Psychiatria Danubina, Vol. 35 No. 3, 2023.
Editorial
https://doi.org/10.24869/psyd.2023.295
PSYCHIATRY IN THE BIO-PSYCHO-SOCIAL RESEARCH PARADIGM AS OPTION FOR ENDURING AND SUSTAINABLE CHANGE IN A TIME OF CHRONIC CRISIS
Henriette Löffler-Stastka
; Department of Psychoanalysis and Psychotherapy, Medical University of Vienna, 1090 Vienna, Austria. ; Donauländischer Verein für Psychiatrie und ihre Grenzgebiete / Danubian Psychiatric Association, Österreich
Abstract
Background: The prevalence of mental disorders and global burden of disease increases and need an integrated psychiatric
treatment at the best point of service. Severe mental disorders have medical consequences and solid psychiatric interventions are necessary.
Research is required to be conducted along the bio-psycho-social paradigm.
Aim: Based on the dynamics of memory and mentalization theory this paper presents clinical and therapeutic considerations for
change.
Results: Mentalization is influenced by patterns of parental rearing styles, attachment, and traumatic incidents. In psychoanalytic
theory, unconscious memory contents are enacted in the patient-therapist relationship. This editorial gives a review and intends
to bridge the gap between psychiatry, the neurosciences, psychoanalysis and other sciences concerned with the study and processing
of memory and its associated psychological, cognitive, and affective functions. The role of memory and related abilities and factors
affecting psychological functioning are outlined. Research findings on memory dynamics and vulnerability as well as insights that are
relevant to bridge the gap to related sciences are highlighted.
Conclusions: For treatment, a dynamic view of long-term memory with a plasticity of states of memories when they are reactivated
is supported. For intervention technique, affect-related therapist-centered interpretations and a sound working through of such
enacted states in the interpersonal environment of the treatment is essential.
Keywords
memory; vulnerability; self-definition; brain plasticity; psychodynamic intervention
Hrčak ID:
310639
URI
Publication date:
25.10.2023.
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