limbic system pt 2

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motivational neuroscience

  • theories help us describe, explain, and predict behavior

    • (built on) assumptions: ideas that we think are true but cannot definitively be shown to be true or false (can be personal or theory-based)

    • (also built on) propositions (testable hypotheses): "formal statements about causes and effects or the nature of relationships among features of the world"

  • neuroscience research can help generate and test hypotheses that inform and guide future development of theories of motivation (and occupation!)

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<p></p>

key structures related to motivation

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key structures for motivation

  • prefrontal cortex (dorsolateral, ventromedial, orbitofrontal)

  • anterior cingulate cortex

  • striatum (dorsal, ventral)

  • ventral tegmental area

  • insula

  • amygdala

  • hypothalamus

  • motor areas

  • basal nuclei

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key structures for motivation

  • prefrontal cortex

essential for executive control and planning of motivated behavior

  • dorsolateral prefrontal cortex (dlPFC)

    • involved in goal representation and attentional control

    • helps resist temptation in order to meet long-term goals (self-control)

      • e.g., resisting the urge to eat the cake you are making so that you can give it to your friend for their birthday

    • stores emotional memories that are used in decision making

      • e.g., you make this decision ^ by looking back on fond memories of that friendship

  • ventromedial prefrontal cortex (vmPFC)

    • helps us assign emotional value to sensory rewards, social cues, and emotional inputs during decision-making

      • involved in making choices

        • e.g., while we may like eating cake, we may assign a higher value to the friendship —> don’t eat the cake

    • plays a role in risk assessment, decision-making, social judgements, and self-control

  • orbitofrontal cortex (OFC)

    • stores and processes information about rewards from the environment

    • involved in developing preferences and choosing between options

    • inhibits inappropriate actions (involved with delay of gratification)

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  • orbitofrontal prefrontal cortex and and ventromedial prefrontal cortex have a similar location, but the ventromedial prefrontal cortex is a bit more medial

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key structures for motivation

  • anterior cingulate cortex (ACC) - part of the limbic lobe

  • 2 regions

    • dorsal ACC:

      • associated with cognition

      • connected with PFC (pre-frontal cortex) and motor areas

    • ventral ACC:

      • associated with emotion

      • connected with the limbic system (amygdala, nucleus accumbens (ventral striatum), hypothalamus, and the anterior insula)

  • helps calculate cost-benefit analysis (is the effort worth the reward?) and is activated when we detect conflict and/or errors during problem solving and in new situations

  • helps to prioritize attention, make choices, and predict consequences

  • uses information from both the cortex AND limbic areas to inform decision making and action selection

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key structures for motivation

  • insula

involved in intuitive feelings

  • 2 regions

    • posterior insula:

      • monitors interoceptive information from the viscera (i.e., feelings from your organs/physiological information about how your body is feeling); can send this information to the anterior insula; creates a body-based “feeling state”

        • e.g., noticing rapid breathing, enticing increased heart rate, noticing sweaty palms

    • anterior insula:

      • integrates information from the posterior insula with contextual information (environment, task, people) to make conscious construction/representation of how we feel- emotional judgements

        • e.g., our gut feelings, like trust, anxiety, empathy

      • creates a global “feeling state” that guides decision-making

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key structures for motivation

  • amygdala

  • receives sensory information from the thalamus and sends emotional information to cortical areas

  • lateralization:

    • right amygdala: associated with negative emotions (fear, anger, anxiety), detects and responds to aversive events

    • left amygdala: associated with positive emotions and reward

  • creates emotional associations with positive or negative stimuli in the environment

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key structures for motivation

  • hypothalamus

  • regulates biological functions and responds to natural rewards (food)

  • regulates the endocrine system (pituitary gland) and the ANS

  • produces visceral responses to + physiological expression of emotions

    • e.g., racing heart rate, sweaty palms, trembling

      —> this information can be used to guide motivations

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key structures for motivation

  • ventral tegmental area (VTA)

  • midbrain region that produces dopamine (involved in motivation/rewards)

  • forms the beginning of the mesocorticolimbic pathways

    • —> sends dopaminergic projections to the prefrontal cortex and structures of the limbic system

  • dopamine release based on reward anticipation and is greatest when rewards are unexpected

    • strongly involved in reward pathways, which helps to guide our motivated behaviors

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key structures for motivation

  • motor areas

motor areas of the brain are important for planning and executing motivated behavior

  • premotor cortex and supplementary motor area: motor planning!

