Kirsch Michael, Mertens Wolfgang
Institute of Physiological Chemistry, University Hospital Essen, Essen, Germany.
Division of Clinical Psychology and Psychotherapy, Department of Psychology, Faculty of Psychology and Educational Sciences, Ludwig Maximilian University of Munich, Munich, Germany.
Front Psychol. 2018 May 3;9:616. doi: 10.3389/fpsyg.2018.00616. eCollection 2018.
Doubters of Freud's theory of drives frequently mentioned that his approach is outdated and therefore cannot be useful for solving current problems in patients with mental disorders. At present, many scientists believe that affects rather than drives are of utmost importance for the emotional life and the theoretical framework of affective neuroscience, developed by Panksepp, strongly underpinned this view. Panksepp evaluated seven so-called command systems and the SEEKING system is therein of central importance. Panksepp used Pankseppian drives as inputs for the SEEKING system but noted the missing explanation of drive-specific generation of SEEKING activities in his description. Drive specificity requires dual action of the drive: the activation of a drive-specific brain area and the release of the neurotransmitter dopamine. Noticeably, as Freud claimed drive specificity too, it was here analyzed whether a Freudian drive can evoke the generation of drive-specific SEEKING activities. Special importance was addressed to the imperative motor factor in Freud's drive theory because Panksepp's formulations focused on neural pathways without specifying underlying neurotransmitter/endocrine factors impelling motor activity. As Panksepp claimed sleep as a Pankseppian drive, we firstly had to classified sleep as a Freudian drive by using three evaluated criteria for a Freudian drive. After that it was possible to identify the imperative motor factors of hunger, thirst, sex, and sleep. Most importantly, all of these imperative motor factors can both activate a drive-specific brain area and release dopamine from dopaminergic neurons, i.e., they can achieve the so-called drive specificity. Surprisingly, an impaired Freudian drive can alter via endocrinological pathways the concentration of the imperative motor factor of a second Freudian drive, obviously in some independence to the level of the metabolic deficit, thereby offering the possibility to modulate the generation of SEEKING activities of this second Freudian drive. This novel possibility might help to refine the general understanding of the action of Freudian drives. As only imperative motor factors of Freudian drives can guarantee drive specificity for the generation of SEEKING activities, the impact of Freud's construct (with its constituents hunger, thirst, sex, and sleep) should be revisited.
弗洛伊德驱力理论的怀疑者经常提到,他的方法已经过时,因此对解决当前精神障碍患者的问题毫无用处。目前,许多科学家认为情感而非驱力对情感生活至关重要,而潘克塞普发展的情感神经科学理论框架有力地支持了这一观点。潘克塞普评估了七个所谓的指令系统,其中寻求系统至关重要。潘克塞普将潘克塞普式驱力用作寻求系统的输入,但在他的描述中指出了对寻求活动的驱力特异性产生缺乏解释。驱力特异性需要驱力的双重作用:激活特定驱力的脑区和释放神经递质多巴胺。值得注意的是,由于弗洛伊德也声称有驱力特异性,因此在此分析了弗洛伊德式驱力是否能引发特定驱力的寻求活动的产生。特别强调了弗洛伊德驱力理论中的强制性运动因素,因为潘克塞普的表述侧重于神经通路,而没有具体说明推动运动活动的潜在神经递质/内分泌因素。由于潘克塞普将睡眠称为潘克塞普式驱力,我们首先必须通过使用针对弗洛伊德式驱力评估的三个标准,将睡眠归类为弗洛伊德式驱力。之后,就有可能确定饥饿、口渴、性和睡眠的强制性运动因素。最重要的是,所有这些强制性运动因素都既能激活特定驱力的脑区,又能从多巴胺能神经元释放多巴胺,即它们可以实现所谓的驱力特异性。令人惊讶的是,受损的弗洛伊德式驱力可以通过内分泌途径改变第二种弗洛伊德式驱力的强制性运动因素的浓度,显然在一定程度上独立于代谢缺陷的水平,从而为调节第二种弗洛伊德式驱力的寻求活动的产生提供了可能性。这种新的可能性可能有助于完善对弗洛伊德式驱力作用的总体理解。由于只有弗洛伊德式驱力的强制性运动因素才能保证寻求活动产生的驱力特异性,因此应该重新审视弗洛伊德的概念(及其组成部分饥饿、口渴、性和睡眠)的影响。