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Bateman JR, Josephy-Hernandez S, Apostolova LG, Benjamin S, Barrett AM, Boeve BF, Budson AE, Chemali Z, Lin CYR, Daffner KR, Geschwind MD, Heilman KM, Hillis AE, Holden SK, Jaffee MS, Kletenik I, Love MN, Moo LR, Pelak VS, Press DZ, Ramirez-Gomez L, Rosen HJ, Schmahmann JD, Vaishnavi SN, Windon CC, Hamilton RH, Perez DL. Promoting Growth in Behavioral Neurology: A Path Forward. Cogn Behav Neurol 2024; 37:49-56. [PMID: 38717325 DOI: 10.1097/wnn.0000000000000368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2024] [Accepted: 01/08/2024] [Indexed: 06/04/2024]
Abstract
Behavioral neurology & neuropsychiatry (BNNP) is a field that seeks to understand brain-behavior relationships, including fundamental brain organization principles and the many ways that brain structures and connectivity can be disrupted, leading to abnormalities of behavior, cognition, emotion, perception, and social cognition. In North America, BNNP has existed as an integrated subspecialty through the United Council for Neurologic Subspecialties since 2006. Nonetheless, the number of behavioral neurologists across academic medical centers and community settings is not keeping pace with increasing clinical and research demand. In this commentary, we provide a brief history of BNNP followed by an outline of the current challenges and opportunities for BNNP from the behavioral neurologist's perspective across clinical, research, and educational spheres. We provide a practical guide for promoting BNNP and addressing the shortage of behavioral neurologists to facilitate the continued growth and development of the subspecialty. We also urge a greater commitment to recruit trainees from diverse backgrounds so as to dismantle persistent obstacles that hinder inclusivity in BNNP-efforts that will further enhance the growth and impact of the subspecialty. With rapidly expanding diagnostic and therapeutic approaches across a range of conditions at the intersection of neurology and psychiatry, BNNP is well positioned to attract new trainees and expand its reach across clinical, research, and educational activities.
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Affiliation(s)
- James R Bateman
- Departments of Neurology, Psychiatry and Behavioral Medicine, and Internal Medicine Section on Geriatrics and Gerontology, Wake Forest University School of Medicine, Winston-Salem, North Carolina
- Mental Illness Research, Education, and Clinical Center, Salisbury VA Medical Center, Salisbury, North Carolina
| | - Sylvia Josephy-Hernandez
- Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
- Department of Neurology, Mexico Hospital, Costa Rican Social Security, San José, Costa Rica
| | - Liana G Apostolova
- Department of Neurology, Indiana University School of Medicine, Indianapolis, Indiana
| | - Sheldon Benjamin
- Departments of Neurology
- Psychiatry, UMass Chan Medical School and UMass Memorial Healthcare, Worcester, Massachusetts
| | - A M Barrett
- Departments of Neurology
- Neurology Service Line, Veterans Affairs Medical Center, Central Western Massachusetts Worcester, Massachusetts
| | | | - Andrew E Budson
- Center for Translational Cognitive Neuroscience, Veterans Affairs Boston Healthcare System, Boston, Massachusetts
- Alzheimer's Disease Research Center, Boston University, Boston, Massachusetts
| | - Zeina Chemali
- McCance Center for Brain Health, Division of Behavioral Neurology and Integrated Brain Medicine, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
- Division of Neuropsychiatry, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
| | - Chi-Ying R Lin
- Department of Neurology, Baylor College of Medicine, Houston, Texas
| | - Kirk R Daffner
- Division of Cognitive and Behavioral Neurology, Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts
| | - Michael D Geschwind
- Memory and Aging Center, Weill Institute for Neurosciences, Department of Neurology, University of California San Francisco, San Francisco, California
| | - Kenneth M Heilman
- Department of Neurology, University of Florida, Gainesville, Florida
| | - Argye E Hillis
- Department of Neurology, Johns Hopkins, Baltimore, Maryland
| | - Samantha K Holden
- Department of Neurology, University of Colorado School of Medicine, Aurora, Colorado
| | - Michael S Jaffee
- Department of Neurology, University of Florida, Gainesville, Florida
| | - Isaiah Kletenik
- Center for Brain Circuit Therapeutics, Division of Cognitive and Behavioral Neurology, Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts
| | | | - Lauren R Moo
- Division of Behavioral Neurology and Integrated Brain Medicine, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
