James Throt MBBS, MD, PhD, FRCPath Profile picture
Feb 27 15 tweets 3 min read Read on X
We are being gaslit into believing that the impulsivity, cruelty & polarisation we are seeing is purely cultural & political.

That explanation is psychologically comforting, but inaccurate.

It means we don't have to examine biology.

But we must.

COVID has entered the chat 🧵
The pretrontal cortex, particularly dorsolateral & orbitofrontal regions, is the regulatory governor of human behaviour.

It exerts top-down control over limbic threat circuitry.

It suppresses impulses before they become actions.

It filters speech before it leaves your mouth.
This is the system that allows you to

Pause.
Reconsider.
Anticipate consequences.
Inhibit bias.
Tolerate ambiguity.
De-escalate when provoked.

Remove or weaken that system and behaviour changes reliably.
In clinical neurology, frontal lobe dysfunction produces a recognisable profile:

Disinhibition.
Reduced empathy.
Impaired risk evaluation.
Rigid thinking.
Poor social judgement.
Diminished insight into one's own deficits.

This is not controversial.
Now introduce a pathogen with well documented evidence of neuroinflammation, microvascular injury, blood-brain barrier disruption, white matter disruption, microglial activation, measurable executive dysfunction post-infection.

Including in mild & asymptomatic cases.

SARS-CoV-2
Executive function is defined within neurology.

It is the operational capacity of the frontal lobes.

If you inflame or disrupt those circuits repeatedly, you are not dealing with a purely respiratory event.

You are applying repeated stress to the brain's regulatory system.
One infection does not "turn someone into a fascist", before the usual lot chime in. That caricature exists to avoid real discussion.

Neurobiology alters thresholds, not identities.

Inhibition ⬇️.
Cognitive flexibility ⬇️.
Reactivity ⬆️.

Small shifts, but on a global scale.
What does reduced inhibition look like socially?

More people saying what used to remain internal.

More inability to read context.

More absolutist rhetoric.

More Al-generated shock content posted without proportion.

More "I'm just being honest" as a substitute for restraint.
Prejudice does not need to be invented.

It needs to be suppressed.

Frontal control is heavily involved in inhibiting automatic bias responses.

Weaken the control system, and expression increases.

Hence the probability of doing and/or saying inappropriate things rises.
Now consider power structures.

Politics requires long-term risk modelling & perspective taking.

Diplomacy requires cognitive flexibility under provocation.

Law enforcement requires calibrated threat assessment under stress.

These are frontal lobe tasks.
If executive control is even modestly degraded in high power roles, escalation becomes easier & more likely.

Overconfidence increases.

Impulse overrides foresight.

Seconds of reduced inhibition change outcomes.

And we know that history often hinges on a single moment.
The most disturbing part?

Frontal dysfunction commonly impairs insight.

You do not feel your inhibitory control eroding.

You feel "normal". You'd refuse to believe otherwise.

If impairment is widespread, social feedback loops collapse.

The baseline quietly shifts.
The crux of the matter is that, yes, social media algorithms amplity outrage.

And, yes, economic stress polarises populations.

But biology and environment interact. This is simply undeniable.

If the neural brakes are worn down then the entire system becomes more combustible.
We are living through a mass infection event involving a virus with documented neurological effects.

Refusing to even interrogate the behavioural implications is not prudence.

It is avoidance, verging on denialism.
The question isn't whether people are evil or immoral. Even if it seems that way.

It is whether we are ignoring cumulative neurological insult while pretending the erosion of restraint, empathy & foresight is purely cultural & political.

That assumption may age very badly.

END

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More from @JamesThrot

Feb 24
We need to have serious conversations about what COVID is doing to people’s brains, minds, behaviour & personalities.

But it is impossible to do so when people either refuse to acknowledge reality, or those who do acknowledge it tell us we can’t discuss it because it’s “ableist”
Throwing around accusations of ableism is a smokescreen. A way to avoid confronting how a mass-infecting, brain-damaging virus may be reshaping behaviour at scale.

