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Archive for July, 2007

Rhythms in the Brain

By Dr. Richard G. Petty, M.D. | July 28th, 2007

It is often a bit frustrating to read articles about the brain in which the writer says things like: “research has shown that the insula does this…” or “the amygdala does that…”

This idea that it is possible to reduce brain functions to regions of the brain is not correct. Some years ago I used the term “Neo-phrenology,” to describe this fallacy, though I am sure that I was not the first. (Phrenology was the old and discredited theory that you tell things about people by examining the bumps on their heads.)

So why is it a fallacy? The idea that certain functions can be “localized” to a bit of the brain is called “naïve localizationism.” The vast majority of the psychological functions of the brain are performed by distributed networks, not a single lump of tissue. One of the remarkable things about the human brain is that it can recruit new circuits as they are need. If we do not have enough brainpower to solve a problem, other systems are taken off line so that they do not distract and may be able to help. You have probably had the experience of working on something so intensely that you lose track of time, and fail to hear things going on around you.

Yes, there are regions that have jobs to do. For instance the auditory cortex is responsible for processing sound. But after that initial processing the rest of the brain becomes involved in deciding what to do with the information. The key to understanding the brain is how different regions of the brain communicate. As I recently mentioned in a different context, there are good reasons for believing that a number of problems, from the schizophrenias to the attention deficit disorders, may all be a result of poor communication between different regions of the brain.

Part of the problem is working out how regions communicate has been technical: we have not had the computers or hardware to do the measurements. But that is beginning to change.

Earl Miller, a professor of neuroscience at Massachusetts Institute of Technology’s Picower Institute for Learning and Memory, recently said that today’s faster computers and more advanced electronics might provide scientists with the tools they need to unlock the brain’s mysteries.

“Multiple electrode recording techniques, offer a whole new level of brain interactions that can’t be seen using the [current] piecemeal approach.”

Two studies published recently in th journal Science support this idea.

In the first Thilo Womelsdorf and a group of neuroscientists at the F. C. Donders Center for Cognitive Neuroimaging at Radboud University Nijmegen in the Netherlands, looked at the electrical activities of groups of neurons in the brains of cats and monkeys wile they were engaged in an array of different tasks. They found that two groups of neurons could only communicate efficiently with each other when their rhythms are coordinated, or synchronized. If the rhythms are not coordinated, then one group sends information while the other is not ready to take it on and vice versa.

The researchers found that when the rhythms of electrical activity are synchronized between neurons in distinct brain areas, memories are made and tasks are completed more efficiently.

The other study, by scientists at the University of Melbourne in Australia, also revealed communication between the cerebral cortex and the deep medial temporal region.

They flashed two images at a group of macaque monkeys for less than a second. The monkeys had to decide whether the spatial orientation of a stack of bars in two images were the same or different. While the animals worked, researchers monitored the electrical fields in the posterior parietal cortex, which is one part of the system involved in directing spatial attention. At the same time they looked at the medial temporal area, a region deep in the midbrain that handles movement perception. The researchers had hypothesized that these two areas need to communicate with one another to enable reasoning.

The researchers observed activity first in the parietal cortex, followed by synchronous action there and in the medial temporal area. The delay illustrates “a top-down” feedback from the cortex, which then signals the lower area.

One of the authors, Trichur Vidyasagar, said,

“The parietal neurons seem to code for what is salient or relevant in the world and allocate attentional resources accordingly. The medial temporal neurons are sensory ones that process the visual signals, but due to the influence of the parietal cortex the activity across the medial temporal area is varied.”


The studies were accompanied by an editorial in which Robert Knight, a cognitive neuroscientist at the University of California, Berkeley, praised the findings - and their potential significance.

This research is important for two reasons:
First it confirms that the key to understanding the brain is the interaction of networks.

Second, there are a number of periodic disorders, such as depression, seasonal affective disorder, mania and even some rare types of episodic psychosis that are episodic and are not associated with any clearly defined neuroanatomical disruption. It may well be that some of the periodic symptoms are caused by intermittent network dysfunction, as a result of disturbed oscillatory dynamics.

