Below is a link to the forthcoming BBS target article
Hallucinations in schizophrenia, sensory impairment
and brain disease: A unifying model
by
Ralf-Peter Behrendt and Claire Young
http://www.bbsonline.org/Preprints/Behrendt-01042003/Referees/
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Hallucinations in schizophrenia, sensory impairment
and brain disease: A unifying model
Ralf-Peter Behrendt and Claire Young
ABSTRACT: Based on recent insight into the thalamocortical system and its
role in perception and conscious experience, a unified pathophysiological
framework for hallucinations in neurological and psychiatric conditions is
proposed, which integrates previously unrelated neurobiological and
psychological findings. Gamma-frequency rhythms of discharge activity from
thalamic and cortical neurons are facilitated by cholinergic arousal and
resonate in networks of thalamocortical circuits, thereby transiently forming
assemblies of coherent gamma oscillations under constraints of afferent
sensory input and prefrontal attentional mechanisms. If perception is based
on synchronisation of intrinsic gamma activity in the thalamocortical system,
then sensory input to specific thalamic nuclei may merely play a constraining
role. Hallucinations can be regarded as underconstrained perceptions that
arise when the impact of sensory input on activation of thalamocortical
circuits and synchronisation of thalamocortical gamma activity is reduced. In
conditions that are accompanied by hallucinations, factors such as cortical
hyperexcitability, cortical attentional mechanisms, hyperarousal, increased
noise in specific thalamic nuclei and random sensory input to specific
thalamic nuclei may to a varying degree contribute to underconstrained
activation of thalamocortical circuits. The reticular thalamic nucleus plays
an important role in suppressing random activity of relay cells in specific
thalamic nuclei and its dysfunction may be implicated in the biological
vulnerability to hallucinations in schizophrenia. Combined with general
activation during cholinergic arousal, this leads to excessive disinhibition
in specific thalamic nuclei, which may allow cortical attentional mechanisms
to recruit thalamic relay cells into resonant assemblies of gamma
oscillations regardless of their actual sensory input, thereby producing an
underconstrained perceptual experience.
KEYWORDS: Charles Bonnet syndrome, gamma oscillations, hallucinations,
Lewy-body dementia, perception, schizophrenia, thalamocortical system
http://www.bbsonline.org/Preprints/Behrendt-01042003/Referees/
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