Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-19T03:56:56.206Z Has data issue: false hasContentIssue false

9 - Commentary on Daniel S. Pine

from Section 3

Published online by Cambridge University Press:  02 April 2020

Kenneth S. Kendler
Affiliation:
Virginia Commonwealth University
Josef Parnas
Affiliation:
University of Copenhagen
Peter Zachar
Affiliation:
Auburn University, Montgomery
Get access

Summary

This commentary summarizes and critiques the main themes in Dr. Pine’s chapter, including how to approach psychiatry from a clinical neuroscientific perspective. The “two-system model” of LeDoux and Pine is the backdrop for Pine’s approach, a model that is also outlined and critiqued in this author’s main chapter in this volume. The two-system model rationalizes and facilitates a synergistic bottom-up more primitive “attentional” and top-down attentional “appraisal” methodology to clinical treatments of threat assessment and anxiety, the basic findings of which are also presented in this chapter. The activity of appraisal, however, clearly involves consciousness, which as Dr. Pine notes, is only in the early stages of being understood scientifically and even philosophically, though Pine notes that cognitive-behavioral therapy does involve consciousness. Some suggestions are offered concerning possibilities as well as difficulties of working with animal models to advance this aspect of Pine’s clinical neuroscientific approach.

Type
Chapter
Information
Levels of Analysis in Psychopathology
Cross-Disciplinary Perspectives
, pp. 114 - 124
Publisher: Cambridge University Press
Print publication year: 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Cyranoski, D. (2016) ‘Monkey kingdom.’ Nature 532(7599): 300302.Google Scholar
Dehaene, S. and Changeux, J. P. (2011) ‘Experimental and theoretical approaches to conscious processing.’ Neuron 70(2): 200227.Google Scholar
Dehaene, S., Charles, L., King, J. R. and Marti, S. (2014) ‘Toward a computational theory of conscious processing.’ Current Opinion in Neurobiology 25: 7684.CrossRefGoogle Scholar
Dehaene, S., Lau, H. and Kouider, S. (2017) ‘What is consciousness, and could machines have it?Science 358(6362): 486492.Google Scholar
Fanselow, M. S. and Pennington, Z. T. (2018) ‘A return to the psychiatric dark ages with a two-system framework for fear.’ Behaviour Research and Therapy 100: 2429.CrossRefGoogle Scholar
Fanselow, M. S. and Pennington, Z. T. (2017) ‘The danger of LeDoux and Pine’s two-system framework for fear.’ American Journal of Psychiatry 174(11): 11201121.CrossRefGoogle ScholarPubMed
Gordon, J. A. (2016) ‘On being a circuit psychiatrist.’ Nature Neuroscience 19(11): 13851386.CrossRefGoogle ScholarPubMed
Grimm, D. (2018) ‘Opening the lab door.’ Science 360(6396): 13921395.Google Scholar
Katsuki, F. and Constantinidis, C. (2014) ‘Bottom-up and top-down attention: Different processes and overlapping neural systems.’ Neuroscientist 20(5): 509521.CrossRefGoogle ScholarPubMed
LeDoux, J. E. and Brown, R. (2017) ‘A higher-order theory of emotional consciousness.’ Proceedings of the National Academy of Sciences of the United States of America 114(10): E2016E2025.Google ScholarPubMed
LeDoux, J. E. and Pine, D. S. (2016) ‘Using neuroscience to help understand fear and anxiety: A two-system framework.’ American Journal of Psychiatry 173(11): 10831093.CrossRefGoogle ScholarPubMed
Parnas, J. (2011) ‘A disappearing heritage: The clinical core of schizophrenia.’ Schizophrenia Bulletin 37(6): 11211130.Google Scholar
Parnas, J., Moller, P., Kircher, T., Thalbitzer, J., Jansson, L., Handest, P. and Zahavi, D. (2005) ‘EASE: Examination of anomalous self-experience.’ Psychopathology 38(5): 236258.Google Scholar
Pine, D. S. (2020) ‘Tackling hard problems: Neuroscience, treatment, and anxiety.’ In Levels of Analysis in Psychopathology: Cross-Disciplinary Perspectives, Kendler, K. S., Parnas, J. and Zachar, P. (eds.). New York: Cambridge University Press.Google Scholar
Pine, D. S. and LeDoux, J. E. (2017) ‘Elevating the role of subjective experience in the clinic: Response to Fanselow and Pennington.’ American Journal of Psychiatry 174(11): 11211122.CrossRefGoogle ScholarPubMed
Prinz, J. (2012). The conscious brain: How attention engenders experience. New York: Oxford University Press.Google Scholar
Schaffner, K. F. (2020) ‘Approaches to multi-level models of fear: The what, where, why, how, and how much?’ In Levels of Analysis in Psychopathology: Cross-Disciplinary Perspectives, Kendler, K. S., Parnas, J. and Zachar, P. (eds.). New York: Cambridge University Press.Google Scholar
van der Staay, F. J., Arndt, S. S. and Nordquist, R. E. (2009) ‘Evaluation of animal models of neurobehavioral disorders.’ Behavioral and Brain Functions 5: 11.Google Scholar
White, L. K., Sequeira, S., Britton, J. C., Brotman, M. A., Gold, A. L., Berman, E., Towbin, K., Abend, R., Fox, N. A., Bar-Haim, Y., Leibenluft, E. and Pine, D. S. (2017) ‘Complementary features of attention bias modification therapy and cognitive-behavioral therapy in pediatric anxiety disorders.’ American Journal of Psychiatry 174(8): 775784.Google Scholar
Wu, W. (2014) Attention. London; New York: Routledge.CrossRefGoogle ScholarPubMed
Zahavi, D. (2014) Self and Other: Exploring Subjectivity, Empathy, and Shame. New York: Oxford University Press.CrossRefGoogle Scholar
Zahavi, D. (2018) The Oxford Handbook of the History of Phenomenology. New York: Oxford University Press.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×