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The Varieties of Human Experience

Published online by Cambridge University Press:  02 January 2018

John C. Nemiah*
Affiliation:
Dartmouth Medical School, Emeritus, Harvard Medical School
*
4 Ray ton Road, Hanover, NH 03755, USA

Abstract

The basic unit of study for psychiatric investigation is the individual human being in interaction with the environment. The psychological understanding of human biography provided by psychodynamic observation is now being supplemented by knowledge derived from phenomenological and neurobiological research. Phenomenology and neurobiology are at present primarily concerned with detecting correlations between clinical syndromes and pathological brain states; they are static rather than dynamic in approach. However, currently emerging techniques of brain imaging aimed at elucidating neurophysiological processes provide the basis for going beyond structural neuropathology to neuropathophysiology. It is suggested that the observations derived from the psychodynamic study of patients constitute markers of underlying brain function, and that the future investigation of psychiatric illness must include a correlative study of both psychodynamic and neurobiological processes.

Type
Lecture
Copyright
Copyright © Royal College of Psychiatrists, 1989 

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Footnotes

The Adolf Meyer Lecture, presented at the 1988 Annual Meeting of the American Psychiatric Association in Montreal, Quebec.

References

American Psychiatric Association (1952) Diagnostic and Statistical Manual of Mental Disorders (1st edn). Washington, DC: APA.Google Scholar
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM–III). Washington, DC: APA.Google Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised) (DSM–III-R). Washington, DC: APA.Google Scholar
Cobb, S. (1941) Foundations of Neuropsychiatry. Baltimore: Williams & Wilkins.Google Scholar
Engel, G. L. (1977) The need for a new medical model: a challenge for biomedicine. Science, 196, 129136.Google Scholar
Goodwin, D. W. & Guze, S. B. (1984) Psychiatric Diagnosis (3rd edn). New York: Oxford University Press.Google Scholar
Jaskiw, G. E., Andreasen, N. C. & Weinberger, D. R. (1987) X-ray computed tomography and magnetic resonance imaging in psychiatry. In American Psychiatric Association Annual Review, vol. 6 (eds Hales, R. E. & Frances, A. J.), pp. 260299. Washington, DC: American Psychiatric Press.Google Scholar
Meyer, A. (1921) The contributions of psychiatry to the understanding of life problems. In (1948) The Commonsense Psychiatry of Dr Adolf Meyer (ed. Lief, A.), pp. 115. New York: McGraw-Hill.Google Scholar
Miller, J. G. (1978) Living Systems. New York: McGraw-Hill.Google Scholar
Morihisa, J. M. (1987) Functional brain imaging techniques. In American Psychiatric Association Annual Review, vol. 6 (eds Hales, R. E. & Frances, A. J.), pp. 300325. Washington, DC: American Psychiatric Press.Google Scholar
Nemiah, J. C. (1984) The unconscious and psychopathology. In The Unconscious Reconsidered (eds Bowers, K. S. & Meichenbaum, D.). New York: Wiley.Google Scholar
Rutter, M. (1986) Meyerian psychobiology, personality development, and the role of life experiences. American Journal of Psychiatry, 143, 10771087.Google Scholar
Sheehan, D. (1982) Panic attacks and phobias. New England Journal of Medicine, 307, 156158.Google Scholar
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