Expected Free Energy Formalizes Conflict Underlying Defense in Freudian Psychoanalysis

Friston's free energy principle: new life for psychoanalysis?

The free energy principle (FEP) is a new paradigm that has gain widespread interest in the neuroscience community. Although its principal architect, Karl Friston, is a psychiatrist, it has thus far had little impact within psychiatry. This article introduces readers to the FEP, points out its consilience with Freud's neuroscientific ideas and with psychodynamic practice, and suggests ways in which the FEP can help explain the mechanisms of action of the psychotherapies.

Piloting the Update: The Use of Therapeutic Relationship for Change - A Free Energy Account

We apply the Free Energy Principle (FEP) to cognitive behavioral therapy (CBT). FEP describes the basic functioning of the brain as a predictive organ and states that any self-organizing system that is in equilibrium with its environment must minimize its free energy. Based on an internal model of the world and the self, predictions-so-called priors-are created, which are matched with the information input. The sum of prediction errors corresponds to the Free Energy, which must be minimized. Internal models can be identified with the cognitive-affective schemas of the individual that has become dysfunctional in patients. The role of CBT in this picture is to help the patient update her/his priors. They have evolved in learning history and no longer provide adaptive predictions. We discuss the process of updating in terms of the exploration-exploitation dilemma. This consists of the extent to which one relies on what one already has, i.e., whether one continues to maintain and "exploit" one's previous priors ("better safe than sorry") or whether one does explore new data that lead to an update of priors. Questioning previous priors triggers stress, which is associated with increases in Free Energy in short term. The role of therapeutic relationship is to buffer this increase in Free Energy, thereby increasing the level of perceived safety. The therapeutic relationship is represented in a dual model of affective alliance and goal attainment alliance and is aligned with FEP. Both forms of alliance support exploration and updating of priors. All aspects are illustrated with the help of a clinical case example.

Instability and Uncertainty Are Critical for Psychotherapy: How the Therapeutic Alliance Opens Us Up

Tschacher and Haken have recently applied a systems-based approach to modeling psychotherapy process in terms of potentially beneficial tendencies toward deterministic as well as chaotic forms of change in the client's behavioral, cognitive and affective experience during the course of therapy. A chaotic change process refers to a greater exploration of the states that a client can be in, and it may have a potential positive role to play in their development. A distinction is made between on the one hand, specific instances of instability which are due to techniques employed by the therapist, and on the other, a more general instability which is due to the therapeutic relationship, and a key, necessary result of a successful therapeutic alliance. Drawing on Friston's systems-based model of free energy minimization and predictive coding, it is proposed here that the increase in the instability of a client's functioning due to therapy can be conceptualized as a reduction in the precisions (certainty) with which the client's prior beliefs about themselves and their world, are held. It is shown how a good therapeutic alliance (characterized by successful interpersonal synchrony of the sort described by Friston and Frith) results in the emergence of a new hierarchical level in the client's generative model of themselves and their relationship with the world. The emergence of this new level of functioning permits the reduction of the precisions of the client's priors, which allows the client to 'open up': to experience thoughts, emotions and experiences they did not have before. It is proposed that this process is a necessary precursor to change due to psychotherapy. A good consilience can be found between this approach to understanding the role of the therapeutic alliance, and the role of epistemic trust in psychotherapy as described by Fonagy and Allison. It is suggested that beneficial forms of instability in clients are an underappreciated influence on psychotherapy process, and thoughts about the implications, as well as situations in which instability may not be beneficial (or potentially harmful) for therapy, are considered.

Sex and Prediction Error, Part 2: Jouissance and The Free Energy Principle in Neuropsychoanalysis

Jouissance refers to an excess enjoyment beyond (yet tied to) speech and representation. From the perspective of some Lacanian analysts, jouissance is precisely what testifies against any relationship to the brain-jouissance "slips" out of cognition. On the contrary, it is argued here that jouissance has a central place in contemporary neuropsychoanalysis. In part 1 of this series the metapsychology of jouissance was presented in relation to the real and symbolic registers. Here, in part 2, Mark Solms's neuropsychoanalytic model of Karl Friston's free energy principle is summarized. In this model, "predictions" aim to resolve prediction errors-most notably, those signaled by affective consciousness. "Surplus prediction error"-prediction error that arises at the point where the predictive model fails-is proposed to be a neural correlate of jouissance. This limit within prediction is analogous to the real as a structural negativity within the symbolic.

Beyond the death drive: Entropy and free energy

In this paper I offer an overview of the possible links between psychoanalytical metapsychology and contemporary work in neuroscience concerning entropy and the free energy principle. After briefly describing the theory of living systems put forward by the neuroscientist Karl Friston based on the notion of entropy, we sum up the use of the notion of free energy by Friston and Freud. I then analyze how these notions improve the intelligibility of psychic functioning and can be associated with several psychoanalytical concepts, in particular the death drive. I approach from the same perspective the regulation of free energy associated with psychic envelopes and early intersubjectivity. It thus appears that the psychic apparatus can be considered at its different levels, from the most primary to the most secondary, as having the essential function of reducing entropy and free energy. Various forms of "failure" of this process of linking, regulation and transformation of energy within the psychic apparatus could be considered as the origin of different psychopathological manifestations as suggested in the last part of this paper.

