---------- NEUROPSYCHOLOGY ----------
---------- FIRST TEAM PROJECT ----------
---------- FALL, 1999 ----------

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Prefrontal Lobe Function and Cognitive Processes
    by Debra Pizzuto
       Group Project-Neuropsychology 

   Evolution of the pre-frontal lobes in the brain distinguishes humans 
from other mammals.  Explanation of cognitive function relates to 
organization and function of the frontal cortex through a complex 
integration of neural networks.  Combined with theories from cognitive 
psychology, cognitive science, biomedicine, and developmental 
psychology, neuropsychologists have developed mechanical testing 
devices to further understand functions and structures.  Frontal lobes 
are the most recent development of the four lobes in the brain.  They 
comprise one third of the cerebral cortex.  Initial planning, strategy 
formation, goal setting, maintenance and regulation of behavior, 
ability to concentrate, selectively attend and manage shifts in 
attention in  working memory are functions of the frontal lobes related 
to cognition. (Carter,1999).  Early stages of cortical processing 
develop structural changes in neural fiber tracts.  Focus  and 
attention on visual stimulus, a pre-cognitive condition can be 
explained in terms of human development, because neural maturation is 
simultaneous with human development and cognitive processing.      
Electro-chemical neural potentials are triggered through environmental 
interactions that stimulate biological characteristics of excitation or 
inhibition of neural connections.  Integration of neural information is 
sent to associated cortices for further processing, producing cognitive 
development from selective attentional information in visual and 
sensory stimulus.  
The two hemispheres, composed of an outer layer of grey matter 
called cortical substance, then white matter, also contain a number of 
creases and folds underneath called fissures and sulci. Frontal lobes, 
right and left, are separated by the great longitudinal fissure, 
separating the two hemispheres. Located at the anterior end of the 
frontal cortex base, the prefrontal cortex provides reciprocal neural 
connections between more centrally located cortices in combination with 
the corpus callosum, the thick band of neural fibers that allows 
communication between the two hemispheres.  Development of number and 
extent of the convolutions appears to have a close relationship to 
intellectual power.  At birth, convolutions are simpler, sulci are more 
shallow, compared to those which have deepened with age and 
intellectual function (Gray,645).    

   Functions of Cerebral cortex include: the ability to analyze sensory 
data, perform memory functions, learn new information, form thoughts 
and make decisions. The left hemisphere is responsive to systematic, 
logical interpretation, production of symbolic information, 
mathematics, abstract reasoning, and memory stored in a language 
format.  Right hemispheric function is holistic.  It processes visual 
and spacial skill information.   Memory is stored in auditory, visual 
and spatial modalities (Peterson and Kelly 1998).  Geographically 
distinct, the frontal, temporal, parietal, and occipital lobes 
interconnect with prefrontal lobes associating neural information to 
different cortices (Gholson 180). Temporal lobe is responsive to 
audition and memory, with preference for left side dominance in speech 
production.  Parietal areas respond to differences in spatial relations 
and somatosensation.  Occipital responds to process visual imagery.  
The significance of asymmetry is attributable to neural 
production with neurons being the primary functional anatomic unit of 
the nervous system.  Typical neurons are made up of cell body, 
dendrites, axon, and a presynaptic terminal.  Nucleus containing cell 
bodies hold synthesis material for life.  Dendrites receive stimuli and 
conduct impulses generated by those stimuli to the nerve cell body.  
Axon single fibers extend to other parts of the nervous system or to 
muscle or glands.  They range up to over a meter in length, conducting 
away from the cell body.  Axon ends have fine branches, each ending is 
called a presynaptic terminal.  These terminals contact receptive 
surfaces of other cells,(postsynaptic cells), transmitting chemical or 
electrical information about the neuron to other neurons.  The point of 
contact is called the synapse.  Receptive surfaces including cell body 
membrane, dendrites, and synaptic terminals  continually process 
information signals through the brain while we are recognizing, 
planning, and acting on our thoughts.  The development of the 
prefrontal cortex in humans monitors performance regulating behavior.  
Cognitive, developmental and neuropsychological theories agree that 
early sensory experiences in life shape later brain behavior 
(Paus,1999).  
As humans develop, after the first few years of birth,
	maturation of neurons involves the development of several fatty 
layers of cells called myelin that together form a sheath of 
insulation, speeding their impulses.  Interneural synapses in the brain 
are comprised of action potentials in presynaptic neurons causing a 
release of neurotransmitters from synaptic terminals. The transmitter 
substance either excites(depolarizes), causing an impulse, or inhibits 
(hyperpolarizes) postsynoptic neural membrane resulting in no impulse.  
Responses graded as all or none behavior of action potentials  transmit 
along axons.  Event related potential is maintained by the chemically 
ionic sodium-potassium pump.  Signals stimulate cells, sodium channels 
open, more sodium rushes in causing depolarization. The actual signals 
operate in grid formations.    
Prefrontal cortex is thought to have the function maintaining 
cognitive behavior as an essential for planning, setting goals, and 
regulating behavior, utilizing the ability to concentrate, attend, and 
elaborate thought from associated cortices. 

