Frisch Stefan
Department of Geriatric Psychiatry, Psychosomatic Medicine, and Psychotherapy, Pfalzklinikum, Klingenmünster, Germany.
Institute of Psychology, Goethe University, Frankfurt am Main, Germany.
Psychiatry Investig. 2021 Dec;18(12):1145-1148. doi: 10.30773/pi.2021.0258. Epub 2021 Dec 8.
It is increasingly recognized that neuroscience has not delivered the revolutionary clinical possibilities for psychiatry that had been promised. Explanations differ, however: some proponents emphasize the divide between biopsychosocial psychiatry and mechanistic neurology. Others rely on further basic experimental neuroscience as only the most elementary level of explanation will allow us to fully understand and treat mental disorders. From a clinical-neuropsychological perspective, I shall argue that both views are mistaken. Diagnosis and treatment of neurological diseases demands a biopsychosocial perspective similar to psychiatry. Acknowledging this might help to bring both disciplines together and improve clinical outcome.
人们越来越认识到，神经科学并未带来曾被承诺的精神病学方面具有变革性的临床可能性。然而，解释各不相同：一些支持者强调生物心理社会精神病学与机械主义神经病学之间的分歧。另一些人则依赖进一步的基础实验神经科学，因为只有最基本的解释层面才能让我们充分理解和治疗精神障碍。从临床神经心理学的角度来看，我认为这两种观点都是错误的。神经系统疾病的诊断和治疗需要与精神病学类似的生物心理社会视角。认识到这一点可能有助于将这两个学科结合起来并改善临床结果。
