Saturday, November 14, 2020

Psychiatry has the wrong biology

Daniel Nicholson (who I’ve mentioned before eg. see previous post) has a paper on ‘Is the cell really a machine?'. As he says, "The conventional mechanical, reductionistic, and deterministic view is gradually giving way to an understanding of the cell that emphasizes its fluidity, plasticity, and stochasticity." Human cognition also needs to be understood in this dynamic, integrated, enactive way as it is embodied in the brain and the body more generally, and embedded in the environment, which is social and cultural, affording various possibilities of action to the person (see eg. previous post).

We need to move on from a mechanistic approach to life in general, including human life, to a more interpretative one (eg. see previous post). The advantage of seeing life as self-organising is that its plasticity is acknowledged without neglecting its ongoing stability (see another previous post). Cells and bodies are not well-defined structures but actually stabilised processes. What persists over time are their form not their matter. As David Nicholson says, “Cells are empirically revealing themselves to be inherently dynamic, self-organizing systems that respond stochastically and nonlinearly to environmental stimuli.” Cells and life in general are not determined spatiotemporal arrangements (see eg. previous post). 

Psychiatry needs to take on board this need for a more dynamic biology, not only for clinical practice but also for research (see eg. previous post). The physical disease model of mental illness is outdated because of progress in understanding not only in human cognition, but also more fundamentally about life processes (see another previous post). 

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