Q
& A with an expert
An interview was
conducted on an expert, Dr. Nicolai Ph.D., in the field of Psychology and
neural disorders. She is a Psychology professor at Rockhurst University in
Kansas City. Below is the interview with Questions and answers with her
permission:
Why
did you choose this field?
She found that questions that psychologists asked were the most
interesting ones. She enjoys investigating how and why humans think and feel
the way they do. This is also one of the most fascinating parts of the field
for her. She loves teaching at the college level and talking with intelligent
students about psychological topics.
Do
you have any accounts of patients with neurological disorders? Which
ones? What can you tell me about these disorders?
She has not been in the clinical world for 20 years now, but
she did spend 2.5 years as a clinician while pursuing her doctorate. She worked
with patients with psychiatric disorders such as schizophrenia and autism. A
question lies in what a neurological disorders actually is. She believes all
psychiatric disturbances can be considered a neurological disorder such as
Schizophrenia and tic disorders. She is most interested in neurological
disorders because they have been maintained in the population, haven’t been
selected against, and don’t seem to confer a reproductive advantage. Some
disorders are later onset, after child-bearing years, so they don’t detract
from reproductive fitness.
Why
do you think a psychologist studying neurological disorders should know
about evolution?
She believes that evolution is important to find out why
these disorders have been maintained in the population. She stated that, “Evolutionary
history is the story of the ways in which our genetic makeup as a species has
responded to and changed by the environments. Psychologists are interested in
environments in which humans live and interact and how those environments have
an impact on thoughts and behavior. Our genetic makeup influences how we
interact with environment. For human, social interaction is key to the
environment. It is most important to survival. Social milieu is unique to
humans. Evolution of the human brain both influences and is influenced by the
fact that humans are a social species.”
How
important is the search for a cure or medications to help cope with the
disorders?
Dr. Nicolai finds it very important that mental disorders
are number 3 or 4 on the list of disabilities that are costly in building
economies in terms of health care and inability to work. In terms of human
misery and suffering, it is extremely important to try to help prevent and
treat these disorders. Dr. Nicolai believes that if a person is more productive
and has more energy, he or she can do positive things for the social world.
Have
you heard of grid computing? What do you think about using grid computing in
the search for a cure?
Dr. Nicolai knows that grid computing is a relatively new
method that allows researchers to compile genetic DNA such as brain imaging
data to look at huge samples of people with different stages of disorders to
try and identify areas of the brain affected earliest. The goal is to identify
markers to help find a cure. MRI and fMRI data analysis takes time and needs a
lot of space. When processing large amounts of data, it is not always representative
based on available resources.
Where
does the root of the problem for most neurological disorders exist?
She believes the problem is in epigenetic regulation in a
combination of genes that predispose individuals in combination with environmental
interaction. This combination could manifest a phenotypic disorder (diagnosable
condition). This is true for not just neurological disorders. Our genes direct
how our hardware is built.
Are
there any new means for neurological disorder prevention?
She believes there is and that it lies in epigenetics, which
is the way in which the environment across generations can have impact on
genetic transmission. If you change the environment and change people’s behavior,
one might be able to prevent the disorder. Good access to healthcare, prenatal
especially, educating people early on to take care of their nervous systems by
reducing stress, naps/rest and strengthening social networks can help their brain’s thrive in social environments. Throughout evolutionary
history the focus has been on building the social brain. Good nutrition,
exercise, sleep and peace are highly recommended. If a child grows up and sees
carnage every day, it affects the way he or she processes information. It can
trigger aggression in the presence of bombs going off outside their home. This
can spike adulthood violence.
What
misconceptions exist about neurological disorders? Can these patients be
treated/live healthy normal lives?
