9 Oct 2011 dairy

9th Oct 2011 Sunday

Brought to twins to church. Church finished early today and we left for wawason bus stop to discuss with a maid. Dragged till 12:30 noon, we left for little italy for lunch. We took away pizza and sandwich for Charmaine.  

Tire, slept from 3:30 to 4:30pm. 

Terence left at 3pm to Singapore.

Charmaine is under stress, cried as she said she hated her teachers and her classmates. I told her not to be influenced by the 2nd class people, and told her that her school probably is one of the best schools in Malaysia. I even suggested her to switch school after form two.

We went to Lintas supermarket at 8:30pm to 9:30pm and spent about rm400.

8th Oct 2011 Saturday

We had lunch with Dad for his birthday with Cla, Ter, darence and florence. Dad wad in the good mood as he read many congratulatory advertisement in the news for his Datukship. 

At 6:40pm, we picked Charmaine up from the church and attended Patrick daugther full moon party at his apartment.

At 9pm, I sent the twins back home to sleep. At 9:30pm, charmaine and Charlaine and me companies terence to see mother. At 10:30pm, terence sent us home.

7th Oct 2011 Friday 

Met up with N and P, followed by Razali and Louis. At 1:20pm, I companied terence to see Gramma 陀寺. We left for lunch but I had forgotten charmaine dental appointment.

6th Oct 2011 Thursday

Terence got back at 8pm, clarence, me and terence went to Diamond for dinner.

9 Oct 2011 dairy

9th Oct 2011 Sunday

Brought to twins to church. Church finished early today and we left for wawason bus stop to discuss with a maid. Dragged till 12:30 noon, we left for little italy for lunch. We took away pizza and sandwich for Charmaine.  

Tire, slept from 3:30 to 4:30pm. 

Terence left at 3pm to Singapore.

Charmaine is under stress, cried as she said she hated her teachers and her classmates. I told her not to be influenced by the 2nd class people, and told her that her school probably is one of the best schools in Malaysia. I even suggested her to switch school after form two.

We went to Lintas supermarket at 8:30pm to 9:30pm and spent about rm400.

8th Oct 2011 Saturday

We had lunch with Dad for his birthday with Cla, Ter, darence and florence. Dad wad in the good mood as he read many congratulatory advertisement in the news for his Datukship. 

At 6:40pm, we picked Charmaine up from the church and attended Patrick daugther full moon party at his apartment.

At 9pm, I sent the twins back home to sleep. At 9:30pm, charmaine and Charlaine and me companies terence to see mother. At 10:30pm, terence sent us home.

7th Oct 2011 Friday 

Met up with N and P, followed by Razali and Louis. At 1:20pm, I companied terence to see Gramma 陀寺. We left for lunch but I had forgotten charmaine dental appointment.

6th Oct 2011 Thursday

Terence got back at 8pm, clarence, me and terence went to Diamond for dinner.

Borderline Personality Disorder

Borderline patients suffer from volatility of emotion. They do not like to be considered as simply another patient. They seek attention, care, responsiveness, and not from the person who is with preoccupied with their problems or with his mind elsewhere.

Borderline patients usually suffered symptoms such as anxiety and depression, and these symptoms can be rapidly replaced by angers. Their clarify of mind can be replaced by bewilderment and fragile grip of reality. They are unable to distinguish between the reality and the assumption state of mind. Therefore, they can be provoked easily. Very often, they have to tackle a problem head-on instead of reflecting the problem elsewhere on the problem which may produce a solution of the problem, and it may also reduce the emotion volatility.

Severe borderline patients required medication. Symptoms such as lability of mood, rejection sensitivity, mood crashes, intense anger, temper outburst, chronic emptiness, dysphoria, loneliness, anhedonia, social anxiety, avoidance, inappropriate behavior, Impulsivity, sensation seeking behavior such as risky, reckless behavior, cognitive impulsivity, no reflective delay, low frustration tolerance, impulsive aggression, recurrent assaultiveness, threats, property destruction, impulsive binges, alcohol, food, sex, spending, recurrent suicidal threats, self-mutilation, cognitive perceptual disturbance, suspiciousness, paranoid ideation, idea of reference, odd communication, vague, muddled thinking, magical thinking, episodic distortions of reality, micro-psychotic episodes, derealization, depersonalization, illusion, stress-induced hallucinations (Anthony baseman and Peter Fonagy, 2004).

