The Neuropsychology of Mental Illness

Author: Stephen J. Wood; Nicholas B. Allen; Christos Pantelis  

Publisher: Cambridge University Press‎

Publication year: 2009

E-ISBN: 9780511636738

P-ISBN(Paperback): 9780521862899

Subject: R749 Psychiatry

Keyword: 神经病学与精神病学

Language: ENG

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The Neuropsychology of Mental Illness

Description

It is widely accepted that most psychiatric disorders are associated with cognitive impairment and that neuropsychological approaches can help unravel the mechanisms underlying brain function and help us develop a better understanding of these disorders. In this book, a panel of the world's leading experts describe the development of neuropsychological approaches to the investigation, description, measurement and management of a wide range of mental illnesses. Part One explains the rationale for examining neuropsychological processes within clinical disorders, leading into Part Two summarizing and critiquing the methodological approaches to study. Part Three covers each of the major psychiatric disorders and provides a summary of the neuropsychological findings for each condition. The final section brings together the perspectives of neuroscientists, psychiatrists and philosophers. Essential reading for all those studying the healthy as well as the disordered brain, The Neuropsychology of Mental Illness will appeal to specialists from the fields of mental health, psychology, clinical neuroscience and philosophy.

Chapter

Conceptual advances in motor theory: affordances and mirror neurons, motor control models

Affordances

Mirror neurons

Motor control models

Feed forward models

Motor control and attention

Motor overflow

Neuromotor dysfunction and mental disorders

Disorders usually first diagnosed in infancy, childhood or adolescence

Case focus: autism and Asperger's disorder. An example of how neuromotor investigation has the potential to offer new insights into etiology and diagnosis

Disorders usually first diagnosed in late adolescence and adulthood

Neuromotor assessment and research

Summary

References

Chapter 4: The neurobiology of the emotion response: perception, experience and regulation

Introduction

Emotion perception

The amygdala

The insula

Emotion production, experience and emotion-dependent learning and decision-making

The amygdala

The insula

Ventral/rostral anterior cingulate cortex

Medial orbitofrontal cortex

Ventral striatum

Emotion regulation

Automatic regulatory processes

Cognitive regulatory processes

Dorsal anterior cingulate cortex and dorsolateral prefrontal cortex

Lateral orbitofrontal cortex

Hippocampus

Neural systems for emotion

Implications for psychopathology

References

Chapter 5: Frontal asymmetry in emotion, personality and psychopathology: methodological issues in electrocortical and hemodynamic neuroimaging

Introduction

Emotion and frontal brain asymmetries

Personality and frontal brain asymmetries

Frontal asymmetry, electrophysiology and hemodynamics

EEG and the study of frontal asymmetries

Hemodynamic imaging and the manipulation of emotion

Hemodynamic measures of brain asymmetry

Size/mass difference analysis

Conjunction analysis

Factorial designs

Connectivity analyses

Methodological complexities in asymmetry analyses

Examples of lateralized activity measured by fMRI

Conclusion

Acknowledgments

Endnote

References

Chapter 6: Behavioral and electrophysiological approaches to understanding language dysfunction in neuropsychiatric disorders: insights from the study of schizophrenia

