PSY 324 Final Exam Flashcards

1
Q

Chapter 1: The Living Dead - Cotards Syndrome / symptoms

A

[SYMPTOMS]
- Cotard’s DELUSION: belief that one is dead
Cotard’s Syndrome: believing body parts are missing or decaying, GUILT, feeling condemned, immortality
- most still do NOT attempt suicide (no will to do it)
- no desire to eat or sleep, don’t find pleasure in things

  • PRONOUNCED experience of depression (worst of the worst)
  • usually SHORT lived, patients can recover from it
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2
Q

Chapter 2: The Unmaking of Your Story - Alzheimer’s / symptoms

A
  1. Alzheimer’s

[SYMPTOMS]

  • only condition where NARRATIVE SELF is eroded
  • can be vascular, or due to build up/blockage of proteins in brain
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3
Q

Chapter 3: The Man Who Didn’t Want His Leg - Body Identity Integrity Disorder / symptoms

A
  1. Body Identity Integrity Disorder
    [SYMPTOMS]
    - fierce desire to amputate 1+ of one’s limbs; “the limb is NOT part of the bodily self constructed by the brain”
  • often paralleled to Gender Identity Disorder
  • ppl can id specifically where a limb “stops being theirs”
  • most people are happy/feel much better after surgery
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4
Q

Chapter 4: Tell Me I’m Here: Schizophrenia - people (2)

A
  1. Schizophrenia

[PEOPLE]
a. Laurie: suicide attempt off a building, felt like someone else was controlling her actions; has convos w her neg voices, tries to rationalize them; problems w cutting herself/self-harm

b. Sophie: grew up w schizophren. mom, began as a scientist, later developed schizophren.; her boundary b/w inner and outer worlds dissolved
- Perceived the world as insubstantial, where solid boundaries melted away into an
amorphous whole.

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5
Q

Chapter 6: The Self’s Baby Steps - Autism / symptoms

A
  1. Autism

[SYMPTOMS]

  • inability to relate themselves in the ordinary way to people and situations; trouble carrying out “affective/emotional” contact with others
    • is innate, from birth
  • sensory hypersensitivity
  • inability to integrate sensory information; thought to always be experiencing an “unpredictable” environ - can’t assimilate to environ. conditions/feedback well
    • –> this contributes to insistence on “Sameness”; try to create order to offset the constant unpredictability
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6
Q

Chapter 7: When You Are Beside Yourself - Out of Body Exp. / symptoms

A

[SYMPTOMS] - 1. doppleganger-effect: seeing or feeling another “body” of onself nearby, often fts strong emotions (anger, fear, panic), can seem to inhabit the other body –> “autoscopic phenomena”

  1. Out of Body Exp: leave body and perceive it from an outside perspective
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7
Q

Chapter 8: Being No One, Here and Now - Ecstatic Seizures / symptoms

A

[SYMPTOMS]
1. heightened self-awareness 2. sense of physical well-being (protection from negativity/harm) 3. intense positive emotions (harmony, connection w the world)

(can’t tell how long they last); triggered by pleasant things

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8
Q

Chapter 5: I Am As If A Dream: Dissociation/Depersonalization - symptoms

A

[SYMPTOMS] -1. disembodiment 2. emotional numbing (no empathy) 3. trouble remembering things that they did 4. de-realization of surroundings

  • ppl do “reality testing”, trying to convince themselves they’re tripping (Sarah ordering tacos)
    • Can develop as a response to extreme danger and the anxiety assoc. with it
    • people struggle to articulate it well
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9
Q

Chapter 5: I Am As If A Dream: Dissociation/Depersonalization - people (2)

A

[PEOPLE]

 a. Nicholas, Addict parents
       - DEP. began in early teens, lasted for years 
       - went to rehab for time, has muted emotional responses, lifted when his daughter was born 

 b. Sarah, drug induced
 - was crossfaded and started tweaking, went away naturally after a cpl weeks
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10
Q

Chapter 5: I Am As If A Dream: Dissociation/Depersonalization - neuroscience

A
  1. Damasio: the proto-self - to keep homeostasis body must make maps of what’s going on inside/internal sensations
    + protoself - contains expected body states (ex. state of your organs, etc.)
    - based in upper brain stem
    + primordial feelings - reflect urrent state of body, evidence of existing
    + core self - capture relationship between proto-self and objects, mental reps of what’s happening to us [most animals ONLY have this]
    + autobiographical self - interacts with protoself to create one’s personality
  2. PARADOX: emotions are muted, but being dissociated causes intense distress and panic (“i have no emotions, it makes me so unhappy”)
    - Show far less activity in the L ANT. INSULA (resp. for interoception) –> may stem from over-active VentroLat PFC (resp for top-down ctrl of emotions)
  3. May be a result of prediction errors of brain
    • Bayesian brain: the brain making probability-based inferences about likely causes of sensory inputs, confusion here –> disorder
  • the importance of somatosensory info in registering a “sentient self”
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11
Q

