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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by violette on July 10, 2011, at 8:35:07
I came across this article today and am posting the link here because i think the lack of psychodynamic thought in mainstream psychiatry today is problematic and needs to be brought to the attention of anyone involved in mental health. People working in the field need to be informed but aren't usually taught this way anymore.
Gabbard, M.D.
"Virtually all major psychiatric disorders are complex amalgams of genetic diatheses and environmental influences.
Rutter has emphasized, Genetic influences, as they apply to individual differences in the liability to show particular behaviors, are strong and pervasive but rarely determinative (4, p. 996). Similarly, psychosocial stressors, such as interpersonal trauma, have profound effects of a biological nature by changing the functioning of the brain.
A review of recent research on personality disorders suggests that these constructs can be dichotomized only in the abstract. In clinical work with patients, mind and brain are intimately connected and can never be separated.
Several implications can be derived from these findings. First, these data illustrate why it is problematic to lump together terms such as genes, brain, and biological, as though they are separate and distinct from terms such as environment, mind, and psychosocial. Psychosocial events may result in persisting biological alterations in the brain. Second, because the HPA axis is intimately linked with serotonergic function, these data suggest the possibility of understanding the mechanism of action of serotonin reuptake inhibitors in patients with borderline personality disorder. Third, because internal object relationships are created from the building blocks of self representations, object representations, and the affects that link the two (32), we can infer that a hypervigilant and anxious affect state will be linked to a perception of objects as persecuting and the self as victimized. Appreciation of this internal object relationship and its affect connection may influence the clinicians psychotherapeutic approach.
The mind-brain relationship has vexed philosophers for centuries and continues to be the subject of controversy. In psychiatric discourse, we often refer to mind and brain as though they are separate entities, even though most psychiatrists in the post-Cartesian era regard the mind as the activity of the brain (1).
With the knowledge that genetic hard-wiring
is a questionable assumption, we have reason to be
optimistic about potential consequences of altering early parental and caregiver interactions with children."http://www.wellcorps.com/files/MindBrainandPersonalityDisorders.pdf
Posted by Phillipa on July 10, 2011, at 10:40:54
In reply to Adverse effects of seperating biology, psychology, posted by violette on July 10, 2011, at 8:35:07
So what happens if the damage was done decades ago? Does this mean nothing? Phillipa
Posted by sleepygirl2 on July 10, 2011, at 13:18:22
In reply to Adverse effects of seperating biology, psychology, posted by violette on July 10, 2011, at 8:35:07
Thank you, nice article.
Makes me feel less to blame for my anxiety and other issues.
I have what you might think of as "justifiable" mental illness in my family that seems to show some sort of "glimmer" that I'm not so hopeless after all. It's horrible to think of it that way, that separation of mind and brain that's involved there. I could be imagining that perception on the part of others (Imean the concept overall), but experience would tell me that I'm not.
The article helps me because it says what I guess I really
knew to be true, that distinctions are often very complicated.
This is the end of the thread.
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