Psychiatry & Psychology
Neuroscience: Psychotherapy’s Executioner?
Within the field of psychology more and more research is based on the functioning of the brain. Even in fields such as social psychology, which traditionally was opposed to looking at the relationship between brain and behavior, is neuroscience growing. More and more psychological disorders are being explained in relation to neurological function or dysfunction. Depression is caused by too few or too many neurotransmitters. Schizophrenia is caused by a “mis-wired” brain. Anxiety is caused by a hyper-reactive sympathetic nervous system (and possibly an abnormal amygdala). We are overweight because of hypothalamic problems and can’t sleep because our reticular activating systems are out of whack.
All psychopathology is now being described in neurological terms. Many believe this implies that all psychopathology is now treatable and curable by medication because all psychopathology has a biological basis. Cartesian dualism is alive and well; in fact, it’s never been stronger.
Does this spell out impending doom for psychotherapy? Can we simply medicate our problems away?
Let’s return to philosophy to find out. The increasing emphasis on the brain is leading to a blurring between what is mind and what is body. Perhaps, Descartes’ philosophy isn’t as strong today as we thought. If body and mind are not separate entities then we no longer have a dualism but rather a monism. This implies that psychopathology is, at its core, nothing more than pathological brain function or structure. For example, according to the philosophy that underlies the neuroscience of psychopathology, depression is nothing more than a perhaps smaller cingulated gyrus and basal forebrain with abnormally low production or abnormally high re-uptake of serotonin and norepinephrine. This does not, however, imply that behavioral or cognitive therapies are not necessary and that all psychopathology is ultimately treatable by medication or electrode implants or neurogenesis or whatever the next neuroscience fad is.
Having no distinction between mind and body or brain and behavior (a monism opposed to a dualism) implies that affecting either mind or body affects both because they really are the same. As confusing as that sounds, it’s an important concept. It means that psychotherapy is not threatened with extinction by neuroscience or pharmaceuticals. Treating the mind (behavior) changes the body (brain). Conversely, treating the body (brain) changes the mind (behavior). There is room for both biological and psychological therapies. There are people who seek a purely biological cure and those who eschew biology for psychology. However, the ultimate solution lies in moderation — a balance between the two.
Related Articles
9 Comments/Trackbacks
The solution lies in the integration offered by a bigger picture. That is a person with physical and spiritual/psychological dimensions.
Disentangling cause and correlation is indeed tricky.
Thanks for a great post on a very important topic.
Though most scientists would say that brain and mind are the same thing (i.e., monism), that is not all that helpful. We need to distinguish three kinds of mind: unconscious, subconscious, and conscious. Conscious mind is especially significant because it is the teacher of the subconscious. Though conscious mind emanates from brain function, it is unique. Some researchers say that it is an observer of the output of subconscious processes and can veto subconscious impulses and decisions. Others (I among them) say that it also is the primary teacher of the subconscious mind, controlling what sensory and cognitive experiences are presented to the subconscious. See my new, inexpensive e-book on “Core Ideas in Neuroscience” (neurosciideas.com). I also operate a blog on what science reveals for improving everyday memory (thankyoubrain.blogspot.com).
.
I was relieved to see that you close this piece with a sound conclusion, but dismayed that you lead with some of the most pervasive, unfounded cliches of what has been called “neuromythology.” For instance the biobabble myth that: depression is caused by lack or excess of neurotransmitters.
Thanks for pointing that out. I know I oversimplified the biology of depression (and the other disorders). I did so for the sake of brevity at the expense of accuracy. Depression is also correlated with abnormalities of the frontal lobes.
Maunik
As someone with a background in neuroscience that also has aspirations to become a psychotherapist I do not necessarily see the two as irreconcilable. I think that those that put too much emphasis on the biology over the psychology underestimate the power of neuroplasticity. I believe that while most behavior and by extension mental disease may be explainable in terms of biology we must acknowledge that our brains our constantly changing in response to the environment. The subjective experience of the psyche plays an important role in how neurobiology changes. The future of both of these fields will be one in which they are compatible rather than competitive.
Trackbacks
- May 24, 2008 | Neuroscience: Psychotherapy’s Executioner? | Perusing Psychology
- Jun 18, 2008 | Wednesday Round Up #16 « Neuroanthropology
- Sep 16, 2008 | The Death of Psychotherapy | Perusing Psychology
- Jun 14, 2009 | Encephalon 47 | Channel N
Leave a Reply
Friday, July 3, 2009
- Marijuana Withdrawal Syndrome
- Autism - No Need For A Cure?
- Are Humans Hard-Wired to Torture?
- Free Will and the Philosophy of Science
- Therapy and Medication - Where's the Breaking News?
- Emotions and the Brain
- Clearing the Haze - Is Marijuana Addictive?
- How Many Babies Is Too Many?
- Is Sugar the New Cocaine?
- What is Free Will?
- Reflections on Plasticity
- Recent Drug Warnings About Suicide
- Lithium as a Neuroprotectant?
