David A S
Dept. of Psychological Medicine, King's College Hospital, London, England.
Schizophr Bull. 1994;20(2):249-55. doi: 10.1093/schbul/20.2.249.
Hoffman and McGlashan's introduction of the term neurodynamics prompts a neurocognitive account of schizophrenia along the same lines, called "dysmodularity." In cognitive terms dysmodularity describes an impairment in the function of specialized processors due to a breakdown in one of their prime attributes: informational encapsulation. In neural terms dysmodularity implies increased structural and functional connectivity, reduced anatomical specialization such as lateral asymmetries, and increased white matter in relation to gray. Reduced cortical pruning would be one mechanism for dysmodularity. This model is opposite to the excessive pruning model proposed by Hoffman and McGlashan, but we believe it is more firmly supported by the literature, including some articles in the same issue of Schizophrenia Bulletin (Vol. 19, No. 1, 1993).
霍夫曼和麦克格拉斯汉引入的术语“神经动力学”促使人们沿着同样的思路对精神分裂症进行神经认知解释,即“功能失调模式”。从认知角度来看,功能失调模式描述了由于专门处理器的一个主要属性(信息封装)出现故障而导致的功能受损。从神经学角度来看,功能失调模式意味着结构和功能连接性增加、解剖学专业化程度降低(如左右不对称性降低)以及白质相对于灰质增加。皮质修剪减少将是功能失调模式的一种机制。该模型与霍夫曼和麦克格拉斯汉提出的过度修剪模型相反,但我们认为它得到了文献的更有力支持,包括《精神分裂症通报》(第19卷,第1期,1993年)同一期的一些文章。