Torta R, Varetto A, Ravizza L
Istituto di Clinìca Psichiatrica, Università di Torino.
Minerva Psichiatr. 1990 Jan-Mar;31(1):21-6.
The human individual experiences his gestuality unaware, making it even more revelatory of his current state of mind. Certain actions represent innate behaviour, while others are discovered or assimilated during learning. The actions that signify the sending of any kind of message to another person, become "gestures". Laughter is an example of expressive behaviour and, as such, plays an important part in social interaction, insofar as it supplies signals that influence the response of other individuals. After a review of the philosophical and sociological interpretations inherent in laughing and smiling, the correlations between weeping, smiling and laughing are examined specifically from as ethological standpoint. The neurophysiological aspects whereby the crying, smiling and laughing mechanisms depend on a multifactorial control system, that implies the activation of limbic and frontal circuits, a motor cortex response and an activation of the autonomic response of the vegetative nervous system, correlated to the cortico-hypothalamic ways, are then examined. The pathological observations carried out in Man are identified with the study of psychomotor epilepsy in the context of "gelastic crises", cataleptic-gelolegic crises "and the pseudo-bulbar syndrome" with crying and spastic laughing. Finally, the possible therapeutic implications correlated with the laughing mechanism are discussed. In fact, the facial contractions, associated with the emotional experience connected with them, would appear to function as a standard brain signal. Interesting are the findings of changes in neuromediator and endorphin modifications implied in the neurophysiological smiling and laughing mechanism. A further basic element is the involvement of the autonomous system which can be correlated with the concept of the trophotropic response according to Hesse, with an increase in parasympathetic tone and reduction in sympathetic tone.
人类个体在无意识的情况下体验着自己的手势动作,这些动作更能揭示其当前的心理状态。某些动作代表着先天行为,而其他动作则是在学习过程中发现或习得的。那些表示向他人传递某种信息的动作就变成了“手势”。笑是一种表达行为的例子,因此在社交互动中起着重要作用,因为它提供了影响他人反应的信号。在回顾了笑和微笑所蕴含的哲学和社会学解释之后,从行为学角度专门研究了哭泣、微笑和大笑之间的关联。接着研究了神经生理学方面,即哭泣、微笑和大笑机制依赖于一个多因素控制系统,这意味着边缘系统和额叶回路的激活、运动皮层反应以及与皮质 - 下丘脑通路相关的自主神经系统自主反应的激活。在人类身上进行的病理学观察与在“痴笑性癫痫发作”“僵住 - 痴笑性发作”以及伴有哭泣和痉挛性大笑的“假性延髓综合征”背景下对精神运动性癫痫的研究相关。最后,讨论了与笑的机制相关的可能治疗意义。事实上,与它们相关的情感体验所伴随的面部收缩,似乎起到了标准脑信号的作用。神经生理学上微笑和大笑机制中所涉及的神经递质和内啡肽变化的研究结果很有趣。另一个基本要素是自主神经系统的参与,这可以与黑塞提出的营养性反应概念相关联,即副交感神经张力增加和交感神经张力降低。