Mens sana monographs最新文献

We live in a world that is increasingly complex, intense, and stressful. Most people, at some time or other in their lives, can make good use of psychiatry as they map their course and steer their way through it. While this holds true, there also exists a very disturbing trend. No other branch of medicine suffers a similar, constant criticism, scrutiny and quite often downright vehement protest. Even the service users, who have been greatly benefitted, choose to stay mum for fear of stigmatization that may follow if they admit to have undergone therapy. The onus lies on both, the service users and providers alike, to take the positive contributions of psychiatry to the masses at large. All of us, especially medical professionals, need to consider our own attitudes and awareness. The recognition that anyone will break down if mental stress is high enough should help free us from a 'them and us' attitude. Reading about people's own experience of mental illness can promote understanding: Examples include a successful actress and a prize-winning author. For mental health practitioners, enabling service users to influence service development is another strong anti-stigma move. A cognitive behavior therapy approach can help individuals overcome the stigma felt and also cope better with discrimination. Also, we need to stand up against mental health discrimination wherever it is encountered.

A visual conscious experience is my empirical basis. All that we know comes to us through conscious experiences. Thanks to natural evolution, we have nearly direct perception, and can largely trust the information we attain. There is full integration, with no gaps, of organisms in the continuous world. Human conscious experiences, on the other hand, are discrete. Consciousness has certain limits for its resolution. This is illustrated by the so-called light-cone, with consequences for foundations in physics. Traditional universals are replaced by feels and distributions. Conscious experiences can be ordered within a framework of conceptual spaces. Triple Aspect Monism (TAM) can represent the dynamics of conscious systems. However, to fully represent the creative power of human consciousness, an all-inclusive view is suggested: Multi Aspect Monism (MAM).

In this invited commentary I focus on the topic addressed in three papers: De Sousa's (2013[1617]) Toward an Integrative Theory of Consciousness, a monograph with Parts 1 & 2, as well as commentaries by Pereira (2013a[59]) and Hirstein (2013[42]). All three are impressively scholarly and can stand-and shout-on their own. But theory of consciousness? My aim is to slice that topic into the two fundamentally different kinds of theories of consciousness, say what appears to be an ideology, out of behaviourism into cognitivism, now also influencing the quest for an "explanation of consciousness" in cognitive neuroscience. I will then say what can be expected given what we know of the complexity of brain structure, the richness of a conscious "vocabulary", and current technological limits of brain imaging. This will then turn to the strategy for examining "what consciousness explains"-metatheory, theories, mappings, and a methodology of competitive support, a methodology especially important where there are competing commitments. There are also increasingly common identifications of methodological bias in, along with failures to replicate, studies reporting unconscious controls in decision, social priming-as there have been in perception, learning, problem solving, etc. The literature critique has provided evidence taken as reducing, and in some cases eliminating, a role for conscious controls-a position consistent with that ideology out of behaviourism into cognitivism. It is an ideological position that fails to recognize the fundamental distinction between theoretical and metaphysical assertions.

Human behaviour, emotions, and cognition are complex to understand and explain. It is even more difficult to understand the basis for abnormal behaviour, disturbed emotions, and impaired cognitions, something mental health professionals are trying for long. In these pursuits, psychiatry has traversed through eras of humours, witchcraft, spirits, psychoanalysis, and gradually deviated from other medical specialities. Now, with recent biological breakthroughs like advances in psychopharmacology, neuroimaging and genetics, increasingly more emphasis is being given to the biological model of psychiatric disorders. These new biological models have given a more scientific appearance to the speciality. It has also revolutionised the management strategies and outcome of many psychiatric disorders. However, this rapid development in biological understanding of psychiatry also leads to a new wave of reductionism. In an attempt to deduce everything in terms of neurons, neurochemicals, and genes, can we neglect psychosocial aspects of mental health? Patients' personality, expectations, motives, family background, sociocultural backgrounds continue to affect mental health no matter how much 'biological' psychiatry gets. Biological and psychosocial approaches are not mutually exclusive but complementary. Integrating them harmoniously is the skill psychiatry demands for comprehensive understanding of mental and behavioural disorders.