    • creates a smooth, coordinated action plan to be able to carry out goal-directed actions

  • primary motor cortex: initiates movement execution

    • encodes movement parameters (force, direction, distance, speed)

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key structures for motivation

  • basal nuclei

    • striatal complex

    • pallidal complex

striatal complex

  • ventral striatum (nucleus accumbens)

    • pleasure center of the brain

    • activated by things we like, want, value, prefer, and enjoy

    • receives dopaminergic input from the VTA – mesolimbic pathway

    • sends projections to the ventral pallidum

  • neostriatum or dorsal striatum (caudate nucleus, putamen)

    • input zone: pays an important role in selection of behavior based on value of goals

    • receives dopaminergic input from substantia nigra (pars compacta) – nigrostriatal pathway

pallidal complex

  • ventral pallidum (substantia innominata)

    • receives input from the ventral striatum and other reward-related areas

    • helps translate reward-related motivation signals from the limbic system into motor output

  • globus pallidus

    • output zone: energizes or inhibits action plans; informs motor output

== basai nuclei are very important for both motor output and the reward system

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key pathways for motivation

  • mesocorticolimbic pathway

  • orbitofrontal-striatal circuit

  • ventromedial prefrontal-amygdala pathway

  • anterior insula-anterior cingulate cortex circuit

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key pathways for motivation

  • mesocorticolimbic pathway

  • mesolimbic projections: VTA sends dopaminergic projections —> to the nucleus accumbens, amygdala, hippocampus

    • this dopamine pathway is involved in appraising the amount of reward a stimulus provides

  • mesocortical projections: VTA sends dopaminergic projections —> to the PFC (orbitofrontal cortex)

    • this dopamine pathway helps to brings awareness to stimuli that produced past rewards and promotes goal-directed behaviors to seek out rewarding stimuli

<ul><li><p><span style="color: rgb(255, 255, 255)">mesolimbic projections: VTA sends dopaminergic projections —&gt; to the nucleus accumbens, amygdala, hippocampus</span></p><ul><li><p><span style="color: rgb(255, 255, 255)">this dopamine pathway is involved in appraising the amount of reward a stimulus provides</span></p></li></ul></li><li><p><span style="color: rgb(255, 255, 255)">mesocortical projections: VTA </span>sends dopaminergic projections <span style="color: rgb(255, 255, 255)">—&gt; to the PFC (orbitofrontal cortex)</span></p><ul><li><p><span style="color: rgb(255, 255, 255)">this dopamine pathway helps to brings awareness to stimuli that produced past rewards and promotes goal-directed behaviors to seek out rewarding stimuli</span></p></li></ul></li></ul><p></p>
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key pathways for motivation

  • orbitofrontal-striatal circuit

  • circuit between the PFC (orbitofrontal cortex and dorsolateral PFC) and the ventral striatum (nucleus accumbens)

    • activation of the nucleus accumbens (associated with the reward system) increases focus on obtaining immediate rewards

    • the orbitofrontal cortex and dorsolateral PFC help to inhibit this ^ immediate gratification in order to achieve long term goals

