.280 --> 00:46:03.380
<v Audience>But that, as a parent, would be my main concern,

1044
00:46:03.440 --> 00:46:06.140
<v Audience>that there could be long-term impacts

1045
00:46:06.140 --> 00:46:08.520
<v Audience>that these guys haven't yet thought about.

1046
00:46:09.320 --> 00:46:10.900
<v Olivia Carter>So there's two points to that.

1047
00:46:11.000 --> 00:46:14.320
<v Olivia Carter>And the first is that the evidence is not there.

1048
00:46:14.400 --> 00:46:15.300
<v Olivia Carter>It's an unknown thing.

1049
00:46:15.340 --> 00:46:16.420
<v Olivia Carter>I read a paper the other day

1050
00:46:16.420 --> 00:46:21.600
<v Olivia Carter>where they're looking at long-term exposure to drugs for ADHD.

1051
00:46:22.300 --> 00:46:24.140
<v Olivia Carter>It was published in a very good paper.

1052
00:46:24.140 --> 00:46:24.580
<v Olivia Carter>It's a very good journal.

1053
00:46:24.760 --> 00:46:27.100
<v Olivia Carter>It's like, this is a study that's looking at long-term consequences

1054
00:46:27.100 --> 00:46:28.320
<v Olivia Carter>in adult populations.

1055
00:46:28.500 --> 00:46:29.760
<v Olivia Carter>It was a 12-month study.

1056
00:46:30.080 --> 00:46:31.860
<v Olivia Carter>I mean, people that are taking these drugs

1057
00:46:31.860 --> 00:46:32.860
<v Olivia Carter>are taking them for decades.

1058
00:46:34.400 --> 00:46:37.380
<v Olivia Carter>So those studies have not...have absolutely not been done.

1059
00:46:37.620 --> 00:46:39.500
<v Olivia Carter>And...but one important point...

1060
00:46:39.500 --> 00:46:43.400
<v Olivia Carter>And I guess when you sort of said one goal that I'd like to do

1061
00:46:43.400 --> 00:46:45.580
<v Olivia Carter>is actually increase the dialogue

1062
00:46:45.580 --> 00:46:47.880
<v Olivia Carter>and the amount of testing these types of things,

1063
00:46:47.920 --> 00:46:51.940
<v Olivia Carter>because one big problem is that the moment

1064
00:46:51.940 --> 00:46:53.840
<v Olivia Carter>all of the drug tests are being done,

1065
00:46:54.140 --> 00:46:55.080
<v Olivia Carter>they're being done for very clinical,

1066
00:46:55.260 --> 00:46:57.360
<v Olivia Carter>in very acute sort of populations,

1067
00:46:58.140 --> 00:46:59.960
<v Olivia Carter>and of a certain age group, you know,

1068
00:47:00.020 --> 00:47:03.640
<v Olivia Carter>look, we'll test between 16 and 18 or whatever.

1069
00:47:04.180 --> 00:47:07.020
<v Olivia Carter>But some of these drugs have been given to very young kids

1070
00:47:07.020 --> 00:47:08.620
<v Olivia Carter>in totally different populations,

1071
00:47:08.760 --> 00:47:11.280
<v Olivia Carter>and people are ordering them off the internet.

1072
00:47:11.440 --> 00:47:13.360
<v Olivia Carter>And that's the way these drugs are being used.

1073
00:47:13.520 --> 00:47:16.900
<v Olivia Carter>And the health consequences of drugs in that use

1074
00:47:16.900 --> 00:47:18.820
<v Olivia Carter>is not being tested.

1075
00:47:19.120 --> 00:47:21.940
<v Olivia Carter>There was...when I was working at Harvard,

1076
00:47:22.920 --> 00:47:24.120
<v Olivia Carter>um...at that time,

1077
00:47:24.140 --> 00:47:25.920
<v Olivia Carter>so this was a few years ago now,

1078
00:47:26.080 --> 00:47:27.020
<v Olivia Carter>in that year,

1079
00:47:27.320 --> 00:47:29.740
<v Olivia Carter>1,000 one-year-olds had been prescribed Prozac.

1080
00:47:30.620 --> 00:47:30.980
<v Olivia Carter>Right?

1081
00:47:31.040 --> 00:47:32.500
<v Olivia Carter>Now, that in itself is...

1082
00:47:33.020 --> 00:47:34.560
<v Olivia Carter>There's lots of reasons you might go,

1083
00:47:34.680 --> 00:47:37.000
<v Olivia Carter>and I agree, it's a natural reaction.

1084
00:47:38.500 --> 00:47:39.440
<v Olivia Carter>Um...and there are people...

1085
00:47:39.440 --> 00:47:40.660
<v Olivia Carter>The people that are giving those drugs

1086
00:47:40.660 --> 00:47:42.800
<v Olivia Carter>are doing it because they think

1087
00:47:42.800 --> 00:47:44.540
<v Olivia Carter>that that's going to be helpful for the child.

1088
00:47:44.620 --> 00:47:46.660
<v Olivia Carter>OK, look, I can't go into any of the details of that,

1089
00:47:46.740 --> 00:47:48.940
<v Olivia Carter>but it can be guaranteed there's no one-year-olds

1090
00:47:48.940 --> 00:47:51.140
<v Olivia Carter>being tested on the safety of Prozac.

1091
00:47:51.880 --> 00:47:53.960
<v Olivia Carter>So I'm not suggesting we now go out and test...

