1
|
Kotsyubinsky AP, Kotsyubinsky DA. Biological Reductionism as an Obstacle to the Advancement of the Biopsychosocial Concept of Mental Disorders. CONSORTIUM PSYCHIATRICUM 2023; 4:75-84. [PMID: 38618641 PMCID: PMC11009979 DOI: 10.17816/cp15476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Accepted: 12/11/2023] [Indexed: 04/16/2024] Open
Abstract
The substantial progress in neurobiological technologies has narrowed the horizons of many psychiatrists, ultimately leading them to focus exclusively on biomedical research, primarily aimed at studying the biological basis of mental illnesses. This has led to an unjustified dominance of the biomedical paradigm in understanding the nature of mental disorders, while virtually ignoring the study of other components of the disease related to the psychosocial maladjustment of patients. This trend, largely associated with advancements in neuroscience employing neuroimaging techniques to study the brain's activity as a biophysical object, has contributed to the development of such innovative field as evidence-based medicine. The methods of evidence-based medicine are seen as adequate in terms of determining the effectiveness of therapy for predominantly biologically determined components of mental illness (including the selection of medications) and only partially for psychological interventions. However, it seems that the predominant use of evidence-based medicine principles is insufficient for a holistic diagnostic approach, which includes a multilevel (diversified) representation of the criteria of effectiveness for pharmacological and psychological interventions. In this regard, it is promising to establish a scientifically and clinically productive combination of, on the one hand, the evidence-based concept of effectiveness assessments based on high-quality randomized scientific studies, and on the other, expert opinions of highly qualified scientific specialists, as well as practicing physicians with their personal professional experience in individualized therapy. This makes it reasonable to develop a personality-oriented personalized psychiatry, based on a biopsychosocial understanding of the nature of mental disorders, their holistic assessment, and the development of comprehensive therapeutic measures.
Collapse
Affiliation(s)
| | - Daniil A. Kotsyubinsky
- Independent Not-For-Profit Educational Organization of Higher Education “European University at St.Petersburg”
| |
Collapse
|
2
|
Takizawa Y, Murray J, Bambling M, Matsumoto Y, Ishimoto Y, Yamane T, Edirippulige S. Integrating neuroscientific knowledge into psychotherapy amongst Japanese psychotherapists: presence, benefits, needs and cultural barriers. ASIA PACIFIC JOURNAL OF COUNSELLING AND PSYCHOTHERAPY 2022. [DOI: 10.1080/21507686.2022.2035783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Yu Takizawa
- School of Psychology, University of Queensland, Brisbane, Australia
| | - Judith Murray
- School of Psychology/School of Nursing Midwifery and Social Work, University of Queensland, Brisbane, Australia
| | - Matthew Bambling
- School of Clinical Medicine, University of Queensland, Brisbane, Australia
| | - Yuki Matsumoto
- School of Human Life Sciences, Tokushima Bunri University, Tokushima, Japan
| | - Yuma Ishimoto
- Teacher Education Center, Tottori University, Tottori, Japan
| | - Takahiro Yamane
- Graduate School of Human Development and Environment, Kobe University, Kobe, Japan
| | - Sisira Edirippulige
- Centre for Health Services Research, Faculty of Medicine, University of Queensland, Brisbane, Australia
| |
Collapse
|
3
|
Stefana A, Celentani B, Dimitrijevic A, Migone P, Albasi C. Where is psychoanalysis today? Sixty-two psychoanalysts share their subjective perspectives on the state of the art of psychoanalysis: A qualitative thematic analysis. INTERNATIONAL FORUM OF PSYCHOANALYSIS 2022. [DOI: 10.1080/0803706x.2021.1991594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
4
|
Álvarez-Pérez Y, Rivero F, Herrero M, Viña C, Fumero A, Betancort M, Peñate W. Changes in Brain Activation through Cognitive-Behavioral Therapy with Exposure to Virtual Reality: A Neuroimaging Study of Specific Phobia. J Clin Med 2021; 10:jcm10163505. [PMID: 34441804 PMCID: PMC8397119 DOI: 10.3390/jcm10163505] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Revised: 08/05/2021] [Accepted: 08/06/2021] [Indexed: 12/16/2022] Open
Abstract
