Even though the brain operates in pure darkness, within the skull, it can infer the most likely causes of its sensory input. An approach to modelling this inference is to assume that the brain has a generative model of the world, which it can invert to infer the hidden causes behind its sensory stimuli, that is, perception. This assumption raises key questions: how to formulate the problem of designing brain-inspired generative models, how to invert them for the tasks of inference and learning, what is the appropriate loss function to be optimised, and, most importantly, what are the different choices of mean field approximation (MFA) and their implications for variational inference (VI).
Chronic pain presents a widespread and complex clinical puzzle, necessitating novel theoretical approaches. This study expands upon our evolving comprehension of the brain’s top-down information processing, encompassing functions such as prediction, expectation, and attention, These processes are believed to play a substantial role in shaping both chronic pain and placebo responses. To examine hierarchical cortical processing in pain, we define a minimal cortical pain network comprising the lateral frontal pole, the primary somatosensory cortex, and the posterior insula. Using spectral dynamic causal modeling on resting-state fMRI data we compare effective connectivity among these regions in chronic osteoarthritic patients (n=54, 29F: 25M) and healthy controls (n=18, 10F: 8M) and further analyse differences between placebo responders and non-responders within the patient group. Our findings reveal distinct patterns of altered top-down, bottom-up, and recurrent (i.e., intrinsic) effective connectivity within the network in chronic pain and placebo response. Specifically, recurrent effective connectivity within the lateral frontal pole becomes more inhibitory, while backward effective connectivity (higher- to-lower cortical regions) decreases in both pain perceivers and placebo responders. Conversely, forward connections exhibit opposite patterns: nociception is associated with more excitatory (disinhibited) connections, whereas placebo responses correspond to more inhibitory forward connections. The associated effect sizes were sufficiently large to survive a leave-one-out cross-validation analysis of predictive validity. The observed patterns of alteration are consistent with predictive processing accounts of placebo effects and chronic pain. Overall, effective extrinsic and intrinsic connectivity among cortical regions involved in pain processing emerge as potentially valuable and quantifiable candidate markers of pain perception and placebo response. Significance statement Chronic pain is a widespread and complex healthcare challenge. Cognitive functions such as prediction, expectation, and attention are believed to influence pain perception and placebo responses through top-down information processing in the brain. However, empirical evidence supporting this hypothesis at the brain network level has been lacking. Our study addresses this gap by examining top-down, bottom-up, and recurrent effective connectivity within the brain’s pain processing pathways using resting-state fMRI. We discovered consistent and significant alterations in effective connectivity patterns in chronic pain patients and placebo responders, with the potential to predict individual pain experiences and placebo responses. These findings open new research avenues into the neural mechanisms underlying chronic pain and placebo effects.
Objective This article offers a philosophical thesis for psychiatric disorders that rests upon some simple truths about the mind and brain. Specifically, it asks whether the dual aspect monism—that emerges from sleep research and theoretical neurobiology—can be applied to pathophysiology and psychopathology in psychiatry. Methods Our starting point is that the mind and brain are emergent aspects of the same (neuronal) dynamics; namely, the brain–mind. Our endpoint is that synaptic dysconnection syndromes inherit the same dual aspect; namely, aberrant inference or belief updating on the one hand, and a failure of neuromodulatory synaptic gain control on the other. We start with some basic considerations from sleep research that integrate the phenomenology of dreaming with the neurophysiology of sleep. Results We then leverage this treatment by treating the brain as an organ of inference. Our particular focus is on the role of precision (i.e., the representation of uncertainty) in belief updating and the accompanying synaptic mechanisms. Conclusions Finally, we suggest a dual aspect approach—based upon belief updating (i.e., mind processes) and its neurophysiological implementation (i.e., brain processes)—has a wide explanatory compass for psychiatry and various movement disorders. This approach identifies the kind of pathophysiology that underwrites psychopathology—and points to certain psychotherapeutic and psychopharmacological targets, which may stand in mechanistic relation to each other.
Abstract Developments in M/EEG analysis allows for models that are sophisticated enough to capture the full richness of the data. This chapter focuses on dynamic causal modeling (DCM) for M/EEG, which entails the inversion of informed spatiotemporal models of observed responses. The idea is to model condition-specific responses over channels and peristimulus time with the same model, where the differences among conditions are explained by changes in only a few key parameters. The face and predictive validity of DCM have been established, which makes it a potentially useful tool for group studies.
We have used PET in conjunction with psychological activations to identify cortical areas involved in the intrinsic activation of word representations. In four normal subjects intrinsic generation of a word (verbal fluency) was associated with an increase in left dorsolateral prefrontal cortical activity (BA 46) and a bilateral decrease in activity in auditory and superior temporal cortices. Conversely, when subjects made lexical decisions about words that were heard, there was an increase in superior temporal activity with no change in area 46. We suggest that the superior temporal regions are the site of stored word representations and that inhibitory modulation of these areas by the left prefrontal cortex is the basis of intrinsic word generation.
This paper contrasts different experimental designs for revealing the neural correlates of phonological retrieval (i.e., naming). Cognitive subtraction designs require a minimum of one task pair and the comparison between tasks reveals the differing functional task components. Conjunction analysis requires a minimum of two task pairs, each differing by the same component, and this component is revealed as the difference which is common to both task pairs. Two different limitations of cognitive subtraction are highlighted: 1) the difficulty of finding baseline tasks that activate all but the process of interest, and 2) activation differences (between the two tasks of a pair) include the interaction term, i.e., the effect that the added component in the activation task has on preexisting components. The problem of baseline selection can be overcome by conjunction analysis, for which there may be many processing differences for each task pair, providing that the only common difference between pairs is the component of interest. The problem of interactions can be overcome when the experimental design is factorial. This permits the effect that an added component has on the expression of preexisting components (i.e., the interaction term) to be evaluated explicitly. We demonstrate that when the design is factorial, conjunction analysis reveals commonalities in activation, while the interactions reveal task-specific effects. Hum. Brain Mapping 5:264–272, 1997. © 1997 Wiley-Liss, Inc.