   Jean Piagets= early psychological development theories remain 
principle proponents for cognitive development.  His ideas integrate 
biology and epistemology.  His concepts of memory, object permanence 
and conservation, classification of implicit, working and long term 
memory are representative of interactions between humans and the 
external world.  According to Piaget, developing structures enable 
human comprehension and assimilation.  His theory of Aschemas@ as 
sensorimotor concepts being a system of age relationships dates back to 
his work in 1952 (Wolman,4).  The importance of selective attention has 
been measured as a component of intelligence. His theories also support 
lateralization and localized functions of development in the two 
hemispheres (Gholson,180).  His theory supported examples of perceptual 
images recalled from memory, regulated by the prefrontal cortex.  We 
have since discovered visual long term memory is stored in temporal 
cortices, retrieval is signaled back under executive control of the 
prefrontal cortex.  Frontal areas mediate working memory with two of 
the fundamental executive processes being selective attention and task 
management (E.Smith and J.Jonides 1999).  Research evidences areas for 
selective attention with comparison of divided attention and focused 
attention (Hale and Lewis,285).                                                      
   Perceiving sensory experiences is related to attention processes.  
Attention fits with our perception when performance is good.  Selection 
of attention and utility information for performance ideally coincide.  
Selective attention is efficient performance with utility for a 
specific task.  Everything psychological is simultaneously biological, 
except neural encoding doesn=t require learning, just experience 
(Gazzaniga,74)  Study of neural science suggests that psychological 
components of attending, planning and acting are developmental elements 
of brain function.  It seems that function and mechanism complement 
each other.  Representing cognitive functions have physical brain 
structures, mechanisms and internal representations supporting them 
(Gazzaniga,135).  Explanation of theoretical processing of information 
from the environment through the eyes   refers to light intensity 
measurements that register over the 120 million rods and cone in each 
eye.  According to theory, the vision system has constructed an 
economical way to represent incoming information called edge 
representation.  Distinctions of boundaries between objects is seen 
because of intensity changes in light(Gazzaniga,136).  While this is 
occurring, mental representation of the object is recorded in 
prefrontal working areas for identification and further processing to 
associated cortices.  Mechanical interactions in the cortex cooperating 
as networks of neurons, cross-correlating neural detections generate 
network capacities.  Changes in connectivity equals neural 
conditioning. 

