l4- intro to human neuropsychology- what does the prefrontal cortex do? Flashcards

1
Q

phrenology

A
  • claimed mental triats could be determined by the shape n bumps of the skull
  • popular in mid 19th centruy
  • attempt to link specific skull regions to mental functions
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2
Q

cortex

human cerebral cortex

A
  • outer layer of brain responsible for higher-order functions like thought, perception n planning
  • culture link: art, maths etc
  • diff parts do diff things
  • frontal cortex= prefrontal + motor
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3
Q

cortex

prefrontal cortex

A
  • complex, many distinct parts
  • lateral PFC (side)= complex thoughts
  • medial PFC (middle)= thinking about self/internal world
  • not directly involved in sensory processing
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4
Q

cortex

eveolution of PFC

A
  • larger in humans then chimps=allow for complex thought (1.2X^)
  • one of last regions to mature
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5
Q

KEYY

PFC processes
Synaptogenesis:

A

forming new neural connections

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6
Q

KEY

PFC processes:
dendritic arborization

A
  • more tree like structures in dendrites
  • branching of dendrites for enhanced communication
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7
Q

PFC processes
myelination

A
  • formation of protective sheaths around neurons for faster signalling
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8
Q

phienas gage case study (1848)

A
  • tamping iron accident, iron bar thru frontal cortex
  • survived phsyically but had personality changes
  • led to early evidence linking frontal lobes to personality n planning
  • ‘gage was no longer gage’
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9
Q

pros of single case studies

A
  • proof of principle
  • ethical: no intentional harm
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10
Q

cons of single case studies

A
  • casuality: could be trauma not lesion
  • non focal: not j 1 part of frontal lobe/large lesion
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11
Q

converging evidence of neuroscience

A
  • use multiple methods to validate findings
  • eg:
  • on guilt: forensic evidence, eye witness testimony, lie detector (polygraph), character witness, cctv, hearsay
  • on neural substrates of planning: patient self report, patient (case)/control studies , functional MRI, animal work (NO COMMENT), non invasive brain stimulation
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12
Q

Converging Evidence on the neural substrates of planning

non human models/animal work

A
  • fruit fly models, rodents, non-human primates
  • pros: experimental control, direct measurement
  • cons: ethics, not directly transferable to human behaviour
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13
Q

Converging Evidence on the neural substrates of planning

patient self report (qualitative)

A
  • qualitive data from pts w brain injuries
  • pros: first hand insight, inexpensive n practical
  • cons: subjective/lack of control (natural lesions), not always reliable- eg anosognosia (unawareness)
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14
Q

Converging Evidence on the neural substrates of planning

case-control studies

A
  • compare pts w brain damage to healthy controls
  • tasks: tower of london, tower of hanoi, stockings of cambridge
  • pros: mutiple pts, quantifiable data
  • cons: indivual variability, uncontrolled lesion locations
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15
Q

case-control studies variables
eg tower of london etc

A

IV: patient group, bumber of required moves
DV: accuracy, reaction time

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16
Q

Converging Evidence on the neural substrates of planning

case control studies
Owen et al 1990

A
  • examined how ppts w frontal lobe damage performed on TOL
  • 23 ppts- 15 right lesions, 8 left lesions
  • vs 26 healthy controls
  • fidnings: FL pts= impairment planning, had more moves to solve problems
17
Q

Converging Evidence on the neural substrates of planning

case control studies
Nitschke et al 2017

A
  • meta analysis
  • consistent results
  • no strong L/R hemisphere difference
18
Q

Converging Evidence on the neural substrates of planning

control for lesion location
owen et al 1995

A
  • compared frontal vs temporal lobe lesions
  • Planning impairments are specific to frontal lesions, not just any brain lesion.
19
Q

Converging Evidence on the neural substrates of planning

fMRI

A
  • measures brain activity by detecting changes in oxygentaed blood (BOLD signal)
  • active brain=more O=stronger signal
  • use block designs: do task→ rest/control → compare.
  • AND cognitive subtraction to isolate task-specific brain activity
20
Q

fmri

Blood oxygenation-level dependent (BOLD) signal =

A

Changes in the ratio of oxygenated and deoxygenated haemoglobin

21
Q

fmri- KEY

cognitive subtraction

A
  • compare task vs control task to isolate whats specific to the task
  • eg tower of london (planning) vs control (same visuals no planning)
  • subtract control brain acitivy from task - shows planning areas
  • inference: whats left= brain regions involved in planning only
22
Q

good control task

A
  • same perceptual exp (visual images)
  • same motor demands
  • same emotional states
23
Q

fmri +planning evidence
fallon et al 2013

A
  • tower of london task in scanner= activates lateral PFC (esp dorsolateral)
  • fallon= n=42- reliable activation in PFC
  • also see activity in other regions (eg parietal) but PFC key
  • nitschke et al 2017- confirms across mutiple studies
  • Mainly lateral prefrontal cortex
24
Q

fmri pros n cons

A
  • pros: reveals networks involved in planning, high spatial precision
  • cons: not casual (cant prove necessity), expensive (~£800/scan)- scanner enviroment weird, not all brains fit in 1 pattern
25
# FMRI deactivations (default mode)
- medial PFC= activate when doing nothing/zone out (default mode) - test by staring at fixation point - good planning= suppressing this - need balance between 'executive' dorsolateral PFC + 'subjective' medial PFC - ***Spreng & Schacter (2012)***: older adults couldn’t deactivate MPFC = worse planning
26
pfc vs
- Lateral Prefrontal FC: brain regions involved in 'doing something complicated' - Dorsolateral PFC: brain regions involved in '
27
# Converging Evidence on the neural substrates of planning Non-invasive Brain Stimulation TMS (brain stimulation)
- inhibit/excite brain regions - van den heuvel et al (2013): inhibiting left PFC ↓ planning ability - shows casual role of PFC in planning - TMS can be excitatory or inhibitory, depending on stimulation parameters (e.g., frequency)
28
TMS pros n cons
- pros: can test casuality, target specific brain areas - cons: short term only, ethical limits on sessions, not like LT lesions
29
Treatment for neuropsychiatric disorders?
- Positive Evidence in Depression - TMS to the dorsolateral prefrontal cortex did not improve ADHD symptoms - what if we found that cortical stimulation doesnt work? -KEY: Same thing could be said for inhibition and right prefrontal cortex
30
inhibition
- stop automatic tendancy/prepotal response