Computerized cognitive training restores neural activity within the reality monitoring network in schizophrenia

Schizophrenia patients suffer from severe cognitive deficits, such as impaired reality monitoring. Reality monitoring is the ability to distinguish the source of internal experiences from outside reality. During reality monitoring tasks, schizophrenia patients make errors identifying "I made it up" items, and even during accurate performance, they show abnormally low activation of the medial prefrontal cortex (mPFC), a region that supports self-referential cognition. We administered 80 hr of computerized training of cognitive processes to schizophrenia patients and found improvement in reality monitoring that correlated with increased mPFC activity. In contrast, patients in a computer games control condition did not show any behavioral or neural improvements. Notably, recovery in mPFC activity after training was associated with improved social functioning 6 months later. These findings demonstrate that a serious behavioral deficit in schizophrenia, and its underlying neural dysfunction, can be improved by well-designed computerized cognitive training, resulting in better quality of life.     

Postmodernist theory and the physician-patient relationship

The author discusses the postmodernist claim that the "grand theories" have lost credibility, even in the field of medical science and practice. Rather than representing a shared reality among physician and patient, illness represents two quite distinct realities - the meaning of one being significantly and distinctively different from the meaning of the other. However, existential clinical narratives can function as important bridges between the world of the patient and the world of the physician. Such narratives provide important information regarding the patient's biographical situation and, particularly, the personal and cultural meanings which are a function of the biographical situation. At the same time, these narratives provide physicians with useful information for the practice of medicine.     

The neurodynamic bases of imitating learning and episodic memory

In this review, three essentially important processes in the development of cognitive behavior are considered, viz., knowledge of a spatial environment by means of physical activity, coding, and the calling of the existential context of episodic memory and imitation learning based on the mirror neural mechanism. The data show that the parietal and frontal systems, which are involved in learning by imitation, allow a developing animal to obtain skills of management and motive synergies in perisomatic space, as well as to understand the intentions and the purposes of the observed actions of other individuals. At the same time the widely distributed parietal and frontal and entorhinal–hippocampal system mediates spatial knowledge and the solution of the navigation tasks that are important for the creation of the existential context of episodic memory.     

Problem Concepts in Evolution Part I: Purpose and Design

In 1999, Scott suggested that evolution has existential repercussions for some students because they confuse methodological naturalism with philosophical naturalism: conflating the incapacity of scientific explanations to appeal to the supernatural with the idea that God must not exist. Unfortunately, part of the reason for the confusion involves terms that are used in a technical sense by evolutionary biologists but that also convey existential meanings to the general public. Such terms therefore should be used carefully by teachers, and their scientific meanings distinguished from their common meanings. We revisit these problem concepts, particularly in light of recent papers in cognitive psychology as they relate to understanding evolution, in a two-part series of articles. Here, in part I, we address design and purpose.     

Social, psychological and existential well-being in patients with glioma and their caregivers: a qualitative study

Background:

Cerebral glioma has a devastating impact on cognitive, physical, social, psychological and spiritual well-being. We sought to understand the multidimensional experience of patients with this form of cancer as they progressed from receiving a diagnosis to the terminal phase of the disease.

Methods:

We recruited patients with a suspected brain tumour from a tertiary referral centre in the United Kingdom. We interviewed patients and their caregivers at key stages of the illness: before receiving a formal diagnosis, at the start of initial treatment, after initial treatment was completed and at six months’ follow-up; caregivers were also interviewed postbereavement. We interviewed the patients’ general practitioners once, after treatment had been completed. We transcribed the interviews and analyzed them thematically using the constant comparative method of a grounded theory approach.

Results:

We conducted in-depth interviews with 26 patients, 23 of their relatives and 19 general practitioners. We saw evidence of physical, social, psychological and existential distress even before a diagnosis was confirmed. Social decline followed a similar trajectory to that of physical decline, whereas psychological and existential distress were typically acute around diagnosis and again after initial treatment. Each patient’s individual course varied according to other factors including the availability of support and individual and family resources (e.g., personal resilience and emotional support).

