WEBVTT

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I want to talk about listening dissonance, listening

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dissonance and filtering noises, unwanted noises

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up through this. If you want to look at it through

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here or just up through here, listening to silence

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kind of starts with three and four because we're

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losing our capacity to inhibit noises coming

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up. So this is going to be gone just for the

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little ABR table. And I want to talk about listening

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dissonance though. Because listening to dissonance

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is why I want to talk about it so bad is it's

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not well understood. You probably never even

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heard of it. But every autistic phenotype struggles

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with it. I promise you. It's when sounds blend.

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It's a big problem. So what is this? It just

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sounds blending. It's exactly what it is. So

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there's two things that I want to kind of get

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into. Two kind of... analogies that I think might

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help with this because of the inhibition the

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excitation inhibition so remember if we draw

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out the seesaw analogy right excitation here

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inhibition here this is the default for the autistic

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phenotype high excitation low inhibition because

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of a lot of those inhibitory cells being missed

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in large part here, and throughout, and throughout

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the brain regions, okay? Because we're going

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to talk about more cortex areas with this listening

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dissonance, and I think you'll be able to make

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sense of it. So as signals come in, and we're

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reaching the cochlear neculuses here, with, from

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two to three in the brain stem response, and

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then from three to four is where it really starts

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to kind of blend. Okay, by the time the signal

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reaches this brain stem area here, this superior

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olive right here and the inferior all the way

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up to the inferior colliculus. So from three

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to four and then four to five is whenever it's

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starting to happen. A roll of these areas, the

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olive area, the laminscus and the inferior colliculus

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is suppressing unwanted sounds. So how does it

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know what it wants to pay attention to? Is a

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good question. Well, one thing you can think

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of is we're mapping this out from a beginning.

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But rarely, if ever, as you're navigating the

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social world as a living organism is You're not

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going to have any noises and then suddenly noises

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are just going to hit start So that's something

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you really need to consider. Okay, there's always

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background noises going on if you're up whenever

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it's sending signals up new signals coming up

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and The thalamus has recruited out with that

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the thalamus cortical pathway in the auditory

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cortex the brain can kind of respond back and

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understand what noises are relevant, what noises

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are salient versus the ones that are not. So

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it can send signals back down to the olivary

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cortex, the lamenscus, and the inferior colliculus

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to kind of help shut off, kind of prevent these

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from happening. So... A good way of thinking

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about this is, and it's good that we use green,

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but I'm going to think about this as water hose,

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okay? Plumbing is weird, weird things here, okay?

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So this is the water hose. and then actually

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it mostly it mostly goes straight doesn't it

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see plumbing is weird so you have this and then

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let's say you have a faucet okay so you have

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a faucet okay you want it you can turn it on

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so All through here, I wanna go green. I wanna

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go green. Let's just say this is water, okay?

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Because these are the signals coming up the brain

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stem. And then these kind of areas are the areas

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trying to filter this out. And even the cortex

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trying to suppress these sounds. If you have

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a leak here, or if you're trying to control the

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water flow here, but you can't, water is just

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going to come out uncontrollably. Okay, and this

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is kind of what this is with that endocochlear

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potential, where you have this strong electrical

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potential in that strong gradient, just to shoot

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noises up. But if you don't have the inhibition,

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the inhibition could be a couple of different

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things. It could be the handle that turns it

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on and off, or maybe there's a filter. Maybe

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there's a special filter here so that you don't

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have the unwanted things of the water like fluoride

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or something to get out. But maybe that filter

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is bad. You haven't changed it in a while. So

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now you're getting all of this fluoride and unwanted

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particles out in the water because inhibition

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downstream is letting this in. So your filter,

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or maybe you even have a filter coming into your

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house, an extra filter, which is popular. It's

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pretty common now. This filter is bad. The role

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of inhibition here is to get rid of these red

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marks, which is unwanted, which is no good, okay?

