Integrating neuropsychoanalytic and neuropsychiatric perspectives into psychiatric clinical neuroscience curricula: a conceptual overview

Neuropsychoanalysis and neuropsychiatry, two rapidly advancing fields with a shared history in neurology, psychiatry, and psychoanalysis, offer valuable additions to clinical neuroscience curricula in psychiatry and can strengthen psychiatrists' psychotherapeutic training and practice. The article overviews key concepts including philosophy of mind, the neuroscientific basis of different levels of consciousness, affective neuroscience, and the brain's hierarchical network function. Case vignettes demonstrate how these concepts aid in understanding specific psychiatric presentations. The authors contend that these subspecialties have made important clinical and theoretical contributions that can inform an integrated pedagogical framework for clinical training and assist with bedside teaching, patient formulation, and psychoeducation.

Study at a glance

Abstract

Objectives: Neuropsychoanalysis and neuropsychiatry are two rapidly advancing fields that can provide valuable additions to a clinical neuroscience curriculum in psychiatry and strengthen psychiatrists' psychotherapeutic training and practice. Methods: This article provides an overview of key concepts of neuropsychoanalysis and neuropsychiatry, noting their common history in neurology, psychiatry and psychoanalysis. Several case vignettes are also provided to demonstrate how these concepts could be used to better understand specific psychiatric presentations. Results: Key concepts discussed include the shared history of neuropsychoanalysis and neuropsychiatry; philosophy of mind; the neuroscientific basis and function of different levels of consciousness; affective neuroscience; and the hierarchical network function of the brain. Conclusion: Neuropsychoanalysis and neuropsychiatry are subspecialties that have made important clinical and theoretical contributions to psychiatry. These insights could be used to inform the ongoing development of contemporary psychiatric clinical neuroscience curricula. Relevance to clinical practice: Psychiatrists can use this article to help with "bedside teaching" of junior staff, assist with patient formulation and psychoeducation, and ultimately inform an integrated pedagogical framework for the clinical training of psychiatrists.