Autorzy przedstawiają przykłady badań neuroscience związanych z przebiegiem
poszczególnych zaburzeń psychicznych. Na ich podstawie stawiają pytania co do możliwości wychwytu zmian w przebiegu psychoterapii schizofrenii, biorąc p od uwagę je j złożoność i niejednorodność.
abstract in English:
Neuroscientific researches explaining the effectiveness of psychotherapy
went in three directions. The first, basing on a theory of memory explicit (declarative
memory, consciousness) and implicit (non-declarative memory, unconsciousness) aims
at the reinterpretation of the mechanisms of psychotherapy. This method is useful in
analyzing effects of cognitive psychotherapy but also psychoanalytic orientated psychotherapy
which is basing on interpretations and insight.
The second current in such research is connected with the possibility neuroimaging
gives to evaluate changes occurring in the course of therapy. According to this method it
is possible to show biological mechanisms of therapeutic alliance or reduction of basic
fear. The third and last direction investigates changes in metabolism of neural cells in
the brain under the influence o f pharmacotherapy and psychotherapy. Results of these
investigations are particularly interesting showing more specifically changes in the
course of psychotherapy rather than pharmacotherapy of depressive disorder. Most of
the investigations concern depressive or obsessive - compulsive disorder because of
a high homogeneity of these disorders. In schizophrenia, which in contradistinction to
them is quite a heterogeneous one, it is difficult to construct a useful scientific design.
But the possibility which neuroscience offers to explain the effects of psychotherapy
is still nonetheless present.
keywords in English:
schizophrenia, neuroscience
affiliation:
Wydział Lekarski : Zakład Psychiatrii Środowiskowej