  • helps with choice of large delayed reward over small immediate reward

  • delayed gratification

<ul><li><p><span style="color: rgb(255, 255, 255)">circuit between the PFC (orbitofrontal cortex and dorsolateral PFC) and the ventral striatum (nucleus accumbens)</span></p><ul><li><p>activation of the nucleus accumbens (associated with the reward system) increases focus on obtaining immediate rewards </p></li><li><p>the <span>orbitofrontal cortex and dorsolateral PFC help to inhibit this ^ immediate gratification in order to achieve long term goals </span></p></li></ul></li><li><p><span style="color: rgb(255, 255, 255)">helps with choice of large delayed reward over small immediate reward</span></p></li><li><p><span style="color: rgb(255, 255, 255)">delayed gratification</span></p></li></ul><p></p>
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key pathways for motivation

  • ventromedial prefrontal-amygdala pathway

  • important for value-based decision-making and reward processing

  • ventromedial prefrontal cortex (vmPFC) can suppress fear responses from the amygdala when it’s activated

    • pathway implicated in PTSD, where fear responses from the amygdala become overactivated and the vmPFC does not adequately inhibit these responses

  • receiving feedback about failure may decrease vmPFC activation; however, making choices based on one’s preferences during a task can help maintain vmPFC activation, even when receiving failure feedback, leading to improved performance

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key pathways for motivation

  • anterior insula-anterior cingulate cortex circuit

  • awareness of intuitive emotions (from the anterior insula) is used to make decisions about actions based on anticipated consequences (anterior cingulate cortex)

    • e.g., when you’re looking for a business partner, you’d rather pick someone you perceive as trustworthy than someone you perceive as sketchy

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neural basis of key motivations

  • homeostatic motivational processes

  • homeostatic motivational processes (hunger, thirst)

    • involve a connection between the hypothalamus and the mesocorticolimbic pathway (i.e., the reward pathway)

    • both the orbitofrontal cortex and amygdala respond to rewards associated with fluid intake, activating the striatum (i.e., the dopaminergic reward system)

      • e.g., the enjoyment you feel when drinking a hot cup of tea on a cold day

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neural basis of key motivations

  • learned motivational states

  • learned motivational states

    • incentives, reward

      • incentives: the amygdala evaluates if stimuli are associated with reward or punishment; memories are stored in the hippocampus, insula, and orbitofrontal cortex

        • incentive value is conveyed by the mesolimbic system to initiate action (to obtain the incentive!)

      • rewards: activation of dopaminergic pathways

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neural basis of key motivations

  • person-generated motivational states

  • person-generated motivational states

    • volition

    • self-regulation/ goals

    • intrinsic vs. extrinsic motivation

    • psychological needs

    • autonomous self-regulation

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relationships between the structures involved in motivated action

  • e.g., saw a chocolate cake and wanted to eat it

    • hypothalamus= indicates I am hungry

    • insula= communicates the feeling of hunger + positive feelings towards chocolate cake

    • ventral tegmental area= dopaminergic response is activated

    • —> communicates to the nucleus accumbens + amygdala (which is associated with rewards)

    • —> also communicates with the prefrontal cortex, which considers the value of the cupcake + but also may consider the reasons I should not eat the cupcake

      • e.g., am i on a diet? am i going to eat dinner soon? is it someone else’s cupcake?

    • anterior cingulate cortex= helps to navigate this conflict ^ to come up with a decision

    • motor system= is activated when we decide to eat the cupcake, enabling us to pick up and eat the cupcake

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volition is a big part of the Model of Human Occupation and contributes to our ability to engage in meaningful occupations

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volition

  • mental control over action, or an ongoing effort to sustain motivated action

  • model of human occupation:

    • making choices and decisions about what to do (choosing occupations)

    • anticipating options, choosing what to do, doing it, experiencing one's actions, interpreting that experience

  • the anterior cingulate cortex is involved in exerting mental control and problem solving

  • premotor and supplementary motor areas are activated in preparation for volitional actions

