大脑可塑性的关键时期:精神分析与神经科学围绕精神分裂症精神病理学展开对话的一个关键方面。

The critical periods of cerebral plasticity: A key aspect in a dialog between psychoanalysis and neuroscience centered on the psychopathology of schizophrenia.

作者信息

Tran The Jessica, Magistretti Pierre J, Ansermet Francois

机构信息

INSERM U1077 Neuropsychologie et Imagerie de la Mémoire Humaine, Caen, France.

Ecole Pratique des Hautes Etudes, Université Paris Sciences et Lettres, Paris, France.

出版信息

Front Mol Neurosci. 2022 Dec 14;15:1057539. doi: 10.3389/fnmol.2022.1057539. eCollection 2022.

Abstract

Through research into the molecular and cellular mechanisms that occur during critical periods, recent experimental neurobiological data have brought to light the importance of early childhood. These have demonstrated that childhood and early environmental stimuli play a part not only in our subjective construction, but also in brain development; thus, confirming Freud's intuition regarding the central role of childhood and early experiences of the environment in our psychological development and our subjective outcomes. "Critical periods" of cerebral development represent temporal windows that mark favorable, but also circumscribed, moments in developmental cerebral plasticity. They also vary between different cortical areas. There are, therefore, strictly defined temporal periods for learning language, music, etc., after which this learning becomes more difficult, or even impossible, to acquire. Now, research into these critical periods can be seen as having a significant part to play in the interdisciplinary dialog between psychoanalysis and neurosciences with regard to the role of early experiences in the etiology of some psychopathological conditions. Research into the cellular and molecular mechanisms controlling the onset and end of these critical periods, notably controlled by the maturation of parvalbumin-expressing basket cells, have brought to light the presence of anomalies in the maturation of these neurons in patients with schizophrenia. Starting from these findings we propose revisiting the psychoanalytic theories on the etiology of psychosis from an interdisciplinary perspective. Our study works from the observation, common to both psychoanalysis and neurosciences, that experience leaves a trace; be it a "psychic" or a "synaptic" trace. Thus, we develop a hypothesis for an "absence of trace" in psychosis; reexamining psychosis through the prism of the biological theory of critical periods in plasticity.

摘要

通过对关键期内发生的分子和细胞机制的研究,近期的实验神经生物学数据揭示了幼儿期的重要性。这些数据表明,童年和早期环境刺激不仅在我们的主观构建中发挥作用,也在大脑发育中发挥作用;从而证实了弗洛伊德关于童年和早期环境经历在我们心理发展和主观结果中核心作用的直觉。大脑发育的“关键期”代表着时间窗口,标志着发育性大脑可塑性中有利但也有限的时刻。它们在不同的皮质区域也有所不同。因此,学习语言、音乐等存在严格定义的时间段,在此之后这种学习会变得更加困难,甚至不可能习得。现在,对这些关键期的研究在精神分析与神经科学关于早期经历在某些精神病理状况病因学中的作用的跨学科对话中可被视为发挥着重要作用。对控制这些关键期开始和结束的细胞和分子机制的研究,特别是由表达小白蛋白的篮状细胞的成熟所控制的机制,揭示了精神分裂症患者中这些神经元成熟存在异常。基于这些发现,我们建议从跨学科角度重新审视关于精神病病因的精神分析理论。我们的研究基于精神分析和神经科学共有的观察结果,即经历会留下痕迹;无论是“心理”痕迹还是“突触”痕迹。因此,我们提出了一个关于精神病中“痕迹缺失”的假设;通过可塑性关键期生物学理论的棱镜重新审视精神病。

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