Lecture 12 - Cues Without Consequences Flashcards
Outline background of Schiz
Mental disorder: hallucinations and delusions
DA agonists
Treated DA antagonists
Outline drugs needed treat Schiz
24 million cases 2-10 per 1000 Equal to or less than 25% recover 20-30% do not respond at all existing drugs Ineffective negative symptoms Suicide risk 10%. 25% attempt
Outline Frith 1979 cognitive and attentional problems in Schiz
Basic cognitive defect is an awareness of automatic processes which are normally carried out below level of consciousness
Outline Maher 1983 cognitive and attentional problems in Schiz
Failure of attentional focusing to respond to stimulus redundancy
Outline Hemsley 1987 cognitive and attentional problems in Schiz
Less able make use of redundancy and patterning of sensory input
Outline Cutting 1985 cognitive and attentional problems in Schiz
Concentrate on detail at expense of them
What is the common theme of cognitive and attentional problems in Schiz
Issue with attention
Normally we tune our background noise, things not relevant
Schiz do not tune out background noise
Outline Griffith et al 1972 - Amphetamine Psychosis
7 ppt users not prior history psychosis
10mg dextroamphetamine every house up to 5 days
All became psychotic 2-5 days
Delusions auditory = poisoning experimenters and electric dynamo thought control, receive special messages just for them
E.g. TV/Facebook specific relevance and specific message to them
Outline Pro and Anti-Psychotic Drug Actions
Amphetamine is psychotomimetic and indirect DA agonist
Stimulates dopamine
Typical antipsychotics are DAD2 antagonists e.g. haloperidol
Block D4 and 5-HT2
D1 agonists boost DA hype-function in frontal cortex
Is Latent Inhibition impaired in Schiz?
Yes Impaired by amphetamine model Extends studies individual differences If on medication may return to normal Rat model identify neural substrates Effects LI weaken associative learning
Outline latent Inhibition
Csa—> Nothing
CSa —> US
Pre exposure stage 1 reduced later learning stage 2
Pre exposure set up as a cue with no consequence
Outline the basic experimental design for latent inhibition
Comparing learning Pre-exposure and control groups. Follow up test associative learning (and drug free)
Measured 2x2 design
Assess pre exposure and control each experimental condition
Comparing non ore exposed group determine effects on conditioning
Outline how Latimer Inhibition is abolished in rats under amphetamine
Amphetamine increase shock sensitivity as it is a stimulant
Meta analysis: effect most from over conditioning in ore exposed group. No suppression non-pre-exposed group
BUT presence amphetamine there is suppression non-pre-exposed
How do you test for latent Inhibition in humans
Lubows Lab
Task not too obvious
US = counter increment
Task: work which series nonsense syllables predicts counter increment
Masking task
CS = white noise (pre exposed and later predicted)
Outline Latent Inhibition deficits in ppts with Schiz
Link loss LI and Schiz shown counter increment variant
LI impaired, abolished acute Schiz
LI relative learning increase can’t be due to non specific features of disease process
Outline translational evidence of latent Inhibition and Schiz
Amphetamine treatment abolishes LI in normal ppts 5mg
Haloperidol reduce LI humans
Any beneficial effect expected depend baseline DA activity
Haloperidol effects health humans depend on psychoticism scores - single 5mg
Outline Haloperidol effects depending on Psychoticism - Kumasi et al 1999
High and low psychoticism reduction LI
Low psychoticism reduces haloperidol
Define measuring schizotypy in normal ppts O-Life
Are sounds you hear in your daydream really clear and distinct?
Do you believe in telepathy?
Are your thoughts sometimes so strong that you can almost hear them?
Do you think you could learn to read others minds if you wanted to?
Outline Shrira and Kaplan 2009 experiment on Latent Inhibition reduces with Schizotypy
2 procedures:
1 without masking. 1 with masking.
Schizotypy relates LI in circumstances
Translating back research on Latent Inhibition to animal models
Loss of selectivity which normal attention ordinarily exercises among sensory impressions
Core deficit suggests use attentional measures
Rat model tells us which NT systems and brain structures are important
Define low latent Inhibition
Openness environmental stimuli irrespective past significance
Latent Inhibition in rats modulated by amphetamine and haloperidol
Haloperidol alone = enhancement
Together = restoration
Outline brain circuitry of interests by Cassaday and Moran 2010
Latent Inhibition reduced by excitotoxic lesions to shell region of nucleus accumbens
Damage selective regions of nucleus accumbens reduce/lower LI
Outline other selective learning tasks by Cassaday and Moran 2010
Salience modulation: overshadowing (intrinsic), LIT, blocking (acquired)
Failure of attentional focusing respond to stimulus redundancy
Schiz sleds able make use redundancy and patterning sensory input
Theoretical framework Cassaday and Moran 2010
D1 agonists based known therapeutic effect
Or
D1 antagonists based on direction effects in overshadowing?