Abstract
The paper presents some speculations on the loss of voluntary responses and operant learning in long-term paralysis in human patients and curarized rats. Based on a reformulation of the ideomotor thinking hypothesis already described in the 19th century, we present evidence that instrumentally learned responses and intentional cognitive processes extinguish as a consequence of long-term complete paralysis in patients with amyotrophic lateral sclerosis (ALS). Preliminary data collected with ALS patients during extended and complete paralysis suggest semantic classical conditioning of brain activity as the only remaining communication possibility in those states.
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References
Adam, G. (1998). Visceral Perception. New York: Plenum Press.
Barber, T.X., Kamiya, J. & Miller, N.E. (eds) (1971–1978). Biofeedback and Self-Control. Aldine: Aldine Series.
Birbaumer, N. (2006a). Brain-computer-interface research: coming of age. Clinical Neurophysiology, 117, 479–483.
Birbaumer, N. (2006b). Breaking the silence: Brain-computer interfaces (BCI) for communication and motor control. Psychophysiology, 43, 517–532.
Birbaumer, N., & Cohen, L. (2007). Brain-computer-interfaces (BCI): Communication and restoration of movement in paralysis. The Journal of Physiology, 579(3), 621–636.
Birbaumer, N., Elbert, T., Canavan, A., & Rockstroh, B. (1990). Slow potentials of the cerebral cortex and behavior. Physiological Reviews, 70, 1–41.
Birbaumer, N., Ramos Murguialday, A., & Cohen, L. (2008). Brain-computer-interface (BCI) in paralysis. Current Opinion in Neurology, 21, 634–638.
Birbaumer, N. & Schmidt, R.F. (1990). Biologische Psychologie (7th edn. 2010). Berlin: Springer.
Braitenberg, V., & Schüz, A. (1991). Anatomy of the cortex, statistics and geometry. Berlin: Springer.
Caria, A., Veit, R., Sitaram, R., Lotze, M., Weiskopf, N., Grodd, W., et al. (2007). Regulation of anterior insular cortex activity using real-time fMRI. NeuroImage, 35, 1238–1246.
Dworkin, B. R. (1993). Learning and Physiological Regulation. Chicago: University of Chicago Press.
Dworkin, B. R., & Miller, N. E. (1986). Failure to replicate visceral learning in the acute curarized rat preparation. Behavioral Neuroscience, 100, 299–314.
Elbert, T., Rockstroh, B., Lutzenberger, W., & Birbaumer, N. (eds.). (1984). Self-regulation of the brain and behavior. New York: Springer.
Felton, E. A., Wilson, J. A., Williams, J. C., & Garell, P. C. (2007). Electrocorticographically controlled brain-computer interfaces using motor and sensory imagery in patients with temporary subdural electrode implants. Journal of Neurosurgery, 106, 495–500.
Fuchs, T., Birbaumer, N., Lutzenberger, W., Gruzelier, J. H., & Kaiser, J. (2003). Neurofeed-back training for attention-deficit/hyperactivity disorder in children: a comparison with methylphenidate. Applied Psychophysiology and Biofeedback, 28(1), 1–12.
Georgopoulos, A. P., Kalaska, J. F., Caminiti, R., & Massey, J. T. (2007). On the relations between the direction of two-dimensional arm movements and cell discharge in primate motor cortex. Journal of Neurophysiology, 2, 1527–1537.
Haggard, P., Clark, S., & Kalogeras, J. (2002). Voluntary action and conscious awareness. Nature Neuroscience, 5, 382–385.
Halder, S., Agorastos, D., Veit, R., Hammer, E.M., Lee, S., Varkuti, B., et al. (2011). Neural mechanisms of brain-computer interface control. NeuroImage, 55, 1779–1790
He, B. J., & Raichle, M. E. (2009). The fMRI signal, slow cortical potential and consciousness. Trends in Cognitive Science, 13(7), 302–309.
Hebb, D. O. (1949). The organization of behavior. New York: Wiley.
Hobson, J. A. (2009). REM sleep and dreaming: Towards a theory of protoconsciousness. Nature Reviews Neuroscience, 10(11), 803–813.
Holland, J., & Skinner, B. F. (1961). The analysis of behavior. New York: MacGraw-Hill.
Jackson, A., Mavoori, J., & Fetz, E. (2006). Long-term motor cortex plasticity induced by an electronic neural implant. Nature, 444, 56–60.
James, W. (1890). The principles of psychology. New York: Dover (1950).
Jeannerod, M. (2001). Neural simulation of action: A unifying mechanism for motor cognition. NeuroImage, 14, 103–109.
Karim, A. A., Kammer, T., Cohen, L., & Birbaumer, N. (2004). Effects of TMS and tDCS on the physiological regulation of cortical excitability in a brain-computer interface. Biomedizinische Technik, 49, 55–57.
Kotchoubey, B., Lang, S., Winter, S., & Birbaumer, N. (2003). Cognitive processing in completely paralyzed patients with amyotrophic lateral sclerosis. European Journal of Neurology, 10(5), 551–558.
Kotchoubey, B., Strehl, U., Uhlmann, C., Holzapfel, S., König, M., Fröscher, W., et al. (2001). Modification of slow cortical potentials in patients with refractory epilepsy: A controlled outcome study. Epilepsia, 42(3), 406–416.
Kübler, A., & Birbaumer, N. (2008). Brain-computer interfaces and communication in paralysis: Extinction of goal directed thinking in completely paralysed patients? Clinical Neurophysiology, 119, 2658–2666.
