Word: braining
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Even the most stable brain operates just a millimeter from madness. In such a finely tuned cognitive engine, only a small part must start to sputter before the whole machine comes crashing down. When that happens, reason and function come undone, rarely as dramatically as in the neurochemical storm that is obsessive-compulsive disorder...
What causes some people to suffer that interference and most not? Why does their internal alarm keep shouting "Lion!" long after they've checked every place a lion could plausibly be? The answer has always been thought to lie principally in a small, almond-shaped structure in the brain called the amygdala--the place where danger is processed and evaluated. It stands to reason that if this risk center is overactive, it would keep on alerting you to peril even after you've attended to the problem...
...that is changing. A burst of new genetics studies is turning up insights into the causes of the disorder. Scanning technologies are pinpointing the parts of the brain that trigger the symptoms. New treatments are being developed. And refinements of old treatments, like talk and behavioral therapy, are proving more effective than ever...
...turns out, the amygdala is indeed a big player in the pathological process of OCD but only one of several players. Functional magnetic resonance imaging (fMRI) and other scanning technologies have allowed researchers to peer deeper than ever into the OCD-tossed brain. In addition to the amygdala, there are three other anatomical hot spots involved in the disorder: the orbital frontal cortex, the caudate nucleus and the thalamus--the first two seated high in the brain, the third lying deeper within...
...less common type of OCD behavior--hoarding--from better-known ones. Hoarders who live alone have been known to crowd themselves into small areas of their home, with clear paths left from sofa to kitchen to bathroom, and the rest piled high with debris. When Saxena scanned the brains of these highly particular people, he found that they had equally particular abnormalities. Instead of hyperactivity in any area, they had reduced activity in the anterior cingulate gyrus, the part of the brain that helps you focus your attention and make decisions. "Those are things that compulsive hoarders have...