Another cognitive theory originated by Badeley, explains frontal 
lobe function with the example of >central executive= by which incoming 
information according to theory is networked through a phonological 
loop, as part of working memory, then assimilated in other cortices.  
Strong connectons are stored in long term memory for classification 
hierarchically.  Reciprocal sensory information is synthesized by 
executive control capacity back to prefrontal areas.  Cognitive 
psychological testing has also determined the left side function as 
active processing verbal code, words and vocabulary.  Experiments where 
patients perform dichotic tasks simultaneously, show right side 
prefrontal areas active when attending to nonverbal codes, and visible 
features as nameable objects.  
Neurophysiological explanations of exactly how the brain monitors 
performance regulating behavior remains unanswered.  Selective 
attention occurs resulting from repeated patterns of identification and 
electro-chemical activity competing for dominance.  Selective survival 
may be through cognitive processes that are products of feature 
detection patterns resonating electro-chemically with stored patterns 
in the brain.
Diagnostic instruments designed for neuropsychological tests of 
brain behavior include: hand held electrical probes that produce low 
level stem directly to the brain, positron emission tomography (pet), 
functional magnetic resonance imagery (MRI), event related potentials 
(ERPs). Averaging scalp potentials through patterns in waveform, 
measures brain reaction time and locations. ERP=s can be exacted from 
(EEG),electroencephalogram readings(Posner, 333).  Micro electrodes 
used in animal studies have recently been able to detect visual 
attention with ability to see task dependent variables matching 
(Posner,335).  Differences between right and left thalemic connections 
are interesting in that direct stimulus to the left thalamus while 
showing complex shapes for identification, will be ignored producing 
many errors.  Selective attention is directed for retaining information 
in that region, displayed by improvement in recall that happens later 
(Calvin,86).  
Cognitive psychological tools as testing devices for patients 
undergoing diagnostic imagery projections help diagnose patients with 
traumatic brain injury, lesions, and seizure activity with behaviors 
associated with these problems.    

    According to William H. Calvin, a neurophysiologist at the 
University of Washington, precise problems and diagnosis of injury to 
the pre-frontal cortex is subtle and under diagnosed.  Symptoms are ill 
defined and characterized as lack of ability to plan ahead, maintain an 
objective or plan, and monitor progress.  Problems include  
organization of sequence where known variables can=t be organized.  
Emotional affect, lacking emotion in responses, due to the decrease in 
metabolic activity.  When ability to abstract information is lost, 
associated cortices responsive to higher cognitive functioning for 
concrete thinking needed for comprehension is also fragmented.  
Perseveration, behavior that repeated over and over without selective 
attention is a much stronger symptom.  Severe damage to the frontal 
lobe can leave akinetic response, where a person just sits there  
Likewise, lesions in cortical regions affect frontal lobe 
reciprocation.  Operations done to decrease the severity of epileptic 
seizures involved cutting parts of the corpus callosum,(split-brain 
patients), the structure that function as a bundle of nerve fibers 
connecting the two hemispheres shows that left hemisphere is active in 
language and verbal information, where right hemisphere is more visual 
perception and recognition of emotion.  Tests of language, knowledge 
retention, and response to cognitive interactions (Gazzangia, 201-205). 
Many of these delicate balances within the brain can be seen through 
MRI.  Operating with hydrogen density of high spatial resolution, 
(MRI)=s produce no harmful side affects to patients, healthy brains can 
be compared to injured ones.  The strong magnetic field measures 
changes in magnetic orientation of nuclei in atoms that make up the 
tissue of the brain (Posner,326).  Currents in neurons give rise to 
magnetic and electric fields.  MRI=s are more easily localized measures 
computed with super conducting magnetometers (Posner and Gazzangia, 
328).  These results continually indicate there is a delicate balance 
between intrinsic neuronal excitation and inhibition for fine tuning 
experience-dependent plasticity in the neocortex.  MRI measures 
attention to environmental stimulus representing an individual ability 
to integrate information over time to associative areas of the cortex 
by picking up neural activity of the process while testing.  Areas of 
motor cortex (movement), pre-motor cortex (storage of movement 
patterns), parietal lobe, (processing sensory input and sensory 
discrimination), occipital lobe (visual interpretation), temporal lobe 
(auditory reception), expressed behavior and language in terms of 
receptive speech as well as memory information retrieval.  Broca=s area, 
named after French surgeon, Paul Broca who theorized that damage to the 
left lower rear region in front of the motor strip left patients 
lacking ability in production of language output is identified 
diagnostically with (MRI).  Today this type of lesion is termed 
>expressive aphasia=(Calvin,43).  Wernicke=s area for receptive aphasia, 
located near Broca=s, leaves people who have damage in this area unable 
to produce speech that makes sense.  Many talk excessively, not making 
sense.  The inference is that language involves transfer of what is 
heard or read (Calvin,44).                Revealing a multiplicity of 
parallel channels and cognitive subsystems specialized for different 
elementary cognitive operations, research has found that connectivity 
in the brain is rich and generally reciprocal as well as highly 
selective.  According to (MRI), subsystems are not characterized as 
uniquely >central= (Posner,643).  

