Task 2 Flashcards

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1
Q

historical developement of the emotional brain

  • Darwin
  • James
  • Cannon-Bard (shame rage)
  • Papez circuit
  • McLean (Kulver-Bucy syndrom)
A
  • Darwin: basic emotions, animals and humans are the same
  • James: emotions are experience of bodily changes in response to a stimuli (stimuli –> response –> feedback –> feeling)
  • Cannon-Bard: shame rage
    = decorticated cats show sudden anger attacts –> suggests cortical inhibition!
  • Papez circuit: (siehe Bild) –> regulation of emotional top-down response possible (yeah) BUT over-emphasis on hippocampus
  • McLean: kulver-bucy syndrom
    = bilateral removal of the temporal lobe –> loss of emotional reactivity, but hypersexuality and abnormal dietary changes –> teporal lobe important!
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2
Q

key brain region - amygdala

  • scientific proof
A

very important!

proof: - damage leads to impairement in processing and regognizing faces
- responsible for fear conditioning
- memory consolodation right amygdala

  • susceptible to top-down control
  • -> emotion related processing, stress regulation, reward learning
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3
Q

key brain region - prefrontal cortex

subregions (think of Action)

  • OFC
  • vmPFC (somatic marker hypothesis)
  • lPFC
  • valence-asymmetry hypothesis
A

important for control/ inhibition! (Phineas Gage)
- top-down regulation –> biased signals to guide behavior goal-directedly

  • OFC –> reward processing
  • vmPFC –> pocessing somatic marker = bodily information/feelings which are associated with emotions (nausea –> disgust)
  • Lateral prefrontal areas –> important for
    conscious awareness
  • valence-asymmetry hypothesis = asymmetry of the hemispheres in expression+ perception of emotion
  • -> left pfc approach related positive goals
  • -> right pfc maintainance/ inhibition and withdrawal /negative)
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4
Q

key brain part - anterior cingulate cortex (ACC)

A

crucial for regulation and intergation of emotional info in top-down control!

  • central representation of automatic arousal
  • conflict monitoring and adjustment of response
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5
Q

key brain part - Hypothalamus

  • functions
A
  • affective defense reaction –> alertness (HPA-axis)
  • controls pituitary gland –> hormonal control (sleep, hunger, attechment…)
  • involved in reward and motivation processing
  • part in approach vs. avoidance behaviour
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6
Q

how many emotion systems do we have? (3 models)

  • single
  • dual
  • multiple
A
  • single system –> emotion = right hemisphere –> busted!
  • dual system –> valence asymmetry; Scheirla (approach/activation and withdrawa/inhibition have different neural components); Rolls (positive = rewarding and negative = punishing); LeDoux (conscious feeling vs. bodily response)
  • multiple systems –> separable regions for fear, disgust (anterior insula cortex), anger = basic emotions
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7
Q

terminology
fear =
anxiety =

A

= response to immediate threats
= response to distal and uncertain threats
both entail subj. feelings & physiological reaction!

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8
Q

–> old view: single system view/ one innate fear sytem

The innate fear circuit (Figures A + B)

–> LeDoux / modern view

A

–> in presence of threat creats both bodily response and conscious feeling

  • fear = innate function of the limbic system
    > AMY = fear circuit hub (Figure!!!)
    • Note: subcortical structures most importnant,
      but cortex modulates defense reaction
  • -> innate fear circuit excist but is not the only system –> Two-system approach
    • 1st for behavioural/ physiolagical response (like innate fear circuit - subcrortical)
    • 2nd for conscious feeling (cortex)
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9
Q

Limitation of earlier view as amygdala as sole fear centre

Clinical evidence

A

Clinical evidence:

  • patients with AMY damage still experience fear
  • blindsight patients show physiological fear response despite being unaware of it
  • -> aparent disassociation between feeling fear and fear response
  • -> AMY important for detecting and responding to immediate threats but not directly for conscious feeling
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10
Q

Emergence of the conscious feeling - cortex
(“2nd system”)

