The Brain Puzzle. A set of the brain coloured sections puzzle pieces for each pair/small group

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34 The Brain Puzzle ITEMS REQUIRED A set of the brain coloured sections puzzle pieces for each pair/small group BRAIN PUZZLE INSTRUCTIONS Put the coloured brain section pieces together to form the correct image of the human brain.

35

36 FRONTAL LOBES PARIETAL LOBES OCCIPITAL LOBES TEMPORAL LOBES CEREBELLUM BRAIN STEM

37 Brain Region Cards REGION BRAIN STEM CEREBELLUM OCCIPITAL LOBES TEMPORAL LOBE PARIETAL LOBE FRONTAL LOBE FUNCTION Brains warning system and sets alertness levels. Responsible for breathing, blood pressure, heartbeat, swallowing, sleep, body temperature and digestion. Motor-related activities (balance, co-ordination, fine muscle control). Fear and pleasure responses and some cognitive functions such as attention and language. Skill memory is also processed in the cerebellum, which relays information to the basal ganglia. It stores automatic learned memories like tying a shoe, playing an instrument, or riding a bike. Visual processing and is part of the brain where dreams originate. Visual processing (faces and senses). Understanding language, hearing and cognition (thought/ perception). Long-term memory is processed in the temporal lobe and is activated when you want to memorize something for a longer time. This memory has unlimited content and duration capacity. It contains personal memories as well as facts and figures. Speech, sensations, pain, knowing left from right, reading, handwriting and body position (space awareness). Cognition (i.e. ability to concentrate), analysis, problem-solving, judgement, plan, and development of the personality. Short-term memory, also called working memory, occurs in the frontal lobe. It stores information for about one minute and its capacity is limited to about seven items. For example, it enables you to dial a phone number someone just told you. It also intervenes during reading, to memorize the sentence you have just read, so that the next one makes sense. Motor function.

38 Brain & Teens development; a brief overview The brain is an amazing three-pound organ that controls all functions of the body, interprets information from the outside world, and embodies the essence of the mind and soul. Intelligence, creativity, emotion, and memory are a few of the many things governed by the brain. Protected within the skull, the brain is composed of the cerebrum, cerebellum, and brainstem. The brainstem acts as a relay centre connecting the cerebrum and cerebellum to the spinal cord. The brain receives information through our five senses: sight, smell, touch, taste, and hearing - often many at one time. It assembles the messages in a way that has meaning for us, and can store that information in our memory. The brain controls our thoughts, memory and speech, movement of the arms and legs, and the function of many organs within our body. It also determines how we respond to stressful situations by regulating our heart and breathing rate. The brain is composed of three parts: the brainstem, cerebellum, and cerebrum. The cerebrum is divided into four lobes: frontal, parietal, temporal, and occipital. THE BRAINSTEM acts as a relay centre connecting the cerebrum and cerebellum to the spinal cord. It performs many automatic functions such as breathing, heart rate, body temperature, wake and sleep cycles, digestion, sneezing, coughing, vomiting, and swallowing. THE CEREBELLUM is located under the cerebrum. Its function is to coordinate muscle movements, maintain posture, and balance. THE CEREBRUM is the largest part of the brain and is composed of right and left hemispheres. The surface of the cerebrum has a folded appearance called the cortex. The cortex contains about 70% of the 100 billion nerve cells. The nerve cell bodies colour the cortex grey-brown giving it its name (Gray matter). Beneath the cortex are long connecting fibres between neurons, called axons, which make up the white matter. The right and left hemispheres of the brain are joined by a bundle of fibres called the corpus callosum that delivers messages from one side to the other. Each hemisphere controls the opposite side of the body. If a brain tumour is located on the right side of the brain, your left arm or leg may be weak or paralyzed. Not all functions of the hemispheres are shared. In general, the left hemisphere controls speech, comprehension, arithmetic, and writing. The right hemisphere controls creativity, spatial ability, artistic, and musical skills. The left hemisphere is dominant in hand use and language in about 92% of people. THE CEREBRAL HEMISPHERES have distinct fissures, which divide the brain into lobes. Each hemisphere has 4 lobes: frontal, temporal, parietal, and occipital (above). Each lobe may be divided, once again, into areas that serve very specific functions. It s important to understand that each lobe of the brain does not function alone. There are very complex relationships between the lobes of the brain and between the right and left hemispheres. FRONTAL LOBE Personality, behaviour, emotions, Judgment, planning, problem solving, Speech: speaking and writing, Body movement (motor strip) Intelligence, concentration, short term memory and self-awareness. PARIETAL LOBE Interprets language, words, sense of touch, pain, temperature (sensory strip). Interprets signals from vision, hearing, motor, sensory and memory. Spatial and visual perception. OCCIPITAL LOBE Interprets vision (colour, light, movement) TEMPORAL LOBE Understanding language, long term memory, Hearing, Sequencing and organization. Messages within the brain are carried along pathways. Messages can travel from one region to another, from one side of the brain to the other, and to structures found deep in the brain (e.g. thalamus, hypothalamus).

