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Storage, recall, and novelty detection of sequences by the hippocampus: elaborating on the SOCRATIC model to account for normal and aberrant effects of dopamine.

In order to understand how the molecular or cellular defects that underlie a disease of the nervous system lead to the observable symptoms, it is necessary to develop a large-scale neural model. Such a model must specify how specific molecular processes contribute to neuronal function, how neurons contribute to network function, and how networks interact to produce behavior. This is a challenging undertaking, but some limited progress has been made in understanding the memory functions of the hippocampus with this degree of detail. There is increasing evidence that the hippocampus has a special role in the learning of sequences and the linkage of specific memories to context. In the first part of this paper, we review a model (the SOCRATIC model) that describes how the dentate and CA3 hippocampal regions could store and recall memory sequences in context. A major line of evidence for sequence recall is the "phase precession" of hippocampal place cells. In the second part of the paper, we review the evidence for theta-gamma phase coding. According to a framework that incorporates this form of coding, the phase precession is interpreted as cued recall of a discrete sequence of items from long-term memory. The third part of the paper deals with the issue of how the hippocampus could learn memory sequences. We show that if multiple items can be active within a theta cycle through the action of a short-term "buffer," NMDA-dependent plasticity can lead to the learning of sequences presented at realistic item separation intervals. The evidence for such a buffer function is reviewed. An important underlying issue is whether the hippocampal circuitry is configured differently for learning and recall. We argue that there are indeed separate states for learning and recall, but that both involve theta oscillations, albeit in possibly different forms. This raises the question of how neuromodulatory input might switch the hippocampus between learning and recall states and more generally how different neuromodulatory inputs reconfigure the hippocampus for different functions. In the fifth part of this paper we review our studies of dopamine and dopamine/NMDA interactions in the control of synaptic function. Our results show that dopamine dramatically reduces the direct cortical input to CA1 (the perforant path input), while having little effect on the input from CA3. In order to interpret the functional consequences of this pathway-specific modulation, it is necessary to understand the function of CA1 and the role of dopaminergic input from the ventral tegmental area (VTA). In the sixth part of this paper we consider several possibilities and address the issue of how dopamine hyperfunction or NMDA hypofunction, abnormalities that may underlie schizophrenia, might lead to the symptoms of the disease. Relevant to this issue is the demonstrated role of the hippocampus in novelty detection, a function that is likely to depend on sequence recall by the hippocampus. Novelty signals are generated when reality does not match the expectations generated by sequence recall. One possible site for computing mismatch is CA1, since it receives predictions from CA3 and sensory "reality" via the perforant path. Our data suggest that disruption of this comparison would be expected under conditions of dopamine hyperfunction or NMDA hypofunction. Also relevant is the fact that the VTA, which fires in response to novelty, may both depend on hippocampal-dependent novelty detection processes and, in turn, affect hippocampal function. Through large-scale modeling that considers both the processes performed by the hippocampus and the neuromodulatory loops in which the hippocampus is embedded, it is becoming possible to generate working hypotheses that relate synaptic function and malfunction to behavior.

Acetylcholine↗

Pavlov's methodological behaviorism as a pre-Socratic contribution of the melding of the differential and experimental psychology.

The differential/experimental distinction that Cronbach specified is important because any adequate account of psychological phenomena requires the recognition of the validity of both approaches, and a meaningful melding of the two. This paper suggests that Pavlov's work in psychology, based on earlier traditions of inquiry that can be traced back to the pre-Socratics, provides a potential way of achieving this melding, although such features as systematic rather than anecdotal methods of observation need to be added. Pavlov's methodological behaviorist approach is contrasted with metaphysical behaviorism (as exemplified explicitly in Watson and Skinner, and implicitly in the computer-metaphorical, information-processing explanations employed by current "cognitive" psychology). A common feature of the metaphysical approach is that individual-differences variables like sex are essentially ignored, or relegated to ideological categories such as the treatment of sex as merely a "social construction." Examples of research both before and after the "cognitive revolution" are presented where experimental and differential methods are melded, and individual differences are treated as phenomena worthy of investigation rather than as nuisance factors that merely add to experimental error.

Animals↗

Teachers' responsibility: a Socratic dialogue about teaching medical ethics.

Old, wise Socrates (SO) is strolling along the Agora to buy some fruit for his wife Xanthippe. He meets Paidagogos (PA),a teacher of medical ethics in the ancient Polis of Athens. Both engage in a discussion on teachers' responsibility and its implications for the design and structure of learning sessions at medical school.

Ethics, Medical↗

SOCRATE: an optical bench dedicated to the understanding and improvement of a laser conditioning process.

We present an automatic excimer laser bench (SOCRATE) allowing for the treatment of optical components by laser conditioning. This apparatus, developed at the Commissariat a l'Energie Atomique-Le Ripault, has been designed to add to this conditioning process an in situ, accurate laser-induced damage threshold (LIDT) measurement and different nondestructive optical techniques for the characterization of the component during treatment. Through different examples, we demonstrate the importance of these characterizations to improve the understanding of the laser conditioning. The role of an in situ adapted metrology associated in real time with a laser conditioning bench offers new opportunities to analyze laser-induced damage mechanisms and subsequently to increase the LIDT of optical components.

