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1.
Exp Brain Res ; 237(5): 1205-1212, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30826847

RESUMO

Two recent studies have demonstrated that increases in arousal states lead to an increase people's sense of agency, i.e., the subjective experience of controlling one's own voluntary actions (Minohara et al. in Front Psychol 7:1165, 2016; Wen et al. in Conscious Cogn 36:87-95, 2015). We here extend these findings by showing that arousal states with negative emotional valence, such as fear and anger, decrease sense of agency. Anger and fear are negative emotional states. Anecdotally, they are often invoked as reasons for losing control, and neuroscientific evidence confirms important effects on the brain's action control systems. Surprisingly, the subjective experience of acting in anger or fear has scarcely been investigated experimentally. Thus, the legal notion that these intense emotions may undermine normal voluntary control over actions and outcomes (the 'Loss of Control', a partial defence for murder) lacks any clear evidence base. In three laboratory experiments, we measured sense of agency using an implicit measure based on time perception (the "intentional binding" paradigm). These actions occurred in either an emotionally neutral condition, or in a fearful (experiments 1 and 2) or angry state (experiment 3). In line with our hypotheses, fear or anger reduced the subjective sense of control over an action outcome, even though the objective causal link between action and outcome remained the same. This gap between the objective facts of agency, and a reduced subjective experience of agency under emotional conditions, has important implications for society and law.


Assuntos
Ira/fisiologia , Medo/fisiologia , Intenção , Atividade Motora/fisiologia , Adulto , Feminino , Humanos , Masculino , Adulto Jovem
2.
J Physiol ; 596(16): 3655-3673, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29726629

RESUMO

KEY POINTS: Salient and sudden sensory events generate a remarkably large response in the human brain, the vertex wave (VW). The VW is coupled with a modulation of a voluntarily-applied isometric force. In the present study, we tested whether the VW is also related to executing high-precision movements. The execution of a voluntary high-precision movement remains relatively independent of the brain activity reflected by the preceding VW. The apparent relationship between the positive VW and movement onset time is explained by goal-related but stimulus-independent neural activities. These results highlight the need to consider such goal-related but stimulus-independent neural activities when attempting to relate event-related potential amplitude with perceptual and behavioural performance. ABSTRACT: Salient and fast-rising sensory events generate a large biphasic vertex wave (VW) in the human electroencephalogram (EEG). We recently reported that the VW is coupled with a modulation of concomitantly-applied isometric force. In the present study, in five experiments, we tested whether the VW is also related to high-precision visuomotor control. We obtained three results. First, the saliency-induced increase in VW amplitude was paralleled by a modulation in two of the five extracted movement parameters: a reduction in the onset time of the voluntary movement (P < 0.005) and an increase in movement accuracy (P < 0.005). Second, spontaneous trial-by-trial variability in vertex wave amplitude, for a given level of stimulus saliency, was positively correlated with movement onset time (P < 0.001 in four out of five experiments). Third, this latter trial-by-trial correlation was explained by a widespread EEG negativity independent of the occurrence of the positive VW, although overlapping in time with it. These results indicate that (i) the execution of a voluntary high-precision movement remains relatively independent of the neural processing reflected by the preceding VW, with (ii) the exception of movement onset time, for which saliency-based contextual effects are dissociated from trial-by-trial effects. These results also indicate that (iii) attentional effects can produce spurious correlations between event-related potentials (ERPs) and behavioural measures. Although sudden salient stimuli trigger characteristic EEG responses coupled with distinct reactive components within an ongoing isometric task, the results of the present study indicate that the execution of a subsequent voluntary movement appears largely protected from such saliency-based modulation, with the exception of movement onset time.


Assuntos
Encéfalo/fisiologia , Córtex Cerebral/fisiologia , Potenciais Somatossensoriais Evocados , Atividade Motora , Desempenho Psicomotor , Tempo de Reação , Estimulação Acústica , Adulto , Eletroencefalografia , Feminino , Humanos , Masculino , Adulto Jovem
3.
Exp Brain Res ; 235(11): 3403-3416, 2017 11.
Artigo em Inglês | MEDLINE | ID: mdl-28821927

