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Cognitive Neuroscience  and Cognitive Neuroscience  and Interpersonal NeurobiologyInterpersonal Neurobiology

Relation to Group TherapyRelation to Group Therapy From Practice to ScienceFrom Practice to Science

Prof. Dr.Yehia El-RakhawyProf. Dr.Yehia El-Rakhawy

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العصبى المعرفى العصبى العلم المعرفى العلمالبينشخصية البينشخصية والنيوروبيولوجيا والنيوروبيولوجيا

الجمعى العالج الجمعى العالقة العالج العالقةوليس ) العلم إلى الممارسة وليس ) من العلم إلى الممارسة من

العكس(العكس( . الرخاوى. يحيى د . أ الرخاوى. يحيى د أ

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Translational PsychiatryTranslational Psychiatry

explores the more translational area between the explores the more translational area between the

research in research in neuroscienceneuroscience and conceptually and conceptually

novelnovel treatments. treatments.The term translational can be characterized as:The term translational can be characterized as:

The process of obtaining benefit for patients by The process of obtaining benefit for patients by

converting scientific discoveriesconverting scientific discoveries from from

preclinicalpreclinical researchresearch

into into clinicalclinical applicationsapplications

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2( What of the 2( What of the Cognitive NeurosciencesCognitive Neurosciences they include? they include?

1( What is meant by 1( What is meant by NovelNovel??

???

3( What about 3( What about evolutionary sciencesevolutionary sciences??

related to related to growth orientedgrowth oriented therapy? therapy?

4( Are they included among neurosciences ? 4( Are they included among neurosciences ?

5( Where have we to start ? Preclinical or Clinical? 5( Where have we to start ? Preclinical or Clinical?

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The approach of translational psychiatry and The approach of translational psychiatry and molecular psychiatry is molecular psychiatry is looks to be looks to be contradictorycontradictory with : with :

1-1- The history of psychiatry The history of psychiatry

2- 2- The history of medicineThe history of medicine

3-3- The art of healing The art of healing

4-4- The Evolutionary approachThe Evolutionary approach

5-5- The Biorhythmic march of individual’s growth The Biorhythmic march of individual’s growth

6-6- The recent advances of The recent advances of cognitivecognitive neuroscience neuroscience

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Historically and practically:Historically and practically:

Medicine has been practiced Medicine has been practiced thousands of years before medical thousands of years before medical colleges appearedcolleges appearedMedicine has been always “the art Medicine has been always “the art of healing”of healing”The results of treatment have been The results of treatment have been always assessed impericallyalways assessed imperically

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Medicine deveops as an art of healing using Medicine deveops as an art of healing using all source and information including all source and information including

1- Scientefic information1- Scientefic information2- Interpersonal consciousness interactions2- Interpersonal consciousness interactions 3- Collective consciousness converging 3- Collective consciousness converging

powerpower4- Rehabilitation of brain, body and 4- Rehabilitation of brain, body and

environment by utilizin all available environment by utilizin all available resources including drugsresources including drugs

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became afraid to follow the same script of:

Instrumentation-Optimism-Frustration

Script in Psychiatric Research

Egypt. J. Psychiat. )1983( 6:171-173

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The evolutionary growth oriented therapy is The evolutionary growth oriented therapy is practicing psychiatry in terms ofpracticing psychiatry in terms of

Creative criticism of human textCreative criticism of human text )Taking both the patient and the therapist as )Taking both the patient and the therapist as available texts(available texts(

البشرى النص البشرى نقد النص نقديحتاج نص والمعالج المريض من كل يحتاج باعتبار نص والمعالج المريض من كل باعتبار

تشكيل إعادة تشكيل إلى إعادة إلى

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This is achieved neither by “’treatment by talk This is achieved neither by “’treatment by talk called “psychotherapy” neither treatment by called “psychotherapy” neither treatment by chemicals called “Psychopharmacology” but via: ofchemicals called “Psychopharmacology” but via: of

Inter-perpsonal ConscioussInter-perpsonal Consciouss&&

Collective ConsciousnessCollective Consciousness

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The Interpersonal Neurobiology of group Psychotherapy and Group Process” 2013

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!!!Two main topics are still as

vague and challenging as ever

EMOTIONS CONSCIOUSNES

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The nature and value of both The nature and value of both

“Consciousness” & Emotions”“Consciousness” & Emotions” are not amenable to traditional psychiatric are not amenable to traditional psychiatric researches. Never the less they the are the pillar researches. Never the less they the are the pillar of all psychiatric therapies.of all psychiatric therapies.

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How many How many psychiatries psychiatries

nowadays we know nowadays we know very little about?very little about?

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Computational psychiatryComputational psychiatry uses computational theories of cognition uses computational theories of cognition and neuroscience to bring together experts and neuroscience to bring together experts in neuroscience, psychiatry, decision in neuroscience, psychiatry, decision sciences and computational modeling to sciences and computational modeling to quantitatively define problems in quantitatively define problems in psychiatric disease.psychiatric disease.