Background: Cognitive-behavioral therapy (CBT) with exposure is the treatment of choice for specific phobia. Virtual reality exposure therapy (VRET) has shown benefits for the treatment and prevention of the return of fear in specific phobias by addressing the therapeutic limitations of exposure to real images. Method: Thirty-one participants with specific phobias to small animals were included: 14 were treated with CBT + VRET (intervention group), and 17 were treated with CBT + exposure to real images (active control group). Participants’ scores in anxiety and phobia levels were measured at baseline, post-treatment, and 3-month follow-up, and brain activation was measured through functional magnetic resonance imaging (fMRI) baseline and post-treatment. Results: Both groups showed a significant decrease in anxiety and phobia scores after the therapy and were maintained until follow-up. There were no significant differences between both groups. Overall, fMRI tests showed a significant decrease in brain activity after treatment in some structures (e.g., prefrontal and frontal cortex) and other structures (e.g., precuneus) showed an increasing activity after therapy. However, structures such as the amygdala remained active in both groups. Conclusions: The efficacy of CBT + VRET was observed in the significant decrease in anxiety responses. However, the results of brain activity observed suggest that there was still a fear response in the brain, despite the significant decrease in subjective anxiety levels.
Collapse
Affiliation(s)
- Yolanda Álvarez-Pérez
- Canary Islands Health Research Institute Foundation (FIISC), 38109 Tenerife, Spain
- Correspondence:
| | - Francisco Rivero
- Department of Clinical Psychology, Psychobiology and Methodology, University of La Laguna, 38200 Tenerife, Spain; (F.R.); (M.H.); (C.V.); (A.F.); (M.B.); (W.P.)
| | - Manuel Herrero
- Department of Clinical Psychology, Psychobiology and Methodology, University of La Laguna, 38200 Tenerife, Spain; (F.R.); (M.H.); (C.V.); (A.F.); (M.B.); (W.P.)
| | - Conrado Viña
- Department of Clinical Psychology, Psychobiology and Methodology, University of La Laguna, 38200 Tenerife, Spain; (F.R.); (M.H.); (C.V.); (A.F.); (M.B.); (W.P.)
| | - Ascensión Fumero
- Department of Clinical Psychology, Psychobiology and Methodology, University of La Laguna, 38200 Tenerife, Spain; (F.R.); (M.H.); (C.V.); (A.F.); (M.B.); (W.P.)
| | - Moisés Betancort
- Department of Clinical Psychology, Psychobiology and Methodology, University of La Laguna, 38200 Tenerife, Spain; (F.R.); (M.H.); (C.V.); (A.F.); (M.B.); (W.P.)
| | - Wenceslao Peñate
- Department of Clinical Psychology, Psychobiology and Methodology, University of La Laguna, 38200 Tenerife, Spain; (F.R.); (M.H.); (C.V.); (A.F.); (M.B.); (W.P.)
- University Institute of Neurosciences (IUNE), University of La Laguna, 38200 Tenerife, Spain
| |
Collapse
|
5
|
Jung M, Kim HS, Loprinzi PD, Kang M. Serial-multiple mediation of enjoyment and intention on the relationship between creativity and physical activity. AIMS Neurosci 2021; 8:161-180. [PMID: 33490377 PMCID: PMC7815478 DOI: 10.3934/neuroscience.2021008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Accepted: 01/06/2021] [Indexed: 12/18/2022] Open
Abstract
The purpose of the present study was to examine a serial-multiple mediation of physical activity (PA) enjoyment and PA intention in the relationship between creativity and PA level (i.e., moderate-to-vigorous PA). A total of 298 undergraduate and graduate students completed a self-reported questionnaire evaluating creativity, PA enjoyment, PA intention, and PA level. Data analysis was conducted using descriptive statistics, Pearson correlation coefficient, ordinary least-squares regression analysis, and bootstrap methodology. Based on the research findings, both PA enjoyment (β = 0.06; 95% CI [0.003, 0.12]) and PA intention (β = 0.08; 95% CI [0.03, 0.13]) were found to be a mediator of the relationship between creativity and PA level, respectively. Moreover, the serial-multiple mediation of PA enjoyment and PA intention in the relationship between creativity and PA level was statistically significant (β = 0.02; 95% CI [0.01, 0.04]). These findings underscore the importance of shaping both cognitive and affective functions for PA promotion and provide additional support for a neurocognitive affect-related model in the PA domain. In order to guide best practices for PA promotion programs aimed at positively influencing cognition and affect, future PA interventions should develop evidence-based strategies that routinely evaluate cognitive as well as affective responses to PA.
