얼굴인식 불능증(prosopagnosia)이란 것이 있습니다.
뇌의 양측 면에 존재하는 temporal lobe의 fusiform gyrus에 손상을 입은 사람은 다른 사람의 얼굴을 인식하지 못 할 수 있습니다.
하지만 여전히 책을 읽을 수는 있으며 장님도 정신병자도 아닙니다. 그러나 상대의 얼굴만 쳐다보고는 그 사람이 누군지를 인식하지 못합니다.
이런 얼굴인식불능증은 잘 알려져 있지만 카프그라 증후군은 잘 알려져 있지 않습니다.
카프그라 증후군 환자들은 망상에 빠져서 친어머니를 보고도 어머니가 아니라 '사기꾼‘이라고 합니다. 그러나 다른 면에서는 지극히 정상이며 지적이기도 합니다.

사람이 망막을 통해서 보는 이미지는 뇌 뒤의 30여개의 시각 영역에서 분석되고 보고 있다는 것을 인식하게 됩니다.
그 이미지가 어머니인지 돼지인지 구루마인지? 와 같은 인식과정은 뇌에 있는 fusiform gyrus 라는 작은 영역에서 일어납니다. 이 영역이 손상된 자들은 얼굴인식불능 증세를 나타낸다고 합니다.

일단 이미지가 인식되면 그 정보는 감정중추인 변연계의 통로인 편도에 전달됩니다. 우리는 이 변연계를 통해서 현재 보는 사물의 감정적 중요성을 가늠할 수 있습니다.즉, 약탈자의 모습인지, 잠재적 친구인지, 두려워하는 상사인지, 좋아하는 사람인지......

카프그라증후군' 환자는 시각영역은 정상이나 감정중추와의 연결이 손상되어 보고 있는 사람이 실제 어머니여도 그의 어머니처럼 보인다고 말 합니다.
즉, 외상이나 질병 등으로 시각중추와 편도, 감정 중추를 연결시키는 선이 손상받아서 어머니를 보면서도 ‘어머니와 똑 같이 생겼지만 그녀가 자신의 어머니라면 왜 내가 아무것도 느낄 수 없는 것일까? “아니, 어머니 일리가 없고 그것은 단지 어머니 흉내를 내는 타인 일 뿐이야 ’라고 생각합니다.
그의 머릿속에서는 그런 생각만이 의미를 지닙니다. 놀라운 사실은 그의 어머니가 전화를 할 경우 그녀의 목소리를 통해서는 어머니인줄을 알아차린다는 것입니다.

여기에서는 아무런 망상(delusion= false belief)도 발생하지 않습니다. 그러나 1시간 뒤 그의 어머니가 방문으로 들어서면 그는 그녀가 어머니처럼 보이지만 실제로는 사기꾼이라고 말합니다.
이 처럼 들으면 알아보지만 보면서는 모르는 것의 이유는 superior temmporal gyrus 에 있는 auditory cortex에서 편도까지 이어진 별도의 통로가 존재하는데 이 통로가 사고에도 불구하고 단절되지 않았기 때문입니다.
따라서 시각인식은 사라진 반면 청각인식은 손상되지 않고 온전하게 남아서 작동하게 된 것입니다.
이들은 호랑이가 눈앞에 나타나도 호랑이에 대한 두려움 같은 감정반응이 없으니 위태로울 것입니다. 시각적 이미지에 대한 우리의 감정반응은 우리가 생존하는 데 매우 중요한 요소인 것입니다.

다른 질환으로 코타르(Cotard's) 증후군은 자신이 죽었다고 주장하는 질환입니다. 모든 감각이 감정중추와 단절되어 있다는 점만 제외하면 카프그라 증후군과 유사하다 할 수 있습니다. 따라서 세상의 모든 것들이 감정적으로 중요성을 갖지 못합니다.


어떤 대상이나 사람도 그 어떤 촉각이나 소리도 감정적인 영향을 주지 못합니다.
환자가 그와 같은 완전한 감정적인 고립을 해석할 수 있는 유일한 방법은 자신이 죽었다고 믿는 것입니다. 황당하더라도 그것이 그 환자가 이해할 수 있는 유일한 설명방법입니다.
환자 자신의 감정을 수용하기 위해 이성이 왜곡되는 것입니다. 이들의 이런 망상은 치료되기가 매우 어렵습니다. 예를 들어 누구나 죽은 사람은 피를 흘릴 수 없다고 알고 있는데 코타르 환자의 피부를 주사바늘로 찔러 피가 나게 하면 그는 놀라워하면서 자신의 정정불능의 불합리한 사고 즉, 망상을 버리고 자신이 살아 있다고 생각하게될까요? 아닙니다 .그는 결국 죽은 사람도 피를 흘린다고 결론을 내릴 것입니다.
일단 망상적인 집착이 발전하면 모든 반대 증거들은 그것들을 수용하기 위해서 왜곡됩니다. 정상인에서도 이런 면이 없다고 못하지만 이들 환자들에서는 그들의 단절된 감정을 위해 이성이 제멋대로 조작되고 편집되는 것만이 의미가 있습니다.

황사가 봄비에 걷히듯 이성을 덮어버리는 감정들이 걷혔으면 좋겠습니다.
from emerging mind by Vilaynur Ramachandran


친숙한 노래한 곡 듣죠.....동백아가씨---박화요비.


<Paracelsus님의 동의 하에 Bric 게시판에서 옮겨왔습니다.>

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Continue Reading Remain hydrated all through your workout. Keeping Powerade and Gatorade handy assists you maintain a good electrolyte balance during a hard workout. The incredibly least you\'ll be able to do is maintain a water bottle handy to ensure that you\'ll be able to sip from it during your workout and stay hydrated. When you do not stop to take a drink of water (or a further beverage) at standard intervals you could dehydrate and do significant harm to your physique. Obviously not all drinks have the same level of use. Don\'t bother with alcohol, sodas or sugary juices. Fitness is usually a aim for just about everybody. A lot of people need to be stronger and have additional endurance. We all need to be healthier. It isn\'t understanding which changes we have to make that maintain us from accomplishing this. Don\'t let yourself get intimidated. Everybody has to begin somewhere! You will find people today all over the world who\'re facing the same problems you are facing. By far the most crucial thing at this time is which you know what you must do. You only need to take the very first step. Continue

A whole lot of the time, weight-loss is all about math and the numbers. All you must do is burn additional calories than you take in. This way, to maintain your body\'s power up, it\'s going to need to burn through the calories that it has stored within your fat cells. It isn\'t incredibly enjoyable to need to pay attention to your calories. The fact is it can become incredibly difficult due to the unique calorie weights of unique foods. You only need to consume calories that are quickly usable by your body--storing them for later is not excellent.Ask a physician or perhaps a nutritionist to assist you determine how several calories you must burn each and every day to increase your weight-loss good results. The word "diet" ought to not be employed in relation to your new consuming habits. Call it "choosing healthier food" or something comparable. Employing the word "diet" typically feels negative. Once you refer to your new habits as "a diet" you are a good deal additional likely to resent them than in the event you call them what they are: "new wholesome consuming habits." As an alternative to assigning it a negative word, use positive, action-based words to describe your new lifestyle options. Employing these types of phrases will aid you when people today ask you why you are consuming differently (or much less typically) and it\'s going to aid you feel additional proactive concerning the options you are producing. Click Here To Continue

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