1092
00:47:53.960 --> 00:47:54.120
<v Olivia Carter>I'm not suggesting we now go out and test Prozac.

1093
00:47:57.840 --> 00:48:01.220
<v Olivia Carter>I'm not suggesting we now go out and test Prozac.

1094
00:48:01.220 --> 00:48:04.320
<v Olivia Carter>I'm not suggesting we now go out and test Prozac.

1095
00:48:04.320 --> 00:48:04.900
<v Olivia Carter>I'm not suggesting we now go out and test Prozac.

1096
00:48:05.800 --> 00:48:08.900
<v Olivia Carter>I'm not suggesting we now go out and test Prozac.

1097
00:48:08.900 --> 00:48:13.560
<v Olivia Carter>I'm not suggesting we now go out and test Prozac.

1098
00:48:13.580 --> 00:48:14.060
<v Olivia Carter>I'm not suggesting we now go out and test Prozac.

1099
00:48:14.060 --> 00:48:15.280
<v Olivia Carter>I'm not suggesting we now go out and test Prozac.

1100
00:48:15.280 --> 00:48:16.240
<v Olivia Carter>I'm not suggesting we now go out and test Prozac.

1101
00:48:16.240 --> 00:48:20.000
<v Olivia Carter>I'm not suggesting we now go out and test Prozac.

1102
00:48:20.280 --> 00:48:24.100
<v Olivia Carter>I'm not suggesting we now go out and test Prozac.

1103
00:48:24.100 --> 00:48:27.060
<v Olivia Carter>I think a need to be honest about the use of drugs

1104
00:48:27.520 --> 00:48:30.200
<v Olivia Carter>outside the use of medical purposes so that we can test them,

1105
00:48:30.260 --> 00:48:31.800
<v Olivia Carter>so that we can have open discussions and say,

1106
00:48:31.900 --> 00:48:33.440
<v Olivia Carter>are there negative side effects?

1107
00:48:33.480 --> 00:48:35.900
<v Olivia Carter>And if there aren't, then maybe we can use them.

1108
00:48:37.600 --> 00:48:38.860
<v Chair>Next question, please.

1109
00:48:39.180 --> 00:48:41.600
<v Audience>Hi. It was mentioned when you were introduced

1110
00:48:41.600 --> 00:48:44.580
<v Audience>that you did research into hallucinogenics,

1111
00:48:44.600 --> 00:48:46.840
<v Audience>and I noticed that was kind of missing from your discussion.

1112
00:48:46.980 --> 00:48:50.480
<v Audience>I was just curious what you thought about their place in society

1113
00:48:50.480 --> 00:48:53.280
<v Audience>and use in everyday people,

1114
00:48:53.280 --> 00:48:55.720
<v Audience>and potential for enhancing life.

1115
00:48:56.000 --> 00:48:57.620
<v Olivia Carter>Yeah, I have to be a little bit careful with this.

1116
00:48:57.660 --> 00:48:59.320
<v Olivia Carter>I've done some fairly long interviews,

1117
00:48:59.440 --> 00:49:01.640
<v Olivia Carter>and there's one question about hallucinogens.

1118
00:49:01.680 --> 00:49:03.380
<v Olivia Carter>That's the only thing I'm quoted on.

1119
00:49:04.680 --> 00:49:11.220
<v Olivia Carter>So I guess my point is my feeling is quite similar to the previous thing,

1120
00:49:11.260 --> 00:49:12.660
<v Olivia Carter>is that we first need to have...

1121
00:49:12.660 --> 00:49:14.320
<v Olivia Carter>People are using these types of drugs,

1122
00:49:14.460 --> 00:49:17.660
<v Olivia Carter>and we need to test the moment we don't really know

1123
00:49:17.660 --> 00:49:20.860
<v Olivia Carter>the positive and negative side effects to these drugs.

1124
00:49:21.020 --> 00:49:23.260
<v Olivia Carter>And my personal fear...

1125
00:49:23.280 --> 00:49:26.520
<v Olivia Carter>My personal feeling is that if we knew more about all the full side effects

1126
00:49:27.000 --> 00:49:28.900
<v Olivia Carter>to most of the drugs that are currently available,

1127
00:49:29.800 --> 00:49:31.500
<v Olivia Carter>they're probably not going to be...

1128
00:49:31.500 --> 00:49:34.180
<v Olivia Carter>The overall picture's probably not going to be very bright,

1129
00:49:34.660 --> 00:49:36.280
<v Olivia Carter>and people, if they really knew...

1130
00:49:36.800 --> 00:49:38.900
<v Olivia Carter>I don't think it helps when people say,

1131
00:49:39.060 --> 00:49:41.560
<v Olivia Carter>oh, if you take a pill of ecstasy, you might die,

1132
00:49:41.700 --> 00:49:43.240
<v Olivia Carter>because you're probably not going to die.

1133
00:49:43.400 --> 00:49:45.220
<v Olivia Carter>But there might be a lot of other more subtle effects

1134
00:49:45.220 --> 00:49:48.260
<v Olivia Carter>that are very serious, and we need to think about these things.

1135
00:49:48.500 --> 00:49:50.120
<v Olivia Carter>But I do feel like...

1136
00:49:52.240 --> 00:49:53.040
<v Olivia Carter>that there's...

1137
00:49:53.040 --> 00:49:53.260
<v Olivia Carter>that there's...