“In all things there is a law of cycles.”
–Publius Cornelius Tacitus (Roman Historian, Writer, Orator and Public Official, A.D.56-c.120)

“Human beings, vegetables or cosmic dust, we all dance to the same mysterious tune, intoned in the distance by an invisible player.”
–Albert Einstein (German-born American Physicist and, in 1921, Winner of the Nobel Prize in Physics, 1879-1955)

“It has been said that a complete understanding of the Law of Cycles would bring man to a high degree of initiation. This Law of Periodicity underlies all the processes of nature and its study would lead a man out of the world of objective effects into that of subjective causes.”
–Alice A. Bailey (English Writer, Spiritual Teacher and Founder of the Arcane School, 1880-1949)

“At the heart of each of us, whatever our imperfections, there exists a silent pulse of perfect rhythm, a complex of wave forms and resonances, which is absolutely individual and unique, and yet connects us to everything in the universe. The act of getting in touch with this pulse can transform our personal experience and in some way alter the world around us.”
–George Leonard (American Aikidoist and Writer, 1923-)

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Ear Acupuncture and Knee Surgery

By Dr. Richard G. Petty, M.D. | July 27th, 2007

There is growing interest, particularly in Europe, about the use of acupuncture and acupressure in combination with conventional Western Medicine.

Researchers from Ernst Moritz Arndt University in Greifswald in Germany have reported the results of a study to see whether acupuncture would help 120 people undergoing surgery of the knee.

Their main measurement was the patients’ need for postoperative pain medication.

The patients were randomly received true auricular (ear) acupuncture at the main points that Chinese medicine says are important in treatment: the Lung, Shenmen and Knee points.

The control group had a sham procedure: they were “treated” at three non-acupuncture points on the outside of the ear: the auricular helix. The “real” and the “sham” treatments were given on the ear on the same side as the knee, before ambulatory knee arthroscopy. Permanent press needles were left in place for one day after surgery and post-operative pain was treated with ibuprofen. Pain intensity was similar in both groups at all time points, but those in the acupuncture group required significantly less post-operative ibuprofen than controls.

This fits with clinical experience and is a good first study.

Not only may this provide personal benefit for the patients, but if acupuncture can reduce post-operative costs, you can be sure that insurance companies are going to get very interested very quickly.

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Fibromyalgia is Real! A Battle That Should Not Have To Be Fought Again

By Dr. Richard G. Petty, M.D. | July 26th, 2007

Fibromyalgia is a chronic, widespread pain in muscles and soft tissues accompanied by fatigue, it is a fairly common condition, affecting 3% to 6% of the general population, and is most commonly diagnosed in people between the ages of 20 and 50, though onset can occur in
childhood. The disease is not life-threatening, though the degree of
symptoms may vary greatly from day to day with periods of flares
(severe worsening of symptoms) or remission. The syndrome is generally
perceived as non-progressive, yet that issue is still a matter of debate.

The cardinal symptoms of fibromyalgia are chronic, widespread pain and
tenderness to light touch together with moderate to severe fatigue.
Those affected may also experience heightened sensitivity of the skin (”allodynia“),
tingling of the skin that is often needle-like, a deep ache in the muscle and , less often, the tendons, prolonged muscle spasms, weakness in the limbs, and nerve pain.
Chronic sleep disturbances are also characteristic of fibromyalgia, and
some studies suggest that these sleep disturbances are the result of a
sleep disorder called alpha-delta sleep , a condition in which
deep sleep (associated with delta EEG waves) is frequently interrupted
by bursts of brain activity similar to wakefulness (i.e. alpha waves).
Deeper stages of sleep (stages 3 & 4) are often dramatically
reduced, and that is the likely cause of the cognitive problems that so often accompany fibromyalgia.

There is not any structural damage in an organ, though it may sometimes start after trauma, such as a motor vehicle accident.

It is that last fact, that there is s often no obvious physical pathology, that has lead so many people to claim that fibromyalgia is “nothing more than” pain associated with depression. I have has some interesting “discussions” with health care professionals convinced that people wit fibromyalgia do not have a “real” illness, and that they need psychotherapy or antidepressants. Yet pain is pain, and the false dichotomy: “Is the pain my mind or in my body?” helps nobody.

Twenty-five years ago, Muhammad B. Yunus and his collaborators published the first controlled study of the clinical characteristics of fibromyalgia syndrome. That seminal article, published in Seminars in Arthritis and Rheumatism, led directly to formal recognition of this disease by the medical community. Last month, again in Seminars in Arthritis and Rheumatism, Muhammed makes another enormous contribution to the field of chronic pain and fatigue by meticulously synthesizing and interpreting the extensive body of scientific literature on fibromyalgia and his own insights into the concept of central sensitivity syndromes (CSS) that include irritable bowel syndrome, migraine and restless legs syndrome.

In fact there are at least 13 separate conditions that are related to central sensitization (CS), where the central nervous system becomes extremely sensitized with respect to certain parts of the body, so that even mild pressure or touch would cause much pain. This hypersensitivity may also be associated with other symptoms such as poor sleep and fatigue.

