Decision-making deficit of a patient with axonal damage after traumatic brain injury

Patients with traumatic brain injury (TBI) were reported to have difficulty making advantageous decisions, but the underlying deficits of the network of brain areas involved in this process were not directly examined. We report a patient with TBI who demonstrated problematic behavior in situations of risk and complexity after cerebral injury from a traffic accident. The Iowa gambling task (IGT) was used to reveal his deficits in the decision-making process. To examine underlying deficits of the network of brain areas, we examined T1-weighted structural MRI, diffusion tensor imaging (DTI) and Tc-ECD SPECT in this patient. The patient showed abnormality in IGT. DTI-MRI results showed a significant decrease in fractional anisotropy (FA) in the fasciculus between the brain stem and cortical regions via the thalamus. He showed significant decrease in gray matter volumes in the bilateral insular cortex, hypothalamus, and posterior cingulate cortex, possibly reflecting Wallerian degeneration secondary to the fasciculus abnormalities. SPECT showed significant blood flow decrease in the broad cortical areas including the ventromedial prefrontal cortex (VM). Our study showed that the patient had dysfunctional decision-making process. Microstructural abnormality in the fasciculus, likely from the traffic accident, caused reduced afferent feedback to the brain, resulting in less efficient decision-making. Our findings support the somatic-marker hypothesis (SMH), where somatic feedback to the brain influences the decision-making process.     

Emotional inertia: A key to understanding psychotherapy process and outcome

The processes underlying psychotherapeutic change have increasingly been emphasized in both research and clinical practice. Nonlinear dynamical systems theory (NDS) offers a transdisciplinary scientific approach to the study of these processes. This paper introduces the NDS concept of “emotional inertia”, the property of human emotion by which it retains its course so long as it is not acted upon by an external force, as a key to understanding moment-by-moment and also longer-term change processes within psychotherapy. A testable mathematical model of emotional inertia is presented that represents specific impacts of psychotherapeutic processes on emotional dynamics over time. Emotional trajectories in phase space, treatment energy, and the interaction between them are the essential elements of the model, and a detailed explanation is provided. Procedures for testing this model are described, such as by tracking the movement of emotion in phase space within and across therapy sessions, along with clinical implications of the model, which can potentially help to make more clear the complementary roles of therapeutic force, timing, and leverage.     

Carry-over of attentional settings between distinct tasks: A transient effect independent of top-down contextual biases

Top-down attentional settings can persist between two unrelated tasks, influencing visual attention and performance. This study investigated whether top-down contextual information in a second task could moderate this “attentional inertia” effect. Forty participants searched through letter strings arranged horizontally, vertically, or randomly and then made a judgement about road, nature, or fractal images. Eye movements were recorded to the picture search and findings showed greater horizontal search in the pictures following horizontal letter strings and narrower horizontal search following vertical letter strings, but only in the first 1000 ms. This shows a brief persistence of attentional settings, consistent with past findings. Crucially, attentional inertia did not vary according to image type. This indicates that top-down contextual biases within a scene have limited impact on the persistence of previously relevant, but now irrelevant, attentional settings.     

Differential effects of driver sleepiness and sleep inertia on driving behavior

ObjectivesDriver sleepiness is one of the major safety issues in conventional driving and sleep inertia emerges as a driver state in automated driving. The aim of the present study was to assess the differential impacts of sleepiness and sleep inertia on driving behavior.Method61 participants completed a 10-min manual driving task during an otherwise automated drive. They completed the task (a) under an alert state, (b) under a sleepy state, and (c) after EEG-confirmed sleep. Driving performance was assessed with the parameters lane-keeping, speed choice, and speed-keeping. The eye-blink-based sleepiness measure PERCLOS (the proportion of time with eyes closed) was compared for the three driver states.ResultsLane- and speed-keeping performance were impaired under the sleepy state and after sleep, relative to the alert state. After sleep, lane-keeping behavior recovered rapidly and speed-keeping recovered by trend. Under the sleepy state, performance deteriorated. After sleep, the mean speed was lower than in the sleepy state and in the alert state. PERCLOS was increased after sleep and under the sleepy state, relative to the alert state.ConclusionsAlthough sleep inertia had detrimental effects on driving parameters similar to sleepiness, this effect rapidly vanished. Hence, while brief naps might be suitable to restore alertness in general, the minimal time needed to regain full capacity after napping should be a focus of future research.     

