McLaren N
Northern Psychiatric Services, Sanderson, Australia.
Med Hypotheses. 2006;66(6):1165-73. doi: 10.1016/j.mehy.2005.12.023. Epub 2006 Feb 3.
With the collapse of the psychoanalytic and the behaviorist models, and the failure of reductive biologism to account for mental life, psychiatry has been searching for a broad, integrative theory on which to base daily practice. The most recent attempt at such a model, Engel's 'biopsychosocial model', has been shown to be devoid of any scientific content, meaning that psychiatry, alone among the medical disciplines, has no recognised scientific basis. It is no coincidence that psychiatry is constantly under attack from all quarters. In order to develop, the discipline requires an integrative and interactive model which can take account of both the mental and the physical dimensions of human life, yet still remain within the materialist scientific ethos. This paper proposes an entirely new model of mind based in Chalmers' 'interactive dualism' which satisfies those needs. It attributes the causation of all behaviour to mental life, but proposes a split in the nature of mentality such that mind becomes a composite function with two, profoundly different aspects. Causation is assigned to a fast, inaccessible cognitive realm operating within the brain machinery while conscious experience is seen as the outcome of a higher order level of brain processing. The particular value of this model is that it immediately offers a practical solution to the mind-brain problem in that, while all information-processing takes place in the mental realm, it is not in the same order of abstraction as perception. This leads to a model of rational interaction which acknowledges both psyche and soma. It can fill the gap left by the demise of Engel's empty 'biopsychosocial model'.
随着精神分析模型和行为主义模型的瓦解,以及还原论生物主义在解释精神生活方面的失败,精神病学一直在寻找一种广泛的、综合性的理论来作为日常实践的基础。最近对这样一种模型的尝试,即恩格尔的“生物心理社会模型”,已被证明缺乏任何科学内容,这意味着精神病学在所有医学学科中独树一帜,没有公认的科学基础。精神病学不断受到各方攻击并非巧合。为了发展,该学科需要一个综合的、交互式的模型,既能考虑人类生活的精神维度和身体维度,又能保持在唯物主义科学思潮的范围内。本文提出了一种基于查尔默斯“交互式二元论”的全新心智模型,该模型满足了这些需求。它将所有行为的因果关系归因于精神生活,但提出了心智本质上的一种分裂,使心智成为一个具有两个截然不同方面的复合功能。因果关系被归因于大脑机制内运行的一个快速的、无法触及的认知领域,而有意识的体验则被视为大脑更高层次处理的结果。这个模型的特殊价值在于,它立即为心身问题提供了一个实际的解决方案,即虽然所有信息处理都发生在精神领域,但它与感知不在同一抽象层次上。这导致了一种承认心理和身体的理性交互模型。它可以填补恩格尔空洞的“生物心理社会模型”消亡后留下的空白。