Cognitive Neuroscience and
Interpersonal Neurobiology
Relation to Group Therapy
From Practice to Science
Prof. Dr.Yehia El-Rakhawy
1
‫العلم المعرفى العصبى والنيوروبيولوجيا البينشخصية‬
‫العالقة العالج الجمعى‬
‫من الممارسة إلى العلم (وليس العكس)‬
‫أ‪.‬د‪ .‬يحيى الرخاوى‬
‫‪2‬‬
Translational Psychiatry
explores the more translational area between the
research in neuroscience and conceptually
novel treatments.
The term translational can be characterized as:
The process of obtaining benefit for patients by
converting scientific discoveries from
preclinical research
into clinical applications
3
???
1) What is meant by Novel?
2) What of the
they include?
Cognitive Neurosciences
3) What about evolutionary sciences?
related to growth oriented therapy?
4) Are they included among neurosciences ?
5) Where have we to start ? Preclinical or Clinical?
4
The approach of translational psychiatry and
molecular psychiatry is looks to
be
contradictory with :
1- The history of psychiatry
2- The history of medicine
3- The art of healing
4- The Evolutionary approach
5- The Biorhythmic march of individual’s growth
6- The recent advances of cognitive neuroscience
5
Historically and practically:
Medicine has been practiced
thousands of years before medical
colleges appeared
Medicine has been always “the art
of healing”
The results of treatment have been
always assessed imperically
6
Medicine deveops as an art of healing using
all source and information including
1- Scientefic information
2- Interpersonal consciousness interactions
3- Collective consciousness converging
power
4- Rehabilitation of brain, body and
environment by utilizin all available
resources including drugs
7
became afraid to follow the same script of:
Instrumentation-Optimism-Frustration
Script in Psychiatric Research
Egypt. J. Psychiat. (1983) 6:171-173
8
The evolutionary growth oriented therapy
practicing psychiatry in terms of
is
Creative criticism of human text
(Taking both the patient and the therapist as
available texts)
‫نقد النص البشرى‬
‫باعتبار كل من المريض والمعالج نص يحتاج إلى إعادة تشكيل‬
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This is achieved neither by “’treatment by talk
called “psychotherapy” neither treatment by
chemicals called “Psychopharmacology” but via: of
Inter-perpsonal Consciouss
&
Collective Consciousness
10
The
Interpersonal
Neurobiology
of
Psychotherapy and Group Process” 2013
group
11
!!!
Two main topics are still as
vague and challenging as ever
EMOTIONS
CONSCIOUSNES
12
The
nature
and
value
of
both
“Consciousness” & Emotions”
are not amenable to traditional psychiatric
researches. Never the less they the are the pillar
of all psychiatric therapies.
13
How many
psychiatries
nowadays we know
very little about?
14
Computational psychiatry
uses computational theories of cognition
and neuroscience to bring together experts
in neuroscience, psychiatry, decision
sciences and computational modeling to
quantitatively
define
problems
in
psychiatric disease.
15
Orthomolecular psychiatry
is a mode of psychiatric care that
attempts to understand, in a mutually
collaborative manner, the deeper
meaning underlying a particular
patient's presenting problems.
16
Psychodynamic Psychiatry
is a new paradigm considering the potential role of an
integrated theory of brain and mind based on quantum
mechanical concepts.
- It is also related to:
- quantum consciousness
- quantum psychology
- quantum physics
-quantum matematichs
and
- Mysticism
17
Quantum Psychiatry
is a new paradigm considering the potential role of an
integrated theory of brain and mind based on quantum
mechanical concepts.
- It is also related to:
- quantum consciousness
- quantum psychology
- quantum physics
-quantum matematichs
and
- Mysticism
18
Evolutionary psychiatry
is proposed as a meta-theory to integrate biological and
interpersonal
aspects
of
psychopathology
Symptomatology of psychiatric disorders is be better
understood if divergent problems of adaptation for men
and women in human evolutionary history are taken
into account., it may rather be appropriate to provide a
functional classification which adds to the
contemporary psychiatric nosology
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Evolutionary Psychiatry
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Evolutionary Rhythmic
Psychiatry
Starting from the basic concepts of
evolution along with the rhythmic pattern
of all dimension of life utilizing all
available means to restore harmonizing
life rhythm and promoting human
growth
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Evolutionary Rhythmic
Psychiatry
We have to choose, modify and
adapt the branch of psychiatry
that fits more our culture
including our socio-economic
status.
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Evolutionary Rhythmic Psychiatry:
From Patient to Prompting Growth
(Using all possible sources of
Science, Skills, Art, Body (Work)
Under the merciful leadingn
particpati of GOD
23
The Brain Rebuilds itself all through brought
pulsation and dialectic creations. This could be
noted , as examples:
1- During REM re-patterning information
2- During normal sequential Growth crises (Erich
erikson)
3- During creative processes
4- During criticism of human text in intensive therapy.
4- After re-start by properly timed BRT = RRT(ECT)
5- During therapeutic impasse in Group Therapy
24
The Brain That Changes Itself Stories of Personal
Triumph from the Frontiers of Brain science . 2007
25
Basic assumptions of
Evolutionary Rhythmic Psychiatry
The brain rebuilds itself it self all the time,
processing, patterning , re-patterning, creating
and promoting both evolution of race and
growth of the individual>
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Rhythms of the Brain "György Buzsáki" 2006
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Extension of the Analogy of the Biogenic Law
Phylogeny repeats ontogeny
Macrogeny (growth crisis
repeats ontogeny
Microgeny
macrogeny
(creative
biorhythmic pulse)
unfolding)
repeats
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Psychopathogeny (a special new term) : is the
aborted mutilated macrogenic biorhythmic
pulse of growth.