Interpretation:

There are practical ways that clinicians can care for patients with glioma and their caregivers, starting from before a diagnosis is confirmed. Understanding the trajectories of physical, social, psychological and existential well-being for these patients allows health care professionals to predict their patients’ likely needs so they can provide appropriate support and sensitive and effective communication.Cerebral glioma (hereafter glioma) is a rare but devastating cancer.¹ Despite increased treatment options, average survival for the most aggressive form, glioblastoma multiforme, is less than one year.² In addition to physical decline and increasing social isolation,³ patients may undergo a shattering of preconscious assumptions about their life and its meaning,⁴ causing existential anxiety.^5–7 Fear around death and dying are not always verbalized, but may be expressed in other ways, such as concern for relatives or a desire to get one’s affairs in order.⁸ Anxiety related to shock, anger, fear and uncertainty may, with time, be replaced by acceptance.⁸ However, little is known about how these issues interact and vary dynamically as the tumour progresses.We sought to explore qualitatively whether patients with glioma follow archetypal trajectories of physical, social, psychological and existential well-being as their illness progresses. We investigated how people experience and deal with a diagnosis of glioma and the associated transition toward death in an effort to understand the issues patients and caregivers face and the support they need.     

Bedamini Male Initiation and Marriage as Transformation Sequences

ABSTRACT

This essay focuses on how certain social relations among the Bedamini in Papua New Guinea are given their form through ritual at selected moments of the life cycle when relational transformations occur. Ritualised moments in Bedamini male initiation and symbolic bride capture are described as a dynamic agency that changes the existential conditions of persons in non-ritual reality. At those important ritual moments, the direct presence of the agents is required, while relations between them are mediated by acts, objects and moods. The effect intended is the formation, or reformation, of a relational field. Male initiation and marriage are consecutive parts of a sequence of transformations beyond its constituent moments, as initiation functions as a prerequisite to marriage.     

Creative cognition: the diverse operations and the prospect of applying a cognitive neuroscience perspective

Creativity is defined quite simply as "the ability to create" in most lexicons, but, in reality, this is a complex and heterogeneous construct about which there is much to be discovered. The cognitive approach to investigating creativity recognizes and seeks to understand this complexity by investigating the component processes involved in creative thinking. The cognitive neuroscience approach, which has only limitedly been applied in the study of creativity, should ideally build on these ideas in uncovering the neural substrates of these processes. Following an introduction into the early experimental ideas and the cognitive approach to creativity, we discuss the theoretical background and behavioral methods for testing various processes of creative cognition, including conceptual expansion, the constraining influence of examples, creative imagery and insight. The complex relations between the underlying component processes of originality and relevance across these tasks are presented thereafter. We then outline how some of these conceptual distinctions can be evaluated by neuroscientific evidence and elaborate on the neuropsychological approach in the study of creativity. Given the current state of affairs, our recommendation is that despite methodological difficulties that are associated with investigating creativity, adopting the cognitive neuroscience perspective is a highly promising framework for validating and expanding on the critical issues that have been raised in this paper.     

Rituals,Repetitiveness and Cognitive Load

A central hypothesis to account for the ubiquity of rituals across cultures is their supposed anxiolytic effects: rituals being maintained because they reduce existential anxiety and uncertainty. We aimed to test the anxiolytic effects of rituals by investigating two possible underlying mechanisms for it: cognitive load and repetitive movement. In our pre-registered experiment (osf.io/rsu9x), 180 undergraduates took part in either a stress or a control condition and were subsequently assigned to either control, cognitive load, undirected movement, a combination of undirected movement and cognitive load, or a ritualistic intervention. Using both repeated self-report measures and continuous physiological indicators of anxiety, we failed to find direct support for a cognitive suppression effect of anxiety through ritualistic behavior. Nevertheless, we found that induced stress increased participants’ subsequent repetitive behavior, which in turn reduced physiological arousal. This study provides novel evidence for plausible underlying effects of the proposed anxiolytic effect of rituals: repetitive behavior but not cognitive load may decrease physiological stress responses during ritual.     