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So if you want to think about it, the green are

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the ghost signals. So we have glutamate excitation

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running this way because that's the direction

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of the water flow and this is helping it it's

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helping it push it along at faster rates because

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that's our default our default is go especially

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with sensation perception but then you have inhibit

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inhibition things like parv albium interneuron

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and somatostatin and basal intestinal peptides

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remember that are acting on as a this inhibition

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we have these let's say we just have parvalbium

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and so forth like this this is kind of wanting

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to block so we have inhibition here and here

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and some here but we can't based off of the the

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context and the capacity of these inhibitions,

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we can't naturally control the output, the flow

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of the noises. So, sometimes the autistic phenotype

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is overwhelmed with this water. Okay, so you

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could think of this as the difference between

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a water hose outside and a fire hydrant, maybe.

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The fire hydrant is a good way of thinking about

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Autistic stability for sensory processing. It's

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a fire hose of information, Carl Beiseroth says,

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and projections. Here, projections. It's a torrent

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of information, he calls it. And it's accurate.

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Because there's no stop signals here. There is

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no stopping here. And each one of these areas

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here the olivary, the laminscus here, and then

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the inferior colliculus is trying to provide

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a little bit of stopping. Because once it hits

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the thalamus, especially with this TRM that is

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already in a bad state, bad condition, everything

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is just going to start to become overwhelming.

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So this is very similar to the ear canal. So

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we should have built -in inhibition, mainly up

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through here though, to help stop, filter out

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this stuff. So we're up here and we have a lot

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of noise. We have a lot of noise now coming in.

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It's just, okay, we'll use green. It's becoming

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overwhelming. We have So much to perceive here,

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okay? With the auditory cortex, which is here.

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And then if we map out, let's just draw a side

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view of this, okay? So we have the pons and the

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brain stem, kind of the cerebellum. And if your

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caliculus is here, okay? It's here. that's what

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this is superior colliculus here and then we

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have the thalamus medial geniculate the lateral

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geniculate i'm just going to make this kind of

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so this is the thalamus here okay because i want

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to highlight the big thing with listening to

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sonnets here So the occipital, the parietal,

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the sensory motor here, the prefrontal cortex,

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kind of this temporal lobe. Okay, so as noises

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start to become overwhelming, so A1 is over here,

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okay? It's more occipital. A1 is up here, and

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it's very lateral. It's very lateral. So A1 is

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up here, and it's trying to... This is where

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perception happens, okay? We do not understand

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the noises until A1 kind of helps make sense

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of it. Like if you hear your favorite song, and

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maybe... It takes one second, one or two tones,

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and you recognize the song. Versus, oh, what's

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that song? What is that song? You're just sitting

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there, what song is that? You're trying to, you're

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working here in the auditory cortex and other

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areas of the cortex. Remember, layers two and

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three in the mini -columns will help you get

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there. But the thalamus is sending signals up

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to those mini -columns to recruit layers two

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and three. because layers two and three is where

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your experiences live, your subjective experiences

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and your intelligence live. Okay, so the big

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thing with listening to sonus here with recruiting

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the rest of this cortex is going to be massive.

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To compensate this overwhelming noise coming

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through here into the thalamus and the auditory

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cortex, the brain and your sensory processing

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will attempt to recruit Distal connections, especially

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the medial prefrontal cortex, which is here.

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The first time we mentioned this was in the Autism

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and Adaptive Responses episode where we parsed

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out the medial prefrontal cortex, the ACC, anterior

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cingulate cortex, which is a subdivision here,

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and the anterior insula, which is about right

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here. Very lateral, but also right here. So we

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have the dorsal lateral up here. and the orbital

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prefrontal cortex right here. Orbital prefrontal

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cortex, medial prefrontal cortex is in the middle,

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and then this outside surface right here is the

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dorsal lateral, okay? Whenever you're trying

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to, oh, before I explain the circuitry here with

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listening and dissonance, a major role of the

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prefrontal cortex, if you're just going to explain

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it in one row, it's to shh. The neurosurgeon

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said this, Casey Halpern, the role of the prefrontal

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cortex is to quiet the rest of these subcortical

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areas. It's inactivating the subcortical areas.

