Mourning and melancholia revisited: correspondences between principles of Freudian metapsychology and empirical findings in neuropsychiatry.

Mourning and melancholia revisited: correspondences between principles of Freudian metapsychology and empirical findings in neuropsychiatry.
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DOI:
10.1186/1744-859x-7-9
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发表时间:
2008-07-24
影响因子:
3.7
通讯作者:
Nutt D
Nutt D
中科院分区:
医学3区
文献类型:
--
作者:
Carhart-Harris RL;Mayberg HS;Malizia AL;Nutt D

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弗洛伊德的职业生涯始于神经学家,研究神经系统的解剖学和生理学,但他后来在心理学方面的工作将确保他在历史上的地位。本文提请注意现代临床研究所确定的生理过程和弗洛伊德所描述的心理过程之间的联系,特别强调他关于抑郁症的著名论文,题为“抑郁症和抑郁症”。受抑郁症和脑深部电刺激治疗难治性抑郁症的神经影像学研究结果的启发,提出了一些初步的生理相关性的一些关键的精神分析过程。具体而言,激活的膝下扣带被讨论的压抑和默认模式网络讨论的自我。如果这些相关性被发现是可靠的,这可能会对更广泛的心理学和精神病学社区看待精神分析的方式产生影响。
Freud began his career as a neurologist studying the anatomy and physiology of the nervous system, but it was his later work in psychology that would secure his place in history. This paper draws attention to consistencies between physiological processes identified by modern clinical research and psychological processes described by Freud, with a special emphasis on his famous paper on depression entitled 'Mourning and melancholia'. Inspired by neuroimaging findings in depression and deep brain stimulation for treatment resistant depression, some preliminary physiological correlates are proposed for a number of key psychoanalytic processes. Specifically, activation of the subgenual cingulate is discussed in relation to repression and the default mode network is discussed in relation to the ego. If these correlates are found to be reliable, this may have implications for the manner in which psychoanalysis is viewed by the wider psychological and psychiatric communities.