Understanding Psychological Disorders: The Neuropsychosocial Approach 37
Thelimbic system plays a key role in emotions; among its most important com-
ponents are the hypothalamus, the hippocampus, and the amygdala:
- Thehypothalamus governs bodily functions associated with eating, drinking, and
controlling temperature, and it plays a key role in many aspects of our emotions
and in our experience of pleasure (Swaab, 2003).
- Theamygdala is central to producing and perceiving strong emotions, especially
fear (LeDoux, 2000).
- Thehippocampus works to store new information in memory of the sort that
later can be voluntarily recalled; (Squire, 2002).
In addition to components of the limbic system, other important subcortical ar-
eas are the thalamus, the nucleus accumbens, the basal ganglia, and the cerebellum:
- Thethalamus is critical for controlling sleep and maintaining attention (and parts
of it are closely involved with the limbic system; Lambert & Kinsley, 2005). Some
people with schizophrenia have abnormalities in the structure and function of the
thalamus, a fi nding that is consistent with their diffi culties in focusing attention
(Andreasen et al., 1994; Andrews et al., 2006).
The• nucleus accumbens plays a major role in registering reward and learning from
experience (Breiter & Rosen, 1999). The functioning of the nucleus accumbens is
involved in substance abuse (Leone, Pocock, & Wise, 1991).
- Thebasal ganglia are involved in automatic responses. Some psychological dis-
orders disrupt the basal ganglia and can cause repetitive thoughts or behavior.
For example, the basal ganglia operate abnormally in people who have obsessive-
compulsive disorder, which is characterized by preoccupying thoughts and repeti-
tive behaviors that the person feels compelled to do (Rauch et al., 2006).
The• cerebellum helps to manage physical coordination, attention, and many auto-
matic motions (Ivry et al., 2002).
Both physical abnormalities and abnormal levels of activity in these subcortical
brain areas can contribute to psychological disorders.
Figure 2.3
2.3 • 23 Key Subcortical Brain AreasKSb tilBiA
Hypothalamus
Cerebral
cortex
Spinal Cerebellum
cord
Thalamus
Hypothalamus
Amygdala
Hippocampus