<ul><li><p><span style="color: rgb(255, 255, 255)">mental control over action, or an ongoing effort to sustain motivated action</span></p></li><li><p><span style="color: rgb(255, 255, 255)">model of human occupation:</span></p><ul><li><p><span style="color: rgb(255, 255, 255)">making choices and decisions about what to do (choosing occupations)</span></p></li><li><p><span style="color: rgb(255, 255, 255)">anticipating options, choosing what to do, doing it, experiencing one's actions, interpreting that experience</span></p></li></ul></li><li><p><span style="color: rgb(255, 255, 255)">the <u>anterior cingulate cortex</u> is involved in exerting mental control and problem solving</span></p></li><li><p><span style="color: rgb(255, 255, 255)"><u>premotor and supplementary motor areas</u> are activated in preparation for volitional actions</span></p></li></ul><p></p>
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self-regulation/goals

  • goal-setting and planning are key for occupational engagement

  • the prefrontal cortex generates goals and intentions —> and then carries out the plans needed to meet our goals

  • dorsolateral prefrontal cortex is involved in pursuing long term goals

    • this area allows us to maintain cognitive control, so that we can stay on task and persist in our goals

  • anterior cingulate cortex is also involved in monitoring conflict, integrating our emotions, and making decisions about changing course of action

    • helps us adapt and make adjustments when things don’t go as planned

<ul><li><p><span style="color: rgb(255, 255, 255)">goal-setting and planning are key for occupational engagement</span></p></li><li><p><span style="color: rgb(255, 255, 255)">the prefrontal cortex generates goals and intentions —&gt; and then carries out the plans needed to meet our goals</span></p></li><li><p><span style="color: rgb(255, 255, 255)"><u>dorsolateral prefrontal cortex</u> is involved in pursuing long term goals</span></p><ul><li><p>this area allows us to maintain cognitive control, so that we can stay on task and persist in our goals </p></li></ul></li><li><p><span style="color: rgb(255, 255, 255)"><u>anterior cingulate cortex</u> is also involved in monitoring conflict, integrating our emotions, and making decisions about changing course of action</span></p><ul><li><p>helps us adapt and make adjustments when things don’t go as planned </p></li></ul></li></ul><p></p>
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intrinsic vs. extrinsic motivation

  • intrinsic motivation (interest, enjoyment):

    • “doing a behavior because the activity itself is interesting and spontaneously satisfying... positive feelings result from the activity itself”

    • anterior insula is activated by intrinsic rewards; may modulate the formation of rewarding memories through activation of the VTA!

      • anterior insula is involved in constructing how we feel

        • this relates to the positive emotions that we feel when we engage in something we enjoy doing

  • extrinsic motivation (incentive motivation):

    • engaging in a behavior because it leads to some separate consequence, like gaining a reward or avoiding a punishment

    • associated with the dopaminergic reward system and the orbitofrontal-striatal circuit

    • anterior cingulate cortex helps determine if the reward is worth the effort needed to obtain it!

  • providing extrinsic rewards can decrease intrinsic motivation!

    • once the external reward is drawn, it is less likely we’d want to continue the activity

<ul><li><p><span style="color: rgb(255, 252, 252)">intrinsic motivation (interest, enjoyment):</span></p><ul><li><p><span style="color: rgb(255, 252, 252)">“doing a behavior because the activity itself is interesting and spontaneously satisfying... positive feelings result from the activity itself”</span></p></li><li><p><span style="color: rgb(255, 252, 252)"><u>anterior insula</u> is activated by intrinsic rewards; may modulate the formation of rewarding memories through activation of the <u>VTA!</u></span></p><ul><li><p>anterior insula is involved in constructing how we feel </p><ul><li><p>this relates to the positive emotions that we feel when we engage in something we enjoy doing </p></li></ul></li></ul></li></ul></li><li><p><span style="color: rgb(255, 252, 252)">extrinsic motivation (incentive motivation):</span></p><ul><li><p><span style="color: rgb(255, 252, 252)">engaging in a behavior because it leads to some separate consequence, like gaining a reward or avoiding a punishment </span></p></li><li><p><span style="color: rgb(255, 252, 252)">associated with the dopaminergic reward system and the <u>orbitofrontal-striatal circuit</u></span></p></li><li><p><span style="color: rgb(255, 252, 252)"><u>anterior cingulate cortex</u> helps determine if the reward is worth the effort needed to obtain it!</span></p></li></ul></li><li><p><span style="color: rgb(255, 252, 252)">providing extrinsic rewards can <em><u>decrease</u></em> intrinsic motivation!</span></p><ul><li><p>once the external reward is drawn, it is less likely we’d want to continue the activity </p></li></ul></li></ul><p></p>
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intrinsic motivation

