Mehta Urvakhsh Meherwan
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Indian J Psychiatry. 2020 Sep-Oct;62(5):470-480. doi: 10.4103/psychiatry.IndianJPsychiatry_550_20. Epub 2020 Oct 10.
Psychotic disorders form the core of severe mental illnesses and contribute to substantial disability and health-care costs worldwide. A growing research framework to understand and treat psychotic symptoms using a transdiagnostic paradigm is the social brain perspective of psychoses. The theme of my oration is to highlight how the growing knowledge of evolutionarily preserved social brain networks can help integrate social contextual, psychological, and neurobiological aspects of the genesis of psychotic symptoms and use that knowledge in a translational manner to identify potential therapeutic avenues that extend beyond conventional treatments. The concepts and empirical study of social cognition, social brain (e.g., mirror neuron system), social behaviors (e.g., symptoms and real-world functioning) are illustrated. These give insights into potential newer therapies with brain stimulation, oxytocin, and yoga.
精神障碍构成了严重精神疾病的核心,并在全球范围内导致了大量残疾和医疗保健成本。一个日益发展的用于理解和治疗精神症状的跨诊断范式研究框架是精神病的社会脑视角。我的演讲主题是强调,对进化上保留的社会脑网络的不断增长的认识如何有助于整合精神症状发生的社会背景、心理和神经生物学方面,并以转化的方式利用这些知识来确定超越传统治疗的潜在治疗途径。文中阐述了社会认知、社会脑(如镜像神经元系统)、社会行为(如症状和现实世界功能)的概念及实证研究。这些为脑刺激、催产素和瑜伽等潜在的新疗法提供了见解。