- New England Geriatric Research Education and Clinical Center, Bedford, Massachusetts
| | - Victoria S Pelak
- Department of Neurology, University of Colorado School of Medicine, Aurora, Colorado
- Department of Ophthalmology, University of Colorado School of Medicine, Aurora, Colorado
| | - Daniel Z Press
- Division of Cognitive Neurology, Department of Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts
| | - Liliana Ramirez-Gomez
- Division of Memory Disorders, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
| | - Howie J Rosen
- Memory and Aging Center, Weill Institute for Neurosciences, Department of Neurology, University of California San Francisco, San Francisco, California
| | - Jeremy D Schmahmann
- Ataxia Center, Division of Behavioral Neurology and Integrated Brain Medicine, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
| | - Sanjeev N Vaishnavi
- Department of Neurology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania
| | - Charles C Windon
- Department of Neurology, University of California San Francisco, San Francisco, California
| | - Roy H Hamilton
- Department of Neurology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania
| | - David L Perez
- Division of Neuropsychiatry, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
- Division of Behavioral Neurology and Integrated Brain Medicine, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts
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Eyre HA, Hynes W, Ayadi R, Swieboda P, Berk M, Ibanez A, Castelló ME, Jeste DV, Tempest M, Abdullah JM, O’Brien K, Carnevale S, Njamnshi AK, Martino M, Mannix D, Maestri K, YU R, CHEN S, NG CH, Volmink HC, Ahuja R, Destrebecq F, Vradenburg G, Schmied A, Manes F, Platt ML. The Brain Economy: Advancing Brain Science to Better Understand the Modern Economy. Malays J Med Sci 2024; 31:1-13. [PMID: 38456111 PMCID: PMC10917588 DOI: 10.21315/mjms2024.31.1.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2023] [Accepted: 01/09/2024] [Indexed: 03/09/2024] Open
Abstract
The coming years are likely to be turbulent due to a myriad of factors or polycrisis, including an escalation in climate extremes, emerging public health threats, weak productivity, increases in global economic instability and further weakening in the integrity of global democracy. These formidable challenges are not exogenous to the economy but are in some cases generated by the system itself. They can be overcome, but only with far-reaching changes to global economics. Our current socio-economic paradigm is insufficient for addressing these complex challenges, let alone sustaining human development, well-being and happiness. To support the flourishing of the global population in the age of polycrisis, we need a novel, person-centred and collective paradigm. The brain economy leverages insights from neuroscience to provide a novel way of centralising the human contribution to the economy, how the economy in turn shapes our lives and positive feedbacks between the two. The brain economy is primarily based on Brain Capital, an economic asset integrating brain health and brain skills, the social, emotional, and the diversity of cognitive brain resources of individuals and communities. People with healthy brains are essential to navigate increasingly complex systems. Policies and investments that improve brain health and hence citizens' cognitive functions and boost brain performance can increase productivity, stimulate greater creativity and economic dynamism, utilise often underdeveloped intellectual resources, afford social cohesion, and create a more resilient, adaptable and sustainability-engaged population.
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Affiliation(s)
- Harris A. Eyre
- Brain Capital Alliance, San Francisco, California, USA
- Center for Health and Biosciences, The Baker Institute for Public Policy, Rice University, Houston, Texas
- Meadows Mental Health Policy Institute, Dallas, Texas, USA
- Euro-Mediterranean Economists Association, Barcelona, Spain
- Institute for Mental and Physical Health and Clinical Translation (IMPACT), Deakin University and Barwon Health, Geelong, Victoria, Australia
- Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas, USA
- Department of Psychiatry and Behavioral Sciences, University of Texas Health Sciences Center, Houston, Texas, USA
- Global Brain Health Institute, University of California, San Francisco (UCSF), San Francisco, California and Trinity College Dublin, Dublin, Ireland
- FondaMental Fondation, Paris, France
- Latin American Brain Health Institute (BrainLat), Universidad Adolfo Ibáñez, Santiago de Chile, Chile