  • intrinsic motivation increases positive affect, cognitive flexibility, and creativity, which are all supported by the dopamine system

  • 2 types of dopaminergic neurons in VTA and substantial nigra (SN)

    • value-coding dopaminergic neurons: stimulated by reward and inhibited by punishment (rewards, feedback, learning, success)

      • stimulated by external rewards, but can also be activated by feedback about our success or failure on a given task; we learn from these experiences, and our future engagement is informed by them

        • unexpected success —> activated dopamine response

        • unexpected failure —> inhibited dopamine response

    • salience-coding dopaminergic neurons: activated by curiosity and interest in the environment or task (related to intrinsic motivation); curiosity has been associated with activation of the left VTA/SN and bilateral striata (including nucleus accumbens, caudate nucleus, putamen)

      • you must find a good balance of something interesting + challenging- but not too difficult- in order to learn best

  • intrinsic motivation improves learning outcomes, by stimulating the dopamine system and is involved in self-directed learning

<ul><li><p><span style="color: rgb(255, 255, 255)">intrinsic motivation increases positive affect, cognitive flexibility, and creativity, which are all supported by the dopamine system</span></p></li><li><p><span style="color: rgb(255, 255, 255)">2 types of dopaminergic neurons in VTA and substantial nigra (SN)</span></p><ul><li><p><span style="color: rgb(255, 255, 255)"><u>value-coding dopaminergic neurons</u>: stimulated by reward and inhibited by punishment (rewards, feedback, learning, success)</span></p><ul><li><p>stimulated by external rewards, but can also be activated by feedback about our success or failure on a given task; we learn from these experiences, and our future engagement is informed by them </p><ul><li><p>unexpected success —&gt; activated dopamine response </p></li><li><p>unexpected failure —&gt; inhibited dopamine response </p></li></ul></li></ul></li><li><p><span style="color: rgb(255, 255, 255)"><u>salience-coding dopaminergic neurons</u>: activated by curiosity and interest in the environment or task (related to intrinsic motivation); curiosity has been associated with activation of the left VTA/SN and bilateral striata (including nucleus accumbens, caudate nucleus, putamen)</span></p><ul><li><p>you must find a good balance of something interesting +  challenging- but not too difficult- in order to learn best </p></li></ul></li></ul></li><li><p><span style="color: rgb(255, 255, 255)">intrinsic motivation <u>improves learning outcomes,</u> by stimulating the dopamine system and is involved in <u>self-directed learning</u></span></p></li></ul><p></p>
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basic psychological needs

  • self-determination theory assumptions

  • 3 basic psychological needs support intrinsic motivation

  • anterior insula and the rewards system are involved

  • self-determination theory assumptions

    • people are naturally curious and motivated to explore their environments and succeed, which can either be supported or impeded by social environments

  • 3 basic psychological needs support intrinsic motivation

    • competence: feeling effective in one’s ability to develop mastery in activities that are optimally challenging and that further develop one’s capacities; confidence in abilities and capacity to achieve goals

      • support perceptions of competence by providing feedback about success + making sure the task is the right level of challenge (where success is possible)