Compassion As an Intervention to Attune to Universal Suffering of Self and Others in Conflicts: A Translational Framework

As interpersonal, racial, social, and international conflicts intensify in the world, it is important to safeguard the mental health of individuals affected by them. According to a Buddhist notion "if you want others to be happy, practice compassion; if you want to be happy, practice compassion," compassion practice is an intervention to cultivate conflict-proof well-being. Here, compassion practice refers to a form of concentrated meditation wherein a practitioner attunes to friend, enemy, and someone in between, thinking, "I'm going to help them (equally)." The compassion meditation is based on Buddhist philosophy that mental suffering is rooted in conceptual thoughts that give rise to generic mental images of self and others and subsequent biases to preserve one's egoism, blocking the ultimate nature of mind. To contextualize compassion meditation scientifically, we adopted a Bayesian active inference framework to incorporate relevant Buddhist concepts, including mind (buddhi), compassion (karuna), aggregates (skandhas), suffering (duhkha), reification (samaropa), conceptual thoughts (vikalpa), and superimposition (prapañca). In this framework, a person is considered a Bayesian Engine that actively constructs phenomena based on the aggregates of forms, sensations, discriminations, actions, and consciousness. When the person embodies rigid beliefs about self and others' identities (identity-grasping beliefs) and the resulting ego-preserving bias, the person's Bayesian Engine malfunctions, failing to use prediction errors to update prior beliefs. To counter this problem, after recognizing the causes of sufferings, a practitioner of the compassion meditation aims to attune to all others equally, friends and enemies alike, suspend identity-based conceptual thoughts, and eventually let go of any identity-grasping belief and ego-preserving bias that obscure reality. We present a brain model for the Bayesian Engine of three components: (a) Relation-Modeling, (b) Reality-Checking, and (c) Conflict-Alarming, which are subserved by (a) the Default-Mode Network (DMN), (b) Frontoparietal Network (FPN) and Ventral Attention Network (VAN), and (c) Salience Network (SN), respectively. Upon perceiving conflicts, the strengthening or weakening of ego-preserving bias will critically depend on whether the SN up-regulates the DMN or FPN/VAN, respectively. We propose that compassion meditation can strengthen brain regions that are conducive for suspending prior beliefs and enhancing the attunements to the counterparts in conflicts.

The Digital Phenotyping Project: A Psychoanalytical and Network Theory Perspective

A new method of observation is currently emerging in psychiatry, based on data collection and behavioral profiling of smartphone users. Numerical phenotyping is a paradigmatic example. This behavioral investigation method uses computerized measurement tools in order to collect characteristics of different psychiatric disorders. First, it is necessary to contextualize the emergence of these new methods and to question their promises and expectations. The international mental health research framework invites us to reflect on methodological issues and to draw conclusions from certain impasses related to the clinical complexity of this field. From this contextualization, the investigation method relating to digital phenotyping can be questioned in order to identify some of its potentials. These new methods are also an opportunity to test psychoanalysis. It is then necessary to identify the elements of fruitful analysis that clinical experience and research in psychoanalysis have been able to deploy regarding the challenges of digital technology. An analysis of this theme’s literature shows that psychoanalysis facilitates a reflection on the psychological effects related to digital methods. It also shows how it can profit from the research potential offered by new technical tools, considering the progress that has been made over the past 50 years. This cross-fertilization of the potentials and limitations of digital methods in mental health intervention in the context of theoretical issues at the international level invites us to take a resolutely non-reductionist position. In the field of research, psychoanalysis offers a specific perspective that can well be articulated to an epistemology of networks. Rather than aiming at a numerical phenotyping of patients according to the geneticists’ model, the case formulation method appears to be a serious prerequisite to give a limited and specific place to the integration of smartphones in clinical investigation.

Financial Awards and Their Effect on Football Players' Anxiety and Coping Skills

OBJECTIVE

Financial awards can be an important factor affecting athletes' mental preparation and various skills to manage stress. Since such a link has not yet been studied, the study has been designed to evaluate the moderation effect of financial awards in relation to football players' anxiety and coping skills.

METHODS

The study consists of 110 male football players aged 18-32 years old (mean ± SD: 23.98 ± 3.01 years) who were divided into two groups: financial awarded (n = 48) and financial unawarded for sports performance (n = 62). The anxiety of football players was measured by the Sport Anxiety Scale SAS-2. Coping strategies to manage stress were assessed by the Athletic Coping Skills Inventory ACSI-28. The effect of financial awards in relation to football players' anxiety and coping skills was evaluated by the mediators' model using the PROCESS software (Hayes, 2018).

