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How can the two be related, if at all, in practice? Any opinions?
Psychodynamic approach- A good mix with neuropsychology?
- Thread starter PsyD4me
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As in how would you treat a client with neuropsychological deficit with psychodynamic therapy?! (I'm confused) Or are you interested in training in both? Psychodynamic therapy helps one understand one's relationships in past and present - I don't see a relationship with the brain and neural deficits...
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Int J Geriatr Psychiatry. 1999 Jan;14(1):48-59.
A review of the phenomenology and cognitive neuropsychological origins of the Capgras syndrome.
Edelstyn NM, Oyebode F.
In this article the epidemiology, aetiology, neuroanatomy and neuropsychology of the Capgras syndrome (CS) are reviewed in detail. CS is characterized by the delusional belief that one or a few highly familiar people have been replaced by impostors who are physically very similar to the original/s. The patient acknowledges that the double and known person look alike, but maintains the belief that the significant person, in psychological terms, is absent. CS is relatively rare, occurring predominantly in the context of schizophrenia, and was traditionally considered to have its origins in psychodynamic conflict. More recently, however, it has been estimated that between 25 and 40% of cases are associated with organic disorders, which include dementia, head trauma, epilepsy and cerebrovascular disease. Neuroimaging evidence suggests a link between CS and right hemisphere abnormalities, particularly in the frontal and temporal regions. Neuropsychological research has provided empirical support for these findings, by consistently reporting the presence of impairments in facial processing--an established right hemisphere function. It is likely that the study of this symptom will lead to a greater understanding of the neurological basis of psychotic experiences and may provide a paradigm for how the psychoses should be investigated.
**********************
Med Hypotheses. 1999 Mar;52(3):179-82.
Biophysical shunt theory for neuropsychopathology: biphasal homeostatic dysregulation.
Naisberg Y, Weizman A.
OBJECTIVE: We challenge Freud's psychodynamic theory using a systematic modus operandi which has been outlined in detail in a succession of articles. Here, we deal with Freud's first assumption of human psychological primacy in forming goal-directed behavior. According to our theory, biphasal homeostatic dysregulation is the underlying mechanism of clinical phenomenology. MODEL: Evolutionary neurobiology has provided humans with a precise technical solution for optimal organismic survival. Humans are armed with an accurate negative feedback mechanism that operates within the alternating upper and lower thresholds of biphasal homeostatic maintenance and is coupled with a basal indicator of individual sensation of the degree of the given organismic well-being in any unit of time. This originates the organismic pleasure principle (OPP). The latter is achieved by a straightforward quantal injection of endorphins according to one of eight possible body operational regimens. Thanks to the essential duality of the dynamic interactions, stipulated by the complex harmonics of term-dependent and event-dependent adaptation when one or more of the essential elements for homeostasis goes above or below its predetermined threshold, certain branches of the organismic defense system (ODS) are 'turned on' in the second phase of homeostasis. The individual then adapts behavioral modifications directed toward a long-lasting search for the optimal resources needed for normal survival. This evolutionary biphasal homeostatic design has an intrinsic, methodical expression that confirms changes and correctly informs the individual about them, further imposing behavioral modifications, when necessary. In cases of a homeostatic derangement, the OPP is replaced by an erratic inclusion of pain, tension or depression, all components of the alarm system of the ODS, which may lead to disordered behavioral patterns. CONCLUSIONS: The underlying biological mechanism of goal-directed assignments for biphasal homeostatic maintenance is described. The intrinsic rules and regulations that guide both normal and abnormal survival may be clinically manifest. Normal survival behavior is necessary to regain organismic homeostasis.
**********************
J Subst Abuse Treat. 1990;7(1):31-49.
Neuropsychodynamics of alcoholism and addiction: personality, psychopathology, and cognitive style.
Miller L.
The literature on the neuropsychology, personality, and psychopathology of alcoholism and addiction is reviewed. Neuropsychological studies of substance abusers have found deficits in abstract concept formation, set-maintenance, set-shifting, behavioral control, and cognitive flexibility. However, the evidence that these deficits are the result of direct substance effects on the brain is slim. Both alcoholics and as-yet nondrinking offspring of alcoholics have been found to be deficient in verbal skills and language functioning. Personality studies of alcoholics and addicts have emphasized such characteristics as field dependency, external locus of control, attenuated time extension, poor ego strength, and disturbed object relations. The psychopathology of alcoholics and opiate abusers seems to be dominated by impulsive character disorder, although there may also be a subgroup of anxious, depressed substance abusers. The present review integrates brain-behavioral perspectives with the data on personality and psychopathology, focusing on the relevance of a multidimensional neuropsychological model to psychodynamic concepts of ego functioning and the substance abusers' problems in the regulation of affect and behavior. It is argued that the concept of cognitive style is useful for understanding the relationship of neuropsychological functioning to personality dynamics, and that this approach can be especially productive in understanding the addictions.
**********************
Also check out the following:
Epstein AW (1998). Neural aspect of psychodynamic science. J Am Acad Psychoanal, 26(4), 503-12.
A review of the phenomenology and cognitive neuropsychological origins of the Capgras syndrome.
Edelstyn NM, Oyebode F.
