Use of functional magnetic resonance imaging to assess cognition and consciousness in severe Guillain-Barré syndrome

ObjectiveFunctional neuroimaging may provide a viable means of assessment and communication in patients with Guillain-Barré Syndrome (GBS) mimicking the complete locked-in state. Functional neuroimaging has been used to assess residual cognitive function and has allowed for binary communication with other behaviourally non-responsive patients, such as those diagnosed with unresponsive wakefulness syndrome. We evaluated the potential application of functional neuroimaging using a clinical-grade scanner to determine if individuals with severe GBS retained auditory function, command following, and communication.MethodsFourteen healthy participants and two GBS patients were asked to perform motor imagery and spatial navigation imagery tasks while being scanned using functional magnetic resonance imaging. The GBS patients were also asked to perform additional functional neuroimaging scans to attempt communication.ResultsThe motor imagery and spatial navigation task elicited significant activation in appropriate regions of interest for both GBS patients, indicating intact command following. Both patients were able to use the imagery technique to communicate in some instances. Patient 1 was able to use one of four communication tasks to answer a question correctly. Patient 2 was able to use three of seven communication tasks. However, two questions were incorrectly answered while a third was non-verifiable.ConclusionsGBS patients can respond using mental imagery and these responses can be detected using functional neuroimaging. Furthermore, these patients may also be able to use mental imagery to provide answers to ‘yes’ or ‘no’ questions in some instances. We argue that the most appropriate use of neuroimaging-based communication in these patients is to allow them to communicate wishes or preferences and assent to previously expressed decisions, rather than to facilitate decision-making.     

Near-Death Experiences in patients with locked-in syndrome: Not always a blissful journey

Memories of Near-Death Experiences (NDEs) most often are recounted as emotionally positive events. At present, no satisfactory explanatory model exists to fully account for the rich phenomenology of NDEs following a severe acute brain injury. The particular population of patients with locked-in syndrome (LIS) provides a unique opportunity to study NDEs following infratentorial brain lesions. We here retrospectively characterized the content of NDEs in 8 patients with LIS caused by an acute brainstem lesion (i.e., “LIS NDEs”) and 23 NDE experiencers after coma with supratentorial lesions (i.e., “classical NDEs”). Compared to “classical NDEs”, “LIS NDEs” less frequently experienced a feeling of peacefulness or well-being. It could be hypothesized that NDEs containing less positive emotions might have a specific neuroanatomical substrate related to impaired pontine/paralimbic connectivity or alternatively might be related to the emotional distress caused by the presence of conscious awareness in a paralyzed body.     

Some implications of computer networks for psychology

Computer networking as a subject of psychological research has varied facets, including the social psychology of scientists, the role of group “labeling” practices, and the paradigm development process, as well as the definitions of software, hardware, and communication systems and interfaces that fit the research styles, aspirations, and work habits specific to psychologists.     

近红外光学成像在社会认知神经科学中的应用

社会认知神经科学是运用认知神经科学的研究手段,探讨社会科学问题与理论的多学科交叉领域。近来,功能性近红外光学成像技术(functional near-infrared spectroscopy,fNIRS)凭借生态效度高、成像安全、对头动耐受性高、成本低等优势,成为了该领域新兴的热点技术。无论是在婴儿发育和社会经济决策的单脑研究中,还是在人际互动的多脑研究中,它都有广泛应用。未来近红外光学成像的应用可以向多脑神经反馈、脑机接口技术、设备无线化和多模态成像做进一步探索。     

The Diving Bell Meets the Butterfly: Identity Lost andRe-Membered

Jean Dominique Bauby, former editor of Elle, suffereda stroke to his brain stem that left him with locked-in syndrome. Subsequently, through blinking his left eye, he writes his memoirof this experience, The Diving Bell and the Butterfly. Thispaper explores the meaning of embodiment, especially as one'sbody bears upon one's personal identity. It explores the variouschallenges and threats to selfhood that result from Bauby'sexperience and recounts how Bauby rises to the challenge throughhis memory and imagination.     

言语想象的神经机制

言语想象不仅在大脑预处理机制方面起到重要的作用,还是目前脑机接口领域研究的热点。与正常言语产生过程相比,言语想象的理论模型、激活脑区、神经传导路径等均与其有较多相似之处。而言语障碍群体的言语想象、想象有意义的词语和句子时的脑神经机制与正常言语产生存在差异。鉴于人类言语系统的复杂性,言语想象的神经机制研究还面临一系列挑战,未来研究可在言语想象质量评价工具及神经解码范式、脑控制回路、激活通路、言语障碍群体的言语想象机制、词语和句子想象的脑神经信号等方面进一步探索,为有效提高脑机接口的识别率提供依据,为言语障碍群体的沟通提供便利。     

Development of procedures for rating posed emotional expressions across facial, prosodic, and lexical channels.