She believes that a misconception is that our genetic make
up is static and unchanging. It is alive throughout our life and nervous
systems change as time goes on. Critical periods exist between prenatal/infancy,
and rewiring and trimming occurs during adolescence. Schizophrenia is
genetically predisposed, but the wiring that occurs prenatally is affected by
genetic and environmental factors. Prenatal exposure to viruses in the 2nd
trimester can be linked to schizophrenia. Symptoms don’t emerge until late adolescence
or early adulthood. This is because the functionality doesn’t manifest until
adolescence. Schizophrenia is a spectrum disorder, which means on a continuum (Asperger’s
to debilitating autism). Schizophrenia is a group of disorders that shares
features but also share differences. Hallucinating can begin at age 6, but for others it does not emerge until the early
thirties. Some people recover completely, but others need institutionalization
for rest of their lives. Schizophrenia has a relatively stable prevalence
around the world (about 1-1.5% around the world regardless of the culture). This
suggests that when the split happened, if schizophrenia was not part of our
species specific genetic makeup then we would see differences before people
left the land to migrate. There is a relationship between evolution and
characteristics that make up a species and that relationship is in genes that
predispose. There is some reproductive advantage because those genes with the
disorder actually do something else positive for the human.
What
is there still to be discovered about neurological disorders?
“Schizophrenia patients don’t have that many kids because
they are not reproductively fit. Why has this been maintained in the species? Because
human brain development in evolutionary history, development of language and
specialization of left hemisphere for language function. When schizophrenia
starts to emerge as a dysfunctional disorder is important. Language function is
disrupted in schizophrenia patients. There is a disruption in the connections
pointing to when the manifestation became a problem. Relatives of people with schizophrenia
have fewer children, but if there is positive reproductive success, why does
this happen? This is not the case for mood disorders because relatives have
more children.”
Side
notes for Dr. Nicolai
“Seventy percent of Asians have genes that predispose them
to anxiety. Their social structure was probably built to eliminate anxiousness
of the culture. An example would be not looking people in eye and talking
farther away from each other in public settings. This is why people act
differently in China. They are less likely to push the prevalent predisposition
to anxiety present in that culture.”
“In the past, when schizophrenia patients heard voices they
were thought to have a connection to the spirit world…we don’t see that today.
Technology has put behaviors in a different light. Back then, cultures
understood schizophrenia as something way different than today. Schizophrenia
patients were deemed reproductively fit because the spouse wanted the children
to have a connection to the spiritual world.”
Group
Reflection
1.
Describe your feelings about or response to the interview.
We thought that Dr. Nicolai gave very informative
and relative answers to our questions. It was interesting to hear a
professional’s remarks, knowledge, and opinions on the matter. Dr. Nicolai put
into perspective how the knowledge we are gaining in class applies to the world
outside of college. Learning specifically about schizophrenia and how it
relates to evolution was a great way to gain a better understanding of not only
the disease, but also how the amount of knowledge a society has about a
condition can affect its prevalence in their culture.
2.
What changes occurred for you as a result of your interview?
The changes that
occurred for us as a result of the interview included a different outlook on
how evolution can affect the social atmosphere of society. It opened our minds
to how important it actually can be to have a solid understanding of evolution.
It also showed us that just because something is heritable does not mean that
environmental factors cannot also be affecting it. Epigenetics is also
important to understand to know whether the factors of a disease is actually
evolving or not.
3.
Did anything about the interview disturb you?
Nothing was really that disturbing in
regards to the interview. However, we found it really interesting how neural
disorders can influence whole cultures. When Dr. Nicolai informed us about the
genetic predisposition to anxiety in Asians, it gave us a whole new perspective
on neural disorders and how it can evolve in a way that impacts social
behaviors. We never had thought about it in this way before.
4.
Describe the connections you found between the interview and your research
& classwork.
Dr. Nicolai’s answers
had many connections to our research and in class. For example, Dr. Nicolai
shared that prenatal exposure to viruses in the 2nd trimester can be
linked to schizophrenia, and in our research, we found that influenza during
pregnancy may be associated with the development of schizophrenia. This was
very closely related. Additionally, Dr Nicolai discussed evolution, which is
related to our classwork. She gave the example of how schizophrenia was
selected for in the past but selected against as we gained a better
understanding of the disorder. Using schizophrenia as an example, the
postulates of natural selection can be applied directly to this neurological
disorder: There is variation in humans for schizophrenia, both in the disease
and having the disease. At least some of these variations are heritable. Not
everyone in each generation can survive. Finally, natural selection operates on
the population. The survival and reproduction are not random; as we gained more
knowledge of schizophrenia, the reproduction rate decreased. The individuals
with the more favorable adaption of not having schizophrenia tend to out
reproduce the individuals with schizophrenia. Overall, the connections in the
interview helped us have a better understanding of our classwork and our
research.