Chapter 4: Tell Me I’m Here: Schizophrenia - neuroscience

A
  1. Frith’s “comparator model” of the sense of agency, and his account of schizophrenia:
    + During arm movement, the comparator matches actual sensations with predicted
    sensations. If there is no mismatch, we feel that we performed the action — we own the action, giving us a sense of agency. A mismatch makes us feel that
    someone else, an external agency, is responsible.
    o Tickling - Schizophrenic ppl can tickle themselves
  2. IPSEITY: the implicit sense of feeling that you are here (you don’t think about this directly).
  3. Auditory Vocal Hallucinations: raw material is unbidden thoughts
    • “predictive brain” malfunction, ppl don’t realize their thoughts are their own
  4. Corollary Discharge
    • the brain uses the corollary signal to tell whether the arm moved because you tried to move it, or whether it moved due to an external cause
      o correspond to the experience of will or intention
      “efference copy” of each action sent throughout body
      o Arguments that schizophrenia is a disturbance of corollary signals
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12
Q

Chapter 4: Tell Me I’m Here: Schizophrenia - symptoms

A

+ positive: delusions, hallucinations (auditory, 75% of ppl get them)
o negative: apathy, emotional flatness
o disorganized: jumbled speech

+ Disrupted sense of agency (someone else ctrling their actions)

+ inability to decipher between reality and imagined things externally

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13
Q

Chapter 6: The Self’s Baby Steps - Autism / people (2)

A

[PEOPLE]

  1. Alex - child, accounts from parents
    • hated being hugged, wouldn’t play with other kids/siblings, didn’t assign value judgements to ppl (ex. he’s nice, she’s smart), very solitary, no close relationships
    • unable to draw very well (motor skills), particularly bad at drawing bodies
  2. Cohen - adult, says he thinks” love toward his sister, but doesn’t feel love toward her; talking to others is really taxing;
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14
Q

Chapter 6: The Self’s Baby Steps - Autism / neuroscience

A

[NEUROSCIENCE]

  • difference btween “I” (Ecological self) and “me” (interpersonal self)
  • Q: is proper management of our social self/social relationships and body necessary for proper development of the self?
  1. Theory of Mind: ability to infer what other ppl are thinking; autistic children perform poor on Sally-Anne marble task
    • develops between ages 4-6
    • tested also with Appearance-Reality (AR) test [egg vs stone egg exp] –> neurotypical + Down’s kids do fine
      • SUGGESTS: when environ. stimuli conflicts with personal knowledge, PERCEPTUAL info overrides other info in ASD kids (ex. they maintain that it’s an egg)
  2. TOM Deficits may be associated with EXEC FUNC deficits
    • ex. not knowing that you have to put socks on before shoes
    • Relevant brain regions: TPJ, Precuneus, vMedialPFC
  3. In ASD Adults: introspection and inner-speech is impaired; can overcome with explicit cognition
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15
Q

Chapter 7: When You Are Beside Yourself - Out of Body Exp. / people (4)

A

[PEOPLE]

  1. Ashwin - author’s cousin, brain tumor induced doppleganger-effect
  2. Michaele - intense pain during childbirth, had an OBE then came back
  3. Thomas Metzinger: studying to be a philosopher, had 1st OBE at a meditation retreat (could hear himself breathing), was eventually convinced that his OBE’s were hallucinations
  4. Chris: spoke with his brother over the phone during a doppleganger effect episode –> heautoscopy (intense emotions, involvement of sensory-motor sys, INSULA)
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16
Q

Chapter 7: When You Are Beside Yourself - Out of Body Exp. / neuroscience

A

[NEUROSCIENCE]

  1. aspects of having a “bodily self”: a. your body feels like it’s yours/your center of awareness b. understanding of the physical space that your body occupies/self-location c. first-person perspective of stimuli
  2. rubber-hand illusion: we believe the fake hand to be “ours” due to fooling our multi-sensory integration systems via visual input
    • pre-motor cortex, parietal areas, TPJ
  3. Angular gyrus: when stimulated with ECCg, induces OBEs (near the vestibular ctx [posture + balance])
  4. People experiencing induced OBEs: have worse episodic memory, perceive objects as bigger/smaller
17
Q

Chapter 8: Being No One, Here and Now - Ecstatic Seizures / people (2)

A

[PEOPLE]
1. Zach - 19yr old student, had bad epileptic seizures, accompanied by suicidal moods/frustration, episodes of “living in the moment”, experiencing things very vividly

  1. Alberic - 17 yr old Swedish farmer, seizures began after a traumatic accident (uncle cutting his fingers), benign tumor in R temporal pole, usually gets them at night
18
Q