1138
00:49:53.280 --> 00:49:55.180
<v Olivia Carter>People think that with drugs,

1139
00:49:55.260 --> 00:49:57.600
<v Olivia Carter>there's this yin-yang sort of relationship

1140
00:49:57.600 --> 00:49:59.700
<v Olivia Carter>where for every positive, there must be a negative.

1141
00:50:00.060 --> 00:50:02.200
<v Olivia Carter>And that's not a law of nature.

1142
00:50:02.360 --> 00:50:04.060
<v Olivia Carter>That's not a law of pharmacology or whatever.

1143
00:50:04.500 --> 00:50:07.240
<v Olivia Carter>And so I don't think it's outside the realms of possibility

1144
00:50:07.240 --> 00:50:09.660
<v Olivia Carter>that we'll get to a situation where there's a drug

1145
00:50:10.280 --> 00:50:12.580
<v Olivia Carter>that has some type of effect,

1146
00:50:12.640 --> 00:50:14.160
<v Olivia Carter>whether it's purely recreational or not,

1147
00:50:14.200 --> 00:50:15.560
<v Olivia Carter>that doesn't have a negative consequence.

1148
00:50:15.920 --> 00:50:17.080
<v Olivia Carter>And I think that...

1149
00:50:18.540 --> 00:50:19.980
<v Olivia Carter>Well, it would be...

1150
00:50:19.980 --> 00:50:21.720
<v Olivia Carter>I think it would be nice if we lived in a society

1151
00:50:21.720 --> 00:50:23.040
<v Olivia Carter>where we could deal with that in a...

1152
00:50:23.040 --> 00:50:24.080
<v Olivia Carter>in a mature way and say,

1153
00:50:24.140 --> 00:50:28.600
<v Olivia Carter>look, there are drugs that people enjoy taking and want to take.

1154
00:50:28.700 --> 00:50:30.860
<v Olivia Carter>I mean, people do ridiculously dangerous things all the time,

1155
00:50:30.900 --> 00:50:32.440
<v Olivia Carter>jumping out of aeroplanes and this type of thing.

1156
00:50:32.500 --> 00:50:34.640
<v Olivia Carter>And the risks are known,

1157
00:50:34.640 --> 00:50:37.500
<v Olivia Carter>and people are allowed to behave like that.

1158
00:50:37.580 --> 00:50:40.020
<v Olivia Carter>But I think that it's really...

1159
00:50:40.540 --> 00:50:41.460
<v Olivia Carter>The current situation,

1160
00:50:41.580 --> 00:50:43.360
<v Olivia Carter>where we just don't know what these drugs are doing,

1161
00:50:43.420 --> 00:50:44.840
<v Olivia Carter>and you've got a lot of people on the internet saying,

1162
00:50:44.980 --> 00:50:46.900
<v Olivia Carter>these drugs are great, man, we should all take them,

1163
00:50:47.020 --> 00:50:48.520
<v Olivia Carter>and you don't have any risk...

1164
00:50:48.520 --> 00:50:49.880
<v Olivia Carter>You know, it's a dangerous situation.

1165
00:50:51.800 --> 00:50:52.540
<v Chair>Next one. Thanks.

1166
00:50:53.040 --> 00:50:56.780
<v Audience>I just want to say that while it's come up as a sort of subtext,

1167
00:50:56.860 --> 00:51:00.800
<v Audience>one major theme that's been missing has been genetics.

1168
00:51:01.520 --> 00:51:03.460
<v Audience>I remember half a century ago,

1169
00:51:03.940 --> 00:51:08.080
<v Audience>I and various friends got hold of Ritalin to help us

1170
00:51:08.080 --> 00:51:09.500
<v Audience>because we hadn't been doing any work,

1171
00:51:09.600 --> 00:51:13.780
<v Audience>and we studied through the night and went off supremely confident,

1172
00:51:13.900 --> 00:51:16.440
<v Audience>and I remember thinking how well I'd done and I was wrong,

1173
00:51:16.560 --> 00:51:17.860
<v Audience>but some of my friends were right.

1174
00:51:17.980 --> 00:51:20.860
<v Audience>There are huge individual differences in drug response.

1175
00:51:21.360 --> 00:51:23.020
<v Audience>There was a drug taken off the internet

1176
00:51:23.040 --> 00:51:24.000
<v Audience>off the market by Merck,

1177
00:51:24.100 --> 00:51:27.080
<v Audience>and they paid thousands of millions of dollars out in compensation

1178
00:51:27.080 --> 00:51:30.900
<v Audience>because Vioxx was very helpful to a lot of people

1179
00:51:30.900 --> 00:51:33.300
<v Audience>with the pain you get in rheumatoid arthritis,

1180
00:51:33.560 --> 00:51:34.660
<v Audience>but it killed some of them.

1181
00:51:35.180 --> 00:51:37.860
<v Audience>Now, the population is hugely variable,

1182
00:51:38.080 --> 00:51:41.380
<v Audience>and there may be almost no side effects for most,

1183
00:51:41.520 --> 00:51:43.380
<v Audience>but there will be side effects for some,

1184
00:51:43.500 --> 00:51:47.220
<v Audience>so I'd just like you to comment on mass treatment

1185
00:51:49.140 --> 00:51:53.020
<v Audience>when the pharmacogenomics hasn't been done.