Collapse
Affiliation(s)
- Myungjin Jung
- Health and Sport Analytics Laboratory, Department of Health, Exercise Science, and Recreation Management, The University of Mississippi, University, MS 38677, USA
- Exercise & Memory Laboratory, Department of Health, Exercise Science, and Recreation Management, The University of Mississippi, University, MS 38677, USA
| | - Han Soo Kim
- Health and Sport Analytics Laboratory, Department of Health, Exercise Science, and Recreation Management, The University of Mississippi, University, MS 38677, USA
| | - Paul D Loprinzi
- Exercise & Memory Laboratory, Department of Health, Exercise Science, and Recreation Management, The University of Mississippi, University, MS 38677, USA
| | - Minsoo Kang
- Health and Sport Analytics Laboratory, Department of Health, Exercise Science, and Recreation Management, The University of Mississippi, University, MS 38677, USA
| |
Collapse
|
6
|
Scorolli C. Re-enacting the Bodily Self on Stage: Embodied Cognition Meets Psychoanalysis. Front Psychol 2019; 10:492. [PMID: 31024371 PMCID: PMC6460994 DOI: 10.3389/fpsyg.2019.00492] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2018] [Accepted: 02/19/2019] [Indexed: 12/27/2022] Open
Abstract
The embodied approach to cognition consists in a range of theoretical proposals sharing the idea that our concepts are constitutively shaped by the physical and social constraints of our body and environment. Still far from a mutually enriching interplay, in recent years embodied and psychoanalytic approaches are converging on similar constructs as the ones of intersubjectivity, bodily self, and affective quality of verbal communication. Some efforts to cope with the sentient subject were already present in classical cognitivism: having expunged desires and conflicts from the cognitive harmony, bodily emotions re-emerged but only as a noisy dynamic friction. In contrast, the new, neural, embodied cognitive science with its focus on bodily effects/affects has enabled a dialogue between neuro-cognitive perspectives and clinic-psychological ones, through shared conceptual frameworks. I will address crucial issues that should be faced on this reconciling path. With reference to two kinds of contemporary addictions - internet addiction disorder and eating disorders - I will introduce a possible therapeutic approach that is built upon the core role of the acting-sentient bodily self in a dynamic-social and affective environment. In Psychoanalytic Psychodrama, the spontaneous re-enactment of a past (socially and physically constrained) experience is actualized by means of the other, the Auxiliary Ego. This allows homeostatic and social-emotional affects, i.e., drives and instincts, to be re-experienced by the agent, the Protagonist, in a safe scenario. The director-psychoanalyst smoothly traces back this simulation to the motivated, and constrained, early proximal embodied interactions with significant others, and to the related instinctual conflicting aims. The psychoanalytic reframing of classical psychodrama does not merely exploit its original cathartic function, rather stands out for exploring the interpersonal constitution of the self, through an actual "re-somatization" of psychoanalytic therapy. Unspoken/unspeakable feelings pop up on stage: the strength of this treatment mainly rests on re-establishing the priority of the embodied Self over the narrative Self. By pointing out the possible conflicts between these two selves, this method can broaden the embodied cognition perspective. The psychodramatic approach will be briefly discussed in light of connectionist models, to finally address linguistic and methodological pivotal issues.
