M ental I llness Concerns All carers

Thinking is hard work. One can't have burdens and ideas at the same time. {Remy de Courmant}

Daydreaming or mind-wandering - familiar to one and all - is more precisely defined as a state of mind
where thoughts that are experienced by an individual
are unrelated to what is going on in the environment around them, according to Mason.
When wandering, the brain flits from one thought to the next, generating images, voices, thoughts and feelings.

"This type of [wandering] thought can be fanciful and it can be problematic and distracting,
but usually it's quite practical, for example, most people spend the time thinking about what they need to do in the impending future," said Mason.

When deciding how best to encourage daydreaming in order to study it,
the researchers recognised that our minds often wander while we are engaged in familiar tasks,
such as making a tuna fish sandwich, because we don't need to concentrate on it.
They trained study subjects to become proficient on certain tasks
so that their minds would be able to wander when they performed them,
but would have to concentrate when given something new.

The team used functional magnetic resonance imaging (fMRI)
to learn what parts of their brains were active during both goal-oriented thought and daydreaming.

In the fMRI images, the seat of daydreams appeared to be the 'default network'
a region of the brain that remains active when we rest or are not engaged in a focussed task,
but switches off 'deactivates the defaukt activities, when we need to concentrate.

The default network is a collection of regions from the medial frontal and medial parietal regions of the brain.
The frontal lobes are involved in functions including
impulse control,
judgment,
language,
memory,
motor function,
problem solving, sexual behavior,
socialisation and spontaneity.

The parietal lobe plays an important part in processing sensory information.

Previous studies have shown that brain damage to parts the default network
is associated with a "mental emptiness"
and an absence of spontaneous speech and thought.

According to Mason, the most important question is why our brains evolved to wander at all.
His team suggests that perhaps it keeps our brains aroused during mundane tasks,
or simply that our brains may wander because they can.

"In a sense these thoughts reflect an amazing capacity on our part to multi-task," said Mason.
"It is as if we have a sense of how much [attention] we have 'left over'
and allocate these resources to working out some problem
or anticipating what we have to do in the near future." ... the crossword work ?

Day dreaming


When the brain is idling it is described as being in the default mental stage. [ DMN ]

Whatever is going on then is 'deactivated' when the brain does something.
It can be 'wandering - daydreaming, or 'fantasy in pre and post sleep state',
or 'selfreferent directed thinking', or a consideration about something outside

Those who study these states with brain scanning have not yet settled in their vocabulary.

Currently there may be more than one 'default stage' both task negative and task positive

' According to this account the reciprocal relationship between the task-positive component and DMN
has been described as low frequency toggling between a task-independent, self-referential and introspective state
and an extrospective state that ensures the individual is alert and attentive to unexpected or novel environmental events'

Is what is happening, to sustain schizophrenia, an activity in the 'default' brain state ?
There is more widsr spread brain activity in th default stage of sufferers
Or better, perhaps there is difficulty in picking up on a 'real world' contact, during this resting phase, or after 'daydreaming?
Many flounder in fitting in again, connecting to an activity that they can recall to their attention.
That is why they are helped by the presence of a daily routine with which they can rejoin and fix their attention.
A daily routine and a regular, accessible, weekly programme
of engagement in anchoring activities is necessary where there are lingering difficulties from their illness.

Psychiatrist fail to insist this is a health NEED in aftercare

Default brain state

When we engage in almost any goal-directed behaviour of a non-self-referential nature,
certain areas of the brain decrease their activity when compared with a quiet resting state (e.g., awake with eyes closed).

The consistency with which certain areas of the brain do so,
regardless of the nature of the goal-directed task, led to the notion of an organized default mode of brain function
in which some regions are most active when we are in a resting state.

The areas of the brain most consistently displaying such behaviour regardless of task have come to be known as the Default Mode Network (DMN)
which consists of areas in dorsal and ventral medial pre-frontal cortices, medial and lateral parietal cortex, and parts of the medial and lateral temporal cortices.

Recently summarized data indicate that the DMN is involved in the evaluation of potentially survival-salient information from the body and the world perspective,
taking a view of the desires, beliefs, and intentions of others
and in remembering the past as well as planning the future

All of these putative functions are self-referential in nature.

Reduction of activity in the DMN during effort-ful cognitive processing can be interpreted
as reflecting the need to attenuate the brain's self-referential activity
as a means of more effectively focusing on a task.

A failure to do so might well lead to interference in task performance from internal emotional states ( as say, seen in patients with depression).

E-mail reaction is welcome ,,, click on

default or not default

A baseline or control state is fundamental to the understanding of most complex systems.
Defining a baseline state in the human brain, arguably our most complex system, poses a particular challenge.

