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人格障碍是大脑物理机能紊乱。

Personality disorders disturbances of the physical brain.

机构信息

Sha'ar Menashe Mental Health Center, Hadera, Israel.

出版信息

Med Hypotheses. 2012 Oct;79(4):487-92. doi: 10.1016/j.mehy.2012.06.031. Epub 2012 Jul 24.

Abstract

How can physical systems of the brain, explain a psychological phenomenon such as personality? Personality is an emergent property of the brain as such it requires interacting elements that generate a whole. Per definition a physical system is a compound whole made of interacting interdependent elements. The brain is composed of multiple levels of elements ranging from single neurons interconnected by axons dendrites and synapses, up to brain regions and neural network ensembles connected by multiple modalities, from direct physical pathways to synchronized functional connectivity. Today we know that the brain develops and wires according to the influences of its environment, this is called "experience dependent plasticity" and follows Hebbian-like algorithms. Such process "embeds" into the brain internal representations in the form of physical attractor configurations distributed within the brain neural-networks. Development entails formation of personal individual-specific network configurations found recently as resting-state networks or "default-mode networks." These internal configurations represent the outer world to us and determine the way we perceive it and react to it. In other words these internal configurations determine our personality styles. The internal representations continuously adapt to the changing worlds offering good adaptability and effective functionality in our changing environments. Personality disorders are reconceptualized in terms of altered disturbed mal-developed default-mode-networks, such that the internal representations are biased, limited, fixated and non-adaptive. In this context therapy of personality disorders can be reconceptualized as experience-depended plasticity therapy.

摘要

大脑的物理系统如何解释人格等心理现象?人格是大脑的突现属性,因此它需要生成整体的交互元素。根据定义,物理系统是由相互作用、相互依存的元素组成的复合整体。大脑由多个层次的元素组成,从相互连接的单个神经元,到由轴突、树突和突触连接的脑区,再到通过多种模态连接的神经网络集合,从直接的物理通路到同步的功能连接。今天我们知道,大脑根据环境的影响而发育和连接,这被称为“经验依赖性可塑性”,并遵循赫布式算法。这样的过程“嵌入”到大脑内部的物理吸引子配置中,这些配置以分布式的形式存在于大脑神经网络中。发展需要形成个人特有的网络配置,最近发现这些配置以静息态网络或“默认模式网络”的形式存在。这些内部配置代表了我们外部世界,并决定了我们感知和反应它的方式。换句话说,这些内部配置决定了我们的人格风格。内部表示不断适应变化的世界,在我们不断变化的环境中提供良好的适应性和有效的功能。人格障碍被重新概念化为默认模式网络改变、紊乱和发育不良,从而导致内部表示偏向、受限、固定和非适应性。在这种情况下,人格障碍的治疗可以被重新概念化为经验依赖性可塑性治疗。

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