The neurobiology of fear

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Bill Glasheen
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The neurobiology of fear

Post by Bill Glasheen »

<BLOCKQUOTE><font size="1" face="Verdana, Arial">quote
The only thing to fear is fear itself.
Winston Churchill

Each person that contributes to a field has his/her own perspective, based on vocation, educational discipline, and goal. My own multidisciplinary background comes from the field of systems physiology.

Systems physiologists are trained for and indeed thrive on investigating complex systems. Simple models help us understand the behavior of biological systems only to a point. The reality is that the simplest of living organisms are a challenge for the best of minds. As humans, we are only capable of pondering about 6 facts simultaneously, and yet living beings operate systems that have many more inputs and outputs. Higher order systems are even more complex.

Nowhere is this more apparent than in the last frontier of medical understanding - the human brain. On another thread, Jim quite aptly described that organ as an entity with layers and layers of evolutionary complexity. One would think that a wise creator putting something like this together may have done better doing so from scratch. What is apparent from looking at its structure is that one can view evolutionary progress from the core (the brain stem) to the periphery (the cerebrum). It almost reminds one of the backward compatibility problems that some chipmakers contend with when evolving from generation to generation. And yet with all its odd pasting of layer upon layer, the system works remarkably well.

Take fear. Most lay people considering the element of fear in life/death situations to be driven by the amygdala. But primates have at least three centers that manage fear and the physiologic response to it:

Prefrontal cortex - This region in the front of the brain participates in the interpretation of sensory stimuli and is likely an area where the potential for danger is assessed. Within that region is an area known as the orbitofrontal cortex. This region is much more prominent in primates than in rodents, and therefore has only recently been studied in detail. It is thought to maintain long-term, habitual behavioral responses, modulate emotional responses, and enable the prediction of the consequences of future behaviors.

Amygdala This is part of a very primitive area in the brain called the limbic system. Both have been implicated in generating fear.

Hypothalamus This region at the base of the brain is responsible for secreting corticotropin-releasing hormone. That hormone in turn elicits a cascade of effects on the pituitary and adrenal glands, which in turn negatively inhibit its action via the amount of the final product (cortisol) released.

Each of these centers are electrically connected to the next with a high degree of complexity. Moreover, they are also connected hormonally in that they each respond to various neurotransmitters in unique ways.

More later...

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jorvik

The neurobiology of fear

Post by jorvik »

Hi Bill,
I think I'm out of my depth a bit here ....clever stuff, for clever people.....Maybe Ian could talk better on this one?
Are you saying that there are three possible centres, that are all linked, that could each impact on how I feel fear? and that as a primate I feel fear differently than a rodent?.....if it's not too stupid??.....do any of these centers have some link with how I perform, I mean would they restrict me so that I could perform only "gross motor" or "higher motor" responces....can I influence this to any degree?.....would it be dependent on any factors in my control or outside.......and anyway what is fear?.....I mean what is it?....just a few synapses kicking in with attitude? can I override that, if so with what?..........sorry if it sounds like gibberish.....but as I say I'm way out of my depth.
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The neurobiology of fear

Post by Bill Glasheen »

jorvik

One step at a time... Image

Everything mentioned still holds. If you have a fear response, you are going to experience positive and negative physical and psychological effects. If you have an EXTREME fear response, you will have extreme effects. Van's gurus mentioned a low road vs. high road response. Basically it's a continuous dose response sort of thing, with the dichotomous outcome mentioned as a matter of analytic convenience.

And as I will point out later, this varies with the individual.

Yes, you (and primates) will experience a more complex fear response than say a rodent. We unfortunately don't know as much about primate responses because of the expense and ethics of working with primates. You do what you can with rats because they are cheap and the PETA people can't get the public too worked up. The primate work is done much farther along the line. And this kind of work is frankly very difficult to get approved these days.

Jim mentioned previous generations in other cultures working on prisoners. Those worst of times were the best of times for truly understanding these systems in humans. But... we do what we can.

As for the other questions, well please give me time to write more. I am not a neurophysiology expert, so I have to brush up on my sources before writing. Image I'll address the questions as I go along.

And any help from the MDs in the house would never be refused. Image

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The neurobiology of fear

Post by Ian »

A few thoughts on the latter two:

The amygdala is where fear and rage come from. Life is always more complex than that kind of simplification, but if you need a simplification, this is where they come from.