RESUMO

There is a continuing debate about control of voluntary movement, with conflicted evidence about the balance between control of movement vectors (amplitude control) that implies knowledge of the starting position for accuracy, and equilibrium point or final position control, that is independent of the starting conditions. We tested wrist flexion and extension movements in a man with a chronic peripheral neuronopathy that deprived him of proprioceptive knowledge of his wrist angles. In a series of experiments, we demonstrate that he could scale the amplitude of his wrist movements in flexion/extension, even without visual feedback, and appeared to adopt a strategy of moving via a central wrist position when asked to reach target angles from unknown start locations. When examining the relationship between positional error at the start and end of each movement in long sequences of movements, we report that he appears to have three canonical positions that he can reach relatively successfully, in flexion, in extension and in the centre. These are consistent with end-point or position control. Other positions were reached with errors that suggest amplitude control. Recording wrist flexor and extensor EMG confirmed that the flexion and extension canonical positions were reached by strong flexor and extensor activity, without antagonist activity, and other positions were reached with graded muscle activation levels. The central canonical position does not appear to be reached by either maximal co-contraction or by complete relaxation, but may have been reached by matched low-level co-contraction.


Assuntos
Retroalimentação Sensorial/fisiologia , Músculo Esquelético/fisiopatologia , Polineuropatias/fisiopatologia , Propriocepção/fisiologia , Punho/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade
4.
Cereb Cortex ; 25(12): 4789-98, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26250779

RESUMO

The vertex potential is the largest response that can be recorded in the electroencephalogram of an awake, healthy human. It is elicited by sudden and intense stimuli, and is composed by a negative-positive deflection. The stimulus properties that determine the vertex potential amplitude have been well characterized. Nonetheless, its functional significance remains elusive. The dominant interpretation is that it reflects neural activities related to the detection of salient stimuli. However, given that threatening stimuli elicit both vertex potentials and defensive movements, we hypothesized that the vertex potential is related to the execution of defensive actions. Here, we directly compared the salience and motoric interpretations by investigating the relationship between the amplitude of laser-evoked potentials (LEPs) and the response time of movements with different defensive values. First, we show that a larger LEP negative wave (N2 wave) predicts faster motor response times. Second, this prediction is significantly stronger when the motor response is defensive in nature. Third, the relation between the N2 wave and motor response time depends not only on the kinematic form of the movement, but also on whether that kinematic form serves as a functional defense of the body. Therefore, the N2 wave of the LEP encodes key defensive reactions to threats.


Assuntos
Aprendizagem da Esquiva/fisiologia , Córtex Cerebral/fisiologia , Potenciais Somatossensoriais Evocados , Nociceptividade/fisiologia , Adulto , Estimulação Elétrica , Eletroencefalografia , Feminino , Mãos , Humanos , Lasers , Masculino , Medição da Dor , Tempo de Reação , Adulto Jovem
5.
Conscious Cogn ; 43: 1-10, 2016 07.
Artigo em Inglês | MEDLINE | ID: mdl-27174794

RESUMO

We investigated how the emotional valence of an action outcome influences the experience of control, in an intentional binding experiment. Voluntary actions were followed by emotionally positive or negative human vocalisations, or by neutral tones. We used mental chronometry to measure a retrospective component of sense of agency (SoA), triggered by the occurrence of the action outcome, and a prospective component, driven by the expectation that the outcome will occur. Positive outcomes enhanced the retrospective component of SoA, but only when both occurrence and the valence of the outcome were unexpected. When the valence of outcomes was blocked - and therefore predictable - we found a prospective component of SoA when neutral tones were expected but did not actually occur. This prospective binding was absent, and reversed, for positive and negative expected outcomes. Emotional expectation counteracts the prospective component of SoA, suggesting a distancing effect.


Assuntos
Conscientização/fisiologia , Emoções/fisiologia , Intenção , Julgamento/fisiologia , Desempenho Psicomotor/fisiologia , Autoimagem , Adulto , Feminino , Humanos , Masculino , Adulto Jovem
6.
Psychol Med ; 42(4): 819-28, 2012 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22017964