Muhammed took a rather more biological approach to fibromyalgia in the past, now emphasizes a biopsychosocial perspective:

“In my view, this is tremendously important because it is the only way to synthesize the disparate contributions of such variables as genes and adverse childhood experiences, life stress and distress, posttraumatic stress disorder, mood disorders, self-efficacy for pain control, catastrophizing, coping style, and social support into the evolving picture of central nervous system dysfunction vis-à-vis chronic pain and fatigue. Science and medicine now have rational scaffolding for understanding and treating chronic pain syndromes previously considered to be ‘functional’ or ‘unexplained.’ Neuroscience research will continue to reveal the mechanisms of CS, but only if informed through a biopsychosocial perspective and with the interdisciplinary collaboration of basic scientists, psychologists, sociologists, epidemiologists, and clinicians.”


One of the reasons that I so like this new version of his model is because it fits so well with the concept of “Salience Disruption Syndrome.” A fancy name for a common problem that I talk about in Healing, Meaning and Purpose.

So very many people are super-sensitive to the environment and also have trouble in filtering out and deciding what is important. As a result pain, attentional problems, impulse control disorders, addictions and several other things tend to cluster together.

Happily we now have an array of novel techniques for dealing with these problems, and I plan to put out more books and papers on ways in which we can help.

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Your Brain’s Inertial Navigation System

By Dr. Richard G. Petty, M.D. | July 25th, 2007


There are many mysteries about the human brain. One is the role of the cerebellum that lies at the back of your head right underneath the cerebral hemispheres. Most students believe that it is only involved in balance and motor coordination, but that does not make much sense: relative to the rest of the brain, humans have the largest cerebellum of any species apart form the dolphin. And there are good reasons for believing that it is involved in the coordination of emotional and social processes, as well as language.


We now learn that it may have yet another function. Colleagues from Washington University School of Medicine in St. Louis report that there is a sophisticated neural computer that is buried deep in the cerebellum, that performs inertial navigation calculations to calculate our precise movement through space.

These calculations are incredibly complex and involve the vestibular system in the inner ear that provides the primary source of input to the brain about the body’s movement and orientation in space. However, the vestibular sensors in the inner ear only give us information about the position of our head position. In addition the vestibular system’s detection of head acceleration cannot distinguish between the effect of movement and that of gravitational force.

Dora Angelaki and her team based their brain studies on the predictions of a theoretical mathematical model. The model proposed that the brain could calculate inertial motion by combining two things:
1. Rotational signals from the semicircular canal in the inner ear with
2. Gravity

Based on previous research, they concentrated their search for the brain’s inertial navigation system on particular types of neurons called Purkinje cells, in a region of the cerebellum known to receive signals from the vestibular system. This region is known as the posterior cerebellar vermis, a narrow, worm-like structure between the brain’s hemispheres. It has been known for two centuries that damage to the cerebellar vermis can produce bizarre neurological problems.

In their experiments, the researchers measured the electrical activity of these Purkinje cells in monkeys as the animals’ heads were maneuvered through a precise series of rotations and accelerations. After analyzing the electrical signals measured from the Purkinje cells during these movements, the researchers concluded that the specialized Purkinje cells were, as predicted, computing earth-referenced motion from head-centered vestibular information.

This is a remarkable finding: the cells are able to make complex deductions based on very little information.

Cells in the brain, particularly cells of the Purkinje type are designed to adapt and learn. So the finding gives yet more credence to the idea that balance, coordination and orientation in space are learnable skills. That will be the topic of another research project.

But for now, the evidence suggests that anything that helps you to practice these skills will likely pay dividends as you get older.

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Albert Ellis, R.I.P.

By Dr. Richard G. Petty, M.D. | July 24th, 2007

I just heard that Albert Ellis has passed away at the age of 93.

I think that most people who have ever done a psychology course will have heard of him. He was always controversial and upset a lot of people, particularly in regard to some of his early comments about religion and human sexuality, but he also made some important contributions to psychologyadn , was not afraid of changing is position if he thought tht he was wrong.

In 1955 he developed Rational Emotive Behavior Therapy, and he was considered by many to be the grandfather of cognitive-behavioral therapies.

In 1982 a professional survey of U.S. and Canadian
psychologists, declared that he was one of the most influential psychotherapists in history (Carl Rogers placed first in the survey; Sigmund Freud placed third). Ellis founded and was the president and president emeritus of the New York City-based Albert Ellis Institute. His 90th birthday party was attended by Bill Clinton and the Dalai Lama.

Here are a few of his quotations that I found in my library and database.

“Acceptance is not love. You love a person because he or she has lovable traits, but you accept everybody just because they’re alive and human.”

“As a result of my philosophy, I wasn’t even upset about Hitler. I was willing to go to war to knock him off, but I didn’t hate him. I hated what he was doing.”

“By not caring too much about what people think, I’m able to think for myself and propagate ideas which are very often unpopular. And I succeed.”

