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From Gellhorn to Edelman
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From Gellhorn to Edelman

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  • 1. Neurophysiology and Clinical Applications: from Gellhorn to Edelman Jerome Liss, M.D.
  • 2. The Brain: Cortical Conscious Experiences and Subcortical Non-Conscious Process CORTEX  Conscious Experience SUBCORTEX  Non-Conscious Process Interaction
  • 3. Action (Energy Spending) Symapathetic Parasymapathetic Rest (Energy Regaining) The Energy Curve
  • 4. “Sympathetic” Anger and “Parasympathetic” Vulnerability RAGE ANGER PROTEST FRUSTRATION HURT SADNESS SHAKING FEAR SHAME JUMPING JOY MELTING JOY
  • 5. Sympathetic-Parasympathetic Pathways Troughtout the Whole Brain “Sympathetic and Parasympathetic” Frontal lobe (Right hemisphere) Lymbic System Hypothalamus Tagmentum Brain Stem
  • 6. AUTONOMIC NERVOUS SYSTEM “KNOTS” AND RESULTING SYMPTOMS: SYMPATHETIC DOMINANT SYMPTOMS agitated movements hypertension vulnerability to infection and tumors headaches chronic back pain PARASYMPATHETIC DOMINANT SYMPTOMS chronic passivity and depression obesity apathy social isolation lowered self-esteem SYMPATHETIC PARASYMPATHETIC
  • 7. Motor Neuron Pathways to Organize Our Attention MOTOR AREA CORTEX FACIAL MUSCLES AND SPINAL CORD BASAL GANGLIA THALAMUS ATTENTION
  • 8. The Activation of the Motor System Creates “Arousal” MOTOR AREA CORTEX FACIAL MUSCLES AND SPINAL CORD BASAL GANGLIA AROUSAL (to various upper brain areas) LOWER BRAIN NUCLEI
  • 9. Action Arouses the Brain and Organize Attention Motor System Basal Ganglia Thalamus Lower Brain Nuclei Cortex General Brain Arousal
  • 10. Attention Overwhelmed by Emotion or “Contained” by Action CORTEX FRONTAL LOBE EMOTIONAL SYSTEM DOMINANCE LIMBIC SYSTEM (EMOTIONS) MOTOR SYSTEM BASAL GANGLIA THALAMUS MOTOR SYSTEM DOMINANCE
  • 11. LOW EMOTIONAL STRESS: COMPLEX ATTENTION NORMAL COMPLEX ATTENTION LATERAL DISCRETE THALAMIC NUCLEI (3) (2) (1) FRONTAL LOBE EMOTIONS THALAMUS LIMBIC SYSTEM CORTICAL AREAS INTERACT AND BECOME INTEGRATED CORTEX
  • 12. HIGH EMOTIONAL STRESS: SIMPLIFIED ATTENTION HIGH VIGILANCE SIMPLIFIED NON- INTEGRATED ATTENTION MID-LINE DIFFUSE THALAMIC NUCLE (3) (2) (1) FRONTAL LOBE HIGH EMOTIONAL CHARGE THALAMUS LIMBIC SYSTEM CORTICAL AREAS INTERACT AND BECOME INTEGRATED CORTEX HIGH STRESS
  • 13. From “Intentional Action” to “Habit” MOTOR AREA CORTEX HABITS and ROUTINES BASAL GANGLIA CEREBELLUM ACTION FRONTAL LOBE (“Intentional Action”)
  • 14. TRAUMATIC EXPERIENCE BROCA’S AREA LIMBIC SYSTEM (EMOTION) (LANGUAGE) DECREASED LANGUAGE INCREASED EMOTIONS