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    From the President's Desk - April 2010

By Hugh Brady


Schizophrenia and Parkinson's Disease

Recently my wife and I have taken to listening to CDs from the Teaching Company, a group that provides topnotch lecture series from renowned university professors on a wide variety of topics.  They’re available online to purchase and public libraries have many of them.

Most of the lectures are 30 minutes long, perfect for listening in the car. We’ve found them to be a great way to pass the time on long road trips.

The most recent one we listened to – and we’re still not finished with it – is Biology and Human Behavior: The Neurological Origins of Individuality, a series of 24 lectures by Professor Robert Sapolsky at Stanford University.

The series starts out with a look at the nervous system, beginning with a single nerve cell, the neuron, and then proceeding to how chemicals known as neurotransmitters link neurons to other neurons and then to neural networks and finally how neural networks connect to various parts of the brain and produce behavior. These lecturers reminded me of the Family-to-Family class on brain chemistry, and people who have taken the course will find parts of the series very familiar but in greater depth.

The series is absolutely fascinating. In describing how the neural systems work, Professor Sapolsky also shows how they can work incorrectly, resulting in mental illness. If you every doubted that mental illnesses are biologically based brain disorders, these lectures will certainly clear that up for you.

Sapolsky talks about schizophrenia, for example, and says that the most current research holds that the main problem in this illness is that neurons in key areas of the brain produce too much of the neurotransmitter dopamine. An oversupply of dopamine in these areas leads to problems with coherent, linear, logical thinking – a major symptom of schizophrenia. So drugs that block dopamine receptors in neurons reduce the symptoms of schizophrenia.

But the problem is that a lack of dopamine in other areas of the brain, the ones that control muscle movement, leads to the muscle trembling known as Parkinson’s disease. The treatment of that illness is a drug called L-Dopa, which causes all areas of the brain to produce more dopamine. But since an excess of dopamine in the first logical thinking areas of the brain results in schizophrenia, doses of L-Dopa which are too large have a side effect -- major psychotic symptoms, disordered thinking and even hallucinations, in other words what would appear to be schizphrenia.

Similarly, since we need dopamine in muscle control areas of the brain to produce smooth muscle movements and prevent trembling, anti-psychotic drugs that reduce the effectiveness of dopamine and therefore reduce the symptoms of schizophrenia can have the side effect of increasing muscle trembling, a condition known as tardive diskinesia, but which might better be called induced Parkinson’s disease.

Anyway, I can’t summarize the whole lecture series here, but it is fascinating and useful. If you’d like to listen to the series yourself, try your local public library or check out the Teaching Company website at: (http://www.teach12.com/ttcx/coursedesclong2.aspx?cid=1597). This particular series of lectures is pretty pricey, but the Teaching Company has frequent sales and we were able to buy it for 70% off! If your local library doesn’t have it, you might ask them to order it. And if that fails, when we’re done listening to it, let me know and you’d be welcome to borrow it