PsychiatricTimes Members: Login | Register

|     

PsychiatricTimes SearchMedica Medline Drugs

Powered by SearchMedica

 
Risk Assessment
News
Current Issues
Blogs
Special Reports
CME
Conferences
Resources
Careers
Multimedia
About Us
 

Home » Blogs » DSM-5 Blog

Psychiatric Times. Vol. 29 No. 3
Pages: 1  2  3  4  5  
Next
VANGUARD ISSUES IN PSYCHIATRY 

Neuroscientific Mirages: Are We No More Than Our Brains?

By Herman M. van Praag, MD, PhD | February 28, 2012
Dr van Praag is Professor Emeritus of Psychiatry at the universities of Groningen, Utrecht, Maastricht, the Netherlands, and the Albert Einstein College of Medicine, New York. The author reports no conflicts of interest concerning the subject matter of this article.

In the middle ages, scholars often began their debates and expositions with the formula: videtur quod non,meaning, “it would appear that such and such is not true.” Thus, the scholars defended their thesis in 2 steps.

First, the discussions centered on the considerations that made the thesis seemingly unlikely. Subsequently, the scholars argued that these considerations were not valid.

(MORE: Enlightenment and Dimmed Enlightenment)

Here we will follow the reverse path: videtur quod sic, meaning, “it seems that such and such is true,” to subsequently show that actually it is untrue.

The issue at stake: It appears that in psychiatry, soul and mind have to retreat in favor of the brain and that brain sciences will soon occupy center stage, if that is not already the case.

Here we argue that this prediction is insufficiently grounded, and that if it should happen, the damage to psychiatry would be considerable.

Some definitions first

To begin with, briefly, the definitions of the concepts involved. The word “soul” (or psyche) is used as a metaphor for the conglomerate of psychic functions that enable man to be cognizant of both the world around him and his inner world, to make contact with fellow men, and to interpret that information both intellectually and emotionally.

The word “mind” is used to indicate those ingredients of the soul that make each individual into a unique self. It pertains to the internal structure of the self: the cognitive style of an individual, his ability to analyze, to conceptualize, and the depth and variegation of his emotional repertoire. Mind refers to his aspirations, hopes, and disappointments, his ability to love and to make moral judgments, the measure of his self-consciousness, etc. Mind also encompasses man’s urge to achieve purpose and meaning as well as his desire to provide life with a vertical dimension, to once in a while reach out beyond the horizon—where the lands lie of our dreams, our imagination, and the metaphysical experiences—and where religious sensitivity finds its birthplace.

Mind makes man identifiable for himself and others. Mind is the very essence of selfhood. It overshadows the bodily characteristics of the self by far. Phrased parsimoniously: the soul provides the basic tools with which the unique edifice of the mind is constructed.

Did Descartes err?

The relationship between body and soul has been debated by philosophers for thousands of years. Descartes is linked to the notion that a sharp distinction should be made between body and mind. The body—the res extensa—has spatial extensiveness; the mind—the res cogitans—on the other hand, does not. Both “substances” were thought to operate independently, apart from a possible hyphen Descartes hypothetically located in the pineal gland. The body could be studied with mechanical tools, like a machine; the mind could not, was a domain for philosophical studies.

Descartes has often been misunderstood, taken for a rigorous dualist. For instance, Damasio1 wrote: “Descartes imagined thinking an activity quite separate from the body.” Damasio erred. Descartes considered features such as “feelings” and “tendencies” body- (ie, brain-) dependent. The mind was not, could not be, because it was considered to be immortal. In his day and age, this viewpoint could hardly be (openly) questioned.

Pages: 1  2  3  4  5  
Next
 

Join the Conversation

Want to join the conversation? If you're a healthcare professional, we'd like to hear your comments. Just sign in or register today to become part of our growing, online community.

New Article Series Display Name

Treatment of Sudden, Intense Rage Reactivity After Minor Head Injury

Neuroscientific Mirages: Are We No More Than Our Brains?

Temper Tantrums, Mental Disorder, and DSM-5: The Case for Caution

Adolescent Anger Attacks Common and Persistent

Also in this Special Report

Introduction: Controversies and Evolving Issues

Condemning Torture and Abuse: A Call to Action

A Delicate Brain: Ethical and Practical Considerations for the Use of Medications in Very Young Children

Who Was Karen Horney?

Antipsychotics for Behavioral Disturbance in Dementia? A Clinical Conundrum

Neuroscientific Mirages: Are We No More Than Our Brains?

Are Animal Models Relevant in Modern Psychiatry?