In 1939 some adventurous researchers removed the amygdalas in some monkeys and found that the previously violent buggers lost both rage and fear. They stuffed everything in their mouths like babies do, and they became hypersexual, but most relevant to this discussion, they became very passive and they failed to express fear to threats. Here's a mediocre page on the matter. I am on a supposdely cushy rotation but I was there for 14 hrs today, and I'm feeling lazy. Blah.
http://schatz.sju.edu/neuro/disorders/kluverbucy.html

from another:
"Symptoms of Kluver-Bucy Syndrome
Emotional Blunting: The subject suffering from Kluver-Bucy displays a flat affect and may not respond appropriately to stimuli. Following bilateral amygdala lesions, previously fierce monkeys will approach fear-inducing stimuli with no display of anger or fear.
Hyperphagia: Patients with Kluver-Bucy often suffer from extreme weight gain without a strictly monitored diet. This is likely for the purpose of oral stimulation or exploration and not indicative of a satiety disorder. There is a strong tendency for those with Kluver-Bucy to compulsively place inedible objects in their mouths.
Inappropriate Sexual Behavior: Human subjects with Kluver-Bucy may fail to publicly observe social sexual morays and there may be an increase in their sexual activity. Monkeys with bilateral amygdala lesions demonstrate atypical sex behaviors, mounting inanimate objects and members of the same sex.
Visual Agnosia: Subjects with Kluver-Bucy suffer from "psychic blindness," i. e. an inability to visually recognize objects. Oral compulsions may provide an alternate means of object identification."

As far as the hypothalamus, it asks the pituitary to speak to the adrenal glands about the need to make more of the stress hormone cortisol. Without it, you basically "crump;" in a variety of important metabolic ways, you cannot keep up with stress, and you develop weakness, abdominal pain, low blood pressure, and may suffer from dying too much.

It's more of a stress response for the body than the mental experience of fear, however.

What I would add to this list of brain stuff that leads to fear or is part of the fear response: the much discussed sympathetic nervous system, which along with the amygdala is where I think most of the money is. The anatomy is less enlightening than the effects which are documented in multiple threads so far on these forums. But you can try:
http://www.nda.ox.ac.uk/wfsa/html/u05/u05_011.htm

And concentrate on the 4th paragrpah and maybe the link to the chart, unless you're a nerd. If you are a nerd, tell me why in the state of sympathetic overdrive in severe stress, which should relax the bladder and clamp down on the sphincter, people still wet themselves out of fear. Anyway.

Fear is part emotional in origin but sensations from our body also drives it: sweaty palms, pounding rapid heart, jittery hands. This is part of what makes skilled performances tough when you're scared--the sympathtic nervous system drives performance anxiety. Beta blockers which interrupt it EASE performance anxiety by preventing a fear-tachycardia-fear-tachycardia feedback loop. Dunno how a beta blocker would affect a fight, there hasn't yet been a study--to my knowledge.
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The neurobiology of fear

Post by Bill Glasheen »

Ian

I thought maybe there'd be a sleepy, bored resident lurking somewhere. Image

You saved me part of my discussion. Another very good article on the role of the amygdala can be found here. <BLOCKQUOTE><font size="1" face="Verdana, Arial">quote:</font><HR>J Neurosci 2001 Mar 15;21(6):2067-74

The primate amygdala mediates acute fear but not the behavioral and physiological components of anxious temperament.

Kalin NH, Shelton SE, Davidson RJ, Kelley AE.

Departments of Psychiatry and Psychology, University of Wisconsin, Madison, Wisconsin 53719, USA. nkalin@facstaff.wisc.edu

Temperamentally anxious individuals can be identified in childhood and are at risk to develop anxiety and depressive disorders. In addition, these individuals tend to have extreme asymmetric right prefrontal brain activity. Although common and clinically important, little is known about the pathophysiology of anxious temperament. Regardless, indirect evidence from rodent studies and difficult to interpret primate studies is used to support the hypothesis that the amygdala plays a central role. In previous studies using rhesus monkeys, we characterized an anxious temperament endophenotype that is associated with excessive anxiety and fear-related responses and increased electrical activity in right frontal brain regions. To examine the role of the amygdala in mediating this endophenotype and other fearful responses, we prepared monkeys with selective fiber sparing ibotenic acid lesions of the amygdala. Unconditioned trait-like anxiety-fear responses remained intact in monkeys with >95% bilateral amygdala destruction. In addition, the lesions did not affect EEG frontal asymmetry. However, acute unconditioned fear responses, such as those elicited by exposure to a snake and to an unfamiliar threatening conspecific were blunted in monkeys with >70% lesions. These findings demonstrate that the primate amygdala is involved in mediating some acute unconditioned fear responses but challenge the notion that the amygdala is the key structure underlying the dispositional behavioral and physiological characteristics of anxious temperament.<HR></BLOCKQUOTE>