RESULTS

The results suggest that financial awards are important factors that influence football players' anxiety and coping skills. The financial awards increase the motivation of football players to better prepare for sports performance, which has been proven, through better setting of performance goals and more careful mental preparation. Financially awarded football players seem to respect the coach and follow his instructions to a greater extent than unawarded football players, which may be due to the financial benefits and the commitment they have confirmed by signing to the football club. In another aspect, the financial awards are likely to increase the cognitive trait of the anxiety of football players. It seems that financial players are more concerned about the failure of the match, which increases their anxiety, especially since it is a cognitive part and affects their sports performance.

CONCLUSION

For this reason, we encourage sports organizations to focus more on the mental preparation of football players. It is important to provide football players the opportunity to graduate from short- or long-term mental training conducted by a trained sports psychologist not only at the time of the athlete's failure but also as a preventive measure against increasing cognitive anxiety. We recommend sports organizations to train coaches in the field of mental training, preferably through annual short training sessions with a sports psychologist, to influence the development of desirable athletes' coping skills.

Unconscious Emotion and Free-Energy: A Philosophical and Neuroscientific Exploration

Unconscious emotions are of central importance to psychoanalysis. They do, however, raise conceptual problems. The most pertinent concerns the intuition, shared by Freud, that consciousness is essential to emotion, which makes the idea of unconscious emotion seem paradoxical. In this paper, I address this paradox from the perspective of the philosopher R. C. Roberts' account of emotions as concern-based construals. I provide an interpretation of this account in the context of affective neuroscience and explore the form of Freudian repression that emotions may be subject to under such an interpretation. This exploration draws on evidence from research on alexithymia and utilises ideas from free-energy neuroscience. The free-energy framework, moreover, facilitates an account of repression that avoids the homunculus objection and coheres with recent work on hysteria.

The Gravity of Objects: How Affectively Organized Generative Models Influence Perception and Social Behavior

Friston's (2010) free energy principle (FEP) offers an opportunity to rethink what is meant by the psychoanalytic concept of an object or discrete mental representation (Ogden, 1992). The significance of such objects in psychoanalysis is that they may be superimposed on current experience so that perceptions are partly composed of projected fantasy and partly of more realistic perception. From a free energy perspective, the psychoanalytic (person) object may be understood as a bounded set of prior beliefs about a "platonic" sort of person that provides a free energy minimizing, evidence maximizing, hypothesis to explain inference about - or dyadic interactions with - another. The degree to which realistic perception supervenes - relative to a platonic person object - will depend upon the precision assigned to the sensory evidence (concerning the person) relative to the prior beliefs about a platonic form. This provides a basis for not only explaining projection and transference phenomena but also conceptualizing a central assumption within the object relations psychoanalysis. As an example, the paper examines the Kleinian theory of split good or bad part objects as affectively organized generative models (or platonic part-object models) formed in early infancy. This also provides a basis for building on work by Kernberg (1984, 1996) by conceptualizing the role of the part object(s) in a continuum of reality testing, from mild errors in perception that are relatively easily corrected, through borderline affective instability and frequent shifts between part-object experience, to psychotic failures of reality testing, where Friston et al. (2016) proposed that aberrant precisions bias perception to high precision false beliefs (here cast as platonic part objects), such as stable perceptions of others (and possibly oneself) as persecutory agents of some sort. The paper demonstrates the value that the history of clinical insights into psychoanalysis (including object relations) and a system-based approach to the brain (including the free energy principle) can have for one another. This is offered as a demonstration of the potential value of an "Integrative Clinical Systems Psychology" proposed by Tretter and Lo¨ffler-Stastka (2018), which has the potential to integrate the major theoretical frameworks in the field today.

Psychoanalysis and Neuroscience: The Bridge Between Mind and Brain

In 1895 in the Project for a Scientific Psychology, Freud tried to integrate psychology and neurology in order to develop a neuroscientific psychology. Since 1880, Freud made no distinction between psychology and physiology. His papers from the end of the 1880s to 1890 were very clear on this scientific overlap: as with many of his contemporaries, Freud thought about psychology essentially as the physiology of the brain. Years later he had to surrender, realizing a technological delay, not capable of pursuing its ambitious aim, and until that moment psychoanalysis would have to use its more suitable clinical method. Also, he seemed skeptical about phrenology drift, typical of that time, in which any psychological function needed to be located in its neuroanatomical area. He could not see the progresses of neuroscience and its fruitful dialogue with psychoanalysis, which occurred also thanks to the improvements in the field of neuroimaging, which has made possible a remarkable advance in the knowledge of the mind-brain system and a better observation of the psychoanalytical theories. After years of investigations, deriving from research and clinical work of the last century, the discovery of neural networks, together with the free energy principle, we are observing under a new light psychodynamic neuroscience in its exploration of the mind-brain system. In this manuscript, we summarize the important developments of psychodynamic neuroscience, with particular regard to the free energy principle, the resting state networks, especially the Default Mode Network in its link with the Self, emphasizing our view of a bridge between psychoanalysis and neuroscience. Finally, we suggest a discussion by approaching the concept of Alpha Function, proposed by the psychoanalyst Wilfred Ruprecht Bion, continuing the association with neuroscience.