KMID : 0605620130200040136
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Journal of Korean Society of Biological Psychiatry 2013 Volume.20 No. 4 p.136 ~ p.143
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Attunement Disorder : A Disorder of Brain Connectivity
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Kim Ki-Won
Park Kyung-Min Jang Hye-ryeon Lee Yu-sang Park Seon-Cheol
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Abstract
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Objectives: We reviewed cellular and synaptic dysconnectivity, disturbances in micro- and macro- circuitries, and neurodevelopmentally-derived disruptions of neural connectivity in the pathogenesis of schizophrenia.
Method: We reviewed the selected articles about disturbances in neural circuits which had been proposed as a pathogenetic mechanism of schizophrenia.
Results: The literature review reveals that schizophrenia may be a disease related to disturbance in neurodevelopmental mechanism, shown as ¡¯a misconnection syndrome of neural circuit or neural network¡¯. In descriptive psychopathological view, definition of a disorder of brain connectivity has limitation to explain other aspects of schizophrenia including deterministic strictness in thought process.
Conclusion: Schizophrenia is considered as a disorder of brain connectivity as well as a neurodevelopmental disorder related with genetic and environmental factors. We could make a suggestion that "JoHyeonByung (attunement disorder)" denotes the disturbances of psychic fine-tuning which correspond to the neural correlates of brain dysconnectivity metaphorically.
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KEYWORD
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Schizophrenia, Brain connectivity, Neurodevelopment
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