Major Depression and the Perception of Affective Instrumental and Expressive Gestures: An fMRI Investigation.

Major depressive disorder (MDD) is associated with biased perception of human movement. Gesture is important for communication and in this study we investigated neural correlates of gesture perception in MDD. We hypothesised different neural activity between individuals with MDD and typical individuals when viewing instrumental and expressive gestures that were negatively or positively valenced. Differences were expected in brain areas associated with gesture perception, including superior temporal, frontal, and emotion processing regions. We recruited 12 individuals with MDD and 12 typical controls matched on age, gender, and handedness. They viewed gestures displayed by stick figures while functional magnetic resonance imaging (fMRI) was performed. Results of a random effects three-way mixed ANOVA indicated that individuals with MDD had greater activity in the right claustrum compared to controls, regardless of gesture type or valence. Additionally, we observed main effects of gesture type and valence, regardless of group. Perceiving instrumental compared to expressive gestures was associated with greater activity in the left cuneus and left superior temporal gyrus, while perceiving negative compared to positive gestures was associated with greater activity in the right precuneus and right lingual gyrus. We also observed a two-way interaction between gesture type and valence in various brain regions.

Correlations between arm motor behavior and brain function following bilateral arm training after stroke: a systematic review.

BACKGROUND: Bilateral training (BT) of the upper limb (UL) might enhance recovery of arm function after stroke. To better understand the therapeutic potential of BT, this study aimed to determine the correlation between arm motor behavior and brain structure/function as a result of bilateral arm training poststroke. METHODS: A systematic review of quantitative studies of BT evaluating both UL motor behavior and neuroplasticity was conducted. Eleven electronic databases were searched. Two reviewers independently selected studies, extracted data and assessed methodological quality, using the Effective Public Health Practice Project (EPHPP) tool. RESULTS: Eight studies comprising 164 participants met the inclusion criteria. Only two studies rated "strong" on the EPHPP tool. Considerable heterogeneity of participants, BT modes, comparator interventions and measures contraindicated pooled outcome analysis. Modes of BT included: in-phase and anti-phase; functional movements involving objects; and movements only. Movements were mechanically coupled, free, auditory-cued, or self-paced. The Fugl-Meyer Assessment (UL section) was used in six of eight studies, however, different subsections were used by different studies. Neural correlates were measured using fMRI and TMS in three and five studies, respectively, using a wide variety of variables. Associations between changes in UL function and neural plasticity were inconsistent and only two studies reported a statistical correlation following BT. CONCLUSIONS: No clear pattern of association between UL motor and neural response to BT was apparent from this review, indicating that the neural correlates of motor behavior response to BT after stroke remain unknown. To understand the full therapeutic potential of BT and its different modes, further investigation is required.

Transformational leadership behaviors in allied health professions.

OBJECTIVES: The aim of this study was to explore self-reported transformational leadership behavior profiles within the six largest allied health profession groups in the National Health Service in Scotland and to determine whether factors such as seniority of grade, locus of employment, and/or leadership training have a positive influence on transformational leadership behaviors. METHODS: A postal survey comprising the shorter version of the Multifactorial Leadership Questionnaire (MLQ) and contextual demographic information was completed by 753 allied health professionals from four Health Board areas across Scotland who were randomly selected through a modified cluster sampling technique. The MLQ contains 36 items that measure nine identified leadership factors; however, only the responses to the five transformational leadership factors are reported here. RESULTS: The study identified significant differences in transformational leadership behaviors between individual allied health professions. Radiographers and podiatrists scored consistently lower than the other professional groups across the range of transformational behaviors. Seniority of grade significantly influenced the scores, with higher-graded staff reporting greater leadership behaviors (p < 0.001). Prior leadership training also positively influenced transformational behaviors (p < 0.001). However, locus of employment within a primary or secondary care setting or even a multidisciplinary or unidisciplinary team had no effect. CONCLUSIONS: This research identified significant differences in transformational leadership behaviors between individual allied health professions, indicating that some professional groups are inherently advantaged in embracing the modernization agenda. This highlights an as-yet missed opportunity for effectively targeting and evaluating multidisciplinary leadership training programs across the allied health professions.

Dissociable neural pathways for the perception and recognition of expressive and instrumental gestures.

Previous functional imaging studies have sought to characterize the neural correlates of gesture representation. However, little is yet known about the representation of different categories of gesture. Here we contrasted the perception of hand gestures that express inner feeling states, e.g. I am angry, I do not care, with the perception of instrumental gestures intended to change the behavior of others by communicating commands, e.g. come here, look over there. We hypothesised that recognition of expressive gestures would activate a network of brain regions associated with mentalising ('theory of mind') whereas instrumental gestures would activate different neural pathways. Twelve normal volunteers underwent fMRI while they watched a series of short videos (3 s duration) of actors performing expressive and instrumental gestures. The volunteers had either to recognise the gesture or to monitor the positions of the hands. As predicted, different neural networks were activated by the observation of instrumental or expressive gestures. The perception of expressive gestures elicited activity in the anterior paracingulate cortex, the amygdala and the temporal poles bilaterally and the right superior temporal sulcus. These regions have all previously been activated during the performance of mentalising tasks. In contrast, instrumental gestures elicited activity in a left-lateralised system previously associated with language and motor imitation.

Functional imaging of 'theory of mind'

Our ability to explain and predict other people's behaviour by attributing to them independent mental states, such as beliefs and desires, is known as having a 'theory of mind'. Interest in this very human ability has engendered a growing body of evidence concerning its evolution and development and the biological basis of the mechanisms underpinning it. Functional imaging has played a key role in seeking to isolate brain regions specific to this ability. Three areas are consistently activated in association with theory of mind. These are the anterior paracingulate cortex, the superior temporal sulci and the temporal poles bilaterally. This review discusses the functional significance of each of these areas within a social cognitive network.

Imaging the intentional stance in a competitive game.

The "intentional stance" is the disposition to treat an entity as a rational agent, possessing particular beliefs, desires, and intentions, in order to interpret and predict it's behavior. The intentional stance is a component of a broader social cognitive function, mentalizing. Here we report a study that investigates the neural substrates of "on-line" mentalizing, using PET, by asking volunteers to second-guess an opponent. In order to identify brain activity specifically associated with adoption of an intentional stance, we used a paradigm that allowed tight control of other cognitive demands. Volunteers played a computerised version of the children's game "stone, paper, scissors." In the mentalizing condition volunteers believed they were playing against the experimenter. In the comparison condition, volunteers believed they were playing against a computer. In fact, during the actual scanning, the "opponent" produced a random sequence in both conditions. The only difference was the attitude, or stance, adopted by the volunteer. Only one region was more active when volunteers adopted the intentional stance. This was in anterior paracingulate cortex (bilaterally). This region has been activated in a number of previous studies involving mentalizing. However, this is the first study suggesting a specific link between activity in this brain region and the adoption of an intentional stance.