Enlightenment and Dimmed Enlightenment






 
TOPIC INDEX

Addiction Medicine
Alzheimer Disease
Anxiety Disorders
ADHD
Bipolar Disorder
Child & Adolescent Psychiatry
Dementia
Depression
DSM-5
Geriatric Psychiatry

 

Health Care Reform
Major Depressive
Disorder
OCD
Personality Disorders
Schizoaffective Disorder
Schizophrenia
Sleep Disorders
Somatoform Disorders
All Topics

 


 
FROM PHYSICIANS PRACTICE
Five Steps to Improving Patient Access
Judy Capko,  May 21, 2013
Patient access is getting increased attention through reform initiatives. Here are five steps you can take to make sure patients get appropriate access to care in your office.
Growing HIPAA Threat – Ignore Windows XP at Your Own Peril
Marion K. Jenkins,  May 21, 2013
Chances are good that you have some major ticking software time bombs lurking in your medical practice's computer environment, namely Windows XP and Server 2003.
Finding Physician Work-Life Balance in the Small Moments
Jennifer Frank, MD,  May 21, 2013
At my practice and at home, things are always busy. There's laundry or homework, or a patient with needs.
Three Areas to Reduce Costs at Your Medical Practice
Greg Mertz,  May 19, 2013
By taking a hard look at reducing costs for staffing, overhead, and technology at your medical practice, you may see increased physician compensation.
Dos and Don’ts for Starting a Physician Blog
Michael Woo-Ming, MD,  May 18, 2013
Starting a physician blog can provide your medical practice with marketing benefits, but it's important to do it right.
 

 

 
MOST POPULAR
  • Most Popular
  • Most Emailed
  • Most Recent
  • The Moral Struggles of Practicing Psychiatrists
  • Developmental Psychopathology Comes of Age
  • Grief and Depression: The Sages Knew the Difference
  • Update on Mental Health Benefits and Substance Use Disorder Services Under the Affordable Care Act
  • Experts Discuss Changes, Updates in DSM-5
  • Successful Aging: Strategies to Help Maintain and Nurture a Healthy Brain
  • You Are—And Your Mood Is—What You Eat
  • Grief and Depression: The Sages Knew the Difference
  • Experts Discuss Changes, Updates in DSM-5
  • Developmental Psychopathology Comes of Age
  • The Psychiatrist and the Slot Machine
  • The Role of Biological Tests in Psychiatric Diagnosis
  • You Are—And Your Mood Is—What You Eat
  • Experts Discuss Changes, Updates in DSM-5
  • The Paradox of Choice: When More Medications Mean Less Treatment
Click here to subscribe to our newsletter
 
COMMENTS
  • Most Commented
  • Most Recent
  • Grief and Depression: The Sages Knew the Difference
  • Psychiatry and the Myth of “Medicalization”
  • Is it Time for a Treatment Manual to Complement DSM-5?
  • NIMH vs DSM 5: No One Wins, Patients Lose
  • DSM-5 Won’t Solve the Overdiagnosis Problem—But Clinicians Can
  • Experts Discuss Changes, Updates in DSM-5
  • The Role of Biological Tests in Psychiatric Diagnosis
  • Successful Aging: Strategies to Help Maintain and Nurture a Healthy Brain
  • Refinements in ECT Techniques
  • DSM-5 Won’t Solve the Overdiagnosis Problem—But Clinicians Can
Click here to subscribe to our newsletter


 
CAREER CENTER

  •   Featured Jobs  
  •    Resources   
  • Psychiatry and Nurse Practitioner Opportunities
  • Associate Medical Director - Psychiatrist Delray Beach, Florida
  • Retiring Child Psychiatrist Seeks Replacement August 2010 or Before
  • Chairperson, Dept of Psychiatry Needed
  • FT Staff Psychiatrist - Excellent Benefits
  • BC Adult and Child Psychiatrits - PT and FT Positions Available
  • Managing Risks When Practicing in Three-Party Care Settings
  • 12 Tips for Making Your Practice Greener
  • Keys to Avoiding Malpractice: Standard of Care in Psychiatric Practice
  • Take This Job and Shove It
  • Merging Administrative and Academic Careers in Psychiatry

CancerNetwork | ConsultantLive | Diagnostic Imaging | Musculoskeletal Network | OBGYN.net | PediatricsConsultantLive |
Physicians Practice | Psychiatric Times | SearchMedica | Medical Resources

© 1996 - 2013 UBM Medica LLC, a UBM company
Privacy Statement - Terms of Service - Advertising Information - Editorial Policy Statement - UBM Medica Network Privacy Policy