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That way you can recruit adaptive responses.

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So with this listening to solanets and becoming

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this sensory overload, Remember, because of this

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scenario right here, low inhibition, high excitation

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equals sensory overload. The brain is trying

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to recruit these more higher order functionings,

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this top down control over this situation because

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your ears will start to thrive here or throb

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and you just can't make sense of it and you can

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feel yourself becoming overwhelmed. This is called

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signal to noise signal is healthy noise is not

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healthy you want to the whole thing we're talking

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about over here is quieting the noise filtering

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out the noise okay so good bad Okay, so these

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brain regions here that are for adaptive responses

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and top -down control are recruited and they're

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heavily involved and it doesn't matter if you're

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autistic or not. You can hook up, put the scalp

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fMRI on and measure brain waves even in the typical.

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These areas will begin to heighten because it's

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trying to provide effort into quieting these

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areas right here. it's putting in effort into

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quieting this and it becomes difficult even for

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the typical. It's kind of compensating here but

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because of the autistic phenotype being like

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this there's even so much excitation here and

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there's not enough parvalbium interneuron especially

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with this area right here and the ACC and the

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anterior insula. The anterior insula is paying

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attention to bodily states. So as you're becoming

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overwhelmed, your heart rate will change. And

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so is your breathing, your depth and rate of

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your breathing. And that is being fed up to the

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posterior insula and the anterior insula right

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here. And to the ACC. Remember the ACC? It's

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measuring conflict monitoring. It's measuring

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error detection. It's signaling errors are happening.

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I'm becoming overwhelmed. What do I need to do?

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I need to do something. And the anterior insula

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is being hijacked by the bodily states. And now

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the brain states are working overdrive even in

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the typical. It's providing a lot of effort to

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clear out and free up the sensory processing.

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Okay. it becomes so much that emotional circuits

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are also being recruited because of right the

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brain or the yeah the brain states even and the

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bodily states so remember that third role of

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the interior insula is evaluating the environment

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so it has three main data sources brain body

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environment And this thing is becoming overwhelmed.

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And so it's hijacking. It's allowing these processes

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to be hijacked. So the insula is a good friend

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and a very powerful enemy. Just depends on who's

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leading the way here. Remember, we talk about

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who's leading the way. When we're at adapting

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when we're responding well to the environment,

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areas like the dorsal lateral and the medial

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prefrontal will lead the way. It will orchestrate

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the circuitry needed in these lower areas here

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instead of vice versa. When we are overwhelmed,

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these lower areas like the amygdala here and

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this ACC Become hyperactive and they're hyper

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connective and these are emotional circuitries

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It gets to the point where these are hijacked

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and Including here the orbital frontal cortex

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is roughly 90 % sensory Even though it's a so

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-called prefrontal cortex. Okay, so The orbital

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frontal cortex, the amygdala, which is not our

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fear center. People get rid of that. That's a

00:19:36.369 --> 00:19:40.609
bad misnomer. Fear center is all about correlates.

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We are past the times of this brain region equals

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this. The amygdala is also involved with positive

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things too and motivation, not just fear. So

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come on. And then the anterior insula. Whenever

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these things are this kind of hijacked, like

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this, and the prefrontal becomes shut off, we

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leave. Because that's the only option at that

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point. Is it an adaptive response? Maybe. Depends

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on who you ask. If you would ask, well, looking

00:20:18.740 --> 00:20:23.140
back at it, maybe not. But in real time, that

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is the option. Because It is impossible to filter

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out all of this excessive noise coming up through

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here and overwhelming the brain. Overwhelming

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the thalamus. And that is listening dissonance.

00:20:39.980 --> 00:20:43.119
This is a bad thing and it's uncontrollable.