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Orthomolecular psychiatryOrthomolecular psychiatry

is a mode of psychiatric care that is a mode of psychiatric care that attempts to understand, in a mutually attempts to understand, in a mutually collaborative manner, the deeper collaborative manner, the deeper meaning underlying a particular meaning underlying a particular patient's presenting problems.patient's presenting problems.

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Psychodynamic PsychiatryPsychodynamic Psychiatryis a new paradigm considering the potential role of an is a new paradigm considering the potential role of an integrated theory of brain and mind based on quantum integrated theory of brain and mind based on quantum mechanical concepts.mechanical concepts.- It is also related to:- It is also related to:- quantum consciousness- quantum consciousness- quantum psychology- quantum psychology- quantum physics- quantum physics-quantum matematichs-quantum matematichsand and - Mysticism- Mysticism

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Quantum Psychiatry Quantum Psychiatry is a new paradigm considering the potential role of an is a new paradigm considering the potential role of an integrated theory of brain and mind based on quantum integrated theory of brain and mind based on quantum mechanical concepts.mechanical concepts.- It is also related to:- It is also related to:- quantum consciousness- quantum consciousness- quantum psychology- quantum psychology - quantum physics- quantum physics-quantum matematichs-quantum matematichsand and - Mysticism- Mysticism

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Evolutionary psychiatry Evolutionary psychiatry

is proposed as a metais proposed as a meta--theory to integrate biological and theory to integrate biological and interpersonal aspects of psychopathology interpersonal aspects of psychopathology Symptomatology of psychiatric disorders is be better Symptomatology of psychiatric disorders is be better understood if divergent problems of adaptation for men understood if divergent problems of adaptation for men and women in human evolutionary history are taken and women in human evolutionary history are taken into account., it may rather be appropriate to provide a into account., it may rather be appropriate to provide a functional classification which adds to the functional classification which adds to the contemporary psychiatric nosologycontemporary psychiatric nosology

2020

Evolutionary PsychiatryEvolutionary Psychiatry

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Evolutionary Rhythmic Evolutionary Rhythmic PsychiatryPsychiatry

Starting from the basic concepts of Starting from the basic concepts of evolution along with the rhythmic pattern evolution along with the rhythmic pattern of all dimension of life utilizing of all dimension of life utilizing all all available meansavailable means to restore to restore harmonizingharmonizing life rhythmlife rhythm and and promoting humanpromoting human growthgrowth

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Evolutionary Rhythmic Evolutionary Rhythmic PsychiatryPsychiatry

We have to choose, modify and We have to choose, modify and adapt the branch of psychiatry adapt the branch of psychiatry that fits more our culture that fits more our culture including our socio-economic including our socio-economic status.status.

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Evolutionary Rhythmic Psychiatry:Evolutionary Rhythmic Psychiatry:

   From Patient to Prompting GrowthFrom Patient to Prompting Growth((Using all possible sources of Using all possible sources of

Science, Skills, Art, Body )Work(Science, Skills, Art, Body )Work(

Under the merciful leadingn Under the merciful leadingn particpati of GOD particpati of GOD

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The Brain Rebuilds itself all through brought pulsation and dialectic creations. This could be noted , as examples:

1- During REM re-patterning information

2- During normal sequential Growth crises )Erich erikson(

3- During creative processes

4- During criticism of human text in intensive therapy.

4- After re-start by properly timed BRT = RRT)ECT(

5- During therapeutic impasse in Group Therapy

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The Brain That Changes Itself Stories of Personal Triumph from the Frontiers of Brain science . 2007

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Basic assumptions of Evolutionary Rhythmic Psychiatry

The brain rebuilds itself it self all the time, processing, patterning , re-patterning, creating and promoting both evolution of race and growth of the individual>

2727Rhythms of the Brain "György Buzsáki" 2006

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Extension of the Analogy of the Biogenic LawExtension of the Analogy of the Biogenic Law

PhylogenyPhylogeny repeats repeats ontogenyontogeny

MacrogenyMacrogeny )growth crisis biorhythmic pulse( )growth crisis biorhythmic pulse( repeats repeats ontogenyontogeny

MicrogenyMicrogeny )creative unfolding( repeats )creative unfolding( repeats macrogenymacrogeny

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PsychopathogenyPsychopathogeny )a special new term()a special new term( : is the : is the abortedaborted mutilatedmutilated macrogenic biorhythmic macrogenic biorhythmic pulse of growth.pulse of growth.

The stage of abortion and the how of dealing or The stage of abortion and the how of dealing or mal-dealing with such failed unfolding mal-dealing with such failed unfolding results in the corresponding disorder or results in the corresponding disorder or mosaic of disorders.mosaic of disorders.

