Modems and White Matter

Yesterday my connection to the Internet decided to stop working. I tried restarting the cable modem, the wireless router, and other attached devices. That didn’t fix the problem. That’s usually a good first step though. I saw that the internet connectivity light was lit on the modem but the PC/Activity light was not lit. That told me that maybe the router was bad. I tried plugging my computer directly into the modem via ethernet and my computer did not recognize that a cable was plugged in. I had discovered what was wrong. While it hadn’t taken me long to figure out the problem, I did what many people do and look for solutions in the hardware first rather than in the connections. That’s not necessarily wrong, cables are more hardy than electronic components, but it did reveal my biases. So what was the problem?

The components were all okay – modem, router – but the connections were not. Wiring was the problem. Being interested in the brain, I immediately knew this would make  great brain analogy.

When someone’s cognitive functioning changes, one of the first things clinicians usually jump to is which part of the cortical or subcortical gray matter went bad, so to speak. While those components can and do go bad, we often overlook, just as I did at first, the connections. In my case, the ethernet cable had gone bad. There are many times when what’s affected in the brain are not the components but rather, the wiring – the axons. White matter might be just as important or even more important than the gray matter for cognition, even if its contribution might be more subtle. Much of my current research revolves around this idea.

So the moral of the story is that when things are not working correctly, the wiring might be the culprit.

How did my ethernet cable get damaged? Maybe it just stopped working spontaneously but it also had experienced a bit of acute stress earlier in the day (the modem fell off its stand). Something might have happened to the cable during this time. The white matter of our brain can similarly be affected by traumatic injury, nontraumatic injury (anoxia, hypoxia, etc.), stroke, or a long history of cerebrovascular problems. Just as we can take care of our electronic equipment (by not dropping it or knocking it off its home or stepping on it or whatever else we can do to our technology), we can take care of our white matter by avoiding similar injuries.

Exercise, weight control, managing diabetes, managing blood pressure, and managing cholesterol, can all help protect white matter from going bad and disconnecting different brain areas. We can’t connect to the Internet if our wiring is bad.

Can We Cure Parkinson’s Disease?

The National Parkinson’s Foundation produced a series of brief videos providing overviews of Parkinson’s disease related topics by prominent clinicians and researchers in the field of Parkinson’s disease. In one video, we are provided with an overview of the questions of whether or not we can cure Parkinson’s disease and how do we treat Parkinson’s disease.

The short answer is: no, we cannot right now cure Parkinson’s disease. We have hopes that stem cell therapies will work but there are a number of issues related to stem cells that make them potentially problematic (e.g., how do we make sure they don’t turn into cancers).

We can, however, treat symptoms of Parkinson’s disease with drug, physical, and cognitive therapies. L-dopa is effective at reducing tremors in most people and well as increasing rate and speed of movement. In some cases, deep brain stimulation is warranted. It has shown to be quite effective for many people. But for now we cannot cure Parkinson’s disease.

Common Misconceptions about Parkinson’s Disease

This brief video provides an overview of some of the common misconceptions about Parkinson’s disease, including causes, course, and outcome. For example, a single head injury will not cause Parkinson’s disease, at least there is no scientific evidence of it occurring. However, repeated head injuries might result in someone who is predisposed to Parkinson’s appear with symptoms earlier than they otherwise would be. This is the same with any environmental factors, such as pesticides or heavy metals (researchers have not shown a solid link between environmental hazards and Parkinson’s disease).

Watch this brief video for a few other misconceptions about Parkinson’s disease.

Buying a New Car

As a follow-up to my previous post about some of the psychological techniques used by car salespeople, here is a good and brief introduction to purchasing a new car. Much of it stems from keeping your options open and never allowing yourself to feel pressured into buying a car. This is something I try and drive home to people in therapy or in any other interactions I have with them – keep the control in you life within yourself. Do not allow other people or circumstances to control your life. You have the power and choice to act for yourself. Yes, other people and circumstances influence all of us but only we have the ability to choose how we act.

In a sales situation, the buyer always has the power because the buyer can walk away at any time (barring a forced situation such as in slavery or when violence is threatened or in other such circumstances but I’m not writing about those at this time). Here is a good intro into buying a car. Warning: there is a brief instance of bad language in the video.

Donate to Brain Research

The American Academy of Neurology (AAN) has a site where you can donate to help fund brain research. All overhead for the donations are covered by AAN so all of your donated money will go directly to fund research into neurologic disorders. If you or a loved one suffer from a brain disorder or disease, this is a great way to potentially help others with neurologic disorders.

The minimum donation is $5.

Note: I am not affiliated with AAN or the donation site; I just think it is a great cause.