Altered Neural Basis of the Reality Processing and Its Relation to Cognitive Insight in Schizophrenia

It has been reported that reality evaluation and recognition are impaired in patients with schizophrenia and these impairments are related to the severity of psychotic symptoms. The current study aimed to investigate the neural basis of impairments in reality evaluation and recognition and their relationships with cognitive insight in schizophrenia. During functional magnetic resonance imaging, 20 patients with schizophrenia and 20 healthy controls performed a set of reality evaluation and recognition tasks, in which subjects judged whether scenes in a series of drawings were real or unreal and whether they were familiar or novel. During reality evaluation, patients showed decreased activity in various regions including the inferior parietal lobule, retrosplenial cortex and parahippocampal gyrus, compared with controls. Particularly, parahippocampal gyrus activity was correlated with the severity of positive symptoms in patients. During recognition, patients also exhibited decreased activity in various regions, including the dorsolateral prefrontal cortex, inferior parietal lobule and posterior cingulate cortex. Particularly, inferior parietal lobule activity and posterior cingulate cortex activity were correlated with cognitive insight in patients. These findings provide evidence that neural impairments in reality evaluation and recognition are related to psychotic symptoms. Anomalous appraisal of context by dysfunctions in the context network may contribute to impairments in the reality processing in schizophrenia, and abnormal declarative memory processes may be involved in cognitive insight in patients with schizophrenia.     

Spiritualism, Psychoanalysis, and psychodrama

The term "fluids" of spiritualism seems related to the libido concept in psychoanalysis. A mental breakdown explained as possession by spirits with whom the patient has been in contact in another existence (existential situation) seems to have affinity with a phenomena similar to what psychoanalysts call a "flooding of the ego by a return of the repressed." When compared with psychotherapeutic practice, spiritualism reveals clear affinities with psychodrama.     

Steps to a Semiotics of Being

The following points, which represent a path to a semiotics of being, are pertinent to various sub-fields at the conjunction of semiotics of nature (biosemiotics, ecosemiotics, zoosemiotics) and semiotics of culture—semioethics and existential semiotics included. 1) Semiotics of being entails inquiry at all levels of biological organization, albeit, wherever there are individuals, with emphasis on the living qua individuals (integrated biological individualism). 2) An Umwelt is the public aspect (cf. the Innenwelt, the private aspect) of a phenomenal/experienced world that is organism-specific (rather than species-specific) and ultimately refers to an existential realm. 3) Existential universals at work on Earth include seeking out the edible, dwelling in a medium, holding a phenomenal world (possibly an Umwelt) and being endowed with life, and consequently being mortal. 4) Human Umwelten include speechless Umwelten, spoken Umwelten and alphabetic Umwelten. 5) An Uexküllian phenomenology—stating that semiotic states represent the general class to which all mental/cognitive states belong—can draw on the works of the phenomenologists David Abram and Ted Toadvine (The notion of semiotic states is treated in Tønnessen 2009a: 62–63. For an introduction to eco-phenomenology, see Brown and Toadvine (eds.) 2003). 6) A task for such a phenomenology is to portray the natural history of the phenomenal world. 7) An imperative task in our contemporary world of faltering biological diversity is that of Umwelt mapping, i.e. a mapping of ontological niches. 8) The ecological crisis is an ontological crisis with historical roots in humankind’s domestication of animals and plants, which can be taken as archetypical for our attempted planet-scale taming of the wild. 9) The process of globalization is expressed by correlated trends of depletion of semiotic diversity and semiotic diversification. 10) Semiotic economy is a field which task it is to map the human ontological niche insofar as its semiotic relations are of an economic nature. All ten points will be commented (explicitly or implicitly) in due time.     