    • autonomy: exercising choice in one's behavior out of their own volition/will; "an experience of volition and integrity, the sense that one’s behavior is authentic and self-organized, rather than internally conflicted and pressured or externally coerced"

      • studying because you value the information vs studying to get a good grade, or to avoid embarrassment

    • relatedness: feeling connected with others and having satisfying social relationships improves intrinsic motivation

  • anterior insula (relates to how we feel about ourselves within our environment) and the rewards system are both activated when our basic psychological needs are met

<ul><li><p><span style="color: rgb(255, 255, 255)">self-determination theory assumptions</span></p><ul><li><p><span style="color: rgb(255, 255, 255)">people are naturally curious and motivated to explore their environments and succeed, which can either be supported or impeded by social environments</span></p></li></ul></li><li><p><span style="color: rgb(255, 255, 255)">3 basic psychological needs support intrinsic motivation</span></p><ul><li><p><span style="color: rgb(255, 255, 255)"><strong>competence:</strong> feeling effective in one’s ability to develop mastery in activities that are optimally challenging and that further develop one’s capacities; confidence in abilities and capacity to achieve goals</span></p><ul><li><p>support perceptions of competence by providing feedback about success + making sure the task is the right level of challenge (where success is possible)</p></li></ul></li><li><p><span style="color: rgb(255, 255, 255)"><strong>autonomy:</strong> exercising choice in one's behavior out of their own volition/will; "an experience of volition and integrity, the sense that one’s behavior is authentic and self-organized, rather than internally conflicted and pressured or externally coerced"</span></p><ul><li><p>studying because you value the information vs studying to get a good grade, or to avoid embarrassment </p></li></ul></li><li><p><span style="color: rgb(255, 255, 255)"><strong>relatedness</strong>: feeling connected with others and having satisfying social relationships improves intrinsic motivation </span></p></li></ul></li><li><p><span style="color: rgb(255, 255, 255)"><u>anterior insula</u> (relates to how we feel about ourselves within our environment) and the <u>rewards system</u> are both activated when our basic psychological needs are met </span></p></li></ul><p></p>
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autonomous self-regulation

  • volitional decision-making (making personal choices) that are based on one’s sense of autonomy activates the ventromedial prefrontal cortex (vmPFC)

    • can help resolve internal conflicts identified by the anterior cingulate cortex

  • vmPFC interacts with both the ventral striatum and amygdala during value-based decision making

    • co-activated with the ventral striatum during rewarding decisions

    • suppresses fear response from amygdala

      • having a sense of control can help extinguish fear and anxiety generated by the amygdala

  • making self-determined choices when engaging in a task can increase resilience when receiving feedback about failure, thereby improving performance

    • vmPFC activation may reduce stress responses from the brainstem and reduce cortisol levels, increasing active coping

      • failure is a natural part of learning; making mistakes is essential for growth and improvement! —> achievement of goals

<ul><li><p><span style="color: rgb(255, 255, 255)">volitional decision-making (making personal choices) that are based on one’s sense of autonomy activates the <u>ventromedial prefrontal cortex (vmPFC)</u></span></p><ul><li><p><span style="color: rgb(255, 255, 255)">can help resolve internal conflicts identified by the <u>anterior cingulate cortex</u></span></p></li></ul></li><li><p><span style="color: rgb(255, 255, 255)">vmPFC interacts with both the ventral striatum and amygdala during value-based decision making</span></p><ul><li><p><span style="color: rgb(255, 255, 255)">co-activated with the <u>ventral striatum</u> during rewarding decisions</span></p></li><li><p><span style="color: rgb(255, 255, 255)">suppresses fear response from <u>amygdala</u></span></p><ul><li><p>having a sense of control can help extinguish fear and anxiety generated by the amygdala </p></li></ul></li></ul></li><li><p><span style="color: rgb(255, 255, 255)">making self-determined choices when engaging in a task can increase resilience when receiving feedback about failure, thereby improving performance</span></p><ul><li><p><span style="color: rgb(255, 255, 255)">vmPFC activation may reduce stress responses from the brainstem and reduce cortisol levels, increasing active coping</span></p><ul><li><p>failure is a natural part of learning; making mistakes is essential for growth and improvement! —&gt; achievement of goals</p></li></ul></li></ul></li></ul><p></p>
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motivation and motor learning