Lakerveld, J., Kotchoubey, B., & Kübler, A. (2008). Cognitive function in patients with late stage amyotrophic lateral sclerosis. Journal of Neurology, Neurosurgery and Psychiatry, 79(1), 25–29.
Lebedev, M. A., & Nicolelis, M. A. (2006). Brain machine interfaces: Past, present and future. Trends in Neurosciences, 29, 536–546.
Miller, N. E. (1969). Learning of visceral and glandular responses. Science, 163, 434–445.
Nagai, Y., Goldstein, L. H., Fenwick, P. B. C., & Trimble, M. R. (2004). Clinical efficacy of galvanic skin response biofeedback training in reducing seizures in adult epilepsy: A preliminary randomized controlled study. Epilepsy & Behavior, 5, 216–223.
Nijboer, F., Sellers, E. W., Mellinger, J., Jordan, M. A., Matuz, T., Halder, S., et al. (2008). A P300-based brain-computer interface for people with amyotrophic lateral sclerosis. Clinical Neurophysiology, 119(8), 1909–1916.
Ramos Murguialday, A., Hill, J., Bensch, M., Martens, S., Halder, S., Nijboer, F., et al. (2010). Transition from the locked into the completely locked in state: A physiological analysis. Clinical Neurophysiology,. doi:10.1016.
Riehle, A., & Vaadia, E. (eds.). (2005). Motor cortex in voluntary movements. A districuted system for distributed funtions. Boca Raton: CRC Press.
Ringholz, G. M., Appel, S. H., Bradshaw, M., Cooke, N. A., Mosnik, D. M., & Schulz, P. E. (2005). Prevalence and patterns of cognitive impairment in sporadic ALS. Neurology, 65, 586–590.
Rizzolatti, G., & Craighero, L. (2004). The mirror-neuron system. Annual Review of Neuroscience, 27, 169–192.
Rockstroh, B., Elbert, T., Birbaumer, N., Wolf, P., Düchting-Röth, A., Reker, M., et al. (1993). Cortical self-regulation in patients with epilepsies. Epilepsy Research, 14, 63–72.
Rösler, F., Heil, M., & Röder, B. (1997). Slow negative brain potentials as reflections of specific modular resources of cognition. Biological Psychology, 45, 109–141.
Shin, Y. K., Proctor, R. W., & Capaldi, E. J. (2010). A review of contemporary ideomotor theory. Psychological Bulletin, 136(6), 943–974.
Silvoni, S., Volpato, C., Cavinato, M., Marchetti, M., Priftis, K., Merico, A., et al. (2009). P300-based brain-computer interface communication: Evaluation and follow-up in amyotrophic lateral sclerosis. Frontiers in Neuroscience, 19(3), 60.
Sitaram, R., Caria, A., Veit, R., Gaber, T., Rota, G., Kübler, A., et al. (2007a). FMRI brain-computer interface: a tool for neuroscientific research and treatment. Computational Intelligence and Neuroscience (Article ID 82069). doi:10.1155/2007/82069.
Sitaram, R., Zhang, H., Guan, C., Thulasidas, M., Hoshi, Y., Ishikawa, A., et al. (2007b). Temporal classification of multi-channel near-infrared spectroscopy signals of motor imagery for developing a brain-computer interface. NeuroImage, 34, 1416–1427.
Skinner, F. (1953). Science and human behavior. New York: Macmillan.
Sterman, M. B., & Clemente, C. D. (1962). Forebrain inhibitory mechanisms: Cortical synchronization induced by basal forebrain stimulation. Experimental Neurology, 6, 91–102.
Strauch, I., & Meier, B. (1992). Dem Träumen auf der Spur. Bern: Huber.
Strehl, U., Leins, U., Goth, G., Klinger, C., Hinterberger, T., & Birbaumer, N. (2006). Self-regulation of slow cortical potentials—a new treatment for children with attention-deficit/hyperactivity disorder. Pediatrics, 118(5), 1530–1540.
Velliste, M., Perel, S., Spalding, M. C., et al. (2008). Cortical control of a prothetic arm for self-feeding. Nature, 453, 1098–1101.
Volpato, C., Piccione, F., Silvoni, S., Cavinato, M., Palmieri, A., Meneghello, F., et al. (2010). Working memory in amyotrophic lateral sclerosis: Auditory event-related potentials and Neuropsychological evidence. Journal of Clinical Neurophysiology, 27(3), 198–206.
Walker, J. E., & Kozlowski, G. (2005). Neurofeedback training of epilepsy. Child and Adolescent Psychiatry Clinics of North America, 14, 163–176.
Weiskopf, N., Scharnowski, F., Veit, R., Goebel, R., Birbaumer, N., & Mathiak, K. (2005). Self-regulation of local brain activity using real-time functional magnetic resonance imaging (fMRI). Journal of Physiology—Paris, 98, 357–373.
Wilhelm, B., Jordan, M., & Birbaumer, N. (2006). Communication in locked-in syndrome: Effects of imagery on salivary pH. Neurology, 67, 534–535.
Ziessler, M., Nattkemper, D., & Frensch, P. A. (2004). The role of anticipation and intention in the learning of effects of self-performed actions. Psychological Research, 68, 163–175.
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Dedicated to my friend and colleague Frank Rösler at the occasion for his 65th birthday.
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Birbaumer, N., Piccione, F., Silvoni, S. et al. Ideomotor silence: the case of complete paralysis and brain–computer interfaces (BCI). Psychological Research 76, 183–191 (2012). https://doi.org/10.1007/s00426-012-0412-5
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DOI: https://doi.org/10.1007/s00426-012-0412-5