Mancini Francesco, Mancini Alessandra, Castelfranchi Cristiano
Schools of Cognitive Psychotherapy (APC-SPC), Rome, Italy.
Department of Psychology, Telematic University of Rome "Guglielmo Marconi", Rome, Italy.
Front Psychiatry. 2022 Sep 30;13:889698. doi: 10.3389/fpsyt.2022.889698. eCollection 2022.
In this article we criticize the thesis "The diseases we treat are diseases of the brain". A first criticism is against the eliminativist perspective and in favor of a perspective that is still reductionist but emergentist and functionalist. In a second part, we try to answer the question "under which conditions can we consider this statement legitimate?". We argue that only those mental disorders whose neural substrate has clearly neuropathological characteristics, i.e., anomalies with respect to the laws of good neural functioning, can be considered "brain diseases." We propose that it is not sufficient to observe a simple difference between the brains of people with psychopathology, that is, with anomalies with respect to the laws of good psychological functioning, and that of people without psychopathology. Indeed, we believe it is a categorical error to postulate a neuropathology starting from a psychopathology. Finally, we summarize some research that shows how purely psychological interventions can reduce or eliminate the differences between the brains of people with or psychopathology and those of people without.
在本文中,我们批判“我们所治疗的疾病都是脑部疾病”这一论点。首先,我们反对取消主义观点,支持一种仍然是还原论但兼具突现论和功能主义的观点。在第二部分,我们试图回答“在哪些条件下我们可以认为这一说法是合理的?”这一问题。我们认为,只有那些神经基质具有明确神经病理学特征的精神障碍,即相对于良好神经功能规律而言的异常情况,才能被视为“脑部疾病”。我们提出,仅仅观察有精神病理学异常(即相对于良好心理功能规律而言的异常)的人与无精神病理学异常的人的大脑之间的简单差异是不够的。事实上,我们认为从精神病理学推断神经病理学是一种范畴错误。最后,我们总结了一些研究,这些研究表明纯粹的心理干预可以如何减少或消除有或无精神病理学异常的人的大脑之间的差异。