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The Theoretical Basis of Evolutionary Rhythmic Therapy )ERT(

Theories of Evolution at large

Multiplicity of Mind )Eric Berne Daniel Deneth >>etc

Biorhythmic and alternating activities of minds

The biological basis of ion (including body , motion, minds, emotions ..etc)

Interpersonal neurobiology )

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. . . م م م لعالج التنظيرية األسس) المسئولية) المواكبة المواجهة

1 ( أنتوجينيا،( المستويات كل على التطور، مفهوم) سيكوباثوجينيا ثم ميكروجينيا ، ماكروجينيا فيلوجينيا،

2 “ ” ( إلى( منها العقل حاالت لـ أقرب حصر بال الذوات تعدد) بيرن إريك ثالوث

3 : والتطورية( بالموضوع، العالقة مدارس بين تكاملرادوا، وساندور إريكسون، وإريك بيرن، وإريك اإليقاعية،

ويونج(

4 ( المعرفى( فقط وليس األوسع بمفهومه المعرفى العلمالنفسى(

والحركة( ) 5 الجسد للمعرفة واإليقاعى البيولوجى األساس ) المخ وتمثيالت

3232

توصيل • قنوات تعدد ) واألهل ) للمريض الرسالة

خالل :من

المواكبة( 7

األعراض( 8 Prescription of symptomsوصفة

الجماعى( 9 Collective Consciousnessالوعى

10) الوصلى( ) اآلنى بالمعنى سبحانه الله

الحركة( 6

3333Brain Zoo & Homoi-Erectus

3434

ambivalence

Schizoid Position

Fight flight

Depressive Position

Paranoid Position

No

ob

ject

3535

3636

3737

3838

The Science in impasse

3939

العلم تحرير ضاللالعلم

http://http://www.youtube.com/watch?v=ktzgzd2rEc0The Extended Mind

http://www.youtube.com/watch?v=R2jvhhGS7HQ#t=27

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Clinical practice is a series of & Hypothetical deductive thinking

The first hypothesis jumps to your mind from the very early moment you see the patient entering.From this moment on you are verifying your preliminary hypothesis to be replaced by a more feasible one, and so on.

As the hypothesis that the entering patient is mentally retarded may soon be changed to the possibility that he is simple schizophrenia which may soon leave its place to the hypothesis that he is but residual schizophrenia or post psychotic personality disorder

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لتقييم الثالث لتقييم المستوى الثالث المستوى: الترجمى :العلم الترجمى العلماألدوية األدوية سياسة سياسة

القليلةالقليلة

الدواء الدواء سياسة سياسةالواحدالواحد

يقع يقع أين أينالسيكوباثولوجىالسيكوباثولوجى

4242

العلم هو العلم ما هو ماالعلم العلم خدعة خدعة

علمى بحث المشاهدة لكتابة علمى المقابلة بحث المشاهدة لكتابة المقابلةكاملكامل

الفرضى التفكير تنمية هو الفرضى العلم التفكير تنمية هو العلماالستنتاجىاالستنتاجى

وتشكيالت وتشكيالت أنواع المؤسسية- 11 أنواع المؤسسية- العلم العلماأليديولوجية- 22 األيديولوجية- العلم العلمالتجارى- 33 التجارى- العلم العلمالجبانة- 44 الجبانة- العلم العلمالشكل- 55 الشكل- العلم العلمالسلطة- 66 السلطة- العلم العلمالضالل- 77 الضالل- العلم العلم

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العلم هو العلم ما هو ماالعلم العلم خدعة خدعة

المشاهدة لكتابة المشاهدة المقابلة لكتابة المقابلةكامل علمى كامل بحث علمى بحث

التفكير تنمية هو التفكير العلم تنمية هو العلماالستنتاجى االستنتاجى الفرضى الفرضى

4444

المؤسسية- 11 المؤسسية- العلم العلماأليديولوجية- 22 األيديولوجية- العلم العلمالتجارى- 33 التجارى- العلم العلمالجبانة- 44 الجبانة- العلم العلمالشكل- 55 الشكل- العلم العلمالسلطة- 66 السلطة- العلم العلمالضالل- 77 الضالل- العلم العلم

4545

النفع- 11 النفع- العلم العلم

22) التاريخ- ) الزمن (العلم التاريخ- ) الزمن العلم

التطور- 33 التطور- العلم العلم

البقاء- 44 صراع البقاء- العلم صراع العلم

المؤسسة- ) 55 وليس اإليمان المؤسسة- ) العلم وليس اإليمان العلم

الدينية(الدينية(

4646

The Dao of Neuroscience" C. Alexander Simpkins & Annellen M. Simpkins. 2010

4747

Kinds of Minds Towards Understanding of Consciousness    Daniel C. Dennet. 1996

4848

The Neuroscience of Psychotherapy Building and Rebuilding the Human Brain" Edited by: Louis Cozolino, Ph.D. Copyright: 2002

4949

The Evolution of the Emotion-Processing Mind and Mental Darwinism" Edited by: Robert Langs Copyright: 1996

5050The long evolution of brains and minds, Gerhard Roth, New York, 2013

5151Quantum consciousness,

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العلم تحرير ضاللالعلم

http://http://www.youtube.com/watch?v=ktzgzd2rEc0The Extended Mind

http://www.youtube.com/watch?v=R2jvhhGS7HQ#t=27