1186
00:51:53.040 --> 00:51:55.820
<v Olivia Carter>Look, I agree with that,

1187
00:51:55.860 --> 00:51:59.280
<v Olivia Carter>and I think as an extreme example,

1188
00:51:59.320 --> 00:52:00.520
<v Olivia Carter>up until quite recently,

1189
00:52:00.640 --> 00:52:03.040
<v Olivia Carter>there was reasonably a fear,

1190
00:52:03.640 --> 00:52:06.180
<v Olivia Carter>well, we don't want to give pregnant women drugs,

1191
00:52:06.460 --> 00:52:08.160
<v Olivia Carter>just sort of experimental drugs.

1192
00:52:08.520 --> 00:52:10.220
<v Olivia Carter>So if we're testing a new painkiller,

1193
00:52:10.480 --> 00:52:12.240
<v Olivia Carter>let's make sure we don't have any pregnant women.

1194
00:52:12.300 --> 00:52:13.820
<v Olivia Carter>The best way to make sure you don't have any pregnant women

1195
00:52:13.820 --> 00:52:15.180
<v Olivia Carter>is to just let's test men.

1196
00:52:15.860 --> 00:52:17.560
<v Olivia Carter>So you're probably fully aware of this,

1197
00:52:17.620 --> 00:52:20.340
<v Olivia Carter>that for decades and decades,

1198
00:52:20.420 --> 00:52:22.220
<v Olivia Carter>most of the drugs that were being tested

1199
00:52:22.220 --> 00:52:24.120
<v Olivia Carter>were being tested in healthy men

1200
00:52:24.120 --> 00:52:26.180
<v Olivia Carter>between 18 and 30 or whatever.

1201
00:52:26.460 --> 00:52:29.420
<v Olivia Carter>And that does not capture the full representation.

1202
00:52:29.500 --> 00:52:32.780
<v Olivia Carter>Now, through the US funding

1203
00:52:32.780 --> 00:52:34.200
<v Olivia Carter>and I think also the Australian funding,

1204
00:52:34.280 --> 00:52:35.720
<v Olivia Carter>you have to specifically say,

1205
00:52:35.840 --> 00:52:38.980
<v Olivia Carter>I'm testing people of different sexes and different races

1206
00:52:38.980 --> 00:52:41.800
<v Olivia Carter>and to capture sort of not the Caucasian male

1207
00:52:41.800 --> 00:52:43.440
<v Olivia Carter>that has a very different genotype

1208
00:52:43.440 --> 00:52:44.940
<v Olivia Carter>to the entire spectrum of humanity.

1209
00:52:45.440 --> 00:52:48.720
<v Olivia Carter>And I think it's also important that the ages,

1210
00:52:48.820 --> 00:52:50.520
<v Olivia Carter>you need to test across ages.

1211
00:52:50.640 --> 00:52:52.200
<v Olivia Carter>I mean, if you know,

1212
00:52:52.220 --> 00:52:53.520
<v Olivia Carter>you're not going to give a drug to a child,

1213
00:52:53.520 --> 00:52:54.520
<v Olivia Carter>you don't need to test it in the child,

1214
00:52:54.640 --> 00:52:56.060
<v Olivia Carter>but if we're giving it to the child anyway,

1215
00:52:56.120 --> 00:52:57.820
<v Olivia Carter>we need to be aware of the consequences.

1216
00:52:58.020 --> 00:53:00.080
<v Olivia Carter>So I think, first of all,

1217
00:53:00.120 --> 00:53:01.740
<v Olivia Carter>we need to test more broadly.

1218
00:53:01.880 --> 00:53:05.200
<v Olivia Carter>And also, if you've got a drug

1219
00:53:05.860 --> 00:53:07.860
<v Olivia Carter>that's being tested in an Alzheimer's population

1220
00:53:07.860 --> 00:53:09.100
<v Olivia Carter>for memory, for example,

1221
00:53:09.180 --> 00:53:11.560
<v Olivia Carter>I mean, they're going to be normally an elder population.

1222
00:53:13.660 --> 00:53:14.620
<v Olivia Carter>There is a sex diva,

1223
00:53:14.620 --> 00:53:16.680
<v Olivia Carter>I forget which way it goes with Alzheimer's, male or female.

1224
00:53:16.780 --> 00:53:18.200
<v Olivia Carter>But anyway, there's going to be,

1225
00:53:18.280 --> 00:53:19.380
<v Olivia Carter>it's a different sort of population.

1226
00:53:19.500 --> 00:53:21.500
<v Olivia Carter>Then if we have 15-year-olds taking this drug

1227
00:53:21.500 --> 00:53:22.300
<v Olivia Carter>for memory purposes,

1228
00:53:22.680 --> 00:53:24.720
<v Olivia Carter>even if they're sort of doing it, you know,

1229
00:53:24.720 --> 00:53:25.740
<v Olivia Carter>illegally over the internet,

1230
00:53:26.660 --> 00:53:29.440
<v Olivia Carter>there needs to be some testing of that in a controlled way.

1231
00:53:30.640 --> 00:53:34.460
<v Olivia Carter>And then, look, I totally agree with you,

1232
00:53:34.500 --> 00:53:35.860
<v Olivia Carter>but I feel like that should be handled

1233
00:53:35.860 --> 00:53:39.600
<v Olivia Carter>in the same way it's handled with normal, you know, medicines.

1234
00:53:39.820 --> 00:53:40.660
<v Olivia Carter>And there's...

