raine et al (1997) brain abnormalities in murderers brain abnormalities in murderers indicated by...

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Raine et al (1997) Brain abnormalities in murderers Brain abnormalities in murderers indicated by positron emission tomography Biological Psychiatry 42 495-508 Mark Souter psychlotron.org.uk

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Page 1: Raine et al (1997) Brain abnormalities in murderers Brain abnormalities in murderers indicated by positron emission tomography Biological Psychiatry 42

Raine et al (1997) Brain abnormalities in murderers

Brain abnormalities in murderers indicated by positron emission tomography

Biological Psychiatry 42 495-508

Mark

Sou

ter

psy

chlo

tron

.org

.uk

Page 2: Raine et al (1997) Brain abnormalities in murderers Brain abnormalities in murderers indicated by positron emission tomography Biological Psychiatry 42

Raine et al (1997) Brain abnormalities in

murderers

Introduction • is there a biological basis for criminality? • PET scans • radioactive labels on: • blood/blood sugars • dopamine (neuro-transmitter) gamma ray signals • 7-8M ps • also MRI and fMRI

Mark

Sou

ter

psy

chlo

tron

.org

.uk

Page 3: Raine et al (1997) Brain abnormalities in murderers Brain abnormalities in murderers indicated by positron emission tomography Biological Psychiatry 42

Raine et al (1997) Brain abnormalities in murderers

PET scans showing ‘hot spots’ for cognitive activities

Mark

Sou

ter

psy

chlo

tron

.org

.uk

Page 4: Raine et al (1997) Brain abnormalities in murderers Brain abnormalities in murderers indicated by positron emission tomography Biological Psychiatry 42

Raine et al (1997) Brain abnormalities in murderers

introduction: problems • colourisation v complex errors • 'hot spots' same for 'on & 'off' brain actions• practiced brain activity declines in that area 'hottest spots' = only for newest tasks? • "it seems we should not let the quality of

evidence get in the way of a good story" Banyard and Grayson 2000

Mark

Sou

ter

psy

chlo

tron

.org

.uk

Page 5: Raine et al (1997) Brain abnormalities in murderers Brain abnormalities in murderers indicated by positron emission tomography Biological Psychiatry 42

Raine et al (1997) Brain abnormalities in murderers

PET scan of a subject whilst practicing a new language skill

A scan of the same subject demonstrating

this skill after it had become familiar

Mark

Sou

ter

psy

chlo

tron

.org

.uk

Page 6: Raine et al (1997) Brain abnormalities in murderers Brain abnormalities in murderers indicated by positron emission tomography Biological Psychiatry 42

Raine et al (1997) Brain abnormalities in murderers

the study: subjects

• 41 people: 39M 2F

• charged with murder

• pleading not guilty by reason of insanity (NGRI)

• all referred for PET for legal reasons

• average age 34.3

Mark

Sou

ter

psy

chlo

tron

.org

.uk

Page 7: Raine et al (1997) Brain abnormalities in murderers Brain abnormalities in murderers indicated by positron emission tomography Biological Psychiatry 42

Raine et al (1997) Brain abnormalities in murderers

the study: subjects’ medical histories • schizophrenia 6 • head injury/organic brain damage 23 • drug abuse 3 • affective disorder 2 • epilepsy 2 • hyperactivity or learning disorder 3 • personality disorder 2

Mark

Sou

ter

psy

chlo

tron

.org

.uk

Page 8: Raine et al (1997) Brain abnormalities in murderers Brain abnormalities in murderers indicated by positron emission tomography Biological Psychiatry 42

Raine et al (1997) Brain abnormalities in murderers

the study: controls

• 1 for each subject

• matched for age / sex

• schizophrenics with non-murderer schizophrenics

• all controls screened for mental/physical health

Mark

Sou

ter

psy

chlo

tron

.org

.uk

Page 9: Raine et al (1997) Brain abnormalities in murderers Brain abnormalities in murderers indicated by positron emission tomography Biological Psychiatry 42

Raine et al (1997) Brain abnormalities in murderers

the study: the PET process • injection with glucose tracer • 32 mins on target recognition task • NRGI/controls compared re 14 L&R brain areas • 6 cortical: • inc prefrontal; parietal; temporal; occipital • 8 sub cortical: • inc corpus callosum; amygdala; hippocampus