Many suspected that left unconstrained, its activity will vary unpredictably.
Despite this prediction we can identify a baseline state of the normal adult human brain in terms of the brain oxygen extraction fraction or OEF.

The OEF is defined as the ratio of oxygen used by the brain/ to oxygen delivered by flowing blood
and is remarkably uniform in the awake but resting state (e.g., lying quietly with eyes closed).

The default mode network, a distributed network that is active when the brain is resting and that powers down during other focused mental tasks.
Local deviations in the OEF represent the physiological basis of signals of changes in neuronal activity
obtained with functional MRI during a wide variety of human behaviors.

We used quantitative metabolic and circulatory measurements from positron-emission tomography to obtain the OEF regionally throughout the brain.

Areas of activation were conspicuous by their absence.
All significant deviations from the mean hemisphere OEF were increases,
signifying deactivations [ deactivation means less oxygen extracted locally and therefore a higher ratio - brain activity/ none , and resided almost exclusively in the visual system.
Defining the baseline state of an area in this manner attaches meaning
to a group of areas that consistently exhibit decreases [ therefore activity ] from this baseline,
during a wide variety of goal-directed behaviors monitored with positron-emission tomography and functional MRI.

These decreases suggest the existence of an organized, baseline default mode of brain function that is suspended during specific goal-directed behaviors. [ So what does the brain return to when returng from idleness - the default stage - from default to some direction of emgagement with outside 'the brain' .

In ordinary daily life one returns to some part of a routine. The return is to whatever is the current part of a daily routine, then to be 'scanned' for updating, the requirements suggested by the current situation in the routine. But people with schizophrenia do not have a routine that connects them with a prospective activity. Perhaps it is then that misleading associations take over ]

The results indicate that the default network is hyperactive and hyperconnected in people with schizophrenia, and could be contributing to their symptoms.
The network is also affected in healthy, first-degree relatives of subjects, suggesting that the changes could be part of the genetic risk for the disease.
The idea is that there are widespread deficiencies in cortical processing in schizophrenia, and suggests that these deficiencies affect a brain network thought to be responsible for self-awareness and internal reference.

Instead of responding to the outside world, the brain starts to contemplate its internal landscape.
This is when new and creative connections are made between seemingly unrelated ideas.
[ and maybe where sufferers from schizophrneia have trouble in distinguishing the flight of associations in this state with external causes ??? I don't mind being muddled in this speculation - nobody else knows any better - do they ? }.

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background materaial to thought disorder

Attenuation of DMN activity has been described as task non-specific,
the extent to which goaldirected activity influences this attenuation is dependent
at least in part,
on cognitive load and task requirements involving functions subserved by regions within the DMN.

' According to this account the reciprocal relationship between the task-positive component and DMN has been described as low frequency toggling between a task-independent, self-referential and introspective state and an extrospective state that ensures the individual is alert and attentive to unexpected or novel environmental events'

Brain activity in the resting state incorporates both task-negative and task-positive components.
The DMN has been described as a task-negative network given the apparent antagonism between its activation and task performance.

A second network also characterised by spontaneous lowfrequency activity has been identified as a task-positive network.
This network includes the dorsolateral prefrontal cortex (DLPFC), inferior parietal cortex (IPC) and supplementary motor area (SMA) and appears to be associated with task-related patterns of increased alertness, and has also been related to response preparation and selection (Fox et al., 2005, 2006a; Fransson, 2005, 2006; Sonuga-Barke and Castellanos, 2007).
, Interestingly, the task-positive network and the DMN are temporally anti-correlated, such that task-specific activation of the task-positive network is affiliated with attenuation of the DMN.

The high degree of temporal anticorrelation between the DMN and task-positive network, is thought to reflect a low frequency toggling between their associated psychological functions of introspective and selfreferential thought, and extrospective attentional orienting, respectively; allowing an individual to remain alert to unexpected environmental events.

Indeed, the close temporal linkage and rivalry between associated functions is a potential argument for considering the DMN and task-positive component as part of a single network.

Spontaneous low frequency activity in the task-negative component of the default-mode network which is routinely attenuated during goal directed tasks,
can under certain circumstances (e.g. suboptimal motivational states or in individuals with attention disorders)
persist into or re-emerge during periods of task-related active processing
to such an extent that it competes with taskspecific neural processing and creates the context
for periodic attentional intrusions/lapses and cyclical deficits in performance; the temporal signatures of task-negative fluctuations being mirrored in patterns of attention and performance

The default-mode interference hypothesis also highlights the importance of efficacious transition from rest to task.

