The Quest for Psychiatric Advancement through Theory, beyond Serendipity

Over the past century, advancements in psychiatric treatments have freed countless individuals from the burden of life-long, incapacitating mental illness. These treatments have largely been discovered by chance. Theory has driven advancement in the natural sciences and other branches of medicine, b...

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Main Authors: Robert E. Kelly, Anthony O. Ahmed, Matthew J. Hoptman, Anika F. Alix, George S. Alexopoulos
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/12/1/72
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author Robert E. Kelly
Anthony O. Ahmed
Matthew J. Hoptman
Anika F. Alix
George S. Alexopoulos
author_facet Robert E. Kelly
Anthony O. Ahmed
Matthew J. Hoptman
Anika F. Alix
George S. Alexopoulos
author_sort Robert E. Kelly
collection DOAJ
description Over the past century, advancements in psychiatric treatments have freed countless individuals from the burden of life-long, incapacitating mental illness. These treatments have largely been discovered by chance. Theory has driven advancement in the natural sciences and other branches of medicine, but psychiatry remains a field in its “infancy”. The targets for healing in psychiatry lie within the realm of the mind’s subjective experience and thought, which we cannot yet describe in terms of their biological underpinnings in the brain. Our technology is sufficiently advanced to study brain neurons and their interactions on an electrophysiological and molecular level, but we cannot say how these form a single feeling or thought. While psychiatry waits for its “Copernican Revolution”, we continue the work in developing theories and associated experiments based on our existing diagnostic systems, for example, the Diagnostic and Statistical Manual of Mental Disorders (DSM), International Classification of Diseases (ICD), or the more newly introduced Research Domain Criteria (RDoC) framework. Understanding the subjective reality of the mind in biological terms would doubtless lead to huge advances in psychiatry, as well as to ethical dilemmas, from which we are spared for the time being.
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spelling doaj.art-5e09a14d90d64ea8824592ef57d261222023-11-23T13:09:41ZengMDPI AGBrain Sciences2076-34252021-12-011217210.3390/brainsci12010072The Quest for Psychiatric Advancement through Theory, beyond SerendipityRobert E. Kelly0Anthony O. Ahmed1Matthew J. Hoptman2Anika F. Alix3George S. Alexopoulos4Department of Psychiatry, Weill Cornell Medicine, White Plains, NY 10605, USADepartment of Psychiatry, Weill Cornell Medicine, White Plains, NY 10605, USAClinical Research Division, Nathan S. Kline Institute for Psychiatric Research, Orangeburg, NY 10962, USATeachers College, Columbia University, New York, NY 10027, USADepartment of Psychiatry, Weill Cornell Medicine, White Plains, NY 10605, USAOver the past century, advancements in psychiatric treatments have freed countless individuals from the burden of life-long, incapacitating mental illness. These treatments have largely been discovered by chance. Theory has driven advancement in the natural sciences and other branches of medicine, but psychiatry remains a field in its “infancy”. The targets for healing in psychiatry lie within the realm of the mind’s subjective experience and thought, which we cannot yet describe in terms of their biological underpinnings in the brain. Our technology is sufficiently advanced to study brain neurons and their interactions on an electrophysiological and molecular level, but we cannot say how these form a single feeling or thought. While psychiatry waits for its “Copernican Revolution”, we continue the work in developing theories and associated experiments based on our existing diagnostic systems, for example, the Diagnostic and Statistical Manual of Mental Disorders (DSM), International Classification of Diseases (ICD), or the more newly introduced Research Domain Criteria (RDoC) framework. Understanding the subjective reality of the mind in biological terms would doubtless lead to huge advances in psychiatry, as well as to ethical dilemmas, from which we are spared for the time being.https://www.mdpi.com/2076-3425/12/1/72mind–brain gapresearch methodsmetasciencepsychiatrymedical modelprecision medicine
spellingShingle Robert E. Kelly
Anthony O. Ahmed
Matthew J. Hoptman
Anika F. Alix
George S. Alexopoulos
The Quest for Psychiatric Advancement through Theory, beyond Serendipity
Brain Sciences
mind–brain gap
research methods
metascience
psychiatry
medical model
precision medicine
title The Quest for Psychiatric Advancement through Theory, beyond Serendipity
title_full The Quest for Psychiatric Advancement through Theory, beyond Serendipity
title_fullStr The Quest for Psychiatric Advancement through Theory, beyond Serendipity
title_full_unstemmed The Quest for Psychiatric Advancement through Theory, beyond Serendipity
title_short The Quest for Psychiatric Advancement through Theory, beyond Serendipity
title_sort quest for psychiatric advancement through theory beyond serendipity
topic mind–brain gap
research methods
metascience
psychiatry
medical model
precision medicine
url https://www.mdpi.com/2076-3425/12/1/72
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