RESUMO

BACKGROUND: The rubber hand illusion (RHI) has been widely used to investigate the bodily self in healthy individuals. The aim of the present study was to extend the use of the RHI to examine the bodily self in eating disorders (EDs). METHOD: The RHI and self-report measures of ED psychopathology [the Eating Disorder Inventory - 3 (EDI-3) subscales of Drive for Thinness, Bulimia, Body Dissatisfaction, Interoceptive Deficits, and Emotional Dysregulation; the 21-item Depression, Anxiety and Stress Scale (DASS-21); and the Self-Objectification Questionnaire (SOQ)] were administered to 78 individuals with an ED and 61 healthy controls. RESULTS: Individuals with an ED experienced the RHI significantly more strongly than healthy controls on both perceptual (i.e. proprioceptive drift) and subjective (i.e. self-report questionnaire) measures. Furthermore, both the subjective experience of the RHI and associated proprioceptive biases were correlated with ED psychopathology. Approximately 23% of the variance for embodiment of the fake hand was accounted for by ED psychopathology, with interoceptive deficits and self-objectification significant predictors of embodiment. CONCLUSIONS: These results indicate that the bodily self is more plastic in people with an ED. These findings may shed light on both aetiological and maintenance factors involved in EDs, particularly visual processing of the body, interoceptive deficits, and self-objectification.


Assuntos
Imagem Corporal , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Ilusões/psicologia , Propriocepção/fisiologia , Adolescente , Adulto , Análise de Variância , Estudos de Casos e Controles , Transtornos da Alimentação e da Ingestão de Alimentos/fisiopatologia , Feminino , Lateralidade Funcional , Mãos/fisiologia , Humanos , Modelos Lineares , Pessoa de Meia-Idade , Borracha , Autorrelato , Adulto Jovem
7.
Conscious Cogn ; 21(4): 1748-53, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23143153

RESUMO

Sense of agency refers to the sense of initiating and controlling actions in order to influence events in the outside world. Recently, a distinction between implicit and explicit aspects of sense of agency has been proposed, analogous to distinctions found in other areas of cognition, notably learning. However, there is yet no strong evidence supporting separable implicit and explicit components of sense of agency. The so-called 'Perruchet paradigm' offers one of the few convincing demonstrations of separable implicit and explicit learning systems. We adopted this approach to evaluate the implicit-explicit distinction in the context of a simple task in which outcomes were probabilistically caused by actions. In line with our initial predictions, we found evidence of a dissociation. We discuss the implications of this result for theories of sense of agency.


Assuntos
Cognição , Aprendizagem , Desempenho Psicomotor , Adulto , Feminino , Humanos , Masculino , Teoria Psicológica
8.
Exp Brain Res ; 204(3): 447-56, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20473752

RESUMO

Humans appear to be the only animals to have developed the practice and culture of art. This practice presumably relies on special processing circuits within the human brain associated with a distinct subjective experience, termed aesthetic experience, and preferentially evoked by artistic stimuli. We assume that positive or negative aesthetic judgments are an important function of neuroaesthetic circuits. The localisation of these circuits in the brain remains unclear, though neuroimaging studies have suggested several possible neural correlates of aesthetic preference. We applied repetitive transcranial magnetic stimulation (rTMS) over candidate brain areas to disrupt aesthetic processing while healthy volunteers made aesthetic preference judgments between pairs of dance postures, or control non-body stimuli. Based on evidence from visual body perception studies, we targeted the ventral premotor cortex (vPMC) and extrastriate body area (EBA), in the left and right hemispheres. rTMS over EBA reduced aesthetic sensitivity for body stimuli relative to rTMS over vPMC, while no such difference was found for non-body stimuli. We interpret our results within the framework of dual routes for visual body processing. rTMS over either EBA or vPMC reduced the contributions of the stimulated area to body processing, leaving processing more reliant on the unaffected route. Disruption of EBA reduces the local processing of the stimuli and reduced observers' aesthetic sensitivity. Conversely, disruption of the global route via vPMC increased the relative contribution of the local route via EBA and thus increased aesthetic sensitivity. In this way, we suggest a complementary contribution of both local and global routes to aesthetic processing.


Assuntos
Imagem Corporal , Encéfalo/fisiologia , Estética , Lobo Occipital/fisiologia , Percepção Visual/fisiologia , Adulto , Análise de Variância , Feminino , Lateralidade Funcional , Humanos , Julgamento/fisiologia , Masculino , Córtex Motor/fisiologia , Testes Neuropsicológicos , Estimulação Luminosa , Estimulação Magnética Transcraniana , Adulto Jovem
9.
Sci Rep ; 9(1): 11448, 2019 08 07.
Artigo em Inglês | MEDLINE | ID: mdl-31391471

