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remarkably Book Review: The Genius Within: Smart Pills, Brain Hacks and
Adventures in IntelligenceA Book Review onThe Genius Within: Smart Pills, Brain
Hacks and Adventures in IntelligenceDavid Adam (London: Picador), 2018, 336
pages, ISBN-10: 1509804994, ISBN-13: 978-1509804993.The off-label use of
nootropics by the healthy has always been surrounded by controversy. However,
recent surges in their use across society (Maier et al., 2018), and the
emerging popularity of DIY electrical stimulation techniques (Schuijer et al.,
2017), have brought the questions surrounding cosmetic neuroscience sharply
into focus. David Adam (2018), in his book, The Genius Within: Smart pills,
brain hacks, and adventures in intelligence, seeks to address the efficacy of
cognitive enhancement, and ask questions of society and legislators as to the
extent to which we are ready to adopt their use.The pursuit of consensus within
the ethical battleground of cognitive enhancement typically sticks at a point
of definition. The recurring moral potholes of efficacy, safety, accessibility,
and fairness are generally debated ad nauseum, often with disregard for the
tension between bio-liberal arguments (i.e., that the use of cognitive
enhancers is not imposed upon anyone by society) and the reality of their use
in competitive situations, before the consistent conclusion—that further
research is needed to better define the title concepts.Cognition can be broadly
defined as mental performance, which itself is not monolithic but constitutes a
number of distinctive abilities relating to the acquisition of knowledge and
understanding. Intelligence, in turn, can be taken to mean the acquisition and
application of such abilities. This of course leaves sufficient room for
interpretation dependent upon the socio-cultural context and the weight you
ascribe to its genetic component (or lack thereof) (Sternberg and Griggorenko,
2004; Hill et al., 2018). However, common amongst cultures and belief systems
with respect to intelligence has been the remarkably dogged determination to
reduce human beings to immutable scores and labels, such as IQ.With a laudable
degree of acerbity, the author sidesteps this minefield of posturing at the
outset, accepting that intelligence is at least partly dictated by genes, and
that IQ scores, despite their reductionist tendencies, do seem to be a
“reliable proxy for what most of us would consider to be intelligence.” What
follows is a thoroughly entertaining journey of discovery, as the author puts a
regime of cognitive enhancement to the test, attempting to cheat his way into
the priggish smart club, Mensa (which incidentally is Mexican slang for “stupid
woman”).The author regularly strays into a number of illustrative anecdotes
which serve to give an entertaining grounding in the history of intelligence as
a concept. Of particular note is the story of Walt Whitman, who donated his
brain to the American Anthropometric Society (a so-called “brain club”
dedicated to studying the brains of clever people) who, upon his death,
subsequently dropped it.Before he could embark on his experiment of
self-enhancement, the author sat the Mensa exam in order to determine his
baseline IQ. Rather anti-climactically, he passed the first time, leaving him
with no other option than to aim to improve his score. Leaving a year before
the second attempt in order to counteract any effects of repetition bias proved
to be a convenient amount of time to experiment with a number of enhancement
technologies. Time which, it became clear, is necessary if one were to need to,
for example: find a lab willing to verify the contents of your black market
drugs order, track down someone willing to let you use their DIY brain
stimulation headset made from an American Football helmet and some batteries,
or gather enough data points to make a robust assessment of the influence of
Modafinil upon unforced errors in a weekly squash fixture. Fifteen months
later, bolstered by some pills and a $55 electric stimulator, the author was
indeed able to boost his Mensa scores. Helpfully concluding that his experiment
was “not scientific” and “generated no reliable data,” he turned his gaze back
toward the ethical arena.Societal attitudes toward cognitive enhancement
largely reflect perceptions of safety, alongside some form of subjective
utility. A proponent of enhancement could make the case that it is a lifestyle
choice, akin to smoking, whereby someone chooses to do something with known
negative consequences. However, without an understanding of the mechanisms and
potential side-effects of a given enhancer, it is difficult to set an ethical
baseline, nor indeed establish their true efficacy. This fact is certainly not
helped by the popularization of simplistic conceptualizations (for example,
linking single neurotransmitters to single cognitive functions) which
misrepresent the complexity of the neuronal and behavioral mechanisms involved
(Husain and Mehta, 2011). With respect to currently licensed nootropics, given
that they are effective for a number of people (with side effects that are
sufficiently negligible as to legitimize their prescription) at least some of
them are sure to be effective for at least some healthy people. Increasing
public acceptance will no doubt bolster the resolve of pharmaceutical companies
that have, until now, been far too squeamish to broach cosmetic
neuroscience.Therefore, a careful balance must be struck in order to avoid one
of two scenarios. Firstly, an unfounded superstition of cognitive enhancers
engendered by premature legislation acting to prohibit their use, inevitably
resulting in an entrenched black market and the continued failure to control
their use; or secondly, a new flavor of social stratification, characterized by
one's access to cognitive enhancers, as the result of a laissez-faire approach
to regulation. Sadly, the quixotic view of a super-smart, super-egalitarian
society founded upon the universal distribution of smart pills doesn't seem the
most likely outcome. With this in mind, scientists and physicians must drive legislators—
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