1235
00:53:41.980 --> 00:53:44.560
<v Olivia Carter>At some point, you can never know for every individual,

1236
00:53:44.600 --> 00:53:45.280
<v Olivia Carter>and it's the same, you know,

1237
00:53:45.300 --> 00:53:47.800
<v Olivia Carter>the child has a heart attack playing football

1238
00:53:47.800 --> 00:53:49.040
<v Olivia Carter>because he has a bad, you know...

1239
00:53:49.040 --> 00:53:50.280
<v Olivia Carter>Like, you can't be a...

1240
00:53:50.280 --> 00:53:52.360
<v Olivia Carter>You can't predict every outcome.

1241
00:53:52.740 --> 00:53:54.940
<v Olivia Carter>But if we do proper testing,

1242
00:53:55.040 --> 00:53:56.820
<v Olivia Carter>at least someone can say, you know...

1243
00:53:58.500 --> 00:54:01.400
<v Olivia Carter>I'm doing experiments at the moment with serotonin drugs

1244
00:54:01.400 --> 00:54:04.120
<v Olivia Carter>that, you know, antidepressant-type drugs,

1245
00:54:04.200 --> 00:54:05.200
<v Olivia Carter>we give them to healthy people.

1246
00:54:05.520 --> 00:54:08.400
<v Olivia Carter>And one rare side effect of this is sudden death.

1247
00:54:08.720 --> 00:54:09.780
<v Olivia Carter>You know, I mean, this is...

1248
00:54:09.780 --> 00:54:11.060
<v Olivia Carter>But it's incredibly rare.

1249
00:54:11.200 --> 00:54:12.500
<v Olivia Carter>If you happen to have this gene

1250
00:54:12.500 --> 00:54:14.260
<v Olivia Carter>and you happen to have this syndrome,

1251
00:54:14.360 --> 00:54:16.040
<v Olivia Carter>then, you know, it can go horribly wrong.

1252
00:54:16.120 --> 00:54:17.520
<v Olivia Carter>But people are being prescribed it all the time.

1253
00:54:17.600 --> 00:54:17.940
<v Olivia Carter>So...

1254
00:54:19.100 --> 00:54:21.420
<v Olivia Carter>I have to say in my experiment, you know,

1255
00:54:21.460 --> 00:54:23.340
<v Olivia Carter>you're happy to sit here and take this very benign drug

1256
00:54:23.340 --> 00:54:24.360
<v Olivia Carter>that everyone takes all the time,

1257
00:54:24.420 --> 00:54:26.440
<v Olivia Carter>but there is a consequence that you may have sudden death.

1258
00:54:28.920 --> 00:54:30.440
<v Olivia Carter>So, you know, it has to be...

1259
00:54:30.440 --> 00:54:31.980
<v Olivia Carter>I think if we have the information,

1260
00:54:32.100 --> 00:54:35.400
<v Olivia Carter>then people can use that information themselves.

1261
00:54:38.340 --> 00:54:39.940
<v Audience>It sounds like the drugs...

1262
00:54:40.640 --> 00:54:43.340
<v Audience>For the drugs you're talking about in your lecture,

1263
00:54:44.220 --> 00:54:45.320
<v Audience>that there are...

1264
00:54:46.760 --> 00:54:47.920
<v Audience>It looks like there's...

1265
00:54:47.920 --> 00:54:49.680
<v Audience>There's positive benefits,

1266
00:54:49.820 --> 00:54:51.600
<v Audience>but under-controlled use

1267
00:54:52.920 --> 00:54:56.100
<v Audience>where they're prescribed by medical practitioners.

1268
00:54:56.800 --> 00:55:00.500
<v Audience>Could you talk about excessive use?

1269
00:55:00.660 --> 00:55:05.120
<v Audience>Because people are notorious for wanting more of a good thing.

1270
00:55:08.000 --> 00:55:10.900
<v Olivia Carter>Look, yeah, but again, I feel like...

1271
00:55:12.060 --> 00:55:15.620
<v Olivia Carter>With medications, we have an understanding.

1272
00:55:15.660 --> 00:55:17.520
<v Olivia Carter>You can give your child this much Panadol,

1273
00:55:17.520 --> 00:55:18.400
<v Olivia Carter>you can't give them...

1274
00:55:18.400 --> 00:55:20.400
<v Olivia Carter>You know, if they have too much, they'll be sick.

1275
00:55:20.540 --> 00:55:23.780
<v Olivia Carter>So I completely agree.

1276
00:55:23.980 --> 00:55:25.860
<v Olivia Carter>And if your thing is just,

1277
00:55:25.960 --> 00:55:29.080
<v Olivia Carter>well, maybe people will just overdose for fun,

1278
00:55:29.240 --> 00:55:31.480
<v Olivia Carter>then that's obviously a huge problem.

1279
00:55:31.540 --> 00:55:33.300
<v Olivia Carter>And then the question becomes more sort of one of...

1280
00:55:33.300 --> 00:55:34.800
<v Olivia Carter>If there's an addictive element,

1281
00:55:34.900 --> 00:55:37.540
<v Olivia Carter>that's a hugely negative consequence in my mind.

1282
00:55:37.600 --> 00:55:41.840
<v Olivia Carter>So there needs to be tests for withdrawal and this type of thing.

1283
00:55:41.940 --> 00:55:42.220
<v Olivia Carter>But...

1284
00:55:45.000 --> 00:55:45.880
<v Olivia Carter>Look, it's...

