the frontal lobe became a standard treatment for cases of anxiety and depression that resisted other forms of therapy.13 Contrary to the conventional medical wisdom of the previous century, the frontal lobe did make a difference. The difference was that some people seemed better off without it.
But while some surgeons were touting the benefits of frontal lobe damage, others were noticing the costs. Although patients with frontal lobe damage often performed well on standard intelligence tests, memory tests and the like, they showed severe impairments on any test–even the very simplest test–that involved planning. For instance, when given a maze or a puzzle whose solution required that they consider an entire series of moves before making their first move, these otherwise intelligent people were stumped.14 Their planning deficits were not limited to the laboratory. These patients might function reasonably well in ordinary situations, drinking tea without spilling and making small talk about the curtains, but they found it practically impossible to say what they would do later that afternoon. In summarizing scientific knowledge on this topic, a prominent scientist concluded: ‘No prefrontal symptom has been reported more consistently than the inability to plan…. The symptom appears unique to dysfunction of the prefrontal cortex…[and] is not associated with clinical damage to any other neural structure.’15
Now, this pair of observations–that damage to certain parts of the frontal lobe can make people feel calm but that it can also leave them unable to plan–seem to converge on a single conclusion. What is the conceptual tie that binds anxiety and planning? Both, of course, are intimately connected to thinking about the future. We feel anxiety when we anticipate that something bad will happen, and we plan by imagining how our actions will unfold over time. Planning requires that we peer into our futures, and anxiety is one of the reactions we may have when we do.16 The fact that damage to the frontal lobe impairs planning and anxiety so uniquely and precisely suggests that the frontal lobe is the critical piece of cerebral machinery that allows normal, modern human adults to project themselves into the future. Without it we are trapped in the moment, unable to imagine tomorrow and hence unworried about what it may bring. As scientists now recognize, the frontal lobe ‘empowers healthy human adults with the capacity to consider the self’s extended existence throughout time’.17? As such, people whose frontal lobe is damaged are described by those who study them as being ‘bound to present stimuli’,18 or ‘locked into immediate space and time’,19 or as displaying a ‘tendency toward temporal concreteness’.20 In other words, like candy guys and tree climbers, they live in a world without later.
The sad case of the patient known as N.N. provides a window into this world. N.N. suffered a closed head injury in an automobile accident in 1981, when he was thirty years old. Tests revealed that he had sustained extensive damage to his frontal lobe. A psychologist interviewed N.N. a few years after the accident and recorded this conversation:
PSYCHOLOGIST: What will you be doing tomorrow?
N.N.: I don’t know.
PSYCHOLOGIST: DO you remember the question?
N.N.: About what I’ll be doing tomorrow?
PSYCHOLOGIST: Yes, would you describe your state of mind when you try to think about it?
N.N.: Blank, I guess…It’s like being asleep…like being in a room with nothing there and having a guy tell you to go find a chair, and there’s nothing there…like swimming in the middle of a lake. There’s nothing to hold you up or do anything with.21
N.N.’s inability to think about his own future is characteristic of patients with frontal lobe damage. For N.N., tomorrow will always be an empty room, and when he attempts to envision later, he will always feel as the rest of us do when we try to imagine nonexistence or infinity. Yet, if you struck up a conversation with N.N. on the subway, or chatted with him while standing in a queue at the post office, you might not know that he was missing something so fundamentally human. After all, he understands time and the future as abstractions. He knows what hours and minutes are, how many of the latter there are in the former, and what before and after mean. As the psychologist who interviewed N.N. reported: “He knows many things about the world, he is aware of this knowledge, and he can express it flexibly. In this sense he is not greatly different from a normal adult. But he seems to have no capacity of experiencing extended subjective time…. He seems to be living in a ‘permanent present…’”22
A permanent present–what a haunting phrase. How bizarre and surreal it must be to serve a life sentence in the prison of the moment, trapped forever in the perpetual now, a world without end, a time without later. Such an existence is so difficult for most of us to imagine, so alien to our normal experience, that we are tempted to dismiss it as a fluke–an unfortunate, rare and freakish aberration brought on by traumatic head injury. But in fact, this strange existence is the rule and we are the exception. For the first few hundred million years after their initial appearance on our planet, all brains were stuck in the permanent present, and most brains still are today. But not yours and not mine, because two or three million years ago our ancestors began a great escape from the here and now, and their getaway vehicle was a highly specialized mass of grey tissue, fragile, wrinkled and appended. This frontal lobe–the last part of the human brain to evolve, the slowest to mature and the first to deteriorate in old age–is a time machine that allows each of us to vacate the present and experience the future before it happens. No other animal has a frontal lobe quite like ours, which is why we are the only animal that thinks about the future as we do. But if the story of the frontal lobe tells us bow people conjure their imaginary tomorrows, it doesn’t tell us why.
Twisting Fate
In the late 1960s, a Harvard psychology professor took LSD, resigned his appointment (with some encouragement from the administration), went to India, met a guru and returned to write a popular book called Be Here Now, whose central message was succinctly captured by the injunction of its title.23 The key to happiness, fulfilment and enlightenment, the ex-professor argued, was to stop thinking so much about the future.
Now, why would anyone go all the way to India and spend his time, money and brain cells just to learn how not to think about the future? Because, as anyone who has ever tried to learn meditation knows, not thinking about the future is much more challenging than being a psychology professor. Not to think about the future requires that we convince our frontal lobe not to do what it was designed to do, and like a heart that is told not to beat, it naturally resists this suggestion. Unlike N.N., most of us do not struggle to think about the future because mental simulations of the future arrive in our consciousness regularly and unbidden, occupying every corner of our mental lives. When people are asked to report how much they think about the past, present and future, they claim to think about the future the most.24 When researchers actually count the items that float along in the average person’s stream of consciousness, they find that about 12 per cent of our daily thoughts are about the future.25 In other words, every eight hours of thinking includes an hour of thinking about things that have yet to happen. If you spent one out of every eight hours living in my state you would be required to pay taxes, which is to say that in some very real sense, each of us is a part-time resident of tomorrow.
Why can’t we just be here now? How come we can’t do something our goldfish find so simple? Why do our brains stubbornly insist on projecting us into the future when there is so much to think about right here today?
Prospection and Emotion
The most obvious answer to that question is that thinking about the future can be pleasurable. We daydream about hitting a home-run at the company picnic, posing with the lottery commissioner and the door-sized cheque, or making snappy patter with the attractive teller at the bank–not because we expect or even want these things to happen, but because merely imagining these possibilities is itself a source of joy. Studies confirm what you probably suspect: when people daydream about the future, they tend to imagine themselves achieving and succeeding rather than fumbling or failing.26