OPTIMAL Theory: “optimizing performance through intrinsic motivation and attention for learning”: i.e., supporting intrinsic motivation can improve motor learning

  • motor learning influenced by:

    • autonomy (active participation in determining one’s behavior)

    • enhanced expectancies for future success (increase in perceived competence)

    • external focus of attention (concentration on the movement's intended effect)

  • response of dopamine to the anticipation of positive experience leads to improved performance

  • expected success leads to further success and aids memory consolidation

  • dopamine from the VTA promotes neuroplasticity in the primary motor cortex leading to —> new motor learning, formation of new motor memories

<p>OPTIMAL Theory: “optimizing performance through intrinsic motivation and attention for learning”: i.e., supporting intrinsic motivation can improve motor learning </p><ul><li><p><span style="color: rgb(255, 255, 255)">motor learning influenced by:</span></p><ul><li><p><span style="color: rgb(255, 255, 255)"><u>autonomy </u>(active participation in determining one’s behavior)</span></p></li><li><p><span style="color: rgb(255, 255, 255)"><u>enhanced expectancies</u> for future success (increase in perceived competence)</span></p></li><li><p><span style="color: rgb(255, 255, 255)"><u>external focus of attention</u> (concentration on the movement's intended effect)</span></p></li></ul></li><li><p><span style="color: rgb(255, 255, 255)">response of dopamine to the anticipation of positive experience leads to improved performance</span></p></li><li><p><span style="color: rgb(255, 255, 255)">expected success leads to further success and aids memory consolidation</span></p></li><li><p><span style="color: rgb(255, 255, 255)">dopamine from the VTA promotes neuroplasticity in the primary motor cortex leading to —&gt; new motor learning, formation of new motor memories</span></p></li></ul><p></p>
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limbic system and the *vagus nerve

  • the vagus nerve appears to connect to limbic system structures via the solitary nucleus

    • the solitary nucleus sends direct projections to the amygdala and appears to mediates emotional responses to respiration

  • amygdala is implicated in stress-related disorders, including PTSD

    • overactivity in the amygdala can occur after exposure to traumatic stress

    • —> stress can lead to maladaptive breathing patterns (hyperventilation), which can —> further induce anxiety and panic

    • decreased vmPFC control over the amygdala, leading to overactive fear responses

    • hippocampal functioning is also impaired, which may lead to re-experiencing of trauma-related symptoms

  • vagus nerve stimulation is a treatment for chronic depression and PTSD

    • electrical stimulation of the vagus nerve appears to alter cortical and subcortical brain regions such as the amygdala and hippocampus (although the mechanisms are unclear)

    • shown to reduce symptoms of depression and anxiety

    • may inhibit the sympathetic nervous system, reducing “fight or flight” responses, which may explain the reduction of ^ depression and anxiety symptoms

  • mind-body interventions are also thought to increase parasympathetic tone
    through activation of the vagus nerve, leading to reduced stress

    • slow breathing with long exhalation, yoga, mindfulness-based stress reduction techniques

    • benefits are associated with connections between the autonomic nervous system and the limbic system (amygdala, hippocampus, PFC)

    • increased PFC activation is associated with increased parasympathetic activity (which may improve inhibitory control over the amygdala)

    • however, much is still unknown!

  • therapeutic breathing techniques and mind-body interventions can help reduce stress and anxiety through connections between the autonomic nervous system (vagus nerve) and the limbic system

*vagus nerve= part of the parasympathetic division of the autonomic nervous system; related to our ability to manage stress and anxiety