RESUMO

The weightlessness experienced by astronauts has fascinated scientists and the public. On Earth, body weight is given by Newton's laws as mass times gravitational acceleration. That is, an object's weight is determined by the pull of gravity on it. We hypothesised that perceived body weight is - like actual weight - dependent on the strength of gravity. If so, changes in the experienced strength of gravity should alter the experience of one's own body weight. We asked participants to estimate the weight of two body parts, their hand or their head, both in normal terrestrial gravity (1 g) and during exposure to experimentally altered gravitational fields, 0 g and +1.8 g during parabolic flight and +1 g using a short arm human centrifuge. For both body parts, there was an increase in perceived weight during the experience of hypergravity, and a decrease during the experience of microgravity. Our results show that experimental alterations of gravity produce rapid changes in the perceived weight of specific individual body parts. Traditionally, research has focused on the social factors for weight perception, as in the putative role of mass media in eating disorders. Our results, in contrast, emphasize that the perception of body weight is highly malleable, and shaped by immediate sensory signals.


Assuntos
Imagem Corporal/psicologia , Peso Corporal/fisiologia , Gravitação , Julgamento/fisiologia , Simulação de Ausência de Peso , Adulto , Centrifugação , Feminino , Voluntários Saudáveis , Humanos , Masculino , Adulto Jovem
10.
Conscious Cogn ; 17(3): 911-22, 2008 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-18207423

RESUMO

The field of neuroaesthetics attempts to identify the brain processes underlying aesthetic experience, including but not limited to beauty. Previous neuroaesthetic studies have focussed largely on paintings and music, while performing arts such as dance have been less studied. Nevertheless, increasing knowledge of the neural mechanisms that represent the bodies and actions of others, and which contribute to empathy, make a neuroaesthetics of dance timely. Here, we present the first neuroscientific study of aesthetic perception in the context of the performing arts. We investigated brain areas whose activity during passive viewing of dance stimuli was related to later, independent aesthetic evaluation of the same stimuli. Brain activity of six naïve male subjects was measured using fMRI, while they watched 24 dance movements, and performed an irrelevant task. In a later session, participants rated each movement along a set of established aesthetic dimensions. The ratings were used to identify brain regions that were more active when viewing moves that received high average ratings than moves that received low average ratings. This contrast revealed bilateral activity in the occipital cortices and in right premotor cortex. Our results suggest a possible role of visual and sensorimotor brain areas in an automatic aesthetic response to dance. This sensorimotor response may explain why dance is widely appreciated in so many human cultures.


Assuntos
Arte , Encéfalo/fisiologia , Estética , Desempenho Psicomotor/fisiologia , Beleza , Dança , Empatia , Humanos , Imageamento por Ressonância Magnética , Masculino , Percepção Visual
11.
Sci Rep ; 8(1): 6584, 2018 04 26.
Artigo em Inglês | MEDLINE | ID: mdl-29700407

RESUMO

Painful burning sensations can be elicited by a spatially-alternating pattern of warm and cold stimuli applied on the skin, the so called "Thermal Grill Illusion" (TGI). Here we investigated whether the TGI percept originates spinally or centrally. Since the inhibition of nociceptive input by concomitant non-nociceptive somatosensory input has a strong spinal component, we reasoned that, if the afferent input underlying the TGI originates at spinal level, then the TGI should be inhibited by a concomitant non-nociceptive somatosensory input. Conversely, if TGI is the result of supraspinal processing, then no effect of touch on TGI would be expected. We elicited TGI sensations in a purely thermal condition without tactile input, and found no evidence that tactile input affected the TGI. These results provide further evidence against a spinal mechanism generating the afferent input producing the TGI, and indicate that the peculiar burning sensation of the TGI results from supraspinal interactions between thermoceptive and nociceptive systems.