Collapse
Affiliation(s)
- Claudia Scorolli
- Department of Philosophy and Communication Studies, University of Bologna, Bologna, Italy
| |
Collapse
|
7
|
Iannitelli A, Parnanzone S, Pizziconi G, Riccobono G, Pacitti F. Psychodynamically Oriented Psychopharmacotherapy: Towards a Necessary Synthesis. Front Hum Neurosci 2019; 13:15. [PMID: 30766484 PMCID: PMC6365422 DOI: 10.3389/fnhum.2019.00015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2018] [Accepted: 01/14/2019] [Indexed: 11/22/2022] Open
Abstract
The discovery of psychoanalysis and of psychotropic medications represent two radical events in understanding and treatment of mental suffering. The growth of both disciplines together with the awareness of the impracticality of curing mental suffering only through pharmacological molecules-the collapse of the "Great Illusion"-and the experience of psychoanalysts using psychotropic medications along with depth psychotherapeutic treatment, have led to integrated therapies which are arguably more effective than either modality alone. The authors review studies on the role of pharmacotherapy with psychoanalysis, and the role of the analyst as the prescriber. The psychotic disorders have specifically been considered from this perspective.
Collapse
Affiliation(s)
- Angela Iannitelli
- Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, L’Aquila, Italy
- Psychoanalytical Centre of Rome (CPdR), Italian Psychoanalytical Society (SPI), Rome, Italy
- International Psychoanalytical Association (IPA), London, United Kingdom
| | - Serena Parnanzone
- Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, L’Aquila, Italy
- Psychiatry Unit San Salvatore Hospital, L’Aquila, Italy
| | - Giulia Pizziconi
- Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, L’Aquila, Italy
- Psychiatry Unit San Salvatore Hospital, L’Aquila, Italy
| | - Giulia Riccobono
- Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, L’Aquila, Italy
| | - Francesca Pacitti
- Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, L’Aquila, Italy
- Psychiatry Unit San Salvatore Hospital, L’Aquila, Italy
| |
Collapse
|
8
|
Fernandez Guerrero A, Achermann P. Intracortical Causal Information Flow of Oscillatory Activity (Effective Connectivity) at the Sleep Onset Transition. Front Neurosci 2018; 12:912. [PMID: 30564093 PMCID: PMC6288604 DOI: 10.3389/fnins.2018.00912] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2018] [Accepted: 11/20/2018] [Indexed: 12/03/2022] Open
Abstract
We investigated the sleep onset transition in humans from an effective connectivity perspective in a baseline condition (approx. 16 h of wakefulness) and after sleep deprivation (40 h of sustained wakefulness). Using EEG recordings (27 derivations), source localization (LORETA) allowed us to reconstruct the underlying patterns of neuronal activity in various brain regions, e.g., the default mode network (DMN), dorsolateral prefrontal cortex and hippocampus, which were defined as regions of interest (ROI). We applied isolated effective coherence (iCOH) to assess effective connectivity patterns at the sleep onset transition [2 min prior to and 10 min after sleep onset (first occurrence of stage 2)]. ICOH reveals directionality aspects and resolves the spectral characteristics of information flow in a given network of ROIs. We observed an anterior-posterior decoupling of the DMN, and moreover, a prominent role of the posterior cingulate cortex guiding the process of the sleep onset transition, particularly, by transmitting information in the low frequency range (delta and theta bands) to other nodes of DMN (including the hippocampus). In addition, the midcingulate cortex appeared as a major cortical relay station for spindle synchronization (originating from the thalamus; sigma activity). The inclusion of hippocampus indicated that this region might be functionally involved in sigma synchronization observed in the cortex after sleep onset. Furthermore, under conditions of increased homeostatic pressure, we hypothesize that an anterior-posterior decoupling of the DMN occurred at a faster rate compared to baseline overall indicating weakened connectivity strength within the DMN. Finally, we also demonstrated that cortico-cortical spindle synchronization was less effective after sleep deprivation than in baseline, thus, reflecting the reduction of spindles under increased sleep pressure.