1285
00:55:47.180 --> 00:55:49.400
<v Olivia Carter>I'm sure you might be able to overdose on these.

1286
00:55:49.460 --> 00:55:51.640
<v Olivia Carter>I don't know what happens if you just have huge amounts.

1287
00:55:51.760 --> 00:55:53.420
<v Olivia Carter>But things like cholesterol-lowering drugs,

1288
00:55:53.560 --> 00:55:54.400
<v Olivia Carter>I get the sense at the moment

1289
00:55:54.400 --> 00:55:57.500
<v Olivia Carter>it's generally accepted that the lower your cholesterol, the better,

1290
00:55:57.600 --> 00:56:00.240
<v Olivia Carter>and people are widely prescribing these drugs.

1291
00:56:00.360 --> 00:56:02.700
<v Olivia Carter>And there's no real sense that if you...

1292
00:56:03.100 --> 00:56:04.360
<v Olivia Carter>You know, that you're going to do harm

1293
00:56:04.360 --> 00:56:06.540
<v Olivia Carter>to someone that doesn't have severely lower cholesterol.

1294
00:56:06.700 --> 00:56:07.020
<v Olivia Carter>There's a...

1295
00:56:07.020 --> 00:56:08.940
<v Olivia Carter>You know, these types of things,

1296
00:56:08.980 --> 00:56:11.360
<v Olivia Carter>maybe if you took 300 tablets, you'd be in trouble.

1297
00:56:12.660 --> 00:56:13.020
<v Olivia Carter>And...

1298
00:56:14.120 --> 00:56:14.820
<v Olivia Carter>Yeah, I...

1299
00:56:14.820 --> 00:56:15.700
<v Olivia Carter>This is...

1300
00:56:15.700 --> 00:56:18.240
<v Olivia Carter>This is quite controversial, but there...

1301
00:56:18.240 --> 00:56:20.480
<v Olivia Carter>There are some people arguing

1302
00:56:20.480 --> 00:56:24.000
<v Olivia Carter>that things like antidepressants and Prozac and these types of drugs,

1303
00:56:24.120 --> 00:56:24.740
<v Olivia Carter>they've been...

1304
00:56:24.740 --> 00:56:26.700
<v Olivia Carter>They have been shown to increase neurogenesis,

1305
00:56:27.440 --> 00:56:28.420
<v Olivia Carter>so the birth of new neurons.

1306
00:56:28.680 --> 00:56:29.200
<v Olivia Carter>And...

1307
00:56:30.020 --> 00:56:31.560
<v Olivia Carter>Some people are claiming

1308
00:56:31.560 --> 00:56:35.080
<v Olivia Carter>that these drugs can help your brain

1309
00:56:35.080 --> 00:56:36.860
<v Olivia Carter>actually get into a healthier state

1310
00:56:36.860 --> 00:56:41.420
<v Olivia Carter>so that it can better deal with negative consequences in the future.

1311
00:56:41.460 --> 00:56:42.400
<v Olivia Carter>And that's one reason...

1312
00:56:42.400 --> 00:56:44.740
<v Olivia Carter>That's some of the motivation behind giving it to a one-year-old,

1313
00:56:44.800 --> 00:56:45.680
<v Olivia Carter>which I absolutely agree with.

1314
00:56:45.700 --> 00:56:46.220
<v Olivia Carter>I absolutely don't support.

1315
00:56:46.420 --> 00:56:48.000
<v Olivia Carter>But there are...

1316
00:56:48.740 --> 00:56:50.700
<v Olivia Carter>There are claims, and it's...

1317
00:56:50.700 --> 00:56:51.080
<v Olivia Carter>It's...

1318
00:56:51.660 --> 00:56:52.120
<v Olivia Carter>Preventative...

1319
00:56:52.120 --> 00:56:54.060
<v Olivia Carter>There's a lot of preventative medicine out there,

1320
00:56:54.180 --> 00:56:55.420
<v Olivia Carter>you know, in...

1321
00:56:55.420 --> 00:56:55.880
<v Olivia Carter>In...

1322
00:56:55.880 --> 00:57:00.940
<v Olivia Carter>That maybe there are ways that we can improve our wellbeing

1323
00:57:00.940 --> 00:57:02.020
<v Olivia Carter>in a way that's just...

1324
00:57:02.020 --> 00:57:04.340
<v Olivia Carter>Is better than our current state.

1325
00:57:04.480 --> 00:57:06.180
<v Olivia Carter>I mean, we all are in different states.

1326
00:57:06.240 --> 00:57:08.660
<v Olivia Carter>I was sort of thinking today as I was walking here.

1327
00:57:09.580 --> 00:57:13.140
<v Olivia Carter>One, I don't think that we are all at every moment in our lives

1328
00:57:13.140 --> 00:57:15.500
<v Olivia Carter>in our most happy, most highest wellbeing

1329
00:57:15.500 --> 00:57:15.920
<v Olivia Carter>while being in state.

1330
00:57:16.180 --> 00:57:17.380
<v Olivia Carter>We could all run more.

1331
00:57:17.560 --> 00:57:19.500
<v Olivia Carter>We could all eat better, you know, more fruit.

1332
00:57:19.660 --> 00:57:20.840
<v Olivia Carter>There doesn't seem to be anyone saying,

1333
00:57:21.020 --> 00:57:24.280
<v Olivia Carter>if you eat too much healthy food,

1334
00:57:24.460 --> 00:57:25.240
<v Olivia Carter>you're in trouble.

