Chamberlin D Eric
Chamberlin Applied Neuroscience, Glastonbury, CT, United States.
Front Hum Neurosci. 2023 Jan 4;16:955558. doi: 10.3389/fnhum.2022.955558. eCollection 2022.
Coherence Therapy is an empirically derived experiential psychotherapy based on Psychological Constructivism. Symptoms are viewed as necessary output from an implicit model of the world. The therapist curates experiences and directs attention toward discovering the model. Rendered explicit, the model is juxtaposed with contradictory knowledge driving memory re-consolidation with resolution of the symptom. The Bayesian Brain views perception and action as inferential processes. Prior beliefs are combined in a generative model to explain the hidden causes of sensations through a process of Active Inference. Prior beliefs that are poor fits to the real world are suboptimal. Suboptimal priors with optimal inference produce Bayes Optimal Pathology with behavioral symptoms. The Active Inference Model of Coherence Therapy posits that Coherence Therapy is a dyadic act of therapist guided Active Inference that renders the (probable) hidden causes of a client's behavior conscious. The therapist's sustained attention on the goal of inference helps to overcome memory control bias against retrieval of the affectively charged suboptimal prior. Serial experiences cue memory retrieval and re-instantiation of the physiological/affective state that necessitates production of the symptom in a particular context. As this process continues there is a break in modularity with assimilation into broader networks of experience. Typically, the symptom produced by optimal inference with the suboptimal prior is experienced as unnecessary/inappropriate when taken out of the particular context. The implicit construct has been re-represented and rendered consciously accessible, by a more complex but more accurate model in which the symptom is necessary in some contexts but not others. There is an experience of agency and control in symptom creation, accompanied by the spontaneous production of context appropriate behavior. The capacity for inference has been restored. The Active Inference Model of Coherence Therapy provides a framework for Coherence Therapy as a computational process which can serve as the basis for new therapeutic interventions and experimental designs integrating biological, cognitive, behavioral, and environmental factors.
连贯疗法是一种基于心理建构主义的经验性体验心理疗法。症状被视为世界隐性模型的必要输出。治疗师精心策划体验，并引导注意力去发现该模型。当该模型变得明确后，会与矛盾知识并列，通过症状的解决推动记忆的记忆的记忆重新巩固。贝叶斯大脑将感知和行动视为推理过程。先验信念在生成模型中结合，通过主动推理过程来解释感觉的隐藏原因。与现实世界不太匹配的先验信念是次优的。具有最优推理的次优先验会产生带有行为症状的贝叶斯最优病理学。连贯疗法的主动推理模型认为，连贯疗法是治疗师引导的主动推理的二元行为，使客户行为的（可能的）隐藏原因变得有意识。治疗师对推理目标的持续关注有助于克服对检索充满情感的次优先验的记忆控制偏差。一系列体验提示记忆检索以及生理/情感状态的重新实例化，而这种状态需要在特定情境中产生症状。随着这个过程的持续，会出现模块性的突破，并融入更广泛的经验网络。通常，由次优先验的最优推理产生的症状，在脱离特定情境时会被认为是不必要的/不适当的。隐性结构已被更复杂但更准确的模型重新表征并使其有意识地可及，在这个模型中，症状在某些情境中是必要的，而在其他情境中则不是。在症状产生过程中有能动性和控制感，同时伴随着与情境相适应行为的自发产生。推理能力已经恢复。连贯疗法的主动推理模型为连贯疗法提供了一个作为计算过程的框架，该框架可作为整合生物、认知、行为和环境因素的新治疗干预和实验设计的基础。
