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Pinel 1793 Dementia, Idiocy, Mania, Melancholia.

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Presentation on theme: "Pinel 1793 Dementia, Idiocy, Mania, Melancholia."— Presentation transcript:

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4 Pinel 1793 Dementia, Idiocy, Mania, Melancholia

5 On Fantasy Dementia, Mania, Melancolia Vincenzo Chiarugi
Empoli Firenze 1820 On Fantasy Dementia, Mania, Melancolia דר' פלד – מרכז בה"ן שער מנשה

6 Morel DEMENTIA PRAECOX
Young male becomes demented dysfunctional Hecker HEBEPHRENIA Young male, disorganized restless loose associations Fragmented experiences Kalbaum CATATONIA Signs of motor abnormalities freezing, waxy-flexibility

7 Manic depressive psychosis Paranoia (today delusional)
1900 KRAEPLIN Dementia praecox Manic depressive psychosis Paranoia (today delusional) Based on prognosis medical model Based on prognosis

8 Mental disorganization
 BLEULER 1920 Mental disorganization Affect Associations Ambivalence Autism 4 A’s Schizophrenia Schizo - Prenus

9 First Rank Symptoms of Schizophrenia
DELUSIONAL PERCEPTION. AUDITORY HALLUCINATIONS. DELUSIONS OF THOUGHT INTERFERENCE. PASSIVITY PHENOMENON OR DELUSIONS OF CONTROL.

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12 - + Hallucinations Loosening Delusions restlessness Positive symptoms
 BLEULER 1920 Mental disorganization Affect Associations Ambivalence Autism 4 A’s Schizophrenia Schizo - Prenus Hallucinations Loosening Delusions restlessness Poverty thought Perseverations Avolition + - Positive symptoms 1900 KRAEPLIN Dementia praecox Based on prognosis Negative symptoms Function Age 18

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14 What Causes Schizophrenia ?

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16 Henri Laborit

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22 Ego Letters, the project Theodore Meynert (1833-1892) Carl Wernicke
( ) Letters, the project

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25 Gregory Bateson (9 May 1904 – 4 July 1980)

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27 Lyman C Wynne

28 Ego Letters, the project Theodore Meynert (1833-1892) Carl Wernicke
( ) Letters, the project

29 Disconnection Syndrome Psychosis
The associations of an adult ego could be temporarily or permanently weakened, with a similar result of random or confused thought processes. … resulting in psychotic states. Theodore Meynert ( ) Disconnection Syndrome Psychosis

30 Disconnection Syndrome
Theodore Meynert ( ) Aberrant frontal and temporal complex network structure in schizophrenia: a graph theoretical analysis. J Neurosci Nov 24;30(47): van den Heuvel MP, Mandl RC, Stam CJ, Kahn RS, Hulshoff Pol HE our findings suggest that schizophrenia patients have a less strongly globally integrated structural brain network with a reduced central role for key frontal hubs, resulting in a limited structural capacity to integrate information across brain regions Yu Q, Sui J, Rachakonda S, He H, Pearlson G, Calhoun VD. Altered small-world brain networks in temporal lobe in patients with schizophrenia performing an auditory oddball task. Front Syst Neurosci Feb 8;5:7. Pettersson-Yeo W, Allen P, Benetti S, McGuire P, Mechelli A. Dysconnectivity in schizophrenia: Where are we now? Neurosci Biobehav Rev Apr;35(5): Review Guye M, Bettus G, Bartolomei F, Cozzone PJ. Theoretical analysis of structural and functional connectivity MRI in normal and pathological brain networks. MAGMA Dec;23(5-6): Epub 2010 Mar 27.Graph Bassett DS, Bullmore E, Verchinski BA, Mattay VS, Weinberger DR, Meyer-Lindenberg A. Hierarchical organization of human cortical networks in health and schizophrenia. J Neurosci Sep 10;28(37): Bodnar M, Harvey PO, Malla AK, Joober R, Lepage M. The parahippocampal gyrus as a neural marker of early remission in first-episode psychosis: a voxel-based morphometry study. Clin Schizophr Relat Psychoses Jan;4(4): Jones MW. Errant ensembles: dysfunctional neuronal network dynamics in schizophrenia. Biochem Soc Trans Apr;38(2): Review Psychosis Disconnection Syndrome

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32 Giulio Tononi Order Randomness Complexity Neural Complexity Disconnection dynamics Over-connection dynamics 32

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40 Hopfield type architecture

41 Formulate brain dynamics as a physical state-space dynamic system

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44 Psychological Event Computational Psychiatry Biological Biological Event

45 Computational Psychiatry Biological Explanatory Power

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48 Cs connectivity segregation
All of the various brain disturbances are mapped onto a 9 axis profile “the Clinical Brain Profile (CBP) Cs Ci Htd Hbu D O CF CF(b) DMN Clinical Brain Profiling (CBP) Cs connectivity segregation Optimal brain Disturbance to plasticity and Optimization Ci connectivity integration Htd Hierarchal top down shift Hbu Hierarchal Bottom-up insufficiency D De-optimization O Hyper- optimization CF Constrain Frustration CF(b) Constrain Bound Default Mode Network to connectivity

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51 Clinician User Integrated Brain Profiler
User report User report Sensors Extract Phenomenology EEG Brain Imaging Synchronize Clinician report

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59 tACS Transcranial Alternating Current Stimulation

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