Studies have found post-COVID changes in brain metabolism, grey matter, attention & emotional processing. FACT.
If a virus impairs the neural circuits responsible for empathy, inhibition & moral judgment, society as a whole becomes more susceptible to extremism, selfishness, cruelty & authoritarian propaganda.

This is scientifically & neurologically accurate.

Don’t like it? Tough shit.
Read 7 tweets
Feb 22
People don’t “pretend” everything is fine.

They adapt to dysfunction. This becomes the new “normal”.

The human mind will tolerate astonishing levels of decline if it happens slowly & collectively.

There is not going to be a “reckoning”. Just a slow, gradual, painful collapse.
The most effective way to normalise decline is to make sure everyone declines together.

Collective deterioration is socially self-sealing. If everyone’s diminished, no one feels uniquely diminished.

You’d only notice if observing from outside.

i.e. the ones avoiding infection.
The QT asked “Aren’t they tired?”

Yes, they’re tired. Some exhausted. Some burnt out.

They just won’t trace the line between cause & consequence. It’s easier to live with exhaustion than to admit it wasn’t inevitable.

What you’re witnessing here is Shifting Baseline Syndrome.
Read 4 tweets
Feb 16
If you found out a music concert was going to secretly release a noxious gas to subtly harm the attendees, would you just don a gas mask & attend anyway? You’d be safe. They wouldn’t.

Would this impact your enjoyment? Or would you feel uneasy being surrounded by potential harm?
Attending a crowded indoor event masked is like joining an event secretly exposing everyone else to a mild toxin.

You may be safe, but you’re legitimising harm.

These events spike community infections, making hospitals, children, and vulnerable people more at risk.
Claiming to take COVID seriously, while partaking in such events is blatant hypocrisy.

Masking doesn’t absolve you of the consequences you help create. Children, the immunocompromised, and your community still pay the price of these super spreader events.
Read 9 tweets
Jan 8
Has police & military behaviour become harsher, more rigid & more escalation-prone since 2020?

This isn’t just about politics or “bad apples”.

There’s a deeper, biological factor being ignored…

SARS-CoV-2

I’m a neurologist, and I’ll explain what’s going on here 🧵.
It’s common knowledge that both policing and the military already over select for people with certain traits:

- high threat sensitivity
- comfort with hierarchy
- rule based cognition
- obedience over ambiguity
- identity anchored in authority

This was true long before COVID.
What historically prevented this from becoming outright dangerous at scale was intact frontal lobe function.

The frontal cortex supplies inhibition, proportionality, empathy under stress, moral updating & the ability to back down.

And COVID is proven to damage the frontal lobes
Read 17 tweets
Dec 9, 2025
You don’t have to be a neurologist to see patterns.

Everyone I know who avoids mitigation looks noticeably different from their pre-covid selves. In temperament, in consistency, in emotional regulation, in decision making.

The changes are everywhere. People just normalised them
A key problem we have is that neurological changes often impair the very systems needed to notice those changes.

It’s an anosognosia-like loop.

The more dysregulated someone becomes, the more convinced they are that nothing is wrong.
At population level, impairment camouflages itself.

If everyone’s executive function declines a little, the new baseline feels ‘normal’.

People compare themselves to the surrounding decline, not their pre-2020 selves.
Read 6 tweets
Dec 6, 2025
And COVID is making an ever increasing proportion of people fall into that weak/vulnerable category that capitalism is happy to throw to the wolves.

Eventually, EVERYONE who is doing nothing to prevent repeat SARS-CoV-2 infections will be weak/vulnerable. This is what COVID does
People think vulnerability is a fixed trait. It isn’t.

With SARS-CoV-2, it’s a moving target.

And repeat infections keep moving it toward them.

Cumulative damage always catches up.

Keep letting a brain-damaging virus rip and the ‘vulnerable’ category expands year after year.
Call it denial, call it normalisation, call it whatever you want. COVID doesn’t care.

If you keep getting reinfected at your current rate, the virus will eventually put you in the category you thought only applied to ‘other people’.

This is your inevitable trajectory.
Read 7 tweets

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