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 » Special Reports

Psychiatric Times. Vol. 29 No. 3
Pages: 1  2  3  4  5  
Previous
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.

“Brain-only” adherents link in to Protagoras’s relativism but give it another turn. Not so much man, since the brain is considered to be the measure of all things. Man is reduced to a strictly material entity. All his characteristics are materially determined, reducible to matter and hence measurable, given the availability of suitable devices. This holds for the whole of man, both his physical and spiritual features, ie, his mind.

“We are our brains.” The brain determines what and who we are. Beyond the brain lies nothingness. The brain is all-mighty and omnipotent. It is the ultimate contraption steering our life. The brain assumes almost divine grace—Protagoras’s thesis is excessively stretched; overstretched, I would say.

(MORE: Enlightenment and Dimmed Enlightenment)

2. Protagoras phrased his thesis in such general terms that it is hard to interpret. He speaks of “man . . . ,” but which man? The average one (if that type exists), the exceptional man, the man approaching stupidity, the humane man or his egocentric counterpart? The variability of mankind is enormous. Furthermore, how do we “measure” man? Where does the benchmark go: in the middle, higher, or maybe lower?

Protagoras speaks of “all things.” But, what are these things? Morality perhaps? Taking into account man’s track record, this bespeaks a rather gloomy worldview. Is Protagoras speaking of introspection, reflection, empathy? The word “thing” is indefinite and, hence, meaningless. Thus, there are many questions but no answers.

3. The third objection is one of personal character. The statement that man is the touchstone of all things kindles in me dreary feelings. Is that arbitrary, undefined “man” really our gauge? Should the standard not be somewhat higher? My answer is: indeed it should. If not, a society stagnates and decays into colorless skepticism or, worse, into defeatism. I refer once more to the Bible in which the standards are very high—for many of us, perhaps unattainably high. Does it harm to consider that high level as a guideline? Certainly not, it is virtuous. It spurs us to try to reform or better a society, with the ultimate (although unattainable) goal of perfection. It provides life with purpose and meaning, however modest the improvement may ultimately be. Such objectives feed hope, and hope is the priceless fruit of the Messianic notion. Without hope, living would make little sense.

As a motto for a scientific movement, Protagoras’s adage seems unsuitable; as a motto for the human condition—disheartening. Man too often remains below par, to serve as a measure of all things.

Descartes: more right than wrong

Videtur quod sic. It would appear that in psychiatry the soul has to retreat in favor of the brain, that Cartesian dualism is false, that a truly causal treatment in psychiatry is treatment of a brain disorder. That viewpoint is misleading and counterproductive, in terms of both patient care and scientific progress.

Brain and mind are of equal status; communicating partners. They are unbreakably linked but made of fundamentally different “stuff.” Much can be achieved with technology. However, technology fails in understanding the mind. Man is more than a machine—he has spirit, will, and self-determination, all of which are impenetrable to biological technology.

Body and soul—brain and mind: two complex worlds mutually dependent and yet in many ways self-governing. Human nature truly is a natural wonder. It is not surprising that it is imagined (and believed by some) to be created in the image of God.

Pages: 1  2  3  4  5  
Previous
 

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





References

1. Damasio AR. Descartes’ Error: Emotion, Reason, and the Human Brain. New York: GP Putnam’s Sons; 1994.
2. Kendler KS. Toward a philosophical structure for psychiatry. Am J Psychiatry. 2005;162:433-440.
3. Swaab DF. Evolutionair gezien zijn we weinig meer dan wegwerpartikelen [evolutionarily seen, we are no more than throw away commodities]. In: Visser H, ed. Leven zonder God. Amsterdam: Uitgeverij LJ van Veen; 2003.
4. Kandel ER. A new intellectual framework for psychiatry. Am J Psychiatry. 1998;155:457-469.
5. Guze SB. Biological psychiatry: is there any other kind? Psychol Med. 1989;19:315-323.
6. van Praag HM. Seat of the divine: a biological “proof of God’s existence”? Verhagen PJ, van Praag HM, López-Ibor JJ Jr, et al, eds. Religion and Psychiatry: Beyond Boundaries. Chichester, West Sussex, UK: John Wiley & Sons; 2010:523-540.
7. Swaab DF. Wij Zijn Ons Brein [We Are Our Brains]. Amsterdam: Uitgeverij Contact; 2010.
8. Wolters G. Gedragscontrole. Vrije wil of neuronale processen [Behavioral regulation: free will or neuronal processes]. De Psycholog. 2005;24:23-29.
9. Genesis 2:7.


 
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

  •   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