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From the Biology of Dreaming to the Biology of Mind

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... For an interesting epistemological viewpoint on the scientic framework of psychoanalysis, see also [290], in which the Author considers it as a natural science. ...
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... Some investigators question a direct causal link between sleep biology and psychology (Foulkes & Cavallero, 1993;Moffitt & Hoffmann, 1987). Other investigators have constrained their views of sleep psychology based on our current knowledge of sleep neurobiology (Hartmann, 1982;Hobson & McCarley, 1977;Kahn et al., 1997;Koukkou & Lehmann, 1983). Clearly, the brain undergoes significant changes during sleep, and it would be unreasonable to believe that this cannot directly alter the psychological functioning, and even gross function, of the sleeping brain. ...
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1. 1. In this series of experiments we have shown that depletion of serotonin (5-HT) by the tryptophan hydroxylase inhibitor, para-chlorophenylalanine (PCPA) in cats is attended by a marked loss of sleep. 2. 2. Cats chronically supplied with electrodes to record the EEG, neck EMG and eye movements were contained and observed around the clock in screened, sound-attenuated rooms for up to 19 days. Their "vigilance profile" consisting of a three-level graph (PS = paradoxical sleep; SS = slow sleep; W = waking) was determined and total W-times, SS-times, and PS-times calculated for every 4 and 24 h periods. 3. 3. PCPA was administered in various doses i.p. A single dose of 200 mg/kg was sufficient to reduce sleep to close to zero level. The minimal sleep level occurred about 3 days after injection. Sleep was back, or close, to control level after about 16 days. With smaller doses, lesser sleep reductions were obtained. 4. 4. PS over total sleep ratio remained constant except for a relative increase of PS in those cases where total sleep approached zero level. 5. 5. 5-Hydroxytryptophan (5-HTP; 30 mg/kg i.p.) given 48 h after PCPA restored slow sleep temporarily to levels above control within 10 min after injection. PS started to occur about 5-6 h after 5-HTP. 6. 6. Biochemical analysis for 5-HT of the brains of cats treated with various doses of PCPA confirmed the observations in rats, mice and rabbits; various brain-stem and cortical areas were found to be markedly depleted of (total) 5-HT. 7. 7. It is suggested that discrepancies in the time course of sleep deprivation and total 5-HT content are due to such additional factors as negative feedback. Also, free 5-HT may show time courses of depletion and restoration different from those of total 5-HT.
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Oral administration of the serotonin precursor L-5-hydroxytryptophan with a peripheral decarboxylase inhibitor produced Mild to moderate improvement in six of seven chronic undifferentiated schizophrenic patients who were resistant to phenothiazine treatment, as compared to an oral administration of a placebo. Two of four chronic paranoid schizophrenic patients who were resistant to phenothiazine treatment became worse with 5-hydroxytryptophan, one improved. It is presumed that these psychological changes were directly or indirectly produced from increases in brain serotonin. Indirect data from animals and humans indicate that there may be an abnormality in serotonin metabolism in some schizophrenics. While our data are consistent with this hypothesis, other explanations for our data must be entertained.
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As part of an investigation of the possible role of dopaminergic mechanisms in some psychoses, the behavioral effects of administration of l-Dopa to schizophrenic patients was assessed. l-Dopa was administered in dosages of 3–6 g/day to 10 such patients who had been maintained off neuroleptic drugs for approximately a week. Behavioral worsening occurred in all 10 patients. Three showed non-specific stimulation while the remaining 7 showed a combination of both stimulation and worsening of pre-existent symptoms or the development of new symptomatology. The significance of these findings is discussed with regard to those of other investigators.
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l-Alpha-methylparatyrosine administered orally in doses of 50, 75 and 100 mg/kg produced a significant increase in desynchronized sleep time (D-time) in the rat. However, 75 mg/kg of l-AMPT, administered intraperitoneally resulted in disturbed sleep and reduced D-time; this may explain some discrepancies in previous studies. Over a 24-h period, the time of maximum increase in D-time after oral l-AMPT coincided closely with the time of maximum decrease in brain norepinephrine levels; both occurred 7–10 h after drug administration.
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Through psychiatric interviews and psychological tests the authors studied 38 adults who reported experiencing at least one nightmare per week. Nearly all of the subjects had a lifelong history of frequent nightmares. Four of the subjects met DSM-III criteria for schizophrenia, 9 met the criteria for borderline personality, and 6 met the criteria for schizotypal personality. The others had no specific diagnosis, and none of the subjects had a diagnosis of typical neurosis. Many had mentally ill relatives. Most had artistic interests and talents. These nightmare sufferers may be seen as unusually vulnerable, with a potential for mental illness--especially schizophrenia--as well as a potential for artistic achievement.
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Various meanings have been given to the word "metapsychology" by its opponents and proponents in the psychoanalytic literature. These are discussed and compared with the meaning Freud intended the word to have. The question of the place of psychoanalytic psychology in science--whether it is or is not in natural science--is also considered.
Institute of Psychiatry, Maudsley Monogr
  • P H Connell
  • Solomon P.
Amphetamine Psychosis. Institute of Psychiatry, Maudsley Monogr
  • P H Connell