Introduction

Clinical language disturbances in psychosis: thought disorder and beyond

Single words and concepts semantic: memory structure and function

Semantic identification and naming

Explicit knowledge and use of semantic category

Explicit production: semantic fluency

Explicit processing: knowledge of semantic category and semantic attributes

Implicit knowledge of semantic and associative relationships

Implicit production: word association tasks and the Latent Semantic Analysis

Implicit processing: semantic priming

Automatic semantic priming in schizophrenia

Controlled semantic priming in schizophrenia

Single words and concepts: summary and discussion

Sentences, ambiguity and figurative language

Semantic predictability and congruity

Syntax and the semantic-syntactic interface

Lexical ambiguity

Figurative language

Sentences, ambiguity and figurative language: summary and conclusion

Discourse

Referential coherence

Other types of discourse coherence

Discourse: summary and conclusion

Relationship between language abnormalities and other cognitive dysfunction

Thought disorder

Single words and concepts

Sentences

Discourse

Language abnormalities and other cognitive dysfunction summary: and conclusions

Implications and future directions

Clinical implications

Implications for understanding brain dysfunction in schizophrenia

Conclusions

Acknowledgments

References

Chapter 7: Associative memory

Introduction

Measuring associative memory

Grounds for investigating associative memory function in mental disorders

Reason 1: Improving our understanding of underlying neuropathology

Reason 2: Informing the origins of neuropsychiatric symptomatology

Reason 3: Understanding functional impairment

Conclusion

References

Chapter 8: The neural basis of attention

Introduction

Levels of selection: early and late selection

Voluntary attentional control mechanisms

Supramodal attention

Reflexive attention mechanisms

Attentional deficits in psychiatric disorders

Conclusion

Acknowledgments

References

Chapter 9: The role of executive functions in psychiatric disorders

Introduction

Defining the executive system

The association between the frontal lobes and executive functions

Functions of the dorsolateral prefrontal cortex and orbitofrontal cortex

Broadening the network of executive functions

What is the role of the frontal lobes?

Working memory

The relevance of spatial working memory to psychiatric disorders

Brain development and the maturation of executive functions: a hypothesis for the emergence of executive function deficits in neuropsychiatric disorders

Genetic influences on executive functions

Conclusions

Acknowledgments

References

Chapter 10: Decision-making

Introduction: relevance of decision-making to neuropsychiatry

The relationship between psychology and economics in decision-making

The neuropsychology of decision-making

The Iowa Gambling Task and somatic marker hypothesis

Preference for risk

Choice between delayed rewards

Information sampling and 'reflection impulsivity'

Decision-making in neuropsychiatric patient groups

Frontal variant fronto-temporal dementia

Substance abuse and alcoholism

Obsessive-compulsive disorder

Schizophrenia and affective disorders

Conclusions

Acknowledgments

References

Chapter 11: The neuropsychology of social cognition: implications for psychiatric disorders

Social cognition in an evolutionary framework

The neural basis of social cognition in healthy humans

Face perception

Facial emotion recognition

Theory of Mind

Social cognition: distinct from traditional neuropsychology?

Dissociation of social and non-social cognitive function

Correlations with neuropsychological performance

Within-task non-social control conditions

Social cognition: implications for psychiatry

Endnotes

References

Section 2: The importance of methods

Chapter 12: Psychiatric diagnoses: purposes, limitations and an alternative approach

Introduction

Definitions and phenomenology: the clinician as assessor

Inter-rater reliability

Test-retest reliability

Comment

Defining the phenotype?

Another approach: focusing on biological and cognitive factors as prime determinants of making a diagnosis

Comments

Another approach to psychiatric diagnosis: a Staging Model

Conclusions

Acknowledgments

Endnotes

References

Chapter 13: Neuropsychological methods in mental disorders research: illustrations from methamphetamine dependence

Introduction

Methods and approaches

Study design and test selection

Neuropsychological assessment in MA dependence

Cognitive neuropsychology

Cognitive neuropsychology of MA dependence

Daily functioning

Neuropsychology and daily functioning in MA dependence

Interpretation of neuropsychological data

Demographic variables

Suboptimal effort

Suboptimal effort in MA dependence

Disease characteristics

Methamphetamine dependence characteristics

Statistical methodologies

Treatment outcomes

Neuropsychology and the treatment of MA dependence

Conclusion

Acknowledgments

References

Chapter 14: The study of emotion and the interaction between emotion and cognition: methodological perspectives

Introduction

Measuring emotion

Test batteries

Emotional expression

Induction procedures

Evaluation procedures

The interaction between emotion and cognition

Behavioral methodologies

Emotion and attention

Emotion and memory

Emotion and learning

Functional imaging

Hemodynamic-metabolic approaches

Transcranial magnetic stimulation

Event-related potentials

Summary

Acknowledgments

Endnote

References

Chapter 15: Using neurophysiological techniques to study auditory hallucinations in schizophrenia