A number of rating systems are available to evaluate emotional communication in a single modality. The main purpose of this study was to develop procedures to train human raters to evaluate posed expressions of emotion across three different channels of communication, i.e., facial, prosodic/intonational, and lexical/verbal. These procedures were used to evaluate posed emotional expressions produced by individuals with unilateral brain lesions from stroke. Posers in this preliminary report were two right brain-damaged, two left brain-damaged, and two normal control right-handed adults who were matched on demographic and neurological factors. Eight emotional expressions, both positive and negative, were produced in three channels and rated for intensity, pleasantness, and category accuracy. 15 normal adults served as raters, five per channel. The rating procedures were comparable across channels, with analogous properties, and yielded substantial interrater agreement. In this small sample of posers, it was observed that the expressions of the right brain-damaged group were rated as the least accurate and those of the left brain-damaged group as the most intense. When patterns of individual performance across the channels were examined, performance was quiet consistent for the normal controls yet variable for the right brain-damaged persons. These observations are in keeping with the notion that patients with right hemisphere pathology have difficulty in emotional communication. In summary, these findings suggest that comparison of emotional expressions across multiple channels is feasible.     

自闭症谱系障碍者面孔识别的神经机制

自闭症谱系障碍（ASD）是一种心理状况的谱系障碍,其症状是社交及沟通上的广泛性异常、异常局限性的兴趣和高度重复性的刻板行为。包括自闭症、亚斯伯格症候群和待分类的广泛性发展障碍3类。研究主要以事件相关电位和功能性磁共振成像两种技术为线索,通过深入分析ASD患者在面孔识别认知过程中脑的异常变化,探讨其面孔识别障碍的神经机制问题。研究表明,ASD患者面孔识别能力的损伤主要与N170、N300、P400和Nc等ERPs成份异常及梭状回面孔区和杏仁核的低激活有关。研究推论ASD患者面孔识别障碍是多个异常脑区联合作用的结果,且主要受异常脑区的数量和损伤程度的影响。     

Human factors in air traffic control: problems at the interfaces

The triangular ISIS model for describing the operation of human factors in complex sociotechnical organisations or systems is applied in this research to a large international air traffic control system. A large sample of senior Air Traffic Controllers were randomly assigned to small focus discussion groups, whose task was to identify problems occurring at the interfaces of the three major human factor components: individual, system impacts, and social. From these discussions, a number of significant interface problems, which could adversely affect the functioning of the Air Traffic Control System, emerged. The majority of these occurred at the Individual-System Impact and Individual-Social interfaces and involved a perceived need for further interface centered training.     

Design and operation of an EEG-based brain-computer interface with digital signal processing technology

We are developing an electroencephalographic (EEG)-based brain-computer interface (BCI) system that could provide an alternative communication channel for those who are totally paralyzed or have other severe motor impairments. The essential features of this system are as follows: (1) EEG analysis in real time, (2) real-time conversion of that analysis into device control, and (3) appropriate adaptation to the EEG of each user. Digital signal processing technology provides the speed and flexibility needed to satisfy these requirements. It also supports evaluation of alternative analysis and control algorithms, and thereby facilitates further BCI development.     

Beyond Therapy and Enhancement: The Alteration of Human Nature

With the rapid progress and considerable promise of nanobiotechnology/neurosciences there is the potential of transforming the very nature of human beings and of how humans can conceive of themselves as rational animals through technological innovations. The interface between humans and machines (neuro-digital interface), can potentially alter what it means to be human, i.e., the very idea of human nature and of normal functioning will be changed. In this paper, I argue that we are potentially on the verge of a paradigm shift in terms of the ends and goals of techno-science and its applications in the biomedical sciences. In particular, the development of brain-computer interfaces could reconceptualize the very notion of what it means to be human. Hence, we should not limit our reflections of applications in terms of therapy and enhancement but also include an examination of applications aiming at the alteration of human nature. To this end I will first delineate the potential paradigm shift and then map out four distinct clusters of concerns in relation to the brain-computer interface. Finally, I argue that our moral and philosophical reflections should follow a procedural model based on managed consensus due to our pluralistic context.

Neuropattern: a new translational tool to detect and treat stress pathology I. Strategical consideration

Translational research is most prominently represented by the search for biomarkers and preclinical research. Aside from generating such new measures and methodologies, translational research additionally refers to translation of integrated knowledge. This strategy involves synthesis, exchange, and dissemination of available knowledge, with the goal of improving health services and health care systems. For stress-related disorders, such as depression and anxiety disorders, this strategy meets numerous challenges, as the great majority of these patients are treated by family physicians. Here, we introduce Neuropattern, a new diagnostic tool, which allows translation of psychobiological knowledge to this stress "bedside." Neuropatterns are conceptualized endophenotypes of the activity and reactivity status of neurobiological interfaces, which participate in the crosstalk between the brain and peripheral organs under stressful conditions. Neuropattern can easily be implemented in routine clinical work, and helps the physician to individualize those therapeutic interventions that are already available.     