The neural basis of syntactic deficits in primary progressive aphasia

Patients with primary progressive aphasia (PPA) vary considerably in terms of which brain regions are impacted, as well as in the extent to which syntactic processing is impaired. Here we review the literature on the neural basis of syntactic deficits in PPA. Structural and functional imaging studies have most consistently associated syntactic deficits with damage to left inferior frontal cortex. Posterior perisylvian regions have been implicated in some studies. Damage to the superior longitudinal fasciculus, including its arcuate component, has been linked with syntactic deficits, even after gray matter atrophy is taken into account. These findings suggest that syntactic processing depends on left frontal and posterior perisylvian regions, as well as intact connectivity between them. In contrast, anterior temporal regions, and the ventral tracts that link frontal and temporal language regions, appear to be less important for syntax, since they are damaged in many PPA patients with spared syntactic processing.     

Equivalent strain-hardening work theorem

A new physical concept, termed ‘equivalent strain-hardening work’, is proposed. The physical concept can be used to redefine the commonly used effective stress and effective strain theory as applied in constructing the constitutive relations of stress and strain, especially when related to an anisotropic strain-hardening material. The concept concerns that part of plastic work which emphasizes the action due to the strain-hardening behaviour of a material. Based on this concept, any one of the strain-hardening stress–strain curves obtained through common experiments on anisotropic materials can be selected as a nominally effective stress and an associated effective strain, and the rest of the strain-hardening relations can all be then transformed to be functions of variables of the nominally effective strain. Thus, any kind of loading path can be characterized by a single relation between effective stress and effective strain. When applied to the isotropic materials, the equivalent strain-hardening work concept is identical with the work-equivalent deformation concept but is more general.     

Emotional inertia contributes to depressive symptoms beyond perseverative thinking

The autocorrelation or inertia of negative affect reflects how much negative emotions carry over from moment to moment and has been associated with increased depressive symptoms. In this study, we posed three challenges to this association by examining: (1) whether emotional inertia is relevant for depressive symptoms when assessed on a longer timescale than usual; (2) whether inertia is uniquely related to depressive symptoms after controlling for perseverative thoughts; and (3) whether inertia is related to depressive symptoms over and above the within-person association between affect and perseverative thoughts. Participants (N = 101) provided ratings of affect and perseverative thoughts for 100 days; depressive symptoms were reported before and after the study, and again after 2.5 years. Day-to-day emotional inertia was related to depressive symptoms over and above trait and state perseverative thoughts. Moreover, inertia predicted depressive symptoms when adjusting for its association with perseverative thoughts. These findings establish the relevance of emotional inertia in depressive symptoms independent of perseverative thoughts.     

White-matter microstructure and language lateralization in left-handers: A whole-brain MRI analysis

Most people are left-hemisphere dominant for language. However the neuroanatomy of language lateralization is not fully understood. By combining functional magnetic resonance imaging (fMRI) and diffusion tensor imaging (DTI), we studied whether language lateralization is associated with cerebral white-matter (WM) microstructure. Sixteen healthy, left-handed women aged 20–25 were included in the study. Left-handers were targeted in order to increase the chances of involving subjects with atypical language lateralization. Language lateralization was determined by fMRI using a verbal fluency paradigm. Tract-based spatial statistics analysis of DTI data was applied to test for WM microstructural correlates of language lateralization across the whole brain. Fractional anisotropy and mean diffusivity were used as indicators of WM microstructural organization. Right-hemispheric language dominance was associated with reduced microstructural integrity of the left superior longitudinal fasciculus and left-sided parietal lobe WM. In left-handed women, reduced integrity of the left-sided language related tracts may be closely linked to the development of right hemispheric language dominance. Our results may offer new insights into language lateralization and structure–function relationships in human language system.     

Multiple options in the past and the present: The impact on inaction inertia

Inaction inertia is the effect that people do not act on an attractive opportunity only because they previously missed a more attractive opportunity. We investigated the effect of the presence of alternative options on the occurrence of this effect. We hypothesized and found that the likelihood to act on a current opportunity increases when evaluated in the context of another current option compared to when it is presented separately (Experiments 1 and 2). Likelihood of action decreases when the missed opportunity is presented next to another missed opportunity (Experiment 3). We conclude that when multiple options are currently present, the impact of the missed opportunity as a point of reference decreases, and that when multiple options are missed, the impact of these missed opportunities as a point of reference increases. These results are discussed in light of the literatures about inaction inertia and multiple options. Copyright © 2008 John Wiley & Sons, Ltd.