Four influential components which moderate such a transition are described: affinity to the default-mode,
affinity to the goal-directed state
or intrinsic motivation, extrinsic motivation
and the accessibility and degree of cognitive effort (see Sonuga-Barke and Castellanos,

The notion of wandering minds provides another possible theory of attentional lapses during task performance,
and it is conceivable that generalised deficits in attention and cognitive control
may well coincide with an increased incidence of stimulus/independent thought or mind wandering and the intrusion of increased activity in the DMN.

In a group of schizophrenic patients, Zhou et al. (2007) reported significantly increased resting state connectivity in the task-positive network and DMN in the patient group,
alongside significantly increased anti-correlations between the networks.
These results were more specifically associated with bilateral/dorsal MPFC, inferior temporal gyrus, and lateral parietal region in the DMN;
and right dorsal lateral PFC and bilateral insula and orbital frontal gyrus in the task-positive network.

The authors argue that the increased anti-correlations reflect increased antagonism and excessive competition between the networks,
and most likely contribute to the over-mentalising and deficit in attentional control symptomatic of schizophrenia.

More interestingly, reduced anti-correlations were evident between the right dorsal premotor cortex and the PCC and bilateral parietal region of the DMN
and suggest that the right dorsal premotor cortex may be instructive in mediating the anti-correlation between the DMN and task-positive networks

Finally, in schizophrenia, increased connectivity between the DMN and other resting state networks
suggests greater dependence on other resting state networks, most likely associated with increased distraction due to hallucinations and delusional experiences (Jafri et al., 2008).
Moreover, increased connectivity within the DMN and task-positive network in schizophrenic patients at rest
implies that these individuals are susceptible to over-mentalising and excessive alertness to the external environment, respectively (Zhou et al., 2007).

In contrast, some research has reported widespread decreased regional homogeneity in the DMN in schizophrenic patient groups (Liu et al., 2006).

Altered patterns of functional connectivity within the DMN and

Increased connectivity within the DMN and task-positive network suggests paranoid schizophrenic people demonstrate increased sensitivity to both the external environment and self-referential or introspective thought.
The strength of the anti-correlation between these two networks also indicates that these processes are in excessive competition for this patient group (Zhou et al., 2007).

In an n-back working memory task, Pomarol-Clotet et al. (2008)
report reduced activation of the DLPFC in patients with schizophrenia to be a function of impaired task performance.
In contrast, a reduced deactivation of the DMN in the medial frontal area was not found to be dependent on task performance (Pomarol-Clotet et al., 2008).

ICA analysis has also revealed differences in both spatial and temporal connectivity of the DMN during an auditory oddball task (Garrity et al., 2007).
In this study, and in contrast to Pomarol-Clotet et al. (2008), schizophrenic patients showed greater deactivation of the DMN in the frontal gyrus,
and decreased activation of the ACC relative to controls, potentially related to attentional deficits observed in schizophrenia (Garrity et al., 2007).

Moreover, a greater section of parahippocampal gyrus was included in the DMN of patients, and while low-frequency oscillations (0.03 Hz) in the DMN were evident for controls, patients showed significantly higher frequency oscillations (0.08– 0.24 Hz).

Finally, greater deactivation in the MFG, precuneus, and the left MTG were correlated with positive symptoms of schizophrenia (Garrity et al., 2007).

Consistent with the task-related findings of Garrity et al. (2007), disconnectivity of the low-frequency oscillatory (<0.1 Hz) activity in the PCC, medial prefrontal, lateral parietal and cerebellar regions during rest
has also been observed in another two studies examining this clinical group during rest (Bluhm et al., 2007)
and during a similar auditory oddball task (Calhoun et al., 2008).

Although in contrast, a recent finding of increased connectivity between the DMN and other resting state networks using spatial ICA, has been hypothesised to reflect distraction and hallucinatory experiences of schizophrenic patients (Jafri et al., 2008).

The relationship between the apparent self-monitoring function of regions within the DMN and schizophrenia provide impetus for future research.

However, the disparity in methodologies and findings highlight the need for methodological consistency if we are to properly understand the association between functional connectivity in the DMN and underlying mechanisms that give rise to the symptomology of schizophrenia (Williamson, 2007).

In summary, greater connectivity in the DMN and task-positive network in schizophrenic patients may reflect ‘over-zealous’ attentional orientation to introspective and extrospective thought,
while the increased anti-correlation between these two networks suggests excessive rivalry or antagonism between the neural processing and associated psychological functions of these networks.

Increased deactivation of specific DMN regions including MFG and precuneus
was associated with the positive symptoms of schizophrenia, while reduced deactivation of ACC was suggested to be associated with reduced attentional control.

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