   Neuropsychology suggests that selective attention has a relationship 
with brain capacity in terms of selection for potential control of 
action, coordination, segregation, time constraints and multiple goal 
behavior.  Characteristic of human intelligence and cognitive concepts 
of imagination with distinct considerations for planning provide one 
with better focus on various tasks because neural interconnections 
strengthen with practice.  Conscious attention and focus on a stimulus 
act as a catalyst.  Flexible relationships explain how the concept 
metaphor is comprehended through associations.  Metaphor and analogy 
permit the use of auxiliary structures that can be used as supplemental 
models in reasoning (Posner,820).  According to Collins and 
Genter(1987),in Attention and Cognitive Development, this process 
allows people to create new mental models about what should happen in 
various situations in the real world.  Sequencing capacity also yields 
flexibility for higher order cognitions of naming and reading.  
Processing unfamiliar information through neural links with more 
familiar fragments of information influences fluid intelligence, the 
ability to modify neural circuitry and genetic material.   Studies in 
creative confusion offer multiple levels of abstraction and sequencing: 
rules relating to logic.  These are possible explanation to why we keep 
re-arranging information  finding  something better through our 
perceptions of concepts and analysis of data.  
In conclusion, knowledge gained through experiments offers 
logical explanations of organization in the central nervous system.  
Study of functions, both normally and abnormally, offers a comparative 
analysis further evaluation in the related fields.   Modern medicine, 
developmental psychologists, cognitive psychologists, and 
neuropsychological professions will continue to probe questions of 
human processes and function.  For now, technology seems to show us the 
clearest answers about how we utilize our mind-brain connections.  


                         References
Calvin, William H. (1998).  The Cerebral Code, Thinking a thought 
in the mosaics of the mind. Cambridge, MA: MIT.
Calvin, W., & Ojemann,G. (1994).  Conversations with Neil=s Brain, 
The neural nature of thought and language. Reading, MA: Perseus Books.
Carter et.al. (1999).  Anterior Cingulate Cortex, Error 
Detection, and the Online Monitoring of Performance: An overview 
[Abstract]. Science,280 (5364):747. Retrieved November 15, 1999 from 
the World Wide Web: http://www.sciencemag.org/cgi/content/html
Greenfield, Susan A. (1997).  The Human Brain. New York, NY: 
Basic Books.
Gazzaniga, Michael S. (1984).  Handbook of Cognitive 
Neuroscience.  New York, NY: Plenum Press.
Gray, Henry, F.R.S. (1974).  Gray=s Anatomy.  Philadelphia, PA: 
Running Press.
Hale, G., & Lewis, M. (Eds.). (1979).  Attention and Cognitive 
Development.  New York, NY: Plenum Press.
Posner,M.I. (Ed.). (1989). Foundations of Cognitive Science. MA: 
MIT Press.
Smith, E., & Jonides, J. (1999).  Storage and Executive Processes 
in the Frontal Lobes: An overview [Abstract] Science 283,1657-1661. 
Retrieved November 15,1999 from the World Wide Web: 
http://www.sciencemag.org/cgi/content/ab1.html
Wolman,B., & Stricker,G. (Eds.). (1982). Handbook of Developmental Psychology.  Englewood 
Cliffs, NJ: Prentice Hall.

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