

Students: Here is the skit we're playing to record on Wednesday, March 16. If you have any questions, email me at:
drblt@drblt.net
Match the Melody to the Malady
Dr. Amy Gdala: Good afternoon, welcome to another weekly Case Conferencing session at Head Rest Psychotherapy Center for the Neurologically Impaired, I’m your new clinical director, Dr. Amy Gdala.
Dr. Constance Flict. Hi, Amy, and welcome. We hope you’re less of a micro-manager than our last director. I’ve got a case of a patient named A. Volition. Although he’s not psychotic, he suffers from something that many schizophrenic patients suffer from---avolition. As such, he cannot initiate behavior. He’s stuck, emotionally, and thus, behaviorally paralyzed.
Dr. D. Stract: Hey, that happens to me all the time. It almost kept me from attending this meeting.
Dr. C. Reuss: This is no laughing matter, Dr. Stract. Let’s stay on track.
Dr. Basal Ganglia: Asking that of Dr. Stract is like asking a person with a hypothalamic lesion to relax.
Dr. Lateral I. Zation: We’re glad to have you on board. Dr. Flict’s case doesn’t sound like a life or death matter. It sounds pretty mild if you ask me. So, if you don’t mind, I’d like to bring up my case with you, and the beloved group first. Ferlin Gitfell, my Alchiemer’s patient has really been giving me some challenges of late.
In terms of his visual functioning, he’s losing his ability to identify complex geometric patterns, like the wrinkled, but kindly face of his wife. He came in with his wife. He really loves her, and that seems to be helping. They met as dance partners, back in the 40s, but now he’s losing his ability to initiate complex voluntary movements, so dancing is out of the question.
Dr. Ep E. Lepsy: Excuse me, Dr. Zation, mind if I call you Lat?
I think my case is more pressing because it’s about somebody having a brain attack.
This guy is both a schizophrenic and an epileptic. I’m sure he’d be the ideal candidate for one of Sperry’s experiments on hemispheric specialization. I can’t overstress the urgency of this case.
Dr. Calm: Calm Down, Dr. Lepsy, you look like the one about to go psychotic or to go into an epileptic seizure.
Dr. Lepsy: It seems to me that you’re the one getting hysterical.
Dr. Corpus: Please! The two of you act like a brain that’s been split at the corpus collosum.
Dr. Calm: Now, as I was saying before being so rudely interrupted, I wanted to convey the phenomenological experience of my patient, with the help of these students from Dr. BLT’s class, who will act as an amalgamation of his auditory hallucinations and the electrical storm in the brain.
This is what he has to contend with while I speak with him in our sessions.
(let the background voices begin and continue to the end of the paragraph below).
Stormy McBrian is his name. “Stormy, what you are suffering from is a confluence of two conditions, one being Schizophrenia, Paranoid type and Epilepsy. There are reasons why you hear voices and think they are real people, saying real things. There are reasons why you are confused and can’t seem to separate reality from non-reality. There are reasons you think people are plotting against you. There are reasons why you feel like there is an electrical storm in your brain…
Dr. Amy Gdala: Well, we’re almost out of time, and believe it or not, each of you has already presented your case. This is a brief therapy center, and maybe your old director was into prolix presentations, but not me. And now that you’ve all heard each other’s cases, let’s play a game.
Dr. Sarah Bellum: Wait, I have a patient whose brain was accidentally severed by, Dr. Perry, a neurosurgeon who thought she was epileptic. Now she has a hard time being torn between what her head is telling her and what her heart is telling her. She in a state of ambivalence and avolition. She can’t mobilize her will to initiate action of any kind.
Dr Amy Gdala: Like I was saying, let's play a game. It’s called Match the Melody to the Mental Health Malady. Let’s listen to these three songs, penned by Dr BLT. The first one, I get Forgetful, is performed by Dr BLT and former student, Patricia Mikel.
This second song is My Heart has a Mind of Its Own. Is performed by Dr BLT, his former student Patricia Mikel and present student, Conrad Gill.
This third song is called Brain Attack. It also features Patricia Mikel and Conrad Gill.
Staff, listeners, and blog visitors, after hearing the skit, match the melodies to these maladies! Are you ready? Let’s go!


THE VILLAGEDownload | Duration: 00:04:37
Students: No blog homework is due for the next class, but if you want to get a jump start on the blog homework for the following week, then review these lyrics and then respond in these two ways:
1. The song (music to be added later) provides a creative adaptation of course material, and an informational skeleton that you will add flesh to. Elaborate on each of the neuro pioneers identified in the lyrics.