1335
00:57:25.640 --> 00:57:26.620
<v Olivia Carter>You know, people...

1336
00:57:26.620 --> 00:57:30.700
<v Olivia Carter>So, the idea that too much of one good

1337
00:57:30.700 --> 00:57:32.640
<v Olivia Carter>is necessarily going to have a bad

1338
00:57:33.120 --> 00:57:35.140
<v Olivia Carter>isn't true in other aspects of our life.

1339
00:57:35.300 --> 00:57:35.660
<v Olivia Carter>And I...

1340
00:57:35.660 --> 00:57:37.600
<v Olivia Carter>That we just have this feeling

1341
00:57:37.600 --> 00:57:40.120
<v Olivia Carter>that it is going to be true in drugs.

1342
00:57:40.220 --> 00:57:41.260
<v Olivia Carter>Now, in terms of medicine,

1343
00:57:41.940 --> 00:57:44.200
<v Olivia Carter>there's huge numbers of drugs that are out there,

1344
00:57:44.280 --> 00:57:45.480
<v Olivia Carter>and there's a few that seem to be

1345
00:57:45.480 --> 00:57:46.800
<v Olivia Carter>that seem to have genuine positive effects

1346
00:57:46.800 --> 00:57:47.660
<v Olivia Carter>with minimal side effects.

1347
00:57:48.040 --> 00:57:50.160
<v Olivia Carter>Now, in terms of the more enhancement drugs,

1348
00:57:50.320 --> 00:57:51.100
<v Olivia Carter>recreational drugs,

1349
00:57:51.320 --> 00:57:53.860
<v Olivia Carter>there's far fewer drugs out there being used.

1350
00:57:54.000 --> 00:57:56.160
<v Olivia Carter>So, the likelihood that we're going to find a positive...

1351
00:57:56.160 --> 00:57:58.120
<v Olivia Carter>You know, a purely positive one is going to be smaller.

1352
00:57:58.260 --> 00:57:58.480
<v Olivia Carter>But...

1353
00:57:58.480 --> 00:57:59.600
<v Olivia Carter>But there's...

1354
00:57:59.600 --> 00:58:01.700
<v Olivia Carter>To me, there's no real reason that we should...

1355
00:58:01.700 --> 00:58:03.640
<v Olivia Carter>There won't be a drug that's like,

1356
00:58:03.780 --> 00:58:05.600
<v Olivia Carter>look, it's just like being...

1357
00:58:05.600 --> 00:58:05.960
<v Olivia Carter>Having...

1358
00:58:05.960 --> 00:58:07.820
<v Olivia Carter>Eating more healthy food.

1359
00:58:08.400 --> 00:58:10.160
<v Olivia Carter>It's just helping us.

1360
00:58:10.200 --> 00:58:10.840
<v Olivia Carter>It's helping everyone.

1361
00:58:11.460 --> 00:58:13.640
<v Olivia Carter>It might not happen, but it might.

1362
00:58:13.900 --> 00:58:15.460
<v Chair>We've got a couple of minutes before the end.

1363
00:58:15.480 --> 00:58:16.320
<v Chair>I thought of...

1364
00:58:16.320 --> 00:58:16.900
<v Chair>Oh, maybe not.

1365
00:58:17.620 --> 00:58:18.060
<v Chair>The...

1366
00:58:19.340 --> 00:58:20.220
<v Chair>My question...

1367
00:58:20.220 --> 00:58:21.480
<v Chair>My response was going to be about...

1368
00:58:22.280 --> 00:58:24.560
<v Chair>And you touched on pharmaceutical companies

1369
00:58:24.560 --> 00:58:26.960
<v Chair>wanting to make sure that there's more and more diseases...

1370
00:58:26.960 --> 00:58:27.600
<v Olivia Carter>Oh, yeah.

1371
00:58:27.660 --> 00:58:29.640
<v Chair>..they provide more and more treatments for.

1372
00:58:29.860 --> 00:58:30.140
<v Olivia Carter>Yeah.

1373
00:58:30.320 --> 00:58:33.340
<v Chair>And they're also the way that they sort of minimise

1374
00:58:33.340 --> 00:58:34.400
<v Chair>the negative results of research

1375
00:58:34.400 --> 00:58:37.980
<v Chair>and promote drugs that aren't necessarily targeted

1376
00:58:37.980 --> 00:58:40.260
<v Chair>for one condition and promoting for another condition...

1377
00:58:40.260 --> 00:58:40.360
<v Chair>Yeah.

1378
00:58:40.400 --> 00:58:42.000
<v Chair>..which is called off-label prescribing.

1379
00:58:42.420 --> 00:58:44.420
<v Chair>And one of the biggest factors that have come out

1380
00:58:44.420 --> 00:58:45.380
<v Chair>in recent reviews

1381
00:58:45.480 --> 00:58:46.840
<v Chair>of a lot of the previous research

1382
00:58:46.840 --> 00:58:48.280
<v Chair>is the powerful effect of placebo.

1383
00:58:48.660 --> 00:58:48.980
<v Chair>Yeah.

1384
00:58:49.080 --> 00:58:50.440
<v Chair>And that's underestimated.

1385
00:58:50.600 --> 00:58:50.820
<v Chair>Yeah.

1386
00:58:50.820 --> 00:58:52.420
<v Chair>So I was just wondering if you wanted to comment on...

