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April 2013

Psychiatric Drug Development: Diagnosing a Crisis

Psychiatric Drug Development: Diagnosing a Crisis

by Steven E. Hyman, M.D.

When it comes to funding drug research to treat depression, schizophrenia, anxiety, and other psychiatric disorders, the global pharmaceutical industry prefers to invest its research dollars in cancer, metabolism, autoimmunity, and other disease areas. This comes despite the fact that one in five Americans currently take at least one psychiatric drug and that mental disorders are recognized worldwide.  The author traces the evolution of psychiatric drug development, the reasons for its retreat, and what needs to change to meet the growing demand.

March 2013

Ain’t No Mountain High Enough

Ain’t No Mountain High Enough

Review: How Children Succeed: Grit, Curiosity, and the Hidden

by Silvia A. Bunge, Ph.D.

Are children from underserved communities doomed to fail? Paul Tough's new book, "How Children Succeed," examines whether character is more important than cognition and what is possible through ideas and innovation. 

March 2013

Epilepsy’s Big Fat Answer

Epilepsy’s Big Fat Answer

by John M. Freeman, M.D.

Epilepsy and seizures affect nearly 3 million Americans of all ages. While drugs work for some, others find them ineffective. What seems to work just as well, if not better, especially in children, is the ketogenic diet, a relatively unknown, high-fat diet. The author, John M. Freeman, M.D., one of the nation’s leading advocates for its use, writes about the evolution of the diet and its struggle for acceptance. 

February 2013

Hit Parade: The Future of the Sports Concussion Crisis

Hit Parade: The Future of the Sports Concussion Crisis

by Chris Nowinski

A postmortem brain study provides new and troubling evidence about chronic traumatic encephalopathy (CTE), a long-term degenerative and incurable brain disease caused by repeated hits to the head. An author of the study, Chris Nowinski, a former college football player and professional wrestler, writes about how a concussion put him on the path of dedicating his life to making others aware of the dangers of CTE and toward developing a treatment.

January 2013

The Evolution of Risk-Taking

The Evolution of Risk-Taking

by Lee Alan Dugatkin

Many animal species besides humans show evidence of individuality. Knowing how a risk-taker differs from its stay-at-home counterpart could not only help humans live more easily with our fellow creatures, says Lee Dugatkin of the University of Louisville, but also tell us a few things about ourselves and how we got this way.

November 2012

Cognitive Impairment in Multiple Sclerosis

Cognitive Impairment in Multiple Sclerosis

A Forgotten Disability Remembered

Kristen Rahn, Ph.D., Barbara Slusher, M.B.A., and Adam Kaplin, M.D., Ph.D.

Physicians first noted the presence of cognitive impairment in patients with multiple sclerosis (MS) more than 160 years ago, yet it took clinicians until 2001 to codify a standard test to measure cognitive function. We now know that cognitive impairment occurs in up to 65 percent of people with MS and usually lessens their ability to remember previously learned information. So far, trials of drugs formulated to treat cognitive impairment have failed, but the authors remain optimistic that new approaches to diagnosis and drug development could lead to effective therapies in the future.

October 2012

The Cognitive Benefits of Being Bilingual

The Cognitive Benefits of Being Bilingual

by Viorica Marian, PhD and Anthony Shook

Today, more of the world’s population is bilingual or multilingual than monolingual. In addition to facilitating cross-cultural communication, this trend also positively affects cognitive abilities. Researchers have shown that the bilingual brain can have better attention and task-switching capacities than the monolingual brain, thanks to its developed ability to inhibit one language while using another. In addition, bilingualism has positive effects at both ends of the age spectrum: Bilingual children as young as seven months can better adjust to environmental changes, while bilingual seniors can experience less cognitive decline.

September 2012

Play, Stress, and the Learning Brain

Play, Stress, and the Learning Brain

by Sam Wang, Ph.D. and Sandra Aamodt, Ph.D.

In this article, adapted from Dr. Sam Wang and Dr. Sandra Aamodt’s book Welcome to Your Child’s Brain: How the Mind Grows from Conception to College (Bloomsbury USA, 2011; OneWorld Publications, 2011), the authors explore how play enhances brain development in children. As Wang and Aamodt describe, play activates the brain’s reward circuitry but not negative stress responses, which can facilitate attention and action. Through play, children practice social interaction and build skills and interests to draw upon in the years to come.