00:20:44.519 --> 00:20:47.220
This is why people will wear the noise canceling

00:20:47.220 --> 00:20:51.799
headphones now. And they're screaming kids. And

00:20:51.799 --> 00:20:54.819
they're just overwhelmed. Even adults. even like

00:20:54.819 --> 00:20:58.859
family gatherings it's like gone that's the option

00:20:58.859 --> 00:21:03.039
is gone because you can't control it remember

00:21:03.039 --> 00:21:06.359
i i say in the podcast episode sometimes said

00:21:06.359 --> 00:21:16.160
1960s Beatles like 1967 and 1968 Beatles Sgt

00:21:16.160 --> 00:21:19.579
Pepper's album right here white album right here

00:21:19.769 --> 00:21:23.089
they started to experience or experiment with

00:21:23.089 --> 00:21:26.029
different noises different instruments that make

00:21:26.029 --> 00:21:31.250
noises and things just around the recording studio

00:21:31.250 --> 00:21:33.369
they just started to make noise with them and

00:21:33.369 --> 00:21:35.890
blend them together at the ends of songs and

00:21:35.890 --> 00:21:39.690
the songs would just carry on with all this orchestrated

00:21:39.690 --> 00:21:42.630
bizarre music blends and that's what it sounds

00:21:42.630 --> 00:21:44.529
like that's what it sounds like in real time

00:21:44.529 --> 00:21:48.079
whenever you're out And it's getting loud. You

00:21:48.079 --> 00:21:51.180
can't discriminate the sources of the sounds.

00:21:51.700 --> 00:21:56.119
You can't. Even if they're lower volume sounds,

00:21:56.240 --> 00:21:59.519
but they're multiple. Multiple sources of sounds.

00:21:59.880 --> 00:22:02.779
That will hijack these areas as well. Because

00:22:02.779 --> 00:22:05.559
at first, you can pay attention. You can pay

00:22:05.559 --> 00:22:07.759
attention to the different sources of sounds

00:22:07.759 --> 00:22:12.039
coming in. Almost like you can follow along with

00:22:12.039 --> 00:22:15.440
different, maybe, conversations. But then...

00:22:15.420 --> 00:22:18.720
all of a sudden it comes so fast let me tell

00:22:18.720 --> 00:22:21.000
you it comes so fast these things will just split

00:22:21.000 --> 00:22:25.420
in and these areas right here will just hijack

00:22:25.420 --> 00:22:29.640
you and there's no more dorsolateral prefrontal

00:22:29.640 --> 00:22:33.200
cortex or the medial prefrontal cortex the acc

00:22:33.200 --> 00:22:41.180
cannot make sense of it so you go and this brings

00:22:41.180 --> 00:22:46.130
me to what i want to say most It's not uncommon

00:22:46.130 --> 00:22:50.650
that the autistic phenotype children are overwhelmed

00:22:50.650 --> 00:22:54.250
and they leave and they're found in bodies of

00:22:54.250 --> 00:23:03.769
water. Drowned. It's every week. Whenever the

00:23:03.769 --> 00:23:07.529
autistic phenotype is becoming like this, the

00:23:07.529 --> 00:23:11.450
worst thing you can do is talk to them. Why are

00:23:11.450 --> 00:23:13.690
you sitting there just keep talking to them?

00:23:13.740 --> 00:23:15.380
Well, what's the matter? What's the matter? What

00:23:15.380 --> 00:23:19.440
do you need? What do you need? Well... I can't

00:23:19.440 --> 00:23:26.500
even... I can't even understand it. People that

00:23:26.500 --> 00:23:30.200
are involved in autism, even different types

00:23:30.200 --> 00:23:32.880
of educators or people that's trying to provide

00:23:32.880 --> 00:23:35.240
them therapy and so forth, they don't understand

00:23:35.240 --> 00:23:38.920
the autistic phenotype. I don't understand it.

00:23:41.480 --> 00:23:44.440
Listening to Sonitz, this... Episode will be

00:23:44.440 --> 00:23:48.420
out next week and this will just help maybe follow

00:23:48.420 --> 00:23:51.140
along with it. We didn't talk much about the

00:23:51.140 --> 00:23:53.779
auditory cortex, but I don't necessarily want

00:23:53.779 --> 00:23:56.160
to now, but that's where perceptions happen.
