Chapter 28: Behavior, Emotions, Decision making, Personality Flashcards

1
Q

focus

A

Focus is on association areas

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2
Q

Association Areas

A

Frontal lobe- Behind forehead, hairline, eye brows.

trouble sequencing and planning

-Divergent thinking is impaired- coming up with alternatives

Medial prefrontal area- emotional lability- person’s display does not match their internal emotion. doesn’t match their mood. (impulsiveness, apathetic- lack of emotion

-Eyebrow area- social and behavioral problems, they don’t think ahead and think about consequences of what they are going to do.

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3
Q

Goal-Directed behavior

A

Remember loops from BG out to frontal lobe and back.

  • Loop to the hairline- executive function loop/goal directed behavior (what I want to do) helps me decide on a goal.
  • All loops interact with each other and almost never damaged individually.
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4
Q

Goal-directed behavior loop

A
  • Decide on a goal
  • Plan how to accomplish
  • Execute the plan
  • Monitor success of the plan

The steps I need to take to help me get to a goal.

Damage- trouble with setting a goal, trouble creating the steps to do something/to accomplish something.

-Working memory, judgement, planning, abstract reasoning, Dividing attentions, sequencing activity, “divergent” thinking

it is the seat of divergent thinking- seta a goal, create a plan, and if one of our planned steps doesn’t work, figuring out an alternative.
-ability to come up with many ways of doing something in case one doesn’t work. Come up with alternatives

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5
Q

Medial prefrontal cortex- emotion loop

A

Drop down to the forehead (2nd loop)
-Emotions loop

Generates and perceives emotions

  • motivation
  • reward seeking behavior
  • Making predictions when the outcome is uncertain
  • Integrating emotions with facial expressions
  • communicates with the primal brain (deep to emotion areas of primal brain)
  • helps with the internal desire to do something
  • Very active in reward seeking behavior/lights up with dopamine every time we see something on FB.
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6
Q

Emotion loop- signs of damage

A
  • Apathy
  • Loss of initiative- make things interesting- help get started (it will be hard, everyday help get started)
  • loss of spontaneous thought
  • loss of emotional responses
  • emotional liability

Pt.’s give a damn is busted

  • may get stuck in one way of thinking may have to help them.
  • emotionally labile0 to be changeable, acting inappropriate, laughing or crying at random times when not correlated with what is thinking or happening
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7
Q

Emotional lability

A
  • Abrupt mood shifts
  • Involuntary, inappropriate emotional expression in the absence of subjective emotion
  • Emotion is triggered by nonspecific stimuli

Treatment- support through it, wait it out and support through it.

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8
Q

Social behavior loop-eyebrow level

A

Loop between primal brain and rational brain that checks and guides behavior so that it is acceptable in social contexts/personal contexts.

  • Mood- (subjective feeling)
  • Affect (observable behavior)- outward display
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9
Q

social behavior loops

A

Uses rewards and emotional information to:

  • guide behavior
  • inhibit undesirable activity
  • elicit autonomic activity

Recognizes social disapproval-guides behavior accordingly

Regulates self-control

Selects relevant from irrelevant

Helps with stimulus-response learning

*some communication with autonomic system

Damage- may not regulate behavior as well, may act on more primal urges.
-helps us to focus on what is relevant and screen out what is irrelevant.

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10
Q

Somatic Marker Hypothesis

A
  • Emotions are crucial for sound judgement
  • Emotions signal nonconscious evaluation of situation (“gut feeling”) and influence action- Primal brain and emotional brain talking back and forth to each other.
  • Damage to orbitofrontal cortex or its connections may reduce over undesirable behaviors.- may reveal some unwanted behaviors
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11
Q

Social behavior

A

Good decisions require balance:
-amygdala (threat sensor)
emotional, impulsive, immediate gratification.

  • Dorsolateral prefrontal cortex (rational)
    Rational, planning, goal-oriented

“Somatic marker”- circuitry (orbital cortex) provides link between two regions
- Integrates the emotional and rational centers for good decisions.

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12
Q

Social behavior cycle

A

Our clients who have damage to frontal lobe will have trouble checking primal response- acting in socially appropriate way.

  • Stress due to cortisol release, can damage/impair communication between rational and primal brains.
  • This linkage starts developing in utero, children who grow up in chronic stress conditions don’t develop a good linkage from rational to primal.
  • Survival of the species is rule number 1- primal brain, thinking brain evaluates what the primal brain wants to do and either lets it happen or doesn’t let it happen.
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13
Q

Ventral prefrontal syndrome

A

Disinhibition- wont rationally check what comes into primal brain/behavior

  • Lack of concern about consequences
  • Impulsiveness lack concern for consequences
  • Inappropriate behaviors
  • Emotional lability

Damage- inappropriate behaviors- physical inappropriate behaviors- primal brain says “I am going to hit you” rational brain not there to stop them.

Inappropriate- don’t respond, redirect

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14
Q

Psychological-Somatic interaction

A

Stress response

Somatic nervous system- increase muscle tension

Autonomic nervous system- Shunts blood from skin and gut to muscles

Neuroendocrine system (adrenal medulla)- Epinephrine enhances cardiac function, relaxes intestines, increases metabolic rate
-dumps epinephrine into the system getting us ready to fight or flight
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15
Q

HPA axis

A

(hypothalamus-pituitary adrenal)

  • release cortisol (from adrenal)
  • Mobilizes energy (glucose)
  • Suppresses immune system
  • Turns on anti-inflammatory system
  • Turns on “memory maker” cells (hippocampus)
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16
Q

hypothalamus

A

homeostasis controller- homeostasis threatened causes pituitary to release a hormone that activated the adrenal medulla which dumps cortisol into the blood stream.

  • Mobilizes energy- increases glucose in body
  • Suppresses immune system- don’t need it
  • Turns on anti-inflammatory system- incase we get hurt
  • Turns on “memory maker” cells (hippocampus- what ever you did to find the bear… don’t do it again.

Fighting bear- declarative memory and episodic memory.

17
Q

Acute vs. Chronis response

A

Negative effects of chronic stress response

  • Increased blood sugar
  • Immunosuppression
  • Blood vessel changes (heart attack or stroke)
  • Damage to cells of the hippocampus
  • Weaken or break rational control of impulse.
18
Q

Chronis stress

A

the stress response is maintained but there is not bear out there (dump cortisol on an ongoing basis).

  • Increased blood sugar- chronic- increases the risk of diabetes
  • Immunosuppression- due to stress and cortisol we are experiencing.
  • Blood vessel changes- affect the interior lining of blood vessels and can increase change of heart attack or CVA
  • damage cells of hippocampus- makes it harder to remember stuff.
  • weaken or break rational control of impulse- at end of hard semester, emotional crazy reactions which wasn’t necessary.
19
Q

Psychological-Somatic interaction

A

FRONTAL LOBE LINK IS BROKEN

  • Primal brain grows a bit bigger and more sensitive. rational brain doesn’t grow as much.
  • Primal brain is a little bit more free to do whatever it wants.