- Houston Methodist Behavioral Health, Houston Methodist Academic Institute, Houston, Texas, USA
- Department of Psychiatry and Behavioral Sciences, University of California, California, USA
- Frontier Technology Lab, School of Engineering and Doerr School of Sustainability, Stanford University, California, USA
| | - William Hynes
- Brain Capital Alliance, San Francisco, California, USA
- Euro-Mediterranean Economists Association, Barcelona, Spain
- Rebuilding Macroeconomics, University College London, London, United Kingdom
- Santa Fe Institute, Santa Fe, New Mexico, USA
- School of Advanced International Studies Europe, Johns Hopkins University, Bologna, Italy
| | - Rym Ayadi
- Brain Capital Alliance, San Francisco, California, USA
- Euro-Mediterranean Economists Association, Barcelona, Spain
- Bayes Business School, City College London, London, United Kingdom
- Center for European Policy Studies, Brussels, Belgium
| | - Pawel Swieboda
- Brain Capital Alliance, San Francisco, California, USA
- Euro-Mediterranean Economists Association, Barcelona, Spain
- NeuroCentury, Brussels, Belgium
- European Policy Centre, Brussels, Belgium
- International Center for Future Generations, Brussels, Belgium
| | - Michael Berk
- Institute for Mental and Physical Health and Clinical Translation (IMPACT), Deakin University and Barwon Health, Geelong, Victoria, Australia
- Orygen, The National Centre of Excellence in Youth Mental Health, Centre for Youth Mental Health, Florey Institute for Neuroscience and Mental Health and the Department of Psychiatry, The University of Melbourne, Melbourne, Australia
| | - Agustin Ibanez
- Global Brain Health Institute, University of California, San Francisco (UCSF), San Francisco, California and Trinity College Dublin, Dublin, Ireland
- Latin American Brain Health Institute (BrainLat), Universidad Adolfo Ibáñez, Santiago de Chile, Chile
- Laboratorio Interdisciplinario del Tiempo, Universidad de San Andrés-CONICET, Buenos Aires, Argentina
| | - María E. Castelló
- Desarrollo y Evolución Neural, Departamento Neurociencias Integrativas y Computacionales, Instituto de Investigaciones Biológicas Clemente Estable (MEC), Montevideo, Uruguay
- Programa de Desarrollo de las Ciencias Básicas (MEC-UdelaR), Montevideo, Uruguay
- Fibras, Montevideo, Uruguay
| | - Dilip V. Jeste
- Global Research Network on Social Determinants of Health and Exposomics, La Jolla, California, USA
| | | | - Jafri Malin Abdullah
- Fellow, Academy of Sciences Malaysia, Menara Matrade, Kuala Lumpur, Malaysia
- Chairman of Medical and Health Sciences Cluster, The National Council of Professors, Malaysia (MPN), Selangor, Malaysia
- Professor of Neurosciences & Senior Consultant Neurosurgeon, Department of Neurosciences & Brain and Behaviour Cluster, School of Medical Sciences/Hospital USM, Universiti Sains Malaysia Health Campus, Kelantan, Malaysia
| | | | | | - Alfred K. Njamnshi
- Brain Research Africa Initiative (BRAIN), Geneva, Switzerland & Yaoundé, Cameroon, Africa
| | - Michael Martino
- Department of Neuroscience, Medical University of South Carolina (MUSC), South Carolina, USA
| | - Dan Mannix
- Brain Capital Alliance, San Francisco, California, USA
| | | | - Ruojuan YU
- School of Management, Yale University, Connecticut, USA
| | - Shuo CHEN
- Sutardja Center for Entrepreneurship and Technology, College of Engineering, University of California, California, USA
| | - Chee H. NG
- Department of Psychiatry, The Melbourne Clinic and St. Vincent’s Hospital, University of Melbourne, Australia
| | - Heinrich C. Volmink
- School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, South Africa, Africa
- Division of Health Systems and Public Health, Department of Global Health, Stellenbosch University, South Africa, Africa
| | - Rajiv Ahuja
- Milken Institute, Center for the Future of Aging, California, USA
| | | | - George Vradenburg
- UsAgainstAlzhiemer’s, Washington DC, USA
- Davos Alzheimer’s Collaborative, Washington DC, USA
| | - Astrid Schmied
- Science of Learning in Education Center, Office of Education Research, National Institute of Education, Nanyang Technological University, Singapore
| | - Facundo Manes
- Institute of Cognitive and Translational Neuroscience (INCYT), INECO Foundation, Favaloro University, Buenos Aires, Argentina
| | - Michael L. Platt
- Department of Neuroscience, University of Pennsylvania, Philadelphia, PA, USA
- Department of Psychology, University of Pennsylvania, Philadelphia, PA, USA
- Marketing Department, University of Pennsylvania, Philadelphia, PA, USA
- Wharton Neuroscience Initiative, Wharton Business School, University of Pennsylvania, Philadelphia, USA
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