Summary of PSYCOLOQUY topic Frontal Cortex

Topic:
Title & AuthorAbstract
4(09) FRONTAL LOBE DYSFUNCTION IN MENTAL ILLNESS
Target Article by Abbruzzese et al. on Frontal-Cortex
Massimo Abbruzzese, Stefano Ferri, Laura Bellodi & Silvio Scarone
Psychiatric Branch
Department of Biomedical and Technological Sciences
University of Milan Medical School and IRCCS H S Raffaele
Milano, 20127 Italy

MACCIAF@IMIHSRA.bitnet
Abstract: Much converging evidence suggests that a specific role is played by the dorsolateral prefrontal cortex (DLPC) in schizophrenic disorders and by the orbitofrontal cortex (OFC) in obsessive-compulsive disorder (OCD). In this study, 25 schizophrenic and 25 OCD patients were evaluated with the Wisconsin Card Sorting Test and the Object Alternation Test, tests that are sensitive to DLPC and OFC damage, respectively. The patients were also given the Weigl Sorting Test and Word Fluency Test to assess global frontal functioning. The results point to a DLPC deficit in schizophrenia and an OFC lability in OCD and confirm that functional disorders of the central nervous system can be investigated using neuropsychological methods.

Keywords: cognitive disorder, dorsolateral prefrontal cortex, mental disorder, neuropsychology, obsessive-compulsive disorder, orbitofrontal cortex, psychosis, schizophrenia.

4(15) FRONTAL CORTEX, THE MIND, AND THE BODY
Commentary on Abbruzzeze et al. on Frontal-Cortex
E.J. Neafsey
Department of Cell Biology, Neurobiology & Anatomy
Loyola University Medical Center
2160 S. First Avenue
Maywood, IL 60153 USA

KEYWORDS: cognitive disorder, dorsolateral prefrontal cortex,
mental disorder, neuropsychology, obsessive-compulsive disorder,
orbitofrontal cortex, psychosis, schizophrenia.

eneafsey@lucpug.it.luc.edu
Abstract: The fundamental problem with attempting to understand frontal cortical function using the computer-inspired, functionalist models of contemporary cognitive science is that such models are by definition "disembodied." As a result, the brain as well as the mind tends to become disembodied, even "ghostly," in the traditional, dualistic, Cartesian fashion, (Ryle [1949/1984] notwithstanding). Far better are attempts rooted in the views of Hughlings Jackson, for whom the brain from "bottom to top" never lost its fundamental and basic bodily orientation. Human beings think and know in an inescapably and inherently bodily manner, even at the "highest levels" of the prefrontal cortex. As Gleick (1992) notes in his biography of Richard Feynman, the physicist legendary for his intuitive understanding of the abstract and unimaginable theories of quantum mechanics, "Those who watched Feynman in moments of intense concentration came away with a strong, even disturbing sense of the physicality of the process, as though his brain did not stop with the gray matter but extended through every muscle in his body."

Keywords: cognitive disorder, dorsolateral prefrontal cortex, mental disorder, neuropsychology, obsessive-compulsive disorder, orbitofrontal cortex, psychosis, schizophrenia.

4(32) DECOMPOSING THE CORPUS OF NEUROPSYCHOLOGICAL TESTS
Commentary on Abbruzzese et al. on Frontal-Cortex
L. Henderson & W. Dittrich
University of Hertfordshire
School of Health & Human Sciences, Psychology
Hatfield AL10 9B, England

Psyqwhd@vms3.herts.ac.uk W.H.Dittrich@cen.exeter.ac.uk
Abstract: This commentary has had two primary concerns: We have attempted to address the difficulties and possibilities of using cognitive tests to measure the underlying biological basis for mental disorders. In particular, we have argued that to understand and interpret test results in psychiatry appropriate models of cognitive brain operations on a process-analytic level rather than on a psychometric level are essential. We have also discussed particular results of Abbruzzese et al.'s study, pointing out alternative interpretations of their perseveration results and some preconditions for demonstrating a true double dissociation. Rather than proceeding from the assumption of a unitary disease entity, we prefer to view "schizophrenia" as heterogeneous in its neuropathological and cognitive processing substrates, reflected in Bleuler's term "the schizophrenias."

Keywords: cognitive disorder, dorsolateral prefrontal cortex, mental disorder, neuropsychology, obsessive-compulsive disorder, orbitofrontal cortex, psychosis, schizophrenia.

4(43) IS IT POSSIBLE TO STUDY BRAIN-MIND RELATIONSHIPS IN PSYCHIATRY?
Reply to Neafsey and Henderson & Dittrich on Frontal-Cortex
Silvio Scarone & Massimo Abbruzzese
Psychiatric Branch
University of Milan Medical School
and DSNP H S Raffaele
Via Prinetti 29, 20127 Milano Italy

gambino@imihsra.bitnet
Abstract: Neafsey organizes his discussion from an anatomical/functional point of view while Henderson & Dittrich's commentary deals mainly with the problem of the mutual relationships between functions and structures. We address each of their critcisms individually.

Keywords: cognitive disorder, dorsolateral prefrontal cortex, mental disorder, neuropsychology, obsessive-compulsive disorder, orbitofrontal cortex, psychosis, schizophrenia.