In another article discussing blunted amygdala studies, Kalin writes <BLOCKQUOTE><font size="1" face="Verdana, Arial">quote
But we were surpised to observe that these animals did not show deficits in their ability to freeze or display hostile gestures in the human intruder paradigm, nor were the physiological parameters that we believe make up the fearful/anxious temperament affected. Even among monkeys without a functioning amydgala, the magnitude of an individual's defensive response, the pattern of brain electrical activity, and the level of basal cortisol and CRH in the cerebrospinal fluid remain unaffected.
The recent interest in the topic of fear has less to do with violence and more to do with unhealthy, chronic anxiety. Jorvik brought up the concept of statistical variation. Within our population we have a variety of personality types and manifestations of fear. Here we have interest in the possible treatment of those that manifest the consequences of fearful behavior (chronic release of cortisol) in regions other than the amygdala. But would the reverse also be true? Are there individuals that - through prefontal cortex activity - are able to modulate the fear response generated in the amygdala/limbic system?

More later...

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The neurobiology of fear

Post by TSDguy »

"If you are a nerd, tell me why in the state of sympathetic overdrive in severe stress, which should relax the bladder and clamp down on the sphincter, people still wet themselves out of fear."

More of a total badass than a nerd Image. Under extreme stress both the sympathetic and parasympathetic nervous system's 'go off' at the same time. As for the chemistry as to why that happens, I haven't the slightest clue. Was this a challenge question? Do we have an answer?
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The neurobiology of fear

Post by TSDguy »

Here's a neat link I found on that subject. It describes it in easy to understand terms but doesn't really explain anything.
http://www.killology.com/art_psych_arousal.htm

There are some other neat and disturbing articles at that site.

[This message has been edited by TSDguy (edited October 01, 2002).]
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The neurobiology of fear

Post by Van Canna »

TSD,

Thanks for the reference. I am a fan of Lt. Dave Grossman, and have studied his material.

Here is what mostly drives these discussions on what is and what is not effective under survival stress: <BLOCKQUOTE><font size="1" face="Verdana, Arial">quote:</font><HR>In contrast, high-level SNS activation occurs when combatants are confronted with an unanticipated deadly force threat and the time to respond is minimal.

Under these conditions the extreme effects of the SNS will cause catastrophic failure of the visual, cognitive, and motor control systems. Although there are endless variables that may trigger the SNS, there are six key variables that have an immediate impact of the level of SNS activation.

These are the degree of malevolent, human intent behind the threat; the perceived level of threat, ranging from risk of injury to the potential for death; the time available to response; the level of confidence in personal skills and training; the level of experience in dealing with the specific threat; and the degree of physical fatigue that is combined with the anxiety.<HR></BLOCKQUOTE>

This seems to be describing the low road effect very neatly.



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The neurobiology of fear

Post by Van Canna »

<BLOCKQUOTE><font size="1" face="Verdana, Arial">quote
Bruce K. Siddle's landmark research at PPCT involved monitoring the heart rate responses of law enforcement officers in interpersonal conflict simulations using paintball-type simulation weapons. This research has consistently recorded heart rate increases to well over 200 beats per minute, with some peak heart rates of up to 300 beats per minute. These were simulations in which the combatants knew that their life was not in danger. The combatant,in a true life-and-death situation (whether soldier or law enforcement officer), faces the ultimate universal human phobia of interpersonal aggression and will certainly experience a physiological reaction even greater than that of Siddle's subjects.
[Grossman]
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The neurobiology of fear

Post by Bill Glasheen »

Ian wrote <BLOCKQUOTE><font size="1" face="Verdana, Arial">quote
Beta blockers which interrupt it EASE performance anxiety by preventing a fear-tachycardia-fear-tachycardia feedback loop. Dunno how a beta blocker would affect a fight, there hasn't yet been a study--to my knowledge.
Well obviously Ian's on the right track. However...I was actually thinking way, way up the whole chain of events. Once the cortisol is release and the epinephrine is flowing, the horses are out of the barn. In any case, this makes a nice segue.