社会交流中人际神经同步的认知机制

近年来,许多研究者开始关注社会交流中的人际神经同步机制,并将人际神经同步作为研究社会交流的一个神经指标,这对于揭示社会交流的本质和规律具有重要意义。本文从心理理论和镜像神经系统的角度,分析社会交流中神经同步的认知机制及其影响因素。未来的研究应关注这两套机制是否因交流目的、对象、形式或内容的不同,而在不同的脑区表现出神经同步,进而引发了不同认知机制的争议;以及这两套机制各自或协同工作适用的情景和任务。     

Implementing communication between Windows PCs and test equipment using RS-232 and Borland C++ Builder.

Modern experiments in the behavioral sciences frequently employ several items of electronic equipment such as computers, monitoring devices, stimulus presentation equipment, and response collection systems. In many cases it would be advantageous for these items to communicate directly with each other. Such communication may facilitate greater automation of experiments (i.e., reduced experimenter influences during the experiment), more precise experiment control (i.e., superior timing and synchronization capabilities of electronic devices), and greater accuracy of data collection (i.e., reduced ambiguity of participant responses). Many electronic experiment devices already provide external interfaces through which communication with other devices can be implemented. The most common is based on the RS-232 protocol, which is also found in all standard PCs. Therefore, Microsoft Windows based computers can be programmed to control experiments by communicating directly with electronic experiment devices. We show how to implement this RS-232 interconnection between devices and a Windows PC using currently available software tools.     

Child Compliance and Congruity between Verbal and Nonverbal Maternal Communication — A Methodological Note

This paper is a report of a study of congruity between verbal and nonverbal maternal communication with sons during two 30-minute sessions. The instructions to the mothers varied for the two sessions by increasing the time the mother was asked to spend on a brain teaser game and by decreasing the number of play materials available for the sons in the second session. The two sessions were videotaped through a one-way mirror and rated independently for maternal verbal and nonverbal communicaiton and child compliance. Mothers differed for the two sessions in their communication with their sons. The study demonstrated that maternal nonverbal communication, as well as verbal communication, can be reliably measured through use of videotape recording.     

条件反射性免疫抑制研究的新进展

条件反射性免疫抑制 (CIS)模式基于巴甫洛夫条件反射的机理 ,通过大脑对免疫系统进行调节 ,是一种重要的心理神经免疫学方法。近 10年来的研究取得了一些重要的进展。首先 ,条件反射性免疫抑制模型已证实是非常稳定可靠的心理神经免疫模型。其次 ,关于CIS的机制在体液、细胞、神经学方面都有广泛的研究 ,而近年来更趋向于对神经性通路的探讨。而CIS的临床应用性研究也在实验动物身上取得了稳定可靠的结果 ,证实了其未来临床应用的可行性及潜力     

Hierarchical functional system development supports executive function

In this perspective, we describe how developmental improvements in youth executive function (EF) are supported by hierarchically organized maturational changes in functional brain systems. We first highlight evidence that functional brain systems are embedded within a hierarchical sensorimotor-association axis of cortical organization. We then review data showing that functional system developmental profiles vary along this axis: systems near the associative end become more functionally segregated, while those in the middle become more integrative. Developmental changes that strengthen the hierarchical organization of the cortex may support EF by facilitating top-down information flow and balancing within- and between-system communication. We propose a central role for attention and frontoparietal control systems in the maturation of healthy EF and suggest that reduced functional system differentiation across the sensorimotor-association axis contributes to transdiagnostic EF deficits.     

Hand Test Content Indicators of Overt Psychosexual Maladjustment in Neurotic Males

This is a study of the relationship between improved conditions of attention and communication and ability to abstract in patients with schizophrenia and organic brain syndromes. Groups of 20 schizophrenics, 20 organics, and 20 normals, equated for intelligence, were given the Similarities subtest on the WAIS and a multiple choice version which was designed to increase the focus of attention and to facilitate communication. The main results supported the hypothesis that special conditions facilitating concentration and communication do not necessarily enhance schizophrenics' abstract functioning more than that of organic patients. Moreover, it was concluded that a deficit in abstract functioning is not a general or invariable consequence of schizophrenia.     

Frontal lobes and language

Numerous theories discuss the neuropsychological functions of the frontal lobes, most based on some concept of supramodality, and an extensive literature presents the phenomenology and semiology of language and communication deficits after focal brain lesions involving the frontal lobes. Despite this, few attempts have been made to link the clinical phenomenology to a theory. This paper presents (1) a general theory of frontal functions; (2) a brief summary of experimental and anatomical literatures in support of defined frontal functional systems; (3) clinical observations that delineate these functional systems for the specific modalities of language and communication; (4) a review of the available literature supporting the idea of specific modal and supramodal language and communication capacities; (5) hypotheses about the distributed anatomy of these functional systems; and (6) implications for traditional clinical notions of aphasia, particularly in relation to a general theory of frontal lobe functions.