Assuntos
Córtex Cerebral/fisiologia , Nociceptividade , Transdução de Sinais , Sensação Térmica , Tato , Adulto , Feminino , Temperatura Alta , Humanos , Ilusões/fisiologia , Masculino , Modelos Biológicos , Percepção da Dor , Adulto Jovem
12.
Curr Biol ; 11(15): 1188-91, 2001 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-11516950

RESUMO

Research on sensory perception now often considers more than one sense at a time. This approach reflects real-world situations, such as when a visible object touches us. Indeed, vision and touch show great interdependence: the sight of a body part can reduce tactile target detection times [1], visual and tactile attentional systems are spatially linked [2], and the texture of surfaces that are actively touched with the fingertips is perceived using both vision and touch [3]. However, these previous findings might be mediated by spatial attention [1, 2] or by improved guidance of movement [3] via visually enhanced body position sense [4--6]. Here, we investigate the direct effects of viewing the body on passive touch. We measured tactile two-point discrimination thresholds [7] on the forearm while manipulating the visibility of the arm but holding gaze direction constant. The spatial resolution of touch was better when the arm was visible than when it was not. Tactile performance was further improved when the view of the arm was magnified. In contrast, performance was not improved by viewing a neutral object at the arm's location, ruling out improved spatial orienting as a possible account. Controls confirmed that no information about the tactile stimulation was provided by visibility of the arm. This visual enhancement of touch may point to online reorganization of tactile receptive fields.


Assuntos
Percepção Espacial , Tato , Visão Ocular , Humanos
13.
Cortex ; 90: 58-70, 2017 05.
Artigo em Inglês | MEDLINE | ID: mdl-28365489

RESUMO

Human voluntary actions are often associated with a distinctive subjective experience termed 'sense of agency'. This experience could be a reconstructive inference triggered by monitoring one's actions and their outcomes, or a read-out of brain processes related to action preparation, or some hybrid of these. Participants pressed a key with the right index finger at a time of their own choice, while viewing a rotating clock. Occasionally they received a mild shock on the same finger. They were instructed to press the key as quickly as possible if they felt a shock. On some trials, trains of subliminal shocks were also delivered, to investigate whether such subliminal cues could influence the initiation of voluntary actions, or the subjective experience of such actions. Participants' keypress were always followed by a tone 250 ms later. At the end of each trial they reported the time of the keypress using the rotating clock display. Shifts in the perceived time of the action towards the following tone, compared to a baseline condition containing only a keypress but no tone, were taken as implicit measures of sense of agency. The subliminal shock train enhanced this "action binding" effect in healthy participants, relative to trials without such shocks. This difference could not be attributed to retrospective inference, since the perceptual events were identical in both trial types. Further, we tested the same paradigm in a patient with anarchic hand syndrome (AHS). Subliminal shocks again enhanced our measure of sense of agency in the unaffected hand, but had a reversed effect on the 'anarchic' hand. These findings suggest an interaction between internal volitional signals and external cues afforded by the external environment. Damage to the neural pathways that mediate interactions between internal states and the outside world may explain some of the clinical signs of AHS.


Assuntos
Cognição/fisiologia , Desempenho Psicomotor/fisiologia , Percepção do Tempo/fisiologia , Adolescente , Adulto , Feminino , Humanos , Masculino , Testes Neuropsicológicos , Tempo de Reação , Estudos Retrospectivos , Estimulação Subliminar , Adulto Jovem
14.
Neuropsychologia ; 96: 213-221, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-28115192

RESUMO

Previous studies have indicated that children who stutter show not only speech-related problems, but also wider difficulties in self-control. In this study we test the novel hypothesis that children who stutter may experience difficulties with inhibitory control over voluntary actions. We used functional MRI to compare brain activity between children who stutter and children who do not stutter in a task that captures key cognitive aspects of voluntary action control. Participants performed a rolling marble task, in which they were instructed to press a key to stop a rolling marble from crashing on some of the trials (instructed action condition). They were also asked to choose voluntarily whether to execute or inhibit this prepotent response in other trials (volition condition). Children who stutter reported less motor and cognitive impulsivity and had shorter stop-signal reaction times when controlled for IQ, consistent with greater inhibition, compared to children who do not stutter. At the neural level, children who stutter showed decreased activation in the rostral cingulate zone during voluntary action selection compared to children who do not stutter. This effect was more pronounced for children who were rated as showing more stuttered syllables in the stutter screening, and was furthermore correlated with stop-signal reaction times and impulsivity ratings. These findings suggest that stuttering in childhood could reflect wider difficulties in self-control, also in the non-verbal domain. Understanding these neural mechanisms could potentially lead to more focused treatments of stuttering.