Neural mechanisms of social learning and decision-making

One of the hallmarks of human society is the ubiquitous interactions among individuals. Indeed, a significant portion of human daily routine decision making is socially related. Normative economic theory, namely game theory, has prescribed the canonical decision strategy when "rational" social agents have full information about the decision environment. In reality, however, social decision is often influenced by the trait and state parameters of selves and others. Therefore, understanding the cognitive and neural processes of inferring the decision parameters is pivotal for social decision making. Recently, both correlational and causal non-invasive neuroimaging studies have started to reveal the critical neural computations underlying social learning and decision-making, and highlighted the unique roles of "social" brain structures such as temporal-parietal junction(TPJ) and dorsomedial prefrontal cortex(dmPFC). Here we review recent advances in social decision neuroscience and maintain the focus on how the inference about others is dynamically acquired during social learning, as well as how the prosocial(altruistic)behavior results from orchestrated interactions of different brain regions specified under the social utility framework. We conclude by emphasizing the importance of combining computational decision theory with the identification of neural mechanisms that represent, evaluate and integrate value related social information and generate decision variables guiding behavioral output in the complex social environment.     

Incipient cognition solves the spatial reciprocity conundrum of cooperation

Background

From the simplest living organisms to human societies, cooperation among individuals emerges as a paradox difficult to explain and describe mathematically, although very often observed in reality. Evolutionary game theory offers an excellent toolbar to investigate this issue. Spatial structure has been one of the first mechanisms promoting cooperation; however, alone it only opens a narrow window of viability.

Methodology/Principal Findings

Here we equip individuals with incipient cognitive abilities, and investigate the evolution of cooperation in a spatial world where retaliation, forgiveness, treason and mutualism may coexist, as individuals engage in Prisoner''s Dilemma games. In the model, individuals are able to distinguish their partners and act towards them based on previous interactions. We show how the simplest level of cognition, alone, can lead to the emergence of cooperation.

Conclusions/Significance

Despite the incipient nature of the individuals'' cognitive abilities, cooperation emerges for unprecedented values of the temptation to cheat, being also robust to invasion by cheaters, errors in decision making and inaccuracy of imitation, features akin to many species, including humans.     

Is a unified concept of species in ornithology possible? (An opinion of a practicing taxonomist)]

An analysis of current publications on species problem reveals the radical discrepancy between the statements of species reality in nature and different number of these "realities" in light of different species concepts. It has been shown, that the only realities are populations, and "species" is only logical construct--the notion. A concept of species is a system of interconnected notions, where the main element--ontology of species has been always given a priori to the real biodiversity. For that reason every concept of species creates its own "virtual reality". Various concepts of species are not mutually comparable, and can not be criticized from each other's views and from position of "reality". Biological and Phylogenetic Species Concepts competing in ornithology exclude each other completely, and the unified concept of species is principally impossible. But as generally accepted species "standard" is needed, the unified convention of species must take the place of the various concepts of species.     

Comments on specific categories in flowering plants

The paper offers comments arising from the author's experience as a practising taxonomist on two aspects of what is often called the species problem: the reality of species and species as individuals. Three different meanings of reality are distinguished and discussed in this context: mental reality, biological reality and evolutionary reality. The author holds the view that, on all three definitions, species must be judged to be real. On the argument concerning species as individuals, the opinions ofHull, Ghiselin and others are carefully presented but rejected by the author, who retains the belief that species are classes and not individuals.Dedicated to the memory of JohnS. L. Gilmour.     

The Anthropology of Authenticity: Everyman His Own Anthropologist

Anthropology, the contributors to the recent volume Reinventing Anthropology tell us, is suffering from severe hardening of the intellectual arteries. In order for it to be revitalized, they say, the discipline must be de-professionalized and de-institutionalized, made more personal and existential. This involves a rejection of the pose of "objectivity" and "value-free" inquiry and an open admission of the inherently ideological nature of the discipline. In a word, anthropology will have to become politically and morally partisan. This essay explores some of the implications of the recommendations made by the reinventors of anthropology. The stance taken in Reinventing Anthropology, this paper contends, would not only undermine anthropology as a systematic field of inquiry but would also negate whatever "relevance" the discipline might have to the contemporary world.     

Stereoscopic virtual reality models for planning tumor resection in the sellar region

Background

It is difficult for neurosurgeons to perceive the complex three-dimensional anatomical relationships in the sellar region.

