Transparent Eye

December 23, 2007

Misuse of pain patch

Filed under: Neuroscience, Pain, Uncategorized — Rick Heller @ 1:41 pm

US issues new warning on misuse of J&J pain patch | Reuters

Despite a July 2005 warning, the Food and Drug Administration “has continued to receive reports of deaths and life-threatening side effects after doctors have inappropriately prescribed the patch or patients have incorrectly used it,” the agency said.

The patch delivers a potent narcotic called fentanyl through the skin. The product was approved in 1990 for patients with persistent, moderate-to-severe pain and whose bodies are used to opioids. That means they have used another strong opioid pain medicine around the clock for a week or longer.

December 14, 2007

Neuropolitical Consulting

Filed under: Neuroscience — Rick Heller @ 10:50 am

It aims to get at people’s unconscious views

EmSense was founded in California in 2004 by students from the Massachusetts Institute of Technology to develop videogame controllers that could be operated by brain activity. It has since moved into market research, testing people’s subconscious reactions to video games and TV commercials. Earlier this year the company began running studies on presidential debates and presidential campaign ads in a bid to expand into politics.

Last Sunday at a San Francisco hotel ballroom, EmSense researchers fitted five volunteers, all undecided Republicans, with battery-powered headsets made of elastic and lined with bits of copper. As they watched the debate on a big screen, the wireless units, which the company calls “EmGear,” collected data on their skin temperature, heart rate, eye-blinking and brain activity and beamed them to a bank of computers. The data were run through a formula created by EmSense to identify whether a response was positive or negative.

December 11, 2007

Neurology of Belief

Filed under: Neuroscience — Rick Heller @ 10:34 am

Congratulations to Sam Harris on what may be his first professional publication as a neuroscientist, Functional neuroimaging of belief, disbelief, and uncertainty, in Annals of Neurology. The link requires authenticate, and may only work if you access it from, say, inside a university library.

(UPDATE: A reader has provided a link to a page on Sam Harris’ Web site where you can click on the pdf link, and it does not require authentication.)

Here are the results of Harris, the first author, and his co-authors, which touch on the part of the brain I’m most interested in, the anterior cingulate cortex, which is responsible for error detection and the unpleasantness of pain.

The states of belief, disbelief, and uncertainty differentially activated distinct regions of the prefrontal and parietal cortices, as well as the basal ganglia.

Belief and disbelief differ from uncertainty in that both provide information that can subsequently inform behavior and emotion. The mechanism underlying this difference appears to involve the anterior cingulate cortex and the caudate. Although many areas of higher cognition are likely involved in assessing the truth-value of linguistic propositions, the final acceptance of a statement as true or its rejection as false appears to rely on more primitive, hedonic processing in the medial prefrontal cortex and the anterior insula. Truth may be beauty, and beauty truth, in more than a metaphorical sense, and false propositions may actually disgust us.

These results seem consistent, and no doubt extend, the findings of Antonio Damasio on how emotions constrain decision-making.

Update: Time Magazine has a good take of Harris’ results.

June 27, 2007

Drew Westen's The Political Brain

Filed under: Neuroscience — Rick Heller @ 10:10 pm

I came across Drew Westen’s The Political Brain at Barnes and Noble today. I’m going to request it at my library. This review seems pretty solid, and quotes a point about Democrats that could also apply to Humanists.

They do so, I believe, because of an irrational emotional commitment to rationality–one that renders them, ironically, impervious to both scientific evidence on how the political mind and brain work and to an accurate diagnosis of why their campaigns repeatedly fail.

Westen refers to Damasio’s work about the limits of rationality, and how all of us use emotion to frame the narrow window within which we think rationally.

March 28, 2007

My Article In Free Inquiry Magazine

Filed under: Humanist, Neuroscience, Pain — Rick Heller @ 1:18 pm

My article, A Painful Reality, has finally come out in the April 2007 issue of Free Inquiry magazine. The text of the article, however, is not available online.

Basically, I argue that religion functions as a form of emotional placebo. I cite studies on the neuroscience of the placebo effect that show placebo-induced beliefs modulate activity in the anterior cingulate cortex that are the neural correlates of the unpleasantness of pain. I cite further studies showing that the unpleasantness of emotional pain correlates to the same brain area as the unpleasantness of physical pain. While no one has performed a study using a pill that is an “emotional placebo” (how would you convince a subject it works?) there is reason to conclude that belief can modulate the unpleasantness of emotional as well as physical pain.