The stage of abortion and the how of dealing or
mal-dealing with such failed unfolding results
in the corresponding disorder or mosaic of
disorders.
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The Theoretical Basis of
Evolutionary Rhythmic Therapy (ERT)
Theories of Evolution at large
Multiplicity of Mind (Eric Berne Daniel Deneth >>etc
Biorhythmic and alternating activities of minds
The biological basis of ion (including body , motion, minds,
emotions ..etc)
)Interpersonal neurobiology
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‫األسس التنظيرية لعالج م‪.‬م‪.‬م‪.‬‬
‫(المواجهة المواكبة المسئولية)‬
‫‪ )1‬مفهوم التطور‪ ،‬على كل المستويات (أنتوجينيا‪ ،‬فيلوجينيا‪ ،‬ماكروجينيا ‪ ،‬ميكروجينيا‬
‫ثم سيكوباثوجينيا)‬
‫‪ )2‬تعدد الذوات (بال حصر أقرب لـ ”حاالت العقل“ منها إلى ثالوث إريك بيرن)‬
‫‪ )3‬تكامل بين مدارس‪ :‬العالقة بالموضوع‪ ،‬والتطورية اإليقاعية‪ ،‬وإريك بيرن‪ ،‬وإريك‬
‫إريكسون‪ ،‬وساندور رادوا‪ ،‬ويونج)‬
‫‪ )4‬العلم المعرفى بمفهومه األوسع (وليس فقط المعرفى النفسى)‬
‫‪ )5‬األساس البيولوجى واإليقاعى للمعرفة (الجسد والحركة وتمثيالت المخ)‬
‫‪31‬‬
‫• تعدد قنوات توصيل الرسالة‬
‫(للمريض واألهل) من خالل ‪:‬‬
‫‪ )6‬الحركة‬
‫‪ )7‬المواكبة‬
‫‪ )8‬وصفة األعراض ‪Prescription of symptoms‬‬
‫‪ )9‬الوعى الجماعى‬
‫‪Collective Consciousness‬‬
‫‪ )10‬هللا سبحانه (بالمعنى اآلنى الوصلى)‬
‫‪32‬‬
Brain Zoo & Homoi-Erectus
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ambivalence
Fight flight
Schizoid Position
Paranoid Position
No object
Depressive Position
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36
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The Science in impasse
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‫تحرير العلم‬
‫ضالل العلم‬
http://www.youtube.com/watch?v=R2jvhhGS7HQ#t=27
http://http://www.youtube.com/watch?v=ktzgzd2rEc0
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The Extended Mind
Clinical practice is a series of & Hypothetical deductive
thinking
The first hypothesis jumps to your mind from the very
early moment you see the patient entering.
From this moment on you are verifying your
preliminary hypothesis to be replaced by a more
feasible one, and so on.
As the hypothesis that the entering patient is mentally
retarded may soon be changed to the possibility that he
is simple schizophrenia which may soon leave its place
to the hypothesis that he is but residual schizophrenia
or post psychotic personality disorder
40
‫المستوى الثالث لتقييم العلم الترجمى‪:‬‬
‫سياسة األدوية القليلة‬
‫سياسة الدواء الواحد‬
‫أين يقع السيكوباثولوجى‬
‫‪41‬‬
‫ما هو العلم‬
‫خدعة العلم‬
‫المقابلة لكتابة المشاهدة بحث علمى كامل‬
‫العلم هو تنمية التفكير الفرضى االستنتاجى‬
‫أنواع وتشكيالت‬
‫‪ -1‬العلم المؤسسية‬
‫‪ -2‬العلم األيديولوجية‬
‫‪ -3‬العلم التجارى‬
‫‪ -4‬العلم الجبانة‬
‫‪ -5‬العلم الشكل‬
‫‪ -6‬العلم السلطة‬
‫‪ -7‬العلم الضالل‬
‫‪42‬‬
‫ما هو العلم‬
‫خدعة العلم‬
‫المقابلة لكتابة المشاهدة بحث علمى كامل‬
‫العلم هو تنمية التفكير الفرضى االستنتاجى‬
‫‪43‬‬
‫‪ -1‬العلم المؤسسية‬
‫‪ -2‬العلم األيديولوجية‬
‫‪ -3‬العلم التجارى‬
‫‪ -4‬العلم الجبانة‬
‫‪ -5‬العلم الشكل‬
‫‪ -6‬العلم السلطة‬
‫‪ -7‬العلم الضالل‬
‫‪44‬‬
‫‪ -1‬العلم النفع‬
‫‪ -2‬العلم الزمن (التاريخ)‬
‫‪ -3‬العلم التطور‬
‫‪ -4‬العلم صراع البقاء‬
‫‪ -5‬العلم اإليمان (وليس المؤسسة الدينية)‬
‫‪45‬‬
The Dao of Neuroscience" C. Alexander
Simpkins & Annellen M. Simpkins. 2010
46
Kinds of Minds Towards Understanding of
Consciousness Daniel C. Dennet. 1996
47
The Neuroscience of Psychotherapy Building and Rebuilding
the Human Brain" Edited by: Louis Cozolino, Ph.D.
48
Copyright: 2002
The Evolution of the
Emotion-Processing Mind
and
Mental
Darwinism"
Edited by: Robert Langs
Copyright: 1996
49
The long evolution of brains and minds, Gerhard
Roth, New York, 2013
50
Quantum consciousness,
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‫تحرير العلم‬
‫ضالل العلم‬
http://www.youtube.com/watch?v=R2jvhhGS7HQ#t=27
http://http://www.youtube.com/watch?v=ktzgzd2rEc0
52
The Extended Mind