2. Elaborate and flesh out with more detail, each of the neuro-imaging techniques alluded to in the lyrics.
this in the comments section, and you're good to go.
The Neurosurgeon’s Methods Dance
By Dr Bruce L. Thiessen, aka BLT copyright 2010
They used to slice the brain all up
To find out brainy, research stuff
Old Sperry didn’t spare a brain
He needed lesions for his game
He made himself a wondrous name
but all their losses were his gain
and now we’re so much more advanced
so join our neurosurgeon’s dance
That’s now reserved for mice and men
Already damaged, on the mend
They say hey, stimulate instead
Directly stimulate the head
T’was pioneered by Penfield too
A great Canadian, t’was imbued
With neurosurgeon skills so deft
He’d stimulate the right and left
The patients in his surgery
Stayed conscious in emergency
A little local that is all
To numb the head and it involved
The application of a shock
To brains exposed and on the block
The regions triggered?
Very small
And barely noticed, if at all
He’d shock ‘em then
Asked them questions
Or have them share with “Pen,” their friend
Their thoughts and memories then and there
He’d analyze them and compare
Their words with others under knife
A dreamlike state is what it’s like
Could these reported thoughts and such
Be stuff of fantasy and fluff?
A feeble effort to construct
A pattern based on not enough
Of real thoughts and real states
Pen simply said, “I think it’s great!”
Regardless of the things they say
The value of “let’s stimulate”
Is in the way they’re localized
The functions of the brain realized
The kinds of knowledge stored in parts
Of neocortex torn apart
Let’s cheer the man we call “The Pen”
And ask not why, but what and when?
The neuroimaging technique
Intrigues me so, it’s so unique
The CT’s, MRI’s and PETS
Are pretty cool, way cool, you bet!
They all give pictures of the brain
So clear, and it’s hard to contain
The joy I’m feeling every time
I see an image of my mind
The different colors are a trip
Reflecting blood flow, there, that’s it
When blood gets oxygen it moves
The pictures cause me to be moved
They used to look at brains as dead
Just structures fixed inside the head
But these techniques bring it alive
The brain in action, actualized
And Tulving is the one we love
A pioneer of all this stuff
His look at memory inspired
A bunch of people to admire
The two types of our memories
The episodic and, you see
Semantic memory, yes, two types
Now never mind the pomp and hype
Just watch the different ways it flows
Where different types of memories go
Inject some junk inside the vein
That binds the oxygen contained
Inside the blood, that sticks like mud
There is a lag, and that’s a dud
But through these fancy things they do
We find a broader, cooler view
Our theories grow and stretch you know
According to these brains that glow
Electro-en-ceph-alograms
And ERPs are groovy, man
Two ways to look
Inside the brain
And and see the functions it contains
The first is primitive and crude
But ERPs are awesome, dude!
Momentary recent change
Is soooo detected in the brain
With ERPs that map the flow
Of currents ranging high and low
Semantic words---anomalies
Will be detected, yes, with these
An N4, for anomalies
And also for abnormalities
Like when you’re breakin’ grammar’s rules
An N4’s found with this great tool


We're about to study the brain and mental/cognitive phenomena from multiple perspectives in order to gain a contextual understanding of how we think, and how we process our thoughts, underlying emotions, and memories. This may get complicated and that prospect may seem intimidating, so I'd recommend taking a breath, telling yourself that you're up for the challenge (after all, you are!), and then takling this blog entry head first.
Three types of abuse are evident in the movie, DOLORES CLAIBORNE: Sexual abuse, or child molestation, domestic violence (mutual, but it could be argued, Dolores was acting in self-defense), and alcoholism (four if you consider nicotine abuse). Certain research seems to indicate that memories characterized by emotional intensity, appear to be easier to recall than memories corresponding to little, if any, emotional intensity.
How would you reconcile this research with the revelation in the movie, that the only traumatic event that the character of Selena St. George seems to remember, involves the sight of her father bleeding after her mother struck back at him, shortly after being brutally attacked by him? It takes a series of vivid reminders by her mother to finally trigger memories of having been molested by her father.
We, as a scientific community, used to believe that DNA was fixed and that enviornment was a separate influence on the development of the individual. This had to do with the general consensus that our behavior had no impact on the genes of future generations.
While Darwin has carried the prevailing paradigm of Western civilization since the early days of science, Jean-Baptiste (1744-1829)Lamarck, who came before him, and the Lamarckian-based relatively new field of epigenetics (born of Lamarckian theory), appears to be nipping at that paradigm's achilles heel, and thus, threatening to bring about a dramatic paradigmatic shift.