Assuntos
Giro do Cíngulo/fisiopatologia , Inibição Psicológica , Desempenho Psicomotor/fisiologia , Gagueira/patologia , Gagueira/psicologia , Adolescente , Criança , Retroalimentação Psicológica , Feminino , Giro do Cíngulo/diagnóstico por imagem , Humanos , Processamento de Imagem Assistida por Computador , Comportamento Impulsivo/fisiologia , Imageamento por Ressonância Magnética , Masculino , Oxigênio , Estimulação Luminosa , Tempo de Reação , Acústica da Fala , Gagueira/diagnóstico por imagem
15.
Handb Clin Neurol ; 139: 121-129, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27719833

RESUMO

Patients with functional movement disorders (FMD) experience movements as involuntary that share fundamental characteristics with voluntary actions. This apparent paradox raises questions regarding the possible sources of a subjective experience of action. In addition, it poses a yet unresolved diagnostic challenge, namely how to describe or even quantify this experience in a scientifically and clinically useful way. Here, we describe recent experimental approaches that have shed light on the phenomenology of action in FMD. We first outline the sources and content of a subjective experience of action in healthy humans and discuss how this experience may be created in the brain. Turning to FMD, we describe implicit, behavioral measures that have revealed specific abnormalities in the awareness of action in FMD. Based on these abnormalities, we propose a potential, new solution to the paradox of volition in FMD.


Assuntos
Transtorno Conversivo/psicologia , Transtornos dos Movimentos/psicologia , Volição , Transtorno Conversivo/fisiopatologia , Humanos , Transtornos dos Movimentos/fisiopatologia , Neurofisiologia/métodos
16.
Neuropsychologia ; 75: 341-8, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26116910

RESUMO

Voluntary actions are often accompanied by a conscious experience of intention. The content of this experience, and its neural basis, remain controversial. On one view, the mind just retrospectively ascribes intentions to explain the occurrence of actions that lack obvious triggering stimuli. Here, we use EEG frequency analysis of sensorimotor rhythms to investigate brain activity when a participant (CL, co-author of this paper) with congenital absence of the left hand and arm, prepared and made a voluntary action with the right or the phantom "left hand". CL reported the moment she experienced the intention to press a key. This timepoint was then used as a marker for aligning and averaging EEG. In a second condition, CL was asked to prepare the action on all trials, but then, on some trials, to cancel the action at the last moment. For the right hand, we observed a typical reduction in beta-band spectral power prior to movement, followed by beta rebound after movement. When CL prepared but then cancelled a movement, we found a characteristic EEG pattern reported previously, namely a left frontal increase in spectral power close to the time of the perceived intention to move. Interestingly, the same neural signatures of positive and inhibitory volition were also present when CL prepared and inhibited movements with her phantom left hand. These EEG signals were all similar to those reported previously in a group of 14 healthy volunteers. Our results suggest that conscious intention may depend on preparatory brain activity, and not on making, or ever having made, the corresponding physical body movement. Accounts that reduce conscious volition to mere retrospective confabulation cannot easily explain our participant's neurophenomenology of action and inhibition. In contrast, the results are consistent with the view that specific neural events prior to movement may generate conscious experiences of positive and negative volition.


Assuntos
Córtex Cerebral/fisiopatologia , Intenção , Atividade Motora , Membro Fantasma/fisiopatologia , Volição/fisiologia , Adulto , Ondas Encefálicas , Eletroencefalografia , Feminino , Humanos
17.
Am J Psychiatry ; 155(5): 646-52, 1998 May.
Artigo em Inglês | MEDLINE | ID: mdl-9585716

RESUMO

OBJECTIVE: The authors studied the 12-month course of illness following hospitalization for a manic or mixed episode of bipolar disorder to identify potential outcome predictors. METHOD: They recruited 134 patients with DSM-III-R bipolar disorder who were consecutively admitted for the treatment of a manic or mixed episode. Diagnostic, symptomatic, and functional evaluations were obtained at the index hospitalization. Patients were reevaluated at 2, 6, and 12 months after discharge to assess syndromic, symptomatic, and functional outcome. Factors associated with outcome were identified by using multivariate analyses. RESULTS: During the 12-month follow-up period, there were no significant differences in outcome between patients with manic compared with mixed bipolar disorder. Although syndromic recovery occurred in 48% of the overall group, symptomatic recovery occurred in only 26% and functional recovery in only 24%. Predictors of syndromic recovery included shorter duration of illness and full treatment compliance. Medication treatment compliance was inversely associated with the presence of comorbid substance use disorders. Symptomatic and functional recovery occurred more rapidly and in a greater percentage of patients from higher social classes. CONCLUSIONS: A minority of patients with bipolar disorder achieved a favorable outcome in the year following hospitalization for a manic or mixed episode. Shorter duration of illness, higher social class, and treatment compliance were associated with higher rates of recovery and more rapid recovery.