August 2012

Re-opening Windows

Re-opening Windows

Manipulating Critical Periods for Brain Development

by Takao K. Hensch, Ph.D., and Parizad M. Bilimoria, Ph.D.

The brain acquires certain skills—from visual perception to language—during critical windows, specific times in early life when the brain is actively shaped by environmental input. Scientists are now discovering pathways in animal models through which these windows might be re-opened in adults, thus re-awakening a brain’s youth-like plasticity. Such research has implications for brain injury repair, sensory recovery, and neurodevelopmental disorder treatment.

July 2012

Repairing the Injured Brain

Repairing the Injured Brain

Why Proper Rehabilitation Is Essential to Recovering Function

by Mark J. Ashley, Sc.D.

Recovery from a brain injury is a slow process with no obvious end point—a practical dilemma for patients, caregivers, and medical professionals. While research continues to advance the field to determine optimal interventions, front-line providers have found that certain rehabilitation environments and procedures encourage a stronger recovery than others. But even as specialized facilities make strides, many people face barriers to adequate care.

In a complementary article, Marcela Pekna, M.D., Ph.D., and Milos Pekny, M.D., Ph.D., explain what happens within the brain after injury and how scientists’ growing awareness of the brain’s capacity for repair could lead to better treatment options.

July 2012

Are You Responsible for Your Hormones?

Are You Responsible for Your Hormones?

Review: The Moral Molecule: The Source of Love and Prosperity

by Loretta M. Flanagan-Cato, Ph.D.

While Dr. Paul J. Zak’s book will appeal to a broad audience, he oversimplifies many arguments, leaving reviewer Loretta M. Flanagan-Cato with a number of concerns.

June 2012

A Future Without Chronic Pain

A Future Without Chronic Pain

Neuroscience and Clinical Research

by David Borsook, M.D., Ph.D.

Chronic pain affects 1.5 billion people worldwide, an estimated 100 million of whom live in the United States. Yet we currently have no effective treatment options. Fortunately, research advances have determined some of the ways in which chronic pain changes the brain, and several promising research areas could lead to better treatment approaches. Dr. David Borsook recommends steps to facilitate these new treatments, including the establishment of integrated clinical neuroscience centers bridging the gap between bench and bedside.

May 2012

Biomarkers and the Future of Treatment for Depression

Biomarkers and the Future of Treatment for Depression

by Marisa Toups, M.D., and Madhukar H. Trivedi, M.D.

There is currently no way to determine which antidepressant will work best for a given patient, which means that many people continue to suffer while their doctors try a series of medications. Many researchers have now focused their efforts on developing biomarkers for depression—tests for aspects of a patient’s physiology that can predict a clinical outcome. In the future, doctors may be able to screen patients to determine which treatment options will work for them, reducing the time a patient must continue to live with the effects of depression.

May 2012

A Family Tree Filled with Mental Illness

A Family Tree Filled with Mental Illness

Review: A Lethal Inheritance: A Mother Uncovers the Science Behind Three Generations of Mental Illness by Victoria Costello

by Dean F. MacKinnon, M.D.

Dr. Dean F. MacKinnon, of The Johns Hopkins University School of Medicine, finds this book “to be a valuable contribution to the general literature about real people, their real experiences with mental illness and psychiatric care, and the knowledge we have accumulated about all of it.”

April 2012

The Role of Stress in Brain Development

The Role of Stress in Brain Development

The Gestational Environment’s Long-Term Effects on the Brain

by Claudia Buss, Ph.D., Sonja Entringer, Ph.D., James M. Swanson, Ph.D., and Pathik D. Wadhwa, M.D., Ph.D.

During gestation, the fetal brain develops dramatically as structures and connections form, providing the foundation for all future development. Exposure to maternal stress can sometimes have deleterious effects on the fetus, depending on the cause, timing, duration, and intensity of stress. Fortunately, postnatal interventions, such as a secure parent-infant bond and an enriched environment, can buffer the potential negative consequences. 