Journal Article↗

Suicide: a Socratic revenge.

2400 years have passed since the occurrence in Athens, Greece of one of the famous suicides recorded in human history. This autobiographical essay provides a montage on the history of suicide, with snippets from the final hours of Socrates, as described by Plato. Suicide in contemporary Japanese culture is also explored briefly, with reference to the deaths of internationally acclaimed movie directors Akira Kurosawa and Juzo Itami. The author also questions why no researcher has yet been honoured for the past 99 years with a Medicine Nobel prize for his or her work on suicidology or thanatology.

Anecdotes as Topic↗

The Socratic Method: analyzing ethical issues in health administration.

The Socratic Method has long been recognized by the legal profession as an effective tool for promoting critical thinking and analysis in the law. This article describes ways the technique can be used in health administration education to help future administrators develop the "ethical rudder" they will need for effective leadership. An illustrative dialogue is provided.

Ethics, Institutional↗

Aspirin and the prevention of ischemic heart disease. A Socratic dialogue between a cardiologist, a clinical pharmacologist and an expert of blood platelets.

The recent publication of the results of the "Progetto di Prevenzione Primaria" by a large Italian group of researchers and general practitioners, prompts a cardiologist, a clinical pharmacologist and a blood platelet expert to review - using a Socratic dialogue style--the data on aspirin as a prototypal drug in the prevention of ischemic heart disease. The distinction between primary and secondary prevention seems to be rather artificial as it is based on past events and not on the risk of future events. Although aspirin proved to be effective in reducing both vascular mortality and non-fatal vascular events and is inexpensive, it is still underused for prevention by many physicians. The major indications on the beneficial effect of aspirin against ischemic heart disease derive from large epidemiological trials and are valid for populations rather than for single patients. Hopefully, biochemical markers such as C-reactive protein or genetic polymorphism will help to establish the effects of aspirin in more targeted groups or even in individuals.

Aspirin↗

[Who would suffer this child in the cold? History and diagnosis during a Socratic dialogue].

This article gives an account of the experiences of 12 dentists (11 general practitioners and one periodontist) during a one-day Socratic dialogue, which took place at the International Conference for Dentists in Bruges 2001. The key question was: "When must I (or mustn't I) comply with the patient's wish?" The participants tackled an example from Edgar, general practitioner. His story went like this: on Christmas Eve, dinnertime, one of his patients--duly instructed beforehand--arrived just like that, and said: "I'm in pain". When the central question was applied to this example, uncertainty arose about the exact nature of "the patient's wish". In this article you read how the participants dealt with the "pain", with the uncertainty.

Communication↗

Transforming information for computer-aided instruction: using a Socratic Dialogue method to teach gross anatomy.

Traditional teaching of anatomy can be a difficult process of rote memorization. Computers allow information presentation to be much more dynamic, and interactive; the same information can be presented in multiple organizations. Using this idea, we have implemented a new pedagogy for computer-assisted instruction in The Anatomy Lesson, an interactive digital teacher which uses a "Socratic Dialogue" metaphor, as well as a textbook-like approach, to facilitate conceptual learning in anatomy.

Anatomy↗

Hemlock alkaloids from Socrates to poison aloes.

Hemlock (Conium maculatum L. Umbelliferae) has long been known as a poisonous plant. Toxicity is due to a group of piperidine alkaloids of which the representative members are coniine and gamma-coniceine. The latter is the more toxic and is the first formed biosynthetically. Its levels in relation to coniine vary widely according to environmental conditions and to provenance of the plants. Surprisingly, these piperidine alkaloids have turned up in quite unrelated species in the monocotyledons as well as the dicotyledons. Aloes, for instance, important medicinal plants, are not regarded as poisonous although some species are very bitter. Nevertheless a small number of mostly local species contain the alkaloids, especially gamma-coniceine and there have been records of human poisoning. The compounds are recognized by their characteristic mousy smell. Both acute and chronic symptoms have been described. The compounds are neurotoxins and death results from respiratory failure, recalling the effects of curare. Chronic non-lethal ingestion by pregnant livestock leads to foetal malformation. Both acute and chronic toxicity are seen with stock in damp meadows and have been recorded as problems especially in North America. The alkaloids derive biosynthetically from acetate units via the polyketide pathway in contrast to other piperidine alkaloids which derive from lysine.

Alkaloids↗

Whorf versus Socrates, round 10.

A recent paper by Dehaene, Izard, Pica and Spelke examined geometric concepts among the Munduruku, an Amazonian group without many linguistic terms for spatial relations, and without maps or formal schooling. Their profile of strengths and weaknesses provides new insights into the nature of the human mind and the importance of culture and language to the development of thought.

Adult↗

[Electronic learning: interactive learning in medicine or Socrates in electronic guise].

E-learning has been widely used for training in different fields. More recently, it was introduced during medical studies or for continuous medical education. The Canadian Universities are pioneers in e-learning creating special departments dedicated to pedagogy. Developing countries like Brazil or Central Europe have made some pilot experiments, which were successful. Several electronic companies have given a free access to the programmes and sites. The use of electronic media leads to an adaptation of teaching methods making them more interactive.

CD-I↗