Collapse
Affiliation(s)
- Antonio Fernandez Guerrero
- Institute of Pharmacology and Toxicology, University of Zurich, Zurich, Switzerland
- Neuroscience Center Zurich, University of Zurich and ETH Zurich, Zurich, Switzerland
| | - Peter Achermann
- Institute of Pharmacology and Toxicology, University of Zurich, Zurich, Switzerland
- Neuroscience Center Zurich, University of Zurich and ETH Zurich, Zurich, Switzerland
- The KEY Institute for Brain-Mind Research, Department of Psychiatry, Psychotherapy and Sychosomatics, University Hospital of Psychiatry, Zurich, Switzerland
- Zurich Center for Interdisciplinary Sleep Research, University of Zurich, Zurich, Switzerland
| |
Collapse
|
9
|
Moccia L, Mazza M, Nicola MD, Janiri L. The Experience of Pleasure: A Perspective Between Neuroscience and Psychoanalysis. Front Hum Neurosci 2018; 12:359. [PMID: 30233347 PMCID: PMC6131593 DOI: 10.3389/fnhum.2018.00359] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2018] [Accepted: 08/20/2018] [Indexed: 12/26/2022] Open
Abstract
Pleasure is more than a mere sensory event, but rather it can be conceptualized as a complex, multiform experience involving memory, motivation, homeostasis, and, sometimes, negative affects. According to Freud, affect is a perceptual modality that registers the internal drive state of the subject rather than the objective experience of the external world, and the quality of this perceptual modality is calibrated in degrees of pleasure and displeasure. Within this conceptual framework, the aim of drive is always pleasure, and objects become significant in so far as they provide a way of discharging drives pressure. Subsequent conceptual psychoanalytic developments have partially rejected such metapsychological theorizations, postulating that other intrinsic motivations that are independent from libido can be observed in humans. Intrinsic motivation broadly refers to a set of psychological concepts including the inherent propensity to pursue one's choices, to seek out novelty and challenges, to satisfy curiosity and competence, and to extend one's capacities and control over events. What these concepts have in common is an inner endorsement of one's action, which is the sense that action is self-generated and is one's own. The notions of pleasure, drives, and affects are all of utmost importance for a neuropsychoanalytic understanding of mental functioning, due to their capability to explain desire, thought, and behavior from the perspective of human subjective experience. The purpose of this paper is thus to discuss psychoanalytic conceptual developments that have addressed pleasure, drives, and affects, in the light of recent findings coming from neurosciences. In particular, we will explore for insights from Panksepp's theory of primary-process emotional feelings, including the notion of "wanting" and "liking" as dissociable components of reward. In the last part of the paper, we will indicate possible theoretical implications for a neuropsychoanalytic understanding of libido-independent intrinsic motivations and their relationship with the self, including neuroscientific observations on self-related processes, agency, body-ownerships, and attachment.
Collapse
Affiliation(s)
- Lorenzo Moccia
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Marianna Mazza
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy
- Centro Psicoanalitico di Roma, Società Psicoanalitica Italiana, Rome, Italy
| | - Marco Di Nicola
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy
| | - Luigi Janiri
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy
- Centro Psicoanalitico di Roma, Società Psicoanalitica Italiana, Rome, Italy
| |
Collapse
|
10
|
Borck C. [Not Available]. BERICHTE ZUR WISSENSCHAFTSGESCHICHTE 2018; 41:238-257. [PMID: 32495358 DOI: 10.1002/bewi.201801899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Affiliation(s)
- Cornelius Borck
- Universität zu Lübeck, Institut für Medizingeschichte und Wissenschaftsforschung (IMGWF), Königstraße 42, D-, 23552, Lübeck
| |
Collapse
|
11
|
Sigmund Freud-early network theories of the brain. Acta Neurochir (Wien) 2018; 160:1235-1242. [PMID: 29589121 DOI: 10.1007/s00701-018-3519-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2017] [Accepted: 03/12/2018] [Indexed: 10/17/2022]
Abstract
Since the early days of modern neuroscience, psychological models of brain function have been a key component in the development of new knowledge. These models aim to provide a framework that allows the integration of discoveries derived from the fundamental disciplines of neuroscience, including anatomy and physiology, as well as clinical neurology and psychiatry. During the initial stages of his career, Sigmund Freud (1856-1939), became actively involved in these nascent fields with a burgeoning interest in functional neuroanatomy. In contrast to his contemporaries, Freud was convinced that cognition could not be localised to separate modules and that the brain processes cognition not in a merely serial manner but in a parallel and dynamic fashion-anticipating fundamental aspects of current network theories of brain function. This article aims to shed light on Freud's seminal, yet oft-overlooked, early work on functional neuroanatomy and his reasons for finally abandoning the conventional neuroscientific "brain-based" reference frame in order to conceptualise the mind from a purely psychological perspective.