Superhero Photo-therapy?

Eugene at My Modern Met has a post about a 91 year old woman who was depressed until her photographer grandson got her to agree to model for a series of “outrageous” superhero photographs.

Copyright Sacha Goldberger: sachabada.com

You can also check her out on Myspace.

What do you think? Is this the next wave of psychotherapy?

Art of Neuroimaging

Check out more images on my neuroimaging site.

Carl Rogers’ Therapy

Here’s an old but good video of Carl Rogers giving an explanation of his Person Centered Therapeutic approach.

Here is the second part of the video where you can see Rogerian therapy in action:

Notice how Person Centered Therapy is non-directive. This means that the therapist does not provide answers for a client, the therapist helps clients work towards their own answers while being as supportive and reflective as possible.

There are more parts to the video, which can be found on YouTube.

What Motivates Us?

Motivation is an area that many researchers study: psychologists, marketers, economists, sociologists, anthropologists, and just about any other field within the social sciences. Anything can motivate us – food, sex, sleep, rewards, pain – but what motivates us to perform better at work or in anything we do? This is the question addressed in the following video clip. This is one of the best introductions to motivation (especially as it applies to a business setting) that I’ve seen.

Aging and Role Loss

One of the prominent theories in social aging is role theory. Role theorists have shown that feeling in control of life and having social power and prestige is associated with better health (Krause et al., 1992). One of the major components of role theory is role loss. This occurs usually as people age; they start losing roles as active parents, employees, and spouses. This often leads to feelings of loss of control over life. In addition, older people generally have less contact with others which in turn causes their social networks to shrink. This leads to poorer health (Moen, Dempster-McClain, & Williams, 1992).

Image by Daniel2005: http://www.flickr.com/photos/loshak/

As people age they tend to lose social roles—whether as parents, employees, or spouses. This loss of roles can lead to social isolationism due to the decreased amount of social interaction. Research shows “that perceived social isolation [assuming that socially isolated people have few roles] is associated with a variety of altered physiological functions, such as blood pressure regulation…and immune reactions. A causal link in these relations was suggested…” (Berntson & Cacioppo, 2000, p. 9). Researchers also theorize the loss of roles as leading to loss of feelings of control and depressive symptoms, which are both components of overall well-being (Krause et al., 1992).

Van Willigen (2000) explains loss of control as composed of five different concepts: “powerlessness, isolation, self-estrangement, meaninglessness, and normlessness” (p. S309). She also explained that when people feel that they have power over their lives and are not socially isolated they generally have a greater psychosocial well-being. Consequently, when people do not feel in control of their lives and are isolated, they tend to have lower life satisfaction and well-being. These factors are in turn correlated with lower health and longevity (Hunter & Linn, 1981; Musick et al., 1999).

Rook and Sorkin (2003) posit a slightly different reason why role loss has negative consequences on older adults. They state:

For many older adults…dual ‘receiving and giving’ functions are readily available in their close relationships with other people…. For others, however, opportunities to express one or both functions may be missing. Widowhood, retirement, and other social role losses that affect the elderly may limit opportunities for maintaining and developing close relationships that involve reciprocal exchanges of support (p. 314).

They view roles as tied to reciprocal relationships and so without those roles they do not have others from which to benefit. While there is variation in explanations why role loss leads to poorer health, I did not address that with this post. I simply wanted to introduce one part of a social theory of aging.

References

Berntson, G. G., & Cacioppo, J. T. (2000). Psychobiology and social psychology: Past, present, and future. Personality and Social Psychology Review, 4, 3-15.

Hunter, K., & Linn, M. (1980-1981). Psychological differences between elderly volunteers and nonvolunteers. International Journal of Aging and Human Development, 12, 205-213.

Krause, N., Herzog, A. R., & Baker, E. (1992). Providing support to others and well-being in later life. Journal of Gerontology: Psychological Sciences, 47, P300–P311.

Moen, P., Dempster-McClain, D., & Williams, R. M. (1992). Successful aging: A life-course perspective on women’s multiple roles and health. The American Journal of Sociology, 97, 1612–1638.

Musick, M. A., Herzog, A. R., & House, J. S. (1999). Volunteering and mortality among older adults: Findings from a national sample. Journal of Gerontology: Social Sciences, 54B, S173–S180.

Rook, K. S., & Sorkin, D. H. (2003). Fostering social ties through a volunteer role: Implications for older-adults’ psychological health. International Journal of Aging and Human Development, 54, 313-337.

Van Willigen, M. (2000). Differential benefits of volunteering across the life course. Journal of Gerontology: Social Sciences, 55B, S308–S318.