Introduction

Approaches to studying mental illness

Syndrome vs symptom approach

Choosing a symptom to study - auditory hallucinations

Choosing a method to study auditory hallucinations

Approaches to studying auditory hallucinations

Symptom capture

Fundamental deficits underlying auditory hallucinations

Efference copy/corollary discharge mechanism

Efference copy/corollary discharge mechanism in the auditory system

Efference copy/corollary discharge dysfunction in schizophrenia

Functional MRI to study corollary discharge dysfunction in schizophrenia

Predictions

Methods

Results

Using ERPs to study corollary discharge dysfunction in schizophrenia

Combining EEG-based measures with fMRI

Discussion

References

Chapter 16: Neuroimaging

Introduction

Structural magnetic resonance imaging (sMRI)

Potentials of sMRI

Limits of sMRI in schizophrenia research

PET-SPECT

Studies of neurotransmitters

Receptor binding

Studies of medication occupancy

Functional magnetic resonance imaging

Principles of blood oxygenation level dependent (BOLD) fMRI

Block design studies

Event-related design studies

Psychopharmacological fMRI studies

Neural correlates of specific symptoms

Parametric design studies

Functional connectivity studies

Limits

Diffusion tensor imaging (DTI)

Magnetic resonance spectroscopy (MRS)

Integration of imaging data across modalities

Volumetric MRI and fMRI co-registration

Magnetoencephalography

Combination of functional neuroimaging and electrophysiological techniques

Conclusions

References

Chapter 17: Psychopharmacological modeling of psychiatric illness

Introduction

Modeling cognitive impairment

Psychopathology of drug models of schizophrenia

Assumptions and expectations of a model of schizophrenia

Ketamine

Historical background

Safety

Psychotomimetic effects

Delta-9-tetrahydrocannabinol (THC)

Other models

Cognitive impairments associated with drug models

Working memory

Episodic memory

Attention

Executive function

Advantages of psychopharmacological modeling

Exploring neurochemical mechanisms of psychiatric disease

Individual differences as measures of symptom vulnerability

Fractionating cognitive processes

Separating cognitive and psychotic effects

Limitations of the approach

Validity

Reliability

Specificity

Conclusions

References

Chapter 18: Cognitive phenomics

Unique challenges for the neuropsychological investigation of mental disorders

The phenomics research strategy

The informatics strategy

Summary

Acknowledgments

References

Section 3: The neuropsychology of psychiatric disorders

Why examine neuropsychological processes in specific psychiatric disorders?

Chapter 19: Neuropsychology of ADHD and other disorders of childhood

Introduction

Development of the concept of neuropsychological dysfunction in ADHD

Neuropsychological heterogeneity in childhood ADHD: clinical heterogeneity and methodological issues

Clinical heterogeneity

Potential methodological issues contributing to heterogeneity

Clinical neuropsychological assessment of ADHD

Neuropsychological assessment in preschoolers

Neuropsychological studies in children aged 6-12 years with ADHD

Timing and motor abnormalities in ADHD

Relating brain structure, function and neuropsychological dysfunctions

Conduct and oppositional defiant disorders

Autism-spectrum disorders

Summary

Acknowledgments

Endnotes

References

Chapter 20: A multidimensional neurobehavioral model of personality disorders

Neurobehavioral systems underlying higher-order personality traits

Agentic extraversion and affiliation

Neurobiology of incentive motivation and affiliative reward

Anxiety or neuroticism

Anxiety and fear as two distinct behavioral systems

Neurobiology of anxiety

Non-affective constraint or impulsivity

A model of personality disturbance

Implications of the model

Acknowledgments

References

Chapter 21: Neuropsychology in eating disorders

Overview of the literature

Specificity of neuropsychological functioning

Cognitive flexibility

Central coherence

A neurodevelopmental model

Collaborative brain function

The "social information processing network"