Assuntos
Transtorno Bipolar/tratamento farmacológico , Transtorno Depressivo/tratamento farmacológico , Hospitalização , Adolescente , Adulto , Transtorno Bipolar/classificação , Transtorno Bipolar/psicologia , Transtorno Depressivo/psicologia , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Cooperação do Paciente , Prognóstico , Escalas de Graduação Psiquiátrica/estatística & dados numéricos , Psicotrópicos/uso terapêutico , Análise de Regressão , Fatores de Risco , Classe Social , Análise de Sobrevida , Fatores de Tempo , Resultado do Tratamento
18.
Neuropsychologia ; 32(7): 827-46, 1994 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-7936166

RESUMO

We have studied multi-joint arm movements in a patient with right cerebellar damage. Our patient's kinetic tremor was reduced in the absence of visual feedback, but increased when performing a concurrent cognitive task. We suggest that her kinetic tremor reflects use of a slow cortical feedback circuit for error-corrections during movement. Analysing the spatial relation between hand aperture and hand transport in prehensile movements, we found preserved strategic, trial-to-trial coordination, but impaired reactive, within-trial coordination. We conclude that the proprioceptive representations provided by the normal cerebellum play an important role in coordinating multi-joint movement.


Assuntos
Dano Encefálico Crônico/fisiopatologia , Neoplasias Cerebelares/fisiopatologia , Dominância Cerebral/fisiologia , Ependimoma/fisiopatologia , Transtornos Psicomotores/fisiopatologia , Adulto , Atenção/fisiologia , Dano Encefálico Crônico/psicologia , Neoplasias Cerebelares/psicologia , Neoplasias Cerebelares/cirurgia , Córtex Cerebral/fisiopatologia , Ependimoma/psicologia , Ependimoma/cirurgia , Retroalimentação/fisiologia , Feminino , Lateralidade Funcional/fisiologia , Humanos , Cinestesia/fisiologia , Destreza Motora/fisiologia , Rede Nervosa/fisiopatologia , Exame Neurológico , Testes Neuropsicológicos , Orientação/fisiologia , Complicações Pós-Operatórias/fisiopatologia , Complicações Pós-Operatórias/psicologia , Transtornos Psicomotores/psicologia , Tempo de Reação/fisiologia
19.
J Exp Psychol Gen ; 118(1): 43-71, 1989 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-2522506

RESUMO

Compared the effect of frequency on lexical decision time (LDT) with that on reaction time (RT) in four other tasks, for the same words and subjects. Exp. 1 yielded an effect on semantic categorization RT (person vs. thing) similar in size and form to the effect on LDT. Exp. 2 yielded a substantial effect for syntactic categorization (noun vs. adjective), although weaker than the effect on LDT. In Exp. 3, the effect on naming RT for stress-final disyllabic words was identical to that on LDT, whereas the effect for stress-initial words was weaker. Exp. 4 showed no effect of frequency on delayed naming RT. The data undermine recent arguments for a (mainly) postidentification task-specific locus of frequency effects but are compatible with the older assumption (also characteristic of new PDP learning models) that lexical identification is a major locus of frequency effects (perhaps together with retrieval of meaning or phonology). But effects at that locus may be masked or diluted by other processes.


Assuntos
Tempo de Reação , Leitura , Semântica , Adulto , Atenção , Feminino , Humanos , Masculino , Psicolinguística , Vocabulário
20.
Neurosci Lett ; 122(1): 103-8, 1991 Jan 14.
Artigo em Inglês | MEDLINE | ID: mdl-2057124

RESUMO

This experiment investigated how the control of hand transport and of hand aperture are coordinated in reaching and grasping movements. An electric actuator attached to the subject's right arm delivered mechanical perturbations randomly during a quarter of the experimental trials. A remote, compensatory adjustment of hand aperture followed the immediate, mechanical affects of the perturbation of hand transport. The invariant spatial and temporal characteristics of the response suggest how the two systems may be coordinated during prehension.


Assuntos
Mãos/fisiologia , Movimento/fisiologia , Adulto , Braço/fisiologia , Feminino , Humanos , Masculino
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