In this article the epidemiology, aetiology, neuroanatomy and neuropsychology of the Capgras syndrome (CS) are reviewed in detail. CS is characterized by the delusional belief that one or a few highly familiar people have been replaced by impostors who are physically very similar to the original/s. The patient acknowledges that the double and known person look alike, but maintains the belief that the significant person, in psychological terms, is absent. CS is relatively rare, occurring predominantly in the context of schizophrenia, and was traditionally considered to have its origins in psychodynamic conflict. More recently, however, it has been estimated that between 25 and 40% of cases are associated with organic disorders, which include dementia, head trauma, epilepsy and cerebrovascular disease. Neuroimaging evidence suggests a link between CS and right hemisphere abnormalities, particularly in the frontal and temporal regions. Neuropsychological research has provided empirical support for these findings, by consistently reporting the presence of impairments in facial processing--an established right hemisphere function. It is likely that the study of this symptom will lead to a greater understanding of the neurological basis of psychotic experiences and may provide a paradigm for how the psychoses should be investigated.
**********************
Med Hypotheses. 1999 Mar;52(3):179-82.
Biophysical shunt theory for neuropsychopathology: biphasal homeostatic dysregulation.
Naisberg Y, Weizman A.
OBJECTIVE: We challenge Freud's psychodynamic theory using a systematic modus operandi which has been outlined in detail in a succession of articles. Here, we deal with Freud's first assumption of human psychological primacy in forming goal-directed behavior. According to our theory, biphasal homeostatic dysregulation is the underlying mechanism of clinical phenomenology. MODEL: Evolutionary neurobiology has provided humans with a precise technical solution for optimal organismic survival. Humans are armed with an accurate negative feedback mechanism that operates within the alternating upper and lower thresholds of biphasal homeostatic maintenance and is coupled with a basal indicator of individual sensation of the degree of the given organismic well-being in any unit of time. This originates the organismic pleasure principle (OPP). The latter is achieved by a straightforward quantal injection of endorphins according to one of eight possible body operational regimens. Thanks to the essential duality of the dynamic interactions, stipulated by the complex harmonics of term-dependent and event-dependent adaptation when one or more of the essential elements for homeostasis goes above or below its predetermined threshold, certain branches of the organismic defense system (ODS) are 'turned on' in the second phase of homeostasis. The individual then adapts behavioral modifications directed toward a long-lasting search for the optimal resources needed for normal survival. This evolutionary biphasal homeostatic design has an intrinsic, methodical expression that confirms changes and correctly informs the individual about them, further imposing behavioral modifications, when necessary. In cases of a homeostatic derangement, the OPP is replaced by an erratic inclusion of pain, tension or depression, all components of the alarm system of the ODS, which may lead to disordered behavioral patterns. CONCLUSIONS: The underlying biological mechanism of goal-directed assignments for biphasal homeostatic maintenance is described. The intrinsic rules and regulations that guide both normal and abnormal survival may be clinically manifest. Normal survival behavior is necessary to regain organismic homeostasis.
**********************
J Subst Abuse Treat. 1990;7(1):31-49.
Neuropsychodynamics of alcoholism and addiction: personality, psychopathology, and cognitive style.
Miller L.
The literature on the neuropsychology, personality, and psychopathology of alcoholism and addiction is reviewed. Neuropsychological studies of substance abusers have found deficits in abstract concept formation, set-maintenance, set-shifting, behavioral control, and cognitive flexibility. However, the evidence that these deficits are the result of direct substance effects on the brain is slim. Both alcoholics and as-yet nondrinking offspring of alcoholics have been found to be deficient in verbal skills and language functioning. Personality studies of alcoholics and addicts have emphasized such characteristics as field dependency, external locus of control, attenuated time extension, poor ego strength, and disturbed object relations. The psychopathology of alcoholics and opiate abusers seems to be dominated by impulsive character disorder, although there may also be a subgroup of anxious, depressed substance abusers. The present review integrates brain-behavioral perspectives with the data on personality and psychopathology, focusing on the relevance of a multidimensional neuropsychological model to psychodynamic concepts of ego functioning and the substance abusers' problems in the regulation of affect and behavior. It is argued that the concept of cognitive style is useful for understanding the relationship of neuropsychological functioning to personality dynamics, and that this approach can be especially productive in understanding the addictions.
**********************
Also check out the following:
Epstein AW (1998). Neural aspect of psychodynamic science. J Am Acad Psychoanal, 26(4), 503-12.
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Psychoanal Q. 1998 Apr;67(2):218-39.
Neuropsychological dysfunction and psychological conflict.
Rothstein A.
The author examines the interplay between neuropsychological dysfunction and psychological conflict. Two ideas are emphasized. First, clinicians may overlook or subtly de-emphasize the contribution of neuropsychological dysfunction to patients' difficulties. Second, when neuropsychological difficulties are diagnosed, there is value in being acquainted with the details of the dysfunction and exploring the specific ways in which they are elaborated in fantasy and interwoven in the patient's psychodynamic constellation (including their employment for defensive and superego purposes). This perspective is contrasted with more general formulations concerning the patient's experience of her/ himself as damaged. A case serves to illustrate such a clinical process of discovery.
There are many more articles...just go to www.pubmed.com. Unlike psychinfo, you could search pubmed free of cost.
Neuropsychological dysfunction and psychological conflict.
Rothstein A.
The author examines the interplay between neuropsychological dysfunction and psychological conflict. Two ideas are emphasized. First, clinicians may overlook or subtly de-emphasize the contribution of neuropsychological dysfunction to patients' difficulties. Second, when neuropsychological difficulties are diagnosed, there is value in being acquainted with the details of the dysfunction and exploring the specific ways in which they are elaborated in fantasy and interwoven in the patient's psychodynamic constellation (including their employment for defensive and superego purposes). This perspective is contrasted with more general formulations concerning the patient's experience of her/ himself as damaged. A case serves to illustrate such a clinical process of discovery.
There are many more articles...just go to www.pubmed.com. Unlike psychinfo, you could search pubmed free of cost.