“Cognitive behavior therapy and rational emotive behavior therapy are much more popular with the public than they ever were.”

“For that again, is what all manner of religion essentially is: childish dependency.”

“Freud had a gene for inefficiency, and I think I have a gene for efficiency.”

“From the start, I always included philosophic techniques as well as experiential, emotional and behavioral techniques.”

“I eventually gave up being an analyst. You had to be too passive and not speak up.”

“I get people to truly accept themselves unconditionally, whether or not their therapist or anyone loves them.”

“I had a great many sex and love cases where people were absolutely devastated when somebody with whom they were compulsively in love didn’t love them back. They were killing themselves with anxiety and depression. “

“I had used eclectic therapy and behavior therapy on myself at the age of 19 to get over my fear of public speaking and of approaching young women in public.”

“I hope to die in the saddle seat.”

“I just had a client this week who came to me after 10 years of Freudian therapy. He’s in love with his analyst, and she is sort of in love with him.”

“I regret that I’ve been so busy with clinical work that I haven’t been able to spend much time on experiments and outcome studies.”

“I started to call myself a rational therapist in 1955; later I used the term rational emotive. Now I call myself a rational emotive behavior therapist.”

“I think it’s unfair, but they have the right as fallible, screwed-up humans to be unfair; that’s the human condition.”

“I think the future of psychotherapy and psychology is in the school system. We need to teach every child how to rarely seriously disturb himself or herself and how to overcome disturbance when it occurs.”

“I thought foolishly that Freudian psychoanalysis was deeper and more intensive than other, more directive forms of therapy, so I was trained in it and practiced it.”

“I would have liked having children to some degree, but frankly I haven’t got the time to take the kids to the goddamn ballgame.”

“I wrote several articles criticizing psychoanalysis, but the analysts weren’t listening to my objections. So I finally quit after practicing it for six years.”

“I’ll be 87 tomorrow. When I’m in New York, I see as many 70 or more clients per week.”

“I’m very happy. I like my work and the various aspects of it-going around the world, teaching the gospel according to St. Albert.”

“I’ve lived in sin with the executive director of our institute for 35 years. I was married twice briefly before that.”

“If I had been a member of the academic establishment, I could have done other experiments.”

“If something is irrational, that means it won’t work. It’s usually unrealistic.”

“In the old days we used to get more referrals, because people had insurance that paid for therapy. Now they belong to HMOs, and we can only be affiliated with a few HMOs.”

“Let’s suppose somebody abused you sexually. You still had a choice, though not a good one, about what to tell yourself about the abuse.”

“Many psychoanalysts refused to let me speak at their meetings. They were exceptionally vigorous because I had previously been an analyst and they were very angry at my flying the coop.”

“Most people would have given up when faced with all the criticism I’ve received over the years.”

“People could rationally decide that prolonged relationships take up too much time and effort and that they’d much rather do other kinds of things. But most people are afraid of rejection.”

“People don’t just get upset. They contribute to their upsetness.”

“People got insights into what was bothering them, but they hardly did a damn thing to change.”

“People have motives and thoughts of which they are unaware.”

“Rational beliefs bring us closer to getting good results in the real world.”

“Self-esteem is the greatest sickness known to man or woman because it’s conditional.”

“The art of love is largely the art of persistence.”

“The best years of your life are the ones in which you decide your problems are your own. You do not blame them on your mother, the ecology, or the president. You realize that you control your own destiny.”

“The psychotics, naturally, don’t think straight. Severe personality disorders take much longer to treat than people who are neurotic.”

“There are three musts that hold us back: I must do well. You must treat me well. And the world must be easy.”

“There’s no evidence whatsoever that men are more rational than women. Both sexes seem to be equally irrational.”

“We teach people that they upset themselves. We can’t change the past, so we change how people are thinking, feeling and behaving today.”

“We teach people to be flexible, scientific and logical in their thinking and therefore to be less prone to brainwashing by the therapist.”

“We’re a nonprofit organization, and it usually costs $100 an hour for individual therapy. Participating in a group costs $120 a month.”

“You largely constructed your depression. It wasn’t given to you. Therefore, you can deconstruct it.”

“I just got fed up. I was ready to blow up. This country is about enforcing our laws and if we don’t, we’ll have chaos worse than we already do.”

“The more sinful and guilty a person tends to feel, the less chance there is that he will be a happy, healthy, or law-abiding citizen. He will become a compulsive wrong-doer.”

“Tolerance is anathema to devout divinity-centered religionists."

“Anyway, devout religionists are frequently attracted to and bound to their piety largely because it presumably offers them holier-than-thouness and one-up-man-ship over non-religionists."

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