What is fear?

That seems like such a silly question, but actually it isn't. People that specialize in this type of research understand that there are actually different types of fear. Moreover, there are unique neurotransmitters in the brain that target specific receptor sites to trigger these very precise responses. Again, this is WAY before the heart starts racing.

Monkeys that are studied in the lab experience three different types of classic fear behavior.

* The first is a type of familiarity response to being cut off from a group - particularly in infants. It manifests itself as a "cooing" call.

* The second is either freezing or hiding (a type of "flight" response).

* The third is aggressive (barking, snarling, teeth bearing, etc.) behavior (a type of "fight" response).

Drugs studied were morphine and two different benzodiazepines (valium and Xanax). Morphine is similar to endorphins and enkephalins in the brain. There are also benzodiazepine-like transmitters that naturally occur in the human brain. But more importantly, there are an abundance of receptors for these molecules in the three big regions that trigger the fear response: prefrontal cortex, amygdala, and hypothalamus.

Morphine was found to diminish fear-induced cooing. Valium was found to diminish freezing and barking. Xanax was found to diminish both. Drugs that blocked the receptors (naloxone blocks opiate receptors, beta-carboline blocks benzodiazepine receptors) tended to enhance the symptoms of fear.

Seratonin is the next neurotransmitter on the list to be studied, and is modulated by specific anti-depressive medicines (SSRIs such as Prozac).

So what does this mean? It is well known that people who train hard tend to produce endorphins - particularly after a workout. Hard trainers know "the runners high" quite well. Can you say mellow? Image Training and a feeling of wellbeing also affect seratonin levels. What of other neurotransmitters? What short term and long term controls do we have over them? Would they be tied to specific training and/or behavior (confidence generators)? The thoughts are intriguing.

More later...

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The neurobiology of fear

Post by Bill Glasheen »

Ian

In response to your specific proposal (farther down the biochemical chain of events), propranolol (a beta sympathetic blocker) has been shown to reduce hand tremor and improve dexterity for folks suffering from such symptoms related to sympathetic nervous system activity.

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The neurobiology of fear

Post by Bill Glasheen »

Nice! Who wrote the undocumented quote above, Van?

An engineer sees the following:

SNS Response = f(M, T, t, C, E, F)

where

M = Malice of attack
T = perception of Threat
t = time to response
C = Confidence
E = specific Experience
F = Fatigue

Note these two "antagonists" mentioned when describing the severity of the SNS activation : <BLOCKQUOTE><font size="1" face="Verdana, Arial">quote
the level of confidence in personal skills and training; the level of experience in dealing with the specific threat
If this is true, then there there are indeed training methods that would mitigate the degree to which one degraded to a low road scenario. Reading this, even FALSE confidence would help. Actually I buy that.

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The neurobiology of fear

Post by Bill Glasheen »

TSDGuy

The after battle parasympathetic rebound effect you are mentioning is equivalent to the person on speed that "crashes." The two parts of the autonomic nervous system are in constant dynamic tension with each other (electrically and chemically). When one side gets its way too long, the other will follow in kind.

That is actually HEALTHY. Severe stress, training, etc. REQUIRES a recovery period for the body to regenerate itself. It's just a royal pain in the rear on the battlefield.

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The neurobiology of fear

Post by Van Canna »

<BLOCKQUOTE><font size="1" face="Verdana, Arial">quote
If this is true, then there are indeed training methods that would mitigate the degree to which one degraded to a low road scenario.
I think this point of agreement. Still, what works best under "degrading" seems to be gross motor as opposed to fine motor according to the majority of combative experts, and observations in the field.

Also think that optimal training requires a deep understanding of these real life concepts by trainers, and a "matching" of proper training principles to these concepts.

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[This message has been edited by Bill Glasheen (edited October 01, 2002).]
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The neurobiology of fear

Post by Deep Sea »

<BLOCKQUOTE><font size="1" face="Verdana, Arial">quote
Hard trainers know "the runners high" quite well.
Van, I picked up on your earlier post. I'll talk to you later about how this is very important in Torture Chamber training Image.

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