This shift began to surface as a possibility when Dr. Lars Olov Bygren, a preventative-health specialist began examining, and later, publishing, the records of generations of offspring whose parents, grandparents and greatgrandparents from Norrbotten County in Northern Sweden, were exposed to abrupt shifts in food availability, leading alternatively, to periods of near-starvation followed by periods of exteme abundance, which triggered episodes of severe overeating.
The results flew in the face of the Darwinian-based assumption that changes in the development of species takes place over many generations and millions of years of natural selection. The boys, for example, who suffered from food consumption extremes, produced children and then grandchildren, with conspicuously shorter life-spans. This consequence proved to be enduring throughout several generations beyond the initial offspring.
Lars' findings, coupled with other epigenetic studies that have followed, suggest that environmental factors such as nutrition, stress and trauma can actually produce relatively enduring changes in offspring due to changes in epigenetic markers associated with DNA. For example, mothers who experience a great deal of environmental stress during pregnancy are found to have a higher rate of children who develop asthma.
Do a little research on epigenetic studies. A good place to start would be the cover article in the January 18, 2010 edition of Time magazine---an article entitled "Why Your DNA isn't Your Destiny." Then formulate an hypothesis that suggests how, if untreated, the trauma Selena experienced in her childhood, associated with family violence and her experience of having been molested, could impact future generations, if she were to marry, and subsequently have children. First, consider how changes in the epigenetic markers alone could impact future Selena decendants, and then consider the additional role of modeling and how it may interact with the epigenetic process to shape the behavior of her decendants.
Students, it would be helpful to refer to a diagram of the brain and its structures, as a frame of reference, to answer the next question. Cognitive Psychology students, there's one on page 53 of your text, Neuropsychology of Learning students, there's one on page 60 of your text. See if you can also do a little digging in your textbooks, and additional sources to shed further light on the function of each area or part of the brain. Then identify and discuss 3 areas of Selena's brain that likely played a role in facilitating, first memory blockage, and then, the gradual recall for memories of her father having abused her.
Now do a little independent research on the areas of the brain impacted by alcohol intoxication. Discuss what areas of the brain Selena's father likely influenced while he was drinking and how this may have influenced his behavior?
Do you think Selena's father would have been likely to molest her if he hadn't had a drinking problem? Why or why not?
Now listen to this original song (sorry about the rough nature of the recording):
Through the Eyes of a Child
Dr BLT
words and music by Dr BLT copyright 1988, 2010
Then answer this:
Describe how the theme of multi-generational perpetuation of the cycle of abuse is introduced in this song? Then answer this:
How could the field of epigenetics add insight into the understanding of the multi-generational perpetuation of the cycle of abuse, and develop methods, based on epigenetic findings, that could play a role in the eventual breaking the cycle?
This blog will be due by Wednesday, January 27, 2010 for Fresno Pacific University students. For students in my Cognitive Psychology class, this one is optional, and please, Cognitive psychology students, just disregard the final question, referencing Table 1.1.
Although it's virtually impossible to be born into this world, or to be exposed to the trials of life, and come out completely functional. But when an individual suffers from a profound brain disorder, or a profound learning disability, the challenges that everyday individuals experience seem to pale in comparison. Yet, as this song suggests, it is human nature to foolishly take everything for granted, including a relatively functional brain.

Everything 4 Granted (as aired on the KWMR show,
Bakersfield and Beyond ![]()
Dr BLT
words and music by Dr BLT copyright 2009
What are a few of the things the character in this song took for granted? What were the consequences of taking "everything for granted?"
We can lose our brain functioning if we take it for granted. I can think of one example----alcoholism, either through excessive, prolongued abuse, or through drunk driving resulting in a serious automobile accident that could render a person brain-damaged?
Can you think of other examples? If so, offer them in the comments section below.
What is it like to be somebody who has suffered a stroke, or a series of strokes? What is it like to experience hemiplegia? Who would you feel if you couldn't move one side of your body? What if you couldn't move your right arm, or your right leg? Life would become so much more challenging and things we all take for granted would take on a whole new meaning. In order to work with children, adolescents or adults with learning disabilities or brain dysfunction, we need to be able to understand the nature of their suffering, the extent and nature of their challenges, and we need to have, above all, empathy.
Empathy vs. Pity:
Empathy empowers, pity only weakens and enables those with brain dysfunction to be ensconced in self-pity, a victim mentality, and a sense of hopelessness, haplessness and helplessness.
Before we can develop a subjective understanding of what it means to experience brain dysfunction, we must have an objective understanding of what areas of the brain are impacted, the extent of injuries or damage to the brain, and the practical manifestation in terms of the effect of brain dysfunction on thought, emotions and behavior.
