图书简介
What are the brain circuits that not only keep us alive but also allow us to thrive in our complex world, and how do even subtle disturbances within these circuits lead to abnormal behavior? Using a combination of research strategies—including neuroimaging (particularly fMRI) and abnormal and clinical psychology.
Looking Inside the Disordered Brain provides students with a working knowledge of our rapidly evolving understanding of the foundational brain circuits supporting human social, emotional, and cognitive behavior, and describes how disruptions within these circuits are associated with symptoms of common psychiatric disorders. It first establishes how specific anatomical circuits process signals we receive from our ever-changing internal and external environments to create order in our behavior. It then looks inside the disordered brain and maps specific symptoms onto dysfunction within these circuits.
The textbook features three neuroanatomical circuits (corticolimbic; corticostriatal; corticohippocampal) and their principal behavioral correlates (recognition and reaction; motivation and action; memory and executive control), as well as the pathological expression of dysfunction within each circuit (including depression, anxiety, phobia, mania, addiction, aggression, and disintegration of thought).
The author emphasizes the dimensional nature of psychopathology by mapping specific symptoms within a broad diagnostic category onto disorder of the circuitry under review. For example, in major depressive disorder the symptoms of anxiety are mapped onto corticolimbic circuit dysfunction, the symptoms of anhedonia onto corticostriatal circuit dysfunction, and the symptoms of emotion dysregulation onto corticohippocampal circuit dysfunction. This is an effective strategy for introducing students to the limitations of categorical/diagnostic classifications (e.g., DSM-5) and highlighting the importance of considering behavior on a continuum from normal to abnormal.
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Yale University Library
Chapter 1. Getting Inside and Getting Around
Circuit concepts and approach
BOLD basics
Neuroanatomical planes and directional terms
UNIT 1. THE CORTICOLIMBIC CIRCUIT FOR RECOGNITION AND REACTION
Chapter 2. The Corticolimbic Circuit: Anatomy
Circuit hub: Amygdala (basolateral complex, central nucleus, and intercalated cell masses)
Interconnected circuitry: thalamus, sensory association cortex, hypothalamus, brainstem, substantia innominata (bed nucleus of the stria terminalis and nucleus basalis of meynert), insula, hippocampal formation, prefrontal cortex
Basic information flow supporting recognition and reaction
Chapter 3. The Corticolimbic Circuit: Order
Fear learning: Conditioning, extinction, recall
Faces and facial expressions: threat, ambiguity, uncertainty, novelty
Anxiety
Chapter 4. The Corticolimbic Circuit: Disorder
Amygdala hyper/hypoactivity and circuit imbalance
Exaggerated and dysregulated responses to threat
Symptoms including depression, mania, anxiety, phobia, aggression, and abnormal social interactions
UNIT 2. THE CORTICOSTRIATAL CIRCUIT FOR MOTIVATION AND ACTION
Chapter 5. The Corticostriatal Circuit: Anatomy
Circuit hub: Ventral striatum (nucleus accumbens)
Interconnected circuitry: thalamus, amygdala, ventral pallidum, dorsal striatum, dorsal pallidum, prefrontal cortex, midbrain (substantia nigra and ventral tegmental area)
Basic information flow supporting motivation and action
Chapter 6. The Corticostriatal Circuit: Order
Reward learning: classical and instrumental conditioning
Goal-directed behavior
Primary and secondary reinforcers
Impulsivity
Chapter 7. The Corticostriatal Circuit: Disorder
Ventral striatum hyper/hypoactivity and circuit imbalance
Abnormal and dysregulated motivations and goal-directed behaviors
Symptoms including anhedonia, mania, hyperactivity, aggression, addiction, body image distortion, overeating
UNIT 3. THE CORTICOHIPPOCAMPAL CIRCUIT FOR MEMORY AND EXECUTIVE CONTROL
Chapter 8. The Corticohippocampal Circuit: Anatomy
Circuit hub: Dorsolateral prefrontal cortex
Interconnected circuitry: Hippocampal formation (hippocampus, entorhinal cortex, perirhinal cortex, parahippocampal cortex), neocortical association areas, midbrain
Basic information flow supporting memory and executive control
Chapter 9. The Corticohippocampal Circuit: Order
Long-term memory: The librarian and the library
Executive control: Working memory, attention and response selection
Focus and performance
Chapter 10. The Corticohippocampal Circuit: Disorder
Hippocampal formation dysfunction: deficits in encoding and recall of long-term memories
Symptoms including retrograde and anterograde amnesia, mild cognitive impairment, and delusions
Dorsolateral prefrontal cortex dysfunction: dysregulation of other circuits, disorganized thinking, remembering, and planning
Symptoms including poor emotion regulation, impulse control, inattention, obsessions and compulsions, and disintegration of thought and executive control
Glossary
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