The medical study of the mind long ago went a cosmic split between psychiatry and neurology, between higher function and the unknown and lower function and relatively understood.
Psychiatry and study of the mind has traditionally taken in the “whole person” and more abstract theories of thought, mood, behavior. Neurology, OTOH, is very mechanistic, rooted in basic science, medicine, and physiology. It clearly focuses on the Brain and its function, normal versus pathology. Today there is a strong tendency to wipe this distinction away and rejoin the disciplines, and for some good reasons.
After all conditions like Schizophrenia and Alzheimer dementia, for example, are clearly organic syndromes and it would seem the scientific, bench research, mechanistic approach will lend itself well to finding treatment for them, vastly improving the lives of those suffering from them.
It seems to me that the medical model definitely has its limits. I find a chasm between the thought between theory of mind and theory of brain. People who want to be able to explain everything are trying desperately to bridge this cliff and are in danger of falling off.
The mechanistic, science wing of the argument desperately wants to believe we can understand everything about the brain and come to a naturalistic explanation of consciousness, behavior and humanity.
The Mind camp thinks this simply isn’t possible or even desirable. What happens to our vision of life and consciousness when we become a machine, with predictable function. Are we our brain?
One of my all time favorite movies was Phenomenon with John Travolta. This argument is delineated well within. Travolta is afflicted with a brain tumor which cause incredible augmentation in brain function, with new ideas, thoughts, and solutions springing forward with frenetic pace.
Once diagnosed a neurosurgeon asks to perform open surgery not to extend his life but to understand the mechanism or what has happened. He states that in a sense he would become Travolta’s biographer. Travolta responds “but that’s not me it’s just my brain.” Travolta responds by wanting to share all his ideas, leaving his own mark on all of us stating “that’s the journey, that’s the challenge.”
As a Scientologist, I am sure Travolta would reject psychiatry quite strongly. I disagree with this POV as well. Medicine and the mind clearly have a place. I have seen medical treatment of these conditions make a huge difference in other’s lives.
Perhaps psychiatry and psychology are more where the mind/brain split occurs, pitting medicine against social science. Psychiatry and medicine in my experience only works when used in tandem with the psychology and mind part of the equation. In the end, I believe the split is artificial, not because our brain is our consciousness but because our brain is only part of ourselves, call me holistic.
While my professional interest tends to the brain camp, seeking the “how” of the most fascinating organ in the human body, I have to say I am firmly rooted in the mind camp. I do not believe we will ever understand ourselves by knowing cellular mechanisms and circuitry.
Science has always been poor with the “why” part of the equation and I believe will continue to be. I think there is value in see people as people, individuals, in understanding drives and desires, in short I think there is much more to being human than the brain. How do we build a relationship with or connect with a brain. I feel most patients, most people do not want to be seen this way.
I also think that a tendency to see people as a brain could have some frightening dehumanizing consequences but that is a subject for another day.
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January 11, 2008 at 5:01 pm
David Littlefield
Doc:
With my amateur take on things, I am sure I am getting in way over my head by engaging you, but I wonder if you have seen, and what you think of:
1.) My post on mental health: Mysticism
2.) The ideas put forward by Dr. Sanford Drob: Drob
I look forward to more of your posts.
-David Littlefield
January 11, 2008 at 5:30 pm
Doc
Mental Illness is a complex subject I fully intend to delve into with this blog in future posts. You wrote…
Mental illness results from a person’s inability to reconcile (an-one-ment) two or more, real or perceived, facts of reality. The gospel contains the tools necessary for people to see the truth and reconcile themselves to it. Forgiveness and repentance are the stuff of mental and spiritual health.
The short answer is while I concur fully and completely with the last sentence, I think the first part of the equation is an astute but incomplete explanation of cause.
January 11, 2008 at 9:59 pm
Doc
Wow, I just read through some of Dr Drob’s stuff. I agree one hundred percent, Thanks for the link. It seems there are so many ways of understanding humanity that work well within their sphere but are distorting taken beyond what they are good for, leading to a life out of balance when an end unto themselves. This abstract is fascinating.
It reminds me a lot of the Speaking of Faith interview with Mehmet Oz where he speaks about the Swedenborgian point of view about how two mutually exclusive ideas can be both true in their spheres. I am absolutely a believer in his fusion of Eastern and Western Medicine to get the best of both Worlds. This framework seems absolutely necessary to take in all of psychiatry, neurology, and psychology. I have seen how this line of thinking drives certain of my peers, who want everything to fit into one neat system of understanding, absolutely bonkers.
January 12, 2008 at 10:48 pm
David Littlefield
Doc:
I really like Dr. Drob. I quote him several times in my most recent book. I don’t agree with everything he says, but I really enjoy his insights.
and I look forward to reading more off your insights, this is a great topic.
-David
January 24, 2008 at 3:06 pm
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February 14, 2008 at 1:33 pm
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[…] free will as an illusion. As I have stated before many neuroscientists are seeking to unlock the mystery of the brain and explain away consciousness. Others are convinced that we have evolved logic and can now […]
April 21, 2008 at 6:24 pm
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[…] I submit that the mystery is in fact, our spirit, free will, or the part of us that makes us us. It may not be proven, but like gravity to the laws of motion, in spite of our inability to understand the mechanics, it must exist because nothing else makes sense without it, to my thinking anyway, and probably for most non-neuroscientists as well. It is the seductive power of explanation and reductionism that lie behind the occupational hazard of seeing man as machine, or mind as simply matter. […]