Application of knowledge

Concluding comment

Acknowledgments

References

Chapter 22: Neurobiological and neuropsychological pathways into substance abuse and addictive behavior

Introduction and overview

Neuropsychological sequelae of specific drugs and their role in addictive behavior

Alcohol

Cannabis

Inhalants

Opiates

Psychostimulants (cocaine, amphetamine/methamphetamine)

MDMA (N-methyl-3,4-methylenedioxy-amphetamine, ecstasy)

Summary of findings

Premorbid neuropsychological vulnerability to addictive behaviors

Risk-taking behavior

Behavioral dysregulation

Behavioral and mental health disorders

Personality disorders

Genetic polymorphisms

Summary of findings

Adolescence: a key neurodevelopmental period of vulnerability

Remodeling the prefrontal cortex and maturing executive abilities

Alcohol and its effects on adolescent brain development

Cannabis and its effects on adolescent brain development

Summary of findings

Summary and conclusions

References

Chapter 23: Neuropsychology of obsessive-compulsive disorder

Introduction

The cortico-striatal model of OCD

Neuropsychology of OCD

Visuospatial skill

Memory

Executive function

Moderators of neuropsychological impairment

Integrating domains of cognitive impairment

The role of cognitive strategies in OCD

Error monitoring in OCD

Conclusion and future directions

References

Chapter 24: Neuropsychological investigation in mood disorders

Introduction

Major depressive disorder

Introduction

Negative cognitions

Emotional bias and executive control in major depression (state effects)

Information processing in remission

Trait investigations: studies of high-risk individuals

Conclusions on findings in MDD

Bipolar disorder

Introduction

Neurocognitive dysfunction and relationship to clinical status

Affect processing

Affect processing and neuroimaging

Medication effects

Specificity

Disease process

Pediatric bipolar studies

First-degree relatives

Conclusions on findings in bipolar disorder

General conclusions

References

Chapter 25: Manic distractibility and processing efficiency in bipolar disorder

Manic distractibility and bipolar disorder

Cognitive domains implicated in bipolar mania

Sustained attention (vigilance)

Verbal memory

Executive functioning

A processing efficiency account of bipolar disorder

Information processing approaches to assess processing efficiency

Preliminary examples of a processing efficiency approach

Example 1: The degraded stimulus continuous performance task (DS-CPT)

Example 2: A verbal recognition memory test

Conclusions

References

Chapter 26: Schizophrenia

Introduction

Cross-sectional studies in high-risk, first-episode and established schizophrenia

Limitation of adopting a cross-sectional approach

Longitudinal investigations in high-risk, first-episode and established schizophrenia

Discussion and future directions

References

Section 4: Integration and synthesis: are mental illnesses disorders of consciousness? A trialogue between neuroscientific, philosophical and psychiatric perspectives

References

Chapter 27: Mental illness and the consciousness thesis

Introduction

The definitional problem

Consciousness

The consciousness thesis

Consciousness thesis (CT)

Mental illness and brain disease

Acknowldgments

Endnotes

References

Chapter 28: A non-reductive physicalist account of affective consciousness

The neurophilosophical underpinnings of affective neuroscience

The brain and raw subjective experience - multiple forms of consciousness

The mechanisms of affective consciousness

Finale: toward a neuroscience of affects

References

Chapter 29: Consciousness of oneself and others in relation to mental disorders

Consciousness and mental disorders

Consciousness of oneself and others

Phenomenology and neurobiology of consciousness and its disorders

References

Chapter 30: Trialogue: commentaries on "Are mental illnesses disorders of consciousness?"

Comments on Panksepp and on Vogeley & Newen

References

Affective consciousness and the psychiatric comfort zones of experienced life

References

The definition and the constitution of mental disorders and the role of neural dysfunctions

Comments

References

Response to commentaries

References

Understanding affects: towards a neurobiology of primary process mentalities

References

Replies to comments by Jaak Panksepp and by G. Lynn Stephens & George Graham

Comments

References

Index

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