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Drive, instinct, reflex—Applications to treatment of anxiety, depressive and addictive disorders

The neuropsychoanalytic approach solves important aspects of how to use our understanding of the brain to treat patients. We describe the neurobiology underlying motivation for healthy behaviors and psychopathology. We have updated Freud’s original concepts of drive and instinct using neuropsychoana...

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Autores principales: Johnson, Brian, Brand, David, Zimmerman, Edward, Kirsch, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9549915/
https://www.ncbi.nlm.nih.gov/pubmed/36225690
http://dx.doi.org/10.3389/fpsyg.2022.870415
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author Johnson, Brian
Brand, David
Zimmerman, Edward
Kirsch, Michael
author_facet Johnson, Brian
Brand, David
Zimmerman, Edward
Kirsch, Michael
author_sort Johnson, Brian
collection PubMed
description The neuropsychoanalytic approach solves important aspects of how to use our understanding of the brain to treat patients. We describe the neurobiology underlying motivation for healthy behaviors and psychopathology. We have updated Freud’s original concepts of drive and instinct using neuropsychoanalysis in a way that conserves his insights while adding information that is of use in clinical treatment. Drive (Trieb) is a pressure to act on an internal stimulus. It has a motivational energic source, an aim, an object, and is terminated by the satisfaction of a surge of serotonin. An instinct (Instinkt) is an inherited pattern of behavior that varies little from species to species. Drives are created by internal/ventral brain factors. Instincts require input from the outside that arrive through dorsal brain structures. In our model unpleasure is the experience of unsatisfied drives while pleasure if fueled by a propitious human environment. Motivational concepts can be used guide clinical work. Sometimes what had previously described psychoanalytically as, “Internal conflict,” can be characterized neurobiologically as conflicts between different motivational systems. These motivational systems inform treatment of anxiety and depression, addiction in general and specific problems of opioid use disorder. Our description of motivation in addictive illness shows that the term, “reward system,” is incorrect, eliminating a source of stigmatizing addiction by suggesting that it is hedonistic. Understanding that motivational systems that have both psychological and brain correlates can be a basis for treating various disorders. Over many papers the authors have described the biology of drives, instincts, unpleasure and pleasure. We will start with a summary of our work, then show its clinical application.
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spelling pubmed-95499152022-10-11 Drive, instinct, reflex—Applications to treatment of anxiety, depressive and addictive disorders Johnson, Brian Brand, David Zimmerman, Edward Kirsch, Michael Front Psychol Psychology The neuropsychoanalytic approach solves important aspects of how to use our understanding of the brain to treat patients. We describe the neurobiology underlying motivation for healthy behaviors and psychopathology. We have updated Freud’s original concepts of drive and instinct using neuropsychoanalysis in a way that conserves his insights while adding information that is of use in clinical treatment. Drive (Trieb) is a pressure to act on an internal stimulus. It has a motivational energic source, an aim, an object, and is terminated by the satisfaction of a surge of serotonin. An instinct (Instinkt) is an inherited pattern of behavior that varies little from species to species. Drives are created by internal/ventral brain factors. Instincts require input from the outside that arrive through dorsal brain structures. In our model unpleasure is the experience of unsatisfied drives while pleasure if fueled by a propitious human environment. Motivational concepts can be used guide clinical work. Sometimes what had previously described psychoanalytically as, “Internal conflict,” can be characterized neurobiologically as conflicts between different motivational systems. These motivational systems inform treatment of anxiety and depression, addiction in general and specific problems of opioid use disorder. Our description of motivation in addictive illness shows that the term, “reward system,” is incorrect, eliminating a source of stigmatizing addiction by suggesting that it is hedonistic. Understanding that motivational systems that have both psychological and brain correlates can be a basis for treating various disorders. Over many papers the authors have described the biology of drives, instincts, unpleasure and pleasure. We will start with a summary of our work, then show its clinical application. Frontiers Media S.A. 2022-09-26 /pmc/articles/PMC9549915/ /pubmed/36225690 http://dx.doi.org/10.3389/fpsyg.2022.870415 Text en Copyright © 2022 Johnson, Brand, Zimmerman and Kirsch. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Johnson, Brian
Brand, David
Zimmerman, Edward
Kirsch, Michael
Drive, instinct, reflex—Applications to treatment of anxiety, depressive and addictive disorders
title Drive, instinct, reflex—Applications to treatment of anxiety, depressive and addictive disorders
title_full Drive, instinct, reflex—Applications to treatment of anxiety, depressive and addictive disorders
title_fullStr Drive, instinct, reflex—Applications to treatment of anxiety, depressive and addictive disorders
title_full_unstemmed Drive, instinct, reflex—Applications to treatment of anxiety, depressive and addictive disorders
title_short Drive, instinct, reflex—Applications to treatment of anxiety, depressive and addictive disorders
title_sort drive, instinct, reflex—applications to treatment of anxiety, depressive and addictive disorders
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9549915/
https://www.ncbi.nlm.nih.gov/pubmed/36225690
http://dx.doi.org/10.3389/fpsyg.2022.870415
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