Neuropsychotherapy : How the Neurosciences Inform Effective Psychotherapy

by
Edition: 1st
Format: Hardcover
Pub. Date: 2006-08-17
Publisher(s): Lawrence Erlbau
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Summary

Neuropsychotherapyis intended to inspire further development and continual empirical updating of consistency theory. It is essential for psychotherapists, psychotherapy researchers, clinical psychologists, psychiatrists, neuroscientists, and mental-health professionals. Profoundly important and innovative, this volumeprovides necessary know-how for professionals as it connects the findings of modern neuroscience to the insights of psychotherapy. Throughout the book, a new picture unfolds of the empirical grounds of effective psychotherapeutic work. Author Klaus Grawe articulates a comprehensive model of psychological functioningconsistency theoryand bridges the gap between the neurosciences and the understanding of psychological disorders and their treatment. Neuropsychotherapyillustrates that psychotherapy can be even more effective when it is grounded in a neuroscientific approach. Cutting across disciplines that are characteristically disparate, the book identifies the neural foundations of various disorders, suggests specific psychotherapeutic conclusions, and makes neuroscientific knowledge more accessible to psychotherapists. The book's discussion of consistency theory reveals the model is firmly connected to other psychological theoretical approaches, from control theory to cognitive-behavioral models to basic need theories.

Table of Contents

Series Forewordp. ix
Forewordp. xi
Prefacep. xv
Preface for the English Translationp. xix
Acknowledgmentsp. xxiii
Introductionp. 1
The insights gained in the neurosciences are relevant for each of usp. 1
Brain, psychotherapy, and psychopharmacologyp. 3
Neuroscience and psychotherapyp. 8
What is meant by the term neuropsychotherapy?p. 12
How might neuropsychotherapy look in concrete clinical practice?p. 14
Structure of the bookp. 23
What Psychotherapists Should Know About the Brainp. 29
The brain: The epitome of complexityp. 29
What exactly happens during the transmission of activation potentials between neurons?p. 32
The biochemical processes transpiring at the synapses and within neuronsp. 35
Implications for psychotherapyp. 40
Is it reductionist to relate mental processes to their neural basis?p. 42
Neural activity transpires in patterns of activation and inhibitionp. 44
How do neural activation patterns originate?p. 48
Neural activation patterns on the basis of cell hierarchiesp. 48
Binding together of neural activation patterns via synchronizationp. 50
The neural constitution of perceptual unitsp. 52
Neural circuitsp. 54
The formation of new memory contentsp. 57
Being captivated by musicp. 67
Love-related feelingsp. 73
Anxietyp. 75
The amygdala as the anxiety centerp. 75
The conditioning of fear reactionsp. 79
Anxiety as a feelingp. 82
Can anxiety be extinguished?p. 86
Conclusions for psychotherapyp. 90
Intentional actionp. 92
The neural representation of goal hierarchiesp. 94
The neural circuits for the implementation of actionsp. 99
Consciousness from a neural perspectivep. 101
Acts of will from a neural perspectivep. 104
Explicit and implicit mental processesp. 106
Conclusions for psychotherapyp. 108
Covariation of neural and mental activityp. 112
Neural plasticityp. 114
Conclusions for psychotherapyp. 121
Neural Correlates of Mental Disordersp. 125
What can be said today about the neural correlates of mental disorders?p. 125
Neural correlates of depressionp. 132
What is the role of the prefrontal cortex in depression?p. 128
The role of the anterior cingulate cortex (ACC) in depressionp. 132
What about the hippocampus in depressed individuals?p. 134
What role does the amygdala play in depression?p. 136
Evaluation and conclusions for psychotherapyp. 137
Neural correlates of posttraumatic stress disorder (PTSD)p. 141
Neural correlates of generalized anxiety disorderp. 148
Neural correlates of panic disorderp. 151
Neural correlates of obsessive-compulsive disorderp. 154
What psychotherapeutic conclusions can be drawn from the neuroscientific research on mental disorders?p. 159
Need Fulfillment and Mental Healthp. 165
Basic human needsp. 165
Consistency regulation as a basic principle of mental functioningp. 168
Basic needs, consistency regulation, motivational schemas, and incongruencep. 169
The attachment needp. 174
From attachment need to attachment stylesp. 174
Neurobiology of the attachment needp. 177
Violations of the need for attachment and their consequences for mental healthp. 186
How are insecure attachment styles formed?p. 186
What influence does a person's attachment style exert on his or her well-being in early and middle childhood?p. 188
What influence does a person's attachment style exert on the development of mental disorders in adulthood?p. 191
Conclusions for psychotherapy with the example of depressionp. 198
The need for orientation and controlp. 211
Control processes permeate all mental functioningp. 211
Controllable and uncontrollable incongruencep. 216
Consequences of controllable incongruencep. 220
Consequences of uncontrollable incongruencep. 224
The need for self-esteem enhancement and self-esteem protectionp. 230
The need for self-esteem enhancement as a specifically human needp. 230
Is there really a general tendency to self-esteem enhancement and self-esteem protection?p. 231
Self-esteem enhancement and mental healthp. 237
The need for pleasure maximization and distress avoidancep. 240
The good-bad evaluation: A continuously active monitor of mental activityp. 240
Functional relations between good-bad evaluations and approach-avoidancep. 245
Approach and avoidance as two independent motivational systemsp. 248
The development of motivational goalsp. 252
The functional significance of approach and avoidance goalsp. 257
Neural mechanisms of approach and avoidance learningp. 268
Beyond the pleasure principlep. 280
Consistency and consistency regulationp. 283
Forms of inconsistency in mental functioningp. 283
Neural mechanisms for ensuring consistency continuityp. 290
Inconsistency reduction as the engine of mental developmentp. 297
Inconsistency and mental healthp. 304
Continuous dissonance undermines physical healthp. 305
Negative consequences of motivational inconsistencyp. 309
Incongruence and mental healthp. 317
The development of mental disorders from a lifetime developmental perspectivep. 329
Development of disorder foundationsp. 329
The significance of early childhood life experiencesp. 329
Conclusions for psychotherapyp. 334
From early childhood into adulthoodp. 337
The onset of mental disorders during times of heightened inconsistencyp. 340
Implications for Psychotherapyp. 349
Mental disorders result from unsuccessful inconsistency regulationp. 350
Psychotherapy works via consistency improvementp. 353
The most important options for enhancing consistency via psychotherapyp. 356
Improving consistency via disorderoriented treatmentp. 356
Consistency improvements via experiences in the therapy processp. 358
Consistency improvements via the treatment of individual sources of incongruencep. 386
Consistency improvements via changes in neural structures?p. 395
Implications for an effectiveness-optimized psychotherapyp. 396
Neural mechanisms of therapeutic changesp. 399
Changes via inhibition of neural excitabilityp. 399
Changes via activation of existing and facilitation of new neural activation patternsp. 405
Guidelines for therapy practicep. 409
Guidelines for therapy planningp. 410
Guidelines for the therapy processp. 410
Summary and Future Prospectsp. 417
Referencesp. 425
Author Indexp. 457
Subject Indexp. 471
Table of Contents provided by Ingram. All Rights Reserved.

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