39 Teen brain development The teen years is a time of significant changes for both the body and the brain. Conflicts with authority figures, mood swings, and other behavioural problems are often normal during the teen years, and scientists are starting to figure out why. Imaging research shows the brain continues to develop into a person s 20s and 30s. And while current research suggests the teenage brain is positioned for maximum learning and growth, it also may make teens particularly vulnerable to impulsive actions, irritability, and performance problems. Teen brain development comes into play in many aspects of their young lives. Brain scans of normally developing teens have revealed that different parts of the brain mature at different rates, in fact, some parts of the brain such as the frontal lobe do not appear fully mature until 24 years old. Other parts of the brain, like the walnutshaped amygdala that sits deep in the brain, appear to be fully mature much earlier. Many neuroscientists think that this mismatch in brain maturity may explain a lot of teenager behaviour. TEENS AND UNDERSTANDING EMOTIONS Teens differ from adults in their ability to read and understand emotions in the face of others. Scientists have identified a specific region of the brain called the amygdala that is responsible for immediate reactions including fear and aggressive behaviour. This region develops early. However, the frontal lobe, the area of the brain that controls reasoning and helps us think before we act, develops later. This part of the brain is still changing and maturing well into adulthood. Research shows that teens and adults actually use different regions of the brain in responding to certain tasks. Studies have found that compared to adults the teens frontal lobes (the seat of goal-orientated rational thinking) are less active and their amygdala (a structure in the temporal lobe that is involved in discriminating fear and other emotions) is more active. Teens often misread facial expressions, with those under the age of 14 more often seeing sadness or anger or confusion instead of fear. Older teenagers answered correctly more often and exhibited a progressive shift of activity from the amygdala to the frontal lobes. The research suggest that in teens, the judgment, insight and reasoning power of the frontal lobe is not being brought to bear on the task as it is in adults. Teens just process information differently from adults. CREATIVE TIME The teenage years are not all doom and gloom - plasticity can also help teens pick up new skills. The teen years may be the time when potential poets start scribbling furiously in notebooks and future sports heroes start really hitting their shots. Before the brain is fully moulded is a great time to take up the guitar or learn a new language. SLEEP As all of these developmental changes are occurring, many behavioural shifts also are at work. Sleep patterns, for instance, are shifting. Sleep s role in learning and memory is a major topic of active research, and these links may influence the developing teen. Even before puberty, sleep and wake periods begin to shift. One study showed that unlike adults and younger children, 10-12 year-olds experience periods of wakefulness at night, after they have already been awake for a full day. During the teen years, levels of the hormone melatonin, which promotes sleep, rise later in the evening and fall later in the morning than those of children and adults. These findings may explain why many teens stay up late and have difficulty rising. Most teens report getting significantly less sleep than the nine hours per night encouraged for this age group. Other changes in the brain during adolescence include a rapid increase in the connections between the brain cells and making the brain pathways more effective. Nerve cells develop myelin, an insulating layer that helps cells communicate. All these changes are essential for the development of coordinated thought, action, and behaviour. KEY TEEN BRAIN FACTS 1. Brains do not fully develop until as late as 24. 2. The last part of the brain to develop is the Pre-Frontal Cortex-it controls impulses, organization, moral reasoning, emotional stability, concentration and prioritizing. 3. After infancy, the brain s most dramatic growth spurt occurs in adolescence. 4. Teens often do not fully process cause and effect (another skill of the pre-frontal cortex) so they really DO NOT know why they just did something stupid or why they got in trouble for it. 5. Teens need 9-13 hours of sleep daily to concentrate, metabolize sugar and retain information effectively. 6. Teen brain can misinterpret instructions and emotions up to 40% of the time. 7. Information is only stored in short-term memory for about 20 minutes, however, when information is connected to prior knowledge and emotion, it can be stored in long-term memory.

PARENTS MYTHS AND FACTS ABOUT CUTTING AND SELF-HARM 40 Because cutting and other means of self-harm tend to be taboo subjects, the people around the young person and possibly even the young person themselves may harbour serious misconceptions about the young person s motivations and state of mind. MYTH: Self-harm is a suicidal act. FACT: Although people do die from self-harm, these instances are accidental; in general, self-harmers do not want to die. In fact, self-injury may be a way of coping, of regaining control of pain in order to go on living. MYTH: People who self-injure are crazy. FACT: Those who self-harm are usually dealing with trauma, not mental health problems. There are exceptions, but by and large, the young person is probably trying to cope with problems in the only way they know how. MYTH: Injuring yourself is a cry for attention. FACT: Friends, family, and even healthcare professionals may think that if a young person hurts themself, they are seeking attention, but the painful truth is that people who self-harm generally try to hide what they are doing rather than draw attention to it because they feel ashamed and afraid. MYTH: Self- harm is just the latest fashion which young people will grow out of. FACT: Self-harm is not a phase or a fashion. Listening to certain music, or dressing in certain ways does not lead to self-harm. People of all ages, backgrounds and of both genders self-harm. Self-harm is always a signal that something is seriously wrong. MYTH: Don t approach a young person who self-harms; send them straight to the doctor. FACT: Taking time to listen without judging encourages young people to get their problems out into the open- the first step along the road to recovery.

SESSION 2: WEEKLY EVALUATION FORM 41 NAME DATE 1. I FOUND THIS SESSION TO BE (please tick) 6 NOT INFORMATIVE 6 NEUTRAL 6 QUITE INFORMATIVE 6 VERY INFORMATIVE 2. I FEEL THAT THE GROUP FACILITATORS WERE (please tick) 6 NOT INFORMATIVE 6 NEUTRAL 6 QUITE INFORMATIVE 6 VERY INFORMATIVE 3. I WOULD HAVE LIKED MORE INFORMATION ON 4. WE WOULD WELCOME FURTHER COMMENTS ON THE SESSION AS THIS INFORMS OUR PRACTICE, THANK YOU. 5. IS THERE ANYTHING FROM THIS SESSION THAT YOU WOULD LIKE THE GROUP FACILITATORS TO DISCUSS WITH YOU BY PHONE IN MORE DETAIL? (please tick) 6 YES, PLEASE PHONE ME THIS WEEK 6 NO