Development of the 'alien self'

In early childhood, the failure to find a representation in the primary caretaker mind will fail the mirroring process of a child to the primary care taker. The child will not be able to internalize his or her feeling, and thus unable to generate the agentive self. In other words, the child will develop an alien experience within the self, meaning that the ideas and feelings that created do not seem to the self (Fonagy, 1995).

This means that the infant cannot find herself in the mother's mind, instead, she finds the mother's mind or the mother has colonise the self.

Individuals who have developed an alien self usually do not have enough capacity for mentalization; the capacity to think about the mental states of someone else in terms of beliefs, feelings and desires. Studies shave shown that those care takers who have strong mentalization capacity likely to have secured children attached to them. Interestingly, research have shown that mothers of girls sexually abused by male abusers appear to have lower capacity to think of their child in mental state other others due to their past traumatic experiences. Thus, they are not able to have a coherent, integrated and meaningful reflection on parenting their children.

Parkinson, Rigidity, Dopamine

From the extract report of dr.Oliver Sacks, Awakings, 1990

It is surprising to know that the level of dopamine has a significant influence for the level of rigidity in a Parkinson patient. PET scan is able to determine the precise level of dopamine in a brain. For example, when the level of emotional stress increases, there will be an obvious drop in dopamine level in a brain, but a 30 to 50% drop may not produce any clinical symptoms. However, if it is further reduce by another 20%, Parkinsonian symptoms may prompt appear. Hence, if one reaches a threshold level or borderline which caused by stress, there may be a depletion of dopamine in the brain, and this may further trigger the Parkinsonian symptoms. In other words, the symptoms may come and go in any given situation. This should not be interpreted as the symptom may just disappear like that.

Rhythms of the brain

Rhythms of the brain
In a real life brain networks, there is no top or bottom up process signals because the activities of the neurons can be transmitted to any level. It was reported by Gyorgy Buzsaki in his book mentioned above (2008) that the messages of the neurons between the area of the cortexes can be exchanged by oscillations, resonant loops, or transcient oscillatory coupling.In the context of a workng memory in human brain, the nested gamma oscillations can be used for grouping cell assemblies from a theta cycles. Holding and shifting the sequences in subsequent theta cycles can serve to represent episodic memories. Repeated episodic memories in hippocampus can translate into sematic memory.
Posted by dr.lawrencechu at 5:25 AM 0 comments
Tuesday, October 7, 2008

connection and disconnection

The state-regulating emotional experience mostly occurs in the preconcious mind mainly because the temporal sulcus (amydala) is not well connected to the orbitofrontal lobes. It means that the emotional response is not well connected to the executive function of the brain, and therefore, the brain is not able to control much about the emotional responses (such as depression and anger). This is mainly due to the fact the obitofrontal lobes of human being have evolved recently whereas the temporal lobes have been there since a long time.The recent evolution of the emotional brain have started to integrate ideas and thoughts, and thus form 'empathy', a form of intelligent that a person able to understand how others' feel. A person with understanding of empathy usually has a superior skills in critical human functions such as social adjustments, control of moods, drive, and responsibilities, and all these factors are crucial in shaping the personality of an individual (Cavada & Schultz, 2000, p.205).
Posted by dr.lawrencechu at 5:43 AM 0 comments
Wednesday, October 1, 2008

2nd Sept 2008
Today is the 2nd day of Hari Raya in the year of 2008. it is a rare opportunity to spend time with the family especially with the kids. I have so far finished 2 important books about attachment theory. In summary, maternity care is crucially important during the first two years of an infant, where the right hemisphere of the emotional brain about to develop.In any event where care is not presence during the first two years of a baby, the right brain will be impaired and it may develop trauma. Such traumatic depression will be stored in the unconcious mind of the right brain. As a result of these unintegrated displacement in the psychological mind, it will develop a rigid character as well as inflexible behavior.The rigidity of the personality will be reflected in day to day life, and it may also transfer to other generation within the family.

woman vs men

It is reported that women display significantly greater activity in the affect regulating structure than men do during PET scan. The data indicate gender differences in empathic styles between sexes (Schore, 2001).

Recent research shows that impaired orbitofrontal corelates to autism, schizophrenia, mania, unipolar depression, phobic states, posttraumatic stress disorder, drug addiction, alcoholism, and borderline and psychopathic personality disorders (Schore, 2001).

Early traumatic experience of a baby will result in storing such negative experiences into implicit or procedural memory. It will later manifest in rapid emotional activiation and instability, reflect hyperarousal, and subsequent rapid escalation of intense nagative affect, self disorganized, explosively and implosively (Schore, 2001)