Chapter 8: Being No One, Here and Now - Ecstatic Seizures / neuroscience

A

[NEUROSCIENCE]
1. focal seizures in the temporal lobe, person remains conscious

  1. Anterior Insula implicated
  2. Thermal grill illusion: bars that are not extremely hot or cold, but ppl register pain when they touch them - suggests that subjective exp of pain (anterior cingulate, [ACC] anterior Insula) is diff from somatosensory reporting of it
  3. stimulation of ant Ins can induce ecstatic seizures
  4. People who take psychedelic drugs report similar symptoms to ecstatic seizures similar activation of ANT INSula and ACC
  5. Bud Craig Model: INSULA integrates internal, external, and action-based body states to create “global emotional moments” once very 125ms –> the moments strung together create our “sense of self”’
    • hyperactive insula could make these moments speed up –> leading to disrupted sense of time ppl feel
    • hyperactive insula could REDUCE prediction errors; making ppl feel like everything is fine
19
Q

Chapter 1: The Living Dead - Cotards Syndrome / people (3-4)

A
  1. Graham - 48 years old, tried to commit suicide after separating from his wife by pulling an electric heater into the bath
    • believed his brain was dead, but his mind was alive
  2. May - 15 yrs old, became super depressed/catatonic, eventually recovered via ECT
    • her cotard’s delusions were influenced by her personal experiences (Ex. brother in law dentist, masturbation guilt / no teeth, no uterus)
  3. Unnamed - thought he had AIDS (didn’t) bc of promiscuity guilt/social context
20
Q

Chapter 1: The Living Dead - Cotards Syndrome / neuroscience

A
  1. Zeman: 2 main factors contributing to delusions: 1. dramatic change in ones’ sense of theirself / 2. impaired ability to reason about dramatic experience
  2. Possible that the Self-as-object (I see ME in the mirror) isn’t being experienced vividly in Cotard’s.
  3. Fronto-parietal network for consciousness (external + internal consciousness, inversely related) AND Thalamus network
    • engages Default Mode Network (ft Precuneus) - important self-referential activity
    • PET in Graham: LOW metabolism/activity in Precuneus + DMN –> spread to critical reasoning frontal lobes
21
Q

Chapter 2: The Unmaking of Your Story - Alzheimer’s / people

A
  1. Allan - older man, philosophy prof
    • forgot that he scheduled a final exam, forgot directions to daughters house, trouble packing suitcase, kept a notebook tracking symptoms
    • personality change, went from a sweet loving husband to someone who argued, cursed @ his wife
  2. Clare’s dad - sailor, spoke many languages, forgot how to do both these things, forgot how to bbq
22
Q

Chapter 2: The Unmaking of Your Story - Alzheimer’s / neuroscience (what region most implicated?)

A
  1. Big Q: is there a “self” still present when cognitive abilities fail?
    • some say yes; narrative/autobiographical self is not all there is, still may be something left behind / the body plays a role
    • there must be SOMETHING there before narrative self develops (ex. babies)
  2. ENTORHINAL CTX most damaged, starts here and spreads
  3. Anosognosia - not recognizing that you have a disease (ex. paralytics, blind ppl, Alz as well)
    • can be a manifestation of the degrading of narrative self, ppl no longer integrating new info into their “personal data-bases”
    • Medial prefrontal cortex + Left anterior temporal lobe
  4. embodied self-hood: innate ability of our bodies to engage with the world via habits, gestures, actions that DON’T rely on cognition
    ex. Alz patient able to recite prayer but not able to talk / woman pulling out her pearls before eating
  5. The reminiscence bump - patients recall most strongly events happening between ages of 10-30yrs; this is when “resilient” parts of self-narrative are occurring
23
Q

Chapter 3: The Man Who Didn’t Want His Leg - Body Identity Integrity Disorder / people

A
  1. David - middle-aged, tried to amputate his leg several times, always chickened out; fixation lead to extreme depression and isolation
    • “it feels like my soul doesn’t extend to my leg” / suffered desde niño
  2. Patrick
    ○ One of David’s gatekeepers, hid his BIID from his wife for years, eventually got an amputation
24
Q

Chapter 3: The Man Who Didn’t Want His Leg - Body Identity Integrity Disorder / neuroscience

A
  1. Phantom limb and assoc disorders: the brain creates maps for everything we perceive –> when a limb is amputated it’s place in the cortical map remains
    • those with BIID may have incomplete cortical mapping of their limbs
    • incarnation without animation
  2. Region of interest: Superior Parietal Lobule (contains maps)
    • shows delayed/reduced response when unwanted limb is touched when compared to regular limb
  3. Skin Conductance Responses: ppl respond to taps on unwanted limb 2-3x STRONGER bc it’s registered as a “foreign” rather than self
25
Q

Self-as-object vs. self-as-subject

A

■ Self-as-object: I see me in the mirror.

■ Self-as-subject: I see me in the mirror.