1387
00:58:52.420 --> 00:58:53.320
<v Chair>Yeah, yeah.

1388
00:58:53.480 --> 00:58:54.480
<v Chair>..what placebo might...

1389
00:58:54.480 --> 00:58:54.980
<v Olivia Carter>I think that in my...

1390
00:58:55.560 --> 00:58:57.640
<v Olivia Carter>To the undergrads I teach at university,

1391
00:58:57.780 --> 00:58:59.900
<v Olivia Carter>the first course in the neuropharmacology

1392
00:58:59.900 --> 00:59:00.720
<v Olivia Carter>is on placebo.

1393
00:59:00.760 --> 00:59:01.280
<v Olivia Carter>And there's...

1394
00:59:03.340 --> 00:59:06.180
<v Olivia Carter>There's a huge lab where I was working in Boston

1395
00:59:06.180 --> 00:59:09.320
<v Olivia Carter>that it's all aimed at looking at the neuroscience,

1396
00:59:10.140 --> 00:59:11.680
<v Olivia Carter>neurobiological effects of the placebo.

1397
00:59:11.920 --> 00:59:14.680
<v Olivia Carter>And it's absolutely clear,

1398
00:59:14.680 --> 00:59:18.860
<v Olivia Carter>you give people these drugs that have no active ingredient at all,

1399
00:59:19.100 --> 00:59:20.580
<v Olivia Carter>they have all the markers...

1400
00:59:20.580 --> 00:59:23.000
<v Olivia Carter>I mean, not all, but significant elevation

1401
00:59:23.000 --> 00:59:25.280
<v Olivia Carter>of a lot of the sort of immune responses,

1402
00:59:25.700 --> 00:59:28.580
<v Olivia Carter>cortisol reduction, changes in brain behaviour.

1403
00:59:28.620 --> 00:59:30.800
<v Olivia Carter>I mean, absolutely clear physical effects.

1404
00:59:31.060 --> 00:59:34.400
<v Olivia Carter>And I think that's actually a really important thing.

1405
00:59:34.520 --> 00:59:37.780
<v Olivia Carter>And people will sort of say...

1406
00:59:37.780 --> 00:59:39.720
<v Olivia Carter>Look, it's hard to frame this,

1407
00:59:39.800 --> 00:59:43.280
<v Olivia Carter>but if you're stressed and you're depressed or whatever,

1408
00:59:43.440 --> 00:59:44.000
<v Olivia Carter>let's say stressed,

1409
00:59:44.000 --> 00:59:46.920
<v Olivia Carter>you're really stressed and you've had a bad day

1410
00:59:46.920 --> 00:59:49.980
<v Olivia Carter>and you go home and you put on some classical music

1411
00:59:49.980 --> 00:59:52.300
<v Olivia Carter>and you sit down and you relax, OK?

1412
00:59:52.380 --> 00:59:54.380
<v Olivia Carter>And if you feel like that's helping you...

1413
00:59:54.380 --> 00:59:56.840
<v Olivia Carter>I mean, I don't think it's too controversial to say that might help you

1414
00:59:56.840 --> 00:59:59.740
<v Olivia Carter>if you have a few deep breaths and lie there.

1415
01:00:00.300 --> 01:00:02.020
<v Olivia Carter>It's reducing your stress to the extent

1416
01:00:02.020 --> 01:00:04.800
<v Olivia Carter>that your brain behaviour is changing, you know?

1417
01:00:04.840 --> 01:00:07.540
<v Olivia Carter>I mean, the activity in your brain,

1418
01:00:07.640 --> 01:00:09.660
<v Olivia Carter>the changes in the neurotransmitter systems,

1419
01:00:10.820 --> 01:00:13.540
<v Olivia Carter>it's your brain that's having those effects.

1420
01:00:13.540 --> 01:00:16.020
<v Olivia Carter>So if a drug is doing the same thing,

1421
01:00:16.780 --> 01:00:18.180
<v Olivia Carter>then it's the same brain.

1422
01:00:18.260 --> 01:00:21.540
<v Olivia Carter>So this idea that psychological interventions or placebo

1423
01:00:21.540 --> 01:00:25.100
<v Olivia Carter>or if you just say positive things to yourself...

1424
01:00:25.100 --> 01:00:27.260
<v Olivia Carter>Imagine meadows when you're getting stressed out.

1425
01:00:27.540 --> 01:00:29.520
<v Olivia Carter>The extent to which that works

1426
01:00:29.520 --> 01:00:31.180
<v Olivia Carter>is because it's working on your brain

1427
01:00:31.180 --> 01:00:35.580
<v Olivia Carter>and it's causing release of chemicals in your brain.

1428
01:00:35.760 --> 01:00:37.640
<v Olivia Carter>So I think that's really important.

1429
01:00:37.640 --> 01:00:40.940
<v Chair>So maybe we should be promoting a universal placebo for everything.

1430
01:00:41.240 --> 01:00:41.940
<v Olivia Carter>Oh, yeah!

1431
01:00:42.400 --> 01:00:42.920
<v Olivia Carter>APPLAUSE

1432
01:00:44.540 --> 01:00:46.420
<v Chair>We'd better finish it up there. We've just gone over time.

1433
01:00:46.540 --> 01:00:48.640
<v Chair>Can everybody thank Olivia for that wonderful presentation?

1434
01:00:49.780 --> 01:00:50.140
<v Chair>APPLAUSE

