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[基于立体定向精神外科手术结果的一种关于思维的生理学概念的提议]

[Proposal for a physiologic concept of thought based on the results of stereotaxic psychosurgery].

作者信息

Nádvorník P, Pogády J, Bernadic M

机构信息

Neurochirurgická klinika FN, Brno-Bohunice.

出版信息

Cesk Fysiol. 2003 May;52(2):79-82.

Abstract

Authors have fifty years long experience with psychostereotactic surgery. On the bases of 209 operations of different types of mentally ill patients, authors built their own physiological conception of the central nervous system function. The new conception is described using block operators of thinking at the level of hypothalamus, limbic system, and neocortex in the hierarchic order. The basic physiological hypothalamic block contains two operators: stimulus evaluation and decision to act. Both operators together form reasonable, objective substantiation of thinking, which is transformed into psychological, subjective description at higher cerebral levels. New operator is added to the block diagram at the level of the limbic system: the choice of response base on experience stored in the high capacity memory. Vast neocortical memory creates a model of the individual world and it enables a new operator to be involved: prediction of the future events. Thinking, originally based on concrete images, is using abstract terms, subjected to the principles of grammar. Physiological basis of thinking enables the convergence of subjective and objective.

摘要

作者在精神立体定向手术方面拥有长达五十年的经验。基于对209例不同类型精神病患者的手术,作者构建了自己关于中枢神经系统功能的生理学概念。新的概念是按照层次顺序,通过下丘脑、边缘系统和新皮质层面的思维块算子来描述的。基本的下丘脑生理块包含两个算子:刺激评估和行动决策。这两个算子共同构成了思维的合理、客观依据,在大脑更高层面转化为心理上的主观描述。在边缘系统层面的框图中增加了一个新算子:基于大容量记忆中存储的经验进行反应选择。庞大的新皮质记忆创建了个体世界的模型,并使得一个新算子得以加入:对未来事件的预测。原本基于具体形象的思维开始使用抽象术语,并遵循语法规则。思维的生理基础使得主观与客观得以融合。

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