Mark

Sou

ter

psy

chlo

tron

.org

.uk

Page 10: Raine et al (1997) Brain abnormalities in murderers Brain abnormalities in murderers indicated by positron emission tomography Biological Psychiatry 42

Mark

Sou

ter

psy

chlo

tron

.org

.uk

Page 11: Raine et al (1997) Brain abnormalities in murderers Brain abnormalities in murderers indicated by positron emission tomography Biological Psychiatry 42

Raine et al (1997) Brain abnormalities in murderers

the study: ANOVA

• statistical comparison

• ANalysis Of VAriance

• compares a range of factors

Mark

Sou

ter

psy

chlo

tron

.org

.uk

Page 12: Raine et al (1997) Brain abnormalities in murderers Brain abnormalities in murderers indicated by positron emission tomography Biological Psychiatry 42

Raine et al (1997) Brain abnormalities in murderers

results: cortical areas

• differences in activity in lobes of cerebral cortex cf controls;

• parietal & pre-fontal: less activity =?

• occipital: more activity =?

• temporal: same =?

Mark

Sou

ter

psy

chlo

tron

.org

.uk

Page 13: Raine et al (1997) Brain abnormalities in murderers Brain abnormalities in murderers indicated by positron emission tomography Biological Psychiatry 42

Raine et al (1997) Brain abnormalities in murderers

results: sub cortical areas

• less activity in corpus callosum cf controls

• a sub-cortical area =?

• cf Sperry

Mark

Sou

ter

psy

chlo

tron

.org

.uk

Page 14: Raine et al (1997) Brain abnormalities in murderers Brain abnormalities in murderers indicated by positron emission tomography Biological Psychiatry 42

Raine et al (1997) Brain abnormalities in murderers

results: sub cortical areas • imbalance between hemispheres cf controls in;• amygdala; hippocampus – less activity L /

more R• thalamus - more activity R / same L• handedness made no difference • ethnicity made no difference • head injury patients’ corpus callosum only

difference

Mark

Sou

ter

psy

chlo

tron

.org

.uk

Page 15: Raine et al (1997) Brain abnormalities in murderers Brain abnormalities in murderers indicated by positron emission tomography Biological Psychiatry 42

Raine et al (1997) Brain abnormalities in murderers

discussion: authors (1)• supports previous findings; 1. amygdala (part of limbic system)

differences (linked to emotions; lack of fear)

2. corpus callosum differences linked to lack of long term perspective?

• cautious about implications

Mark

Sou

ter

psy

chlo

tron

.org

.uk

Page 16: Raine et al (1997) Brain abnormalities in murderers Brain abnormalities in murderers indicated by positron emission tomography Biological Psychiatry 42

Raine et al (1997) Brain abnormalities in murderers

discussion: authors (2) • results; • do not show violence is only biological in origin • do not show NGRIs not responsible for their

own actions • do no say anything about causes of differences • cannot be generalised from NGRIs to other

violent offenders • cannot be generalised to other types of crime

Mark

Sou

ter

psy

chlo

tron

.org

.uk

Page 17: Raine et al (1997) Brain abnormalities in murderers Brain abnormalities in murderers indicated by positron emission tomography Biological Psychiatry 42

Raine et al (1997) Brain abnormalities in murderers

discussion: other issues • imaging methods still being developed • pre-scan task no bearing on violent

behaviour • NGRIs not necessarily charged with

violent act • cause effect of brain differences

unclear

Mark

Sou

ter

psy

chlo

tron

.org

.uk

Page 18: Raine et al (1997) Brain abnormalities in murderers Brain abnormalities in murderers indicated by positron emission tomography Biological Psychiatry 42

Raine et al (1997) Brain abnormalities in murderers

discussion: practical applications

• diagnosis of criminality?

• no clear evidence to support this

• treatment of criminality

• no clear evidence to support this

Mark

Sou

ter

psy

chlo

tron

.org

.uk

Page 19: Raine et al (1997) Brain abnormalities in murderers Brain abnormalities in murderers indicated by positron emission tomography Biological Psychiatry 42

Raine et al (1997) Brain abnormalities in murderers

discussion: summary

• data unclear

• differences small

• cause-effect unknown

• meaning of differences unknown

Mark

Sou

ter

psy

chlo

tron

.org

.uk