Collapse
|
12
|
Makushkin YV, Oskolkova SN, Fastovtsov GA. [Psychiatry of the future: an overview of foreign scientists opinions of the position of psychiatry in the modern world]. Zh Nevrol Psikhiatr Im S S Korsakova 2017; 117:107-111. [PMID: 28805770 DOI: 10.17116/jnevro201711771107-111] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
First part of this review (Chapter 1) demonstrates an ambiguous attitude toward psychiatry among professionals and in society in recent decades. The articles of supporters and opponents of psychiatry are also quoted. The authors describe the dynamics of the reflection of psychopathology in the main widely accepted classifications and manuals. Critical and negative opinions regarding the DSM-5, due to its role in the 'medicalization' processes, for the movement 'World Mental Health', are mentioned. The history of antipsychiatry movement and its results for psychiatry and society are analyzed as well. An analysis of the articles on the scientific basis of psychiatry and its intersections with other sciences is presented. Several examples of studies on brain networks in correlation with clinical data, which may have possible implications for the future, are quoted. The authors call for the 'cure for dichotomy' between mind and brain before treatment of the patient. According to the analysis of available data, this problem seems too hard to be solved, as it requires theological knowledge, of which we probably have not enough knowledge.
Collapse
Affiliation(s)
- Ye V Makushkin
- Serbsky Federal Medical Research Center for Psychiatry and Narcology, Moscow, Russia
| | - S N Oskolkova
- Serbsky Federal Medical Research Center for Psychiatry and Narcology, Moscow, Russia
| | - G A Fastovtsov
- Serbsky Federal Medical Research Center for Psychiatry and Narcology, Moscow, Russia
| |
Collapse
|
13
|
Kalsi N, Altavilla D, Tambelli R, Aceto P, Trentini C, Di Giorgio C, Lai C. Neural Correlates of Outcome of the Psychotherapy Compared to Antidepressant Therapy in Anxiety and Depression Disorders: A Meta-Analysis. Front Psychol 2017. [PMID: 28638359 PMCID: PMC5461356 DOI: 10.3389/fpsyg.2017.00927] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
The most prevalent mental disorders, anxiety and depression, are commonly associated with structural and functional changes in the fronto-limbic brain areas. The clinical trials investigating patients with affective disorders showed different outcome to different treatments such as psychotherapy or pharmacotherapy. It is, however, still unexplored how these interventions approach affect the functional brain. This meta-analysis aims to compare the effects of psychotherapy compared to antidepressant therapy on functional brain activity in anxiety and depression disorders. Twenty-one samples with psychotherapy and seventeen samples with antidepressant therapy were included. The main finding showed an inverse effect of the two treatments on the right paracingulate activity. The patients undergoing psychotherapy showed an increase in the right paracingulate activity while pharmacological treatment led to a decrease of activation of this area. This finding seems to support the recent studies that hypothesize how psychotherapy, through the self-knowledge and the meaning processing, involves a top-down emotional regulation.
Collapse
Affiliation(s)
- Navkiran Kalsi
- Department of Dynamic and Clinical Psychology, Sapienza University of RomeRome, Italy
| | - Daniela Altavilla
- Department of Dynamic and Clinical Psychology, Sapienza University of RomeRome, Italy
| | - Renata Tambelli
- Department of Dynamic and Clinical Psychology, Sapienza University of RomeRome, Italy
| | - Paola Aceto
- Department of Anaesthesiology and Intensive Care, Università Cattolica del Sacro CuoreRome, Italy
| | - Cristina Trentini
- Department of Dynamic and Clinical Psychology, Sapienza University of RomeRome, Italy
| | - Chiara Di Giorgio
- Department of Dynamic and Clinical Psychology, Sapienza University of RomeRome, Italy
| | - Carlo Lai
- Department of Dynamic and Clinical Psychology, Sapienza University of RomeRome, Italy
| |
Collapse
|