The Free Inquiry article does not contain footnotes, so here as the papers I referenced:

Eisenberger N., Lieberman M., Williams K., Does rejection hurt? An FMRI study of social exclusion., Science. 2003 Oct 10;302(5643):290-2.

Hoffman G., Harrington A., Fields H., Pain and the placebo: what we have learned., Perspect Biol Med. 2005 Spring;48(2):248-65.

Hrobjartsson, Asbjorn and Peter C. Gotzsche, Is the Placebo Powerless?— An Analysis of Clinical Trials Comparing Placebo with No Treatment, N Engl J Volume 344:1594-1602 May 24, 2001 Number 21

Lieberman M., Jarcho J., Berman S., Naliboff B., Suyenobu B., Mandelkern M., Mayer E., The neural correlates of placebo effects: a disruption account., Neuroimage. 2004 May;22(1):447-55.

Matre D, Casey KL, Knardahl S., Placebo-induced changes in spinal cord pain processing., J Neurosci. 2006 Jan 11;26(2):559-63.

Singer T., Seymour B., O’Doherty J., Kaube H., Dolan R., Frith C., Empathy for pain involves the affective but not sensory components of pain., Science. 2004 Feb 20;303(5661):1157-62.

Zubieta J., Bueller J., Jackson L., Scott D., Xu Y., Koeppe R., Nichols T., Stohler C., Placebo effects mediated by endogenous opioid activity on mu-opioid receptors., J Neurosci. 2005 Aug 24;25(34):7754-62.

December 24, 2006

Empathy a vicarious reponse to pain

Filed under: Neuroscience, Pain — admin @ 3:46 pm

  

Vicarious responses to pain in anterior cingulate cortex: is empathy a multisensory issue?

School of Psychology, University of Wales, Bangor, Wales. pspc46@bangor.ac.uk

Results obtained with functional magnetic resonance imaging show that both feeling a moderately painful pinprick stimulus to the fingertips and witnessing another person’s hand undergo similar stimulation are associated with common activity in a pain-related area in the right dorsal anterior cingulate cortex (ACC). Common activity in response to noxious tactile and visual stimulation was restricted to the right inferior Brodmann’s area 24b. These results suggest a shared neural substrate for felt and seen pain for aversive ecological events happening to strangers and in the absence of overt symbolic cues. In contrast to ACC 24b, the primary somatosensory cortex showed significant activations in response to both noxious and innocuous tactile, but not visual, stimuli. The different response patterns in the two areas are consistent with the ACC’s role in coding the motivational-affective dimension of pain, which is associated with the preparation of behavioral responses to aversive events.

Only this abstract is available

December 23, 2006

Pain Is Mediated By Cognitive Factors

Filed under: Neuroscience, Pain — admin @ 10:23 pm

Central Neural Mechanisms that Interrelate Sensory and Affective Dimensions of Pain (2002) Donald D. Price, University of Florida, Gainesville

(pdf)

Heavy going. Key points more me: Price finds that the the insular cortex and the posterior parietal complex have a role in evaluating sensory pain, estimating the threat, and stimulating the affective component in the anterior cingulate cortex. Context and memory play a role in this evaluation.

Posterior parietal cortical areas that integrate somatosensory input with other sensory modalities and with learning and memory project to the same cortical and subcortical limbic structures (ACC, IC, and amygdala) that receive direct input from spinal pain pathways (2, 32, 47, 48). Convergence at the level of ACC would be consistent with a mechanism in which somatic
perceptual and cognitive features of pain would be integrated with
attentional and rudimentary emotion mechanisms.

But the prefrontal cortex is involved too, in a feedback loop.

Pain unpleasantness endured over time engages prefrontal cortical areas involved in reflection and rumination over the future implications of a persistent pain condition. The ACC may serve this function by coordinating somatosensory features of pain with prefrontal cerebral mechanisms involved in attaching significance and long term implications to pain, a function associated with secondary-pain affect.

Price sees this secondary-pain affect as distinct from the immediate sense of unpleasantness. But he doesn’t say where it takes place. I’m inclined to think it’s looping back to the ACC

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