PSYCHIATRY IN THE BIO-PSYCHO-SOCIAL RESEARCH PARADIGM AS OPTION FOR ENDURING AND SUSTAINABLE CHANGE IN A TIME OF CHRONIC CRISIS.

Abstract

The prevalence of mental disorders and global burden of disease increases and need an integrated psychiatric treatment at the best point of service. Severe mental disorders have medical consequences and solid psychiatric interventions are necessary. Research is required to be conducted along the bio-psycho-social paradigm. Based on the dynamics of memory and mentalization theory this paper presents clinical and therapeutic considerations for change. Mentalization is influenced by patterns of parental rearing styles, attachment, and traumatic incidents. In psychoanalytic theory, unconscious memory contents are enacted in the patient-therapist relationship. This editorial gives a review and intends to bridge the gap between psychiatry, the neurosciences, psychoanalysis and other sciences concerned with the study and processing of memory and its associated psychological, cognitive, and affective functions. The role of memory and related abilities and factors affecting psychological functioning are outlined. Research findings on memory dynamics and vulnerability as well as insights that are relevant to bridge the gap to related sciences are highlighted. For treatment, a dynamic view of long-term memory with a plasticity of states of memories when they are reactivated is supported. For intervention technique, affect-related therapist-centered interpretations and a sound working through of such enacted states in the interpersonal environment of the treatment is essential.