> global workspace theory
higher order theory

A
  • -> conscious/subjective feeling arise from higher order cortical areas
  • inputs and modulation come from AMY but not neccessary for awarness or subj. feeling
  • the more awareness the more (l)PFC/PC engagement
  • AMY engagement independent of awareness

> global workspace theory = wide distributed circuit in prefrontal areas (more interconnected)
higher order theory = prefrontal hub (more hierarchical)

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11
Q

Two system view (figure explained)

A

Distinguish between two circuits and two classes of responses:

  1. behavioural and survival circuit behavioral/physiological response - amygdala + other subcortical areas - mostly unconscious
  2. cognitive circuit conscious feeling - cortex
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12
Q

Two-system view explains…

A
  • how we can feel fear without actual to threat exposure like rumination or worry
  • why react to emotional stimuli long before having emotions
  • why medication might not have been fully potent
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13
Q

implications for therapy

  • faulty assumptions (2)
A
  1. One common circuit –> nope
  2. Animals and humans are similar –> not in subj. feeling
    - some medication only works at the subcortical level
    - some medication only reduces anxious feeling by blunting the cortical process in general (indirect)
  • need maybe two medication for the two systems
  • specific for specific feeling needed but difficult, usually more broad impact –> side effects
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14
Q

Improving treatment - Adapting

  • possible therapies
  • be aware of the two systems!
A

Possible therapies:

  • CBT and exposure therapy
  • subliminal extinction
  • psychotherapy
  • In genral: concentrate more on both systems!
    > differential targeting of one system + observing the other
    > awarness of differences in developement ( due to different maturation of the different systems)
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15
Q

Improving treatment - Tailoring

A
  • looking at individual differences
  • some patients hyper-/hypoactive subcortical regions or cortical areas –> take into consideration! in medication or cognitive reappraisal therapy
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16
Q

fear conditioning

  • whats it?
  • involved areas (fear conditioning studies)
    • > AMY activiy in habituation
  • extincition
A
  • pairing cs and us (elicits by itself automatic fear response)
  • AMY, Insula & ACC –> fear network
    -> activation of AMY decreases over time –> habitation
  • extinction: CS without US –> fear gradually eliminated –> involved areas: PFC and some fear network areas
  • 2 routes of fear conditioning:
    low/direct: Thalamo-AMY: early
    high?indirect: Thalamo-Cortical-Amy: late
17
Q

panic attacks =

in experiments

A

= period of intense fear and anxiety
numerous physical symptoms –> DSM5

  • substance cck4 extent activation of AMY –> can induce panic attacks/ it also can influence the personality factor on proneness to anxiety
18
Q

neuroimaging - symptom provocative paradigm

  • findings
A
  • comparing negative emotional condition (picture of a spider) with neutral or positive –> anxiety specific brain activity
  • findings:
    > hyperactivity AMY - feared stimulus -> heightent fear reponse
  • development and maintainece of anxiety disorder:
    > ACC - approach vs. avoidance, fear conditioning
    > Insula - emotional processing and subj. feeling and introspective awareness
    –> fear network
19
Q

PTSD - What happens in the brain?

A
  • hyperactive amygdala = persistent elevated fear
  • hypoactive mpfc and acc = reduced top-down processing
  • reduced hippocampal volume =vulnerability factor and leads to difficulties identifying safe context (memory)
20
Q

OCD - What happens in the brain?

A
  • striatal dysfunction (caudate nucleus) –> ineffective thalamic gating –> OCD-stimuli = hyperactivity
    OFC = ass. intrusive thoughts
    ACC = ass. anxiety arising form those thoughts
    AMY = general emotional hyper arousal
    insufficient top down regulation
21
Q

Imaging in treatment

A

Monitoring treatment:
- exposure therapy study –> normalization of activity
- pharmacological treatment (antidepressants like SSRIs or SNRIs) –> monitor the succsess of the treatment
Pre-treatment:
- detecting vulnerability factors
- detecting abnormal activity realted to disorders (better diagnostic)

22
Q

Brain regions

Insula

A
  • -> conscious experience of somatic sensations

- part of the fear network