- Logistical Barriers to Stem Cell Research
- Transparency in the Pharmaceutical Industry
- Topical Morphine - An Experimental Approach to Chronic Pain
- Be a Doctor! The Hours are Great!
- Time for a Change - Gender Reassignment
- Is Obesity Contagious?
- The Hidden Dangers of Soy
- Why Do Schizophrenics Smoke Cigarettes?
- Prevention of Adolescent Depression
- Drugs and Pharmacology, Sixteenth Edition
- Get By With a Little Help From Your Friends
- Communication is Key to Appropriate Antibiotic Use
- Time for a Change – Gender Reassignment
- Common Treatment Ineffective for Autism
- Marijuana Withdrawal Syndrome
- NSAIDs – Prevention or Just Delay of Dementia?
- What is Proprioception?
- Who Should Decide the Survivability of Newborns?
- Reflections on Plasticity
- Death and Dying in Tough Economic Times
- Medicate or Educate? – Just Pop a Polypill
- Dressing for Success? – the White Coat Dilemma
- What is Free Will?
- Clearing the Haze – Is Marijuana Addictive?
- Migraine Uncovered – Interview with Dr. Cady, Headache Expert
- Brain Blogging, Forty-Fifth Edition
- Barriers to Emergency Contraception
- Low blood sugar and high caffeine intake are also characteristic of many active ...
- As, I had a short 4-day trip to the mental hospital I can attest, almost all of ...
- How dare you tell me I experience no withdrawals? Who are you and what makes yo...
- Neither profession is more important than the other. I say this as a practicing ...
- I would imagine, to you....
- "You are also profiteering off of those who are “addicted,” and there’s usually ...
- I have been THC free for many years (after many years of daily use) and never ex...
- Please take a look at this article and see that we paranoid pro-pot-people have ...
- Bryan,
Thanks for sharing your thoughts. If you are equating food or exercise ...
- Samantha, you're in a ridiculous state of denial about marijuana addiction. I wa...
- From my own experience it is very important to look into hormone disturbances. I...
- Hello, I am not at all opposed to the idea that marijuana can be addictive for s...
- I agree with Joseph's comment and many of the points that Samantha makes as well...
- Plasticity just makes me happy. You should read or hear what the program all in ...
- Great post, I have been studying depression also. But I took another approach.
...
- Cognative behavioral therapy for some adolescents in a productive enviornment wi...
- Not BS!!!!! I'm 24 years old and I never smoked Marijuana more than twice a year...
- The author is certainly taking a beating from those who seem a little defensive ...
- I left the personal anecdotes for last in a 3-part series, intending them to ser...
- There are some thoughtful and some not-so-thoughtful comments here. The article ...
Brain Blogger's Historical Brain Illustrations









Sponsored Links
Home Care, Legitimate Online Jobs, Alcohol Rehab, Emergency Lighting, Online Criminal Justice Degrees, Tattoo, Health Insurance, Free Resume Analysis , Buy House , Electronic Accessories , About Credit Scores , About ID Cards , Trade Show , Psoriatic Arthritis Treatment , Dandruff Shampoo , Cardiac Health , Garment Compression Tips , Health America , Whitening Toothpaste , Hydroxycut, Astrology compatibility.
Neuroscience & Neurology
June 09, 2009 | 2 Comments | By Sajid Surve, DO
What is Proprioception?
More In Neuroscience & Neurology
- Reflections on Plasticity
- Migraine Uncovered – Interview with Dr. Cady, Headache Expert
- The Many Facets of Addiction
- Objective Testing for Alzheimer’s Disease
- Free Will and the Philosophy of Science
Neuroscience & Neurology
Opinion
June 21, 2009 | 6 Comments | By T. A. McNamee, MD
Time for a Change – Gender Reassignment
More In Opinion
- What is Free Will?
- Medical Controversy – When Does Life Begin?
- Emotions and the Brain
- Relying on a Peripheral Brain
- How Many Babies Is Too Many?
Opinion
Psychiatry & Psychology
July 03, 2009 | 2 Comments | By Dirk Hanson, MA
Why Do Schizophrenics Smoke Cigarettes?
More In Psychiatry & Psychology
- Prevention of Adolescent Depression
- Common Treatment Ineffective for Autism
- Are Humans Hard-Wired to Torture?
- Cognitive Theories and Brain Damage
- Poor Outcomes for Older Adults with Depression


I was relieved to see that you close this piece with a sound conclusion, but dismayed that you lead with some of the most pervasive, unfounded cliches of what has been called “neuromythology.” For instance the biobabble myth that: depression is caused by lack or excess of neurotransmitters.
As I’m sure you are aware: There is absolutely no evidence to support the idea that depression is “caused” by too few or too many of any particular neurotransmitter. Depression is correlated with these states. But there is scant understanding about the nature of the relationship between the two. A causal relationship has never been established.
Any psychiatrist will tell you that we have no idea what the mechanism is makes these drugs work (when they do better than placebo).
As you rightly point out treating the mind affects the body and vice versa. You explicitly address this in your piece, I just wish you hadn’t loaded the misconceptions in the first paragraph, the only one that many people read.