Methods

To investigate the value of using a virtual reality system for planning resection of sellar region tumors. The study included 60 patients with sellar tumors. All patients underwent computed tomography angiography, MRI-T1W1, and contrast enhanced MRI-T1W1 image sequence scanning. The CT and MRI scanning data were collected and then imported into a Dextroscope imaging workstation, a virtual reality system that allows structures to be viewed stereoscopically. During preoperative assessment, typical images for each patient were chosen and printed out for use by the surgeons as references during surgery.

Results

All sellar tumor models clearly displayed bone, the internal carotid artery, circle of Willis and its branches, the optic nerve and chiasm, ventricular system, tumor, brain, soft tissue and adjacent structures. Depending on the location of the tumors, we simulated the transmononasal sphenoid sinus approach, transpterional approach, and other approaches. Eleven surgeons who used virtual reality models completed a survey questionnaire. Nine of the participants said that the virtual reality images were superior to other images but that other images needed to be used in combination with the virtual reality images.

Conclusions

The three-dimensional virtual reality models were helpful for individualized planning of surgery in the sellar region. Virtual reality appears to be promising as a valuable tool for sellar region surgery in the future.

     

Finding meaning in first episode psychosis: experience, agency, and the cultural repertoire

The article examines individuals' attempts to generate meaning following their experiences with psychosis. The inquiry is based on a person-centered ethnographic study of a Danish mental health community program for early intervention in schizophrenia and involves longitudinal interviews with 15 of its participants. The article takes an existential anthropological perspective emphasizing agency and cultural phenomenology to investigate how individuals draw on resources from the cultural repertoire to make sense of personally disturbing experiences during their psychosis. It is suggested that the concept of "system of explanation" has advantages over, for example, "illness narrative" and "explanatory model" when demonstrating how some individuals engage in the creative analytic and theory-building work of bricolage, selecting, adding, and combining various systems of explanation. Delusions are equally derived from the cultural repertoire but are constructed as dogmatic explanations that are idiosyncratic to the individual who holds them.     

The influence of impactful dreams on self-perceptual depth and spiritual transformation.

Two studies contrasted the short-term effects of nightmares, existential dreams, and transcendent dreams (Busink & Kuiken, 1996; Kuiken & Sikora, 1993). Results from Study 1 indicated that existential dreams were more likely than mundane dreams, transcendent dreams, or nightmares to be followed by reported self-perceptual depth; also, transcendent dreams were more likely than mundane dreams, existential dreams, or nightmares to be followed by reported spiritual transformation. Results from Study 2 replicated these findings for existential dreams, indicating also that the type of spiritual transformation associated with transcendent dreams involved an ecstatic sense of release from everyday entanglements. Both existential dreams and transcendent dreams moved the dreamer toward an unbounded sense of life in all things, as did lucid forms of all three dream types. Such unbounded enlivenment suggests an aesthetic substrate to the changes induced by each of these dream types. The contrasting short-term effects of impactful dream types may require integration into a comprehensive model of long-term dream function. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The root and word distinction: an experimental study of Hebrew denominal verbs

The morpho-syntactic structure of Semitic languages, traditionally seen as based on abstract root morphemes, has been analysed by some as being fully word based. Others have proposed a root-based system which allows for word-based derivation as well. A distinction between word-based and root-based morpho-syntactic derivations has previously been posited in both morpho-syntactic and lexical semantic literature. Under this distinction the semantic and phonological access to a root morpheme during morpho-syntactic construction is fully available in a root-based derivation, but is restricted by the category bearing head in a word-based derivation. However, there has to date been no behavioural evidence for the distinction, and it is by no means universally accepted that words are morphemically decomposable into root morphemes. The current study utilized a masked priming experimental paradigm of word recognition in an attempt to differentiate root-based derivation from word-based derivation in Hebrew, proposing an analogy between availability under Marantz (2000) and Arad (2003), and linkage within the mental lexicon model under Frost et al. (2005). The results strongly support the proposed analogy, and the cognitive reality of the root morpheme as the basis of Hebrew morphological derivation. In addition they provide a first experimental verification of the theoretically motivated distinction between root derivation and word derivation.