March 2012

A New Approach to Rheumatoid Arthritis

A New Approach to Rheumatoid Arthritis

Treating Inflammation with Computerized Nerve Stimulation

by Ulf Andersson, M.D., Ph.D., and Kevin J. Tracey, M.D.

Doctors currently treat rheumatoid arthritis, a crippling autoimmune disease, with an arsenal of drugs that, while often effective, can have serious side effects. Authors Ulf Andersson and Kevin J. Tracey describe a circuit between the immune system and the nervous system that enabled development of an implanted nerve stimulator to treat the disorder, now being tested by a patient in Bosnia. If further clinical trials show as much promise as this initial case, similar devices may be developed for a broad range of inflammation-related diseases, from diabetes to congestive heart failure.

February 2012

Musical Creativity and the Brain

Musical Creativity and the Brain

by Mónica López-González, Ph.D., and Charles J. Limb, M.D.

Researchers are now using brain imaging to study the neural underpinnings of spontaneous artistic creativity, from jazz riffs to freestyle rap. So far, they have found that brain areas deactivated during improvisation are also at rest during dreaming and meditation, while activated areas include those controlling language and sensorimotor skills. Even with relatively few completed studies, researchers have concluded that musical creativity clearly cannot be tied to just one brain area or process.

January 2012

Suicide and the United States Army

Suicide and the United States Army

Perspectives from the Former Psychiatry Consultant to the Army Surgeon General

by COL (Ret) Elspeth Cameron Ritchie, M.D., M.P.H.

The suicide rate of active-duty soldiers doubled between 2003 and 2010. In response, the Department of Defense and the United States Army improved their data collection methods to better understand the causes of military suicides. As retired colonel Dr. Elspeth Cameron Ritchie writes, unit history and the accumulation of stressors—from relationship problems to chronic pain—are significant suicide risk factors among soldiers. But, she argues, Army officials must use this knowledge to design more-effective strategies for suicide reduction, including limiting access to weapons, especially post-deployment, and better connecting soldiers with their communities.

December 2011

Social Neuroscience

Social Neuroscience

How a Multidisciplinary Field Is Uncovering the Biology of Human Interactions

by John T. Cacioppo, Ph.D., and Stephanie Ortigue, Ph.D.

Studying only the biological or social aspects of a species can cause researchers to overlook many of the complex elements at work within and among organisms. The interdisciplinary field of social neuroscience serves to close the gaps left by such singularly focused research. Social neuroscientists boost our knowledge of the biology of animal and human interactions in areas as diverse as drug abuse, pair-bonding, and social isolation. As the field continues to grow, we will better understand the social, biological, and cognitive factors that determine how we relate to others.

November 2011

Optogenetics

Optogenetics

Using Light to Control the Brain

by Edward S. Boyden, Ph.D.

In 2004, scientists, including author Edward S. Boyden, Ph.D., found that the neural expression of a protein, channelrhodopsin-2 (ChR2), allowed light to activate or silence brain cells. This technology, now known as optogenetics, is helping scientists determine the functions of specific neurons in the brain, and could play a significant role in treating medical issues as diverse as sleep disorders and vision impairment.

October 2011

More Mysterious Than We Suppose

More Mysterious Than We Suppose

Review: Making Sense of People: Decoding the Mysteries of Personality

by Jerome Kagan, Ph.D.

Jerome Kagan, Ph.D., writes that Making Sense of People "fails to tell readers what they have to do in order to attain the prize they hoped they would command—decoding the personalities of themselves and others—when they began reading the book."

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About Cerebrum

Bill Glovin, editor
Carolyn Asbury, Ph.D., consultant

Scientific Advisory Board
Joseph T. Coyle, M.D., Harvard Medical School
Kay Redfield Jamison, Ph.D., The Johns Hopkins University School of Medicine
Pierre J. Magistretti, M.D., Ph.D., University of Lausanne Medical School and Hospital
Robert Malenka, M.D., Ph.D., Stanford University School of Medicine
Bruce S. McEwen, Ph.D., The Rockefeller University
Donald Price, M.D., The Johns Hopkins University School of Medicine

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