Cognitive Neuropsychiatry
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Cognitive neuropsychiatry is a growing multidisciplinary field arising out of
cognitive psychology Cognitive psychology is the scientific study of human mental processes such as attention, language use, memory, perception, problem solving, creativity, and reasoning. Cognitive psychology originated in the 1960s in a break from behaviorism, whi ...
and
neuropsychiatry Neuropsychiatry is a branch of medicine that deals with psychiatry as it relates to neurology, in an effort to understand and attribute behavior to the interaction of neurobiology and social psychology factors. Within neuropsychiatry, the mind i ...
that aims to understand
mental illness A mental disorder, also referred to as a mental illness, a mental health condition, or a psychiatric disability, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. A mental disorder is ...
and
psychopathology Psychopathology is the study of mental illness. It includes the signs and symptoms of all mental disorders. The field includes Abnormal psychology, abnormal cognition, maladaptive behavior, and experiences which differ according to social norms ...
in terms of models of normal psychological function. A concern with the neural substrates of impaired cognitive mechanisms links cognitive neuropsychiatry to the basic neuroscience. Alternatively, CNP provides a way of uncovering normal psychological processes by studying the effects of their change or impairment. The term "cognitive neuropsychiatry" was coined by Prof Hadyn Ellis (
Cardiff University Cardiff University () is a public research university in Cardiff, Wales. It was established in 1883 as the University College of South Wales and Monmouthshire and became a founding college of the University of Wales in 1893. It was renamed Unive ...
) in a paper "The cognitive neuropsychiatric origins of the Capgras delusion", presented at the International Symposium on the Neuropsychology of Schizophrenia, Institute of Psychiatry, London (Coltheart, 2007). Although clinically useful, current syndrome classifications (e.g. DSM-IV; ICD-10) have no empirical basis as models of normal cognitive processes. CNP moves beyond diagnosis and classification to offer a cognitive explanation for established psychiatric behaviours, regardless of whether the symptoms are due to recognised brain pathology or to dysfunction in brain areas or networks without structural lesions. CNP has been influential, not least because of its early success in explaining some psychiatric delusions, most notably the
Capgras delusion Capgras delusion or Capgras syndrome is a psychiatric disorder in which a person holds a delusion that a friend, spouse, parent, other close family member, or pet has been replaced by an identical impostor. It is named after Joseph Capgras (1873 ...
,
Fregoli delusion The Fregoli delusion (or Fregoli syndrome) is a rare disorder in which a person holds a delusional belief that different people are in fact a single person who changes appearance or is in disguise. The syndrome may be related to a brain lesion an ...
and other
delusional misidentification syndrome Delusional misidentification syndrome is an umbrella term, introduced by Christodoulou (in his book ''The Delusional Misidentification Syndromes'', Karger, Basel, 1986) for a group of four delusional disorders that occur in the context of mental i ...
s. The Capgras delusion is "explained as the interruption in the covert route to face recognition, namely affective responses to familiar stimuli, localized in the dorsal route of vision from striate cortex to
limbic system The limbic system, also known as the paleomammalian cortex, is a set of brain structures located on both sides of the thalamus, immediately beneath the medial temporal lobe of the cerebrum primarily in the forebrain.Schacter, Daniel L. 2012. ''P ...
. According to standard molecular hypotheses, acute delusions are the result of a dysregulated activity of some neuromodulators." Additionally, the study of cognitive neuropsychiatry has shown to intersect with the study of philosophy. This intersection revolves around a reconsideration of the mind-body relationship and the contemplation of moral issues that can arise by fields such as neuropsychopathology. For example, it has been under consideration whether or not Parkinson's patients should be held morally accountable for their physical actions. This discussion and study has taken place due to the discovery that under certain circumstances, Parkinson's patients can initiate and control their own movement. Examples such as this are cause for difficult judgement calls, i.e. "about who is mad and who is bad" (Stein 1999). Cognitive neuropsychiatry has also explored the difference between implicit and explicit cognition, especially in catatonic patients. For more information on the bridge between neuropsychiatry and philosophy see (e.g., Stein, Dan (1999). Philosophy, Psychiatry, & Psychology).


See also

*
Capgras delusion Capgras delusion or Capgras syndrome is a psychiatric disorder in which a person holds a delusion that a friend, spouse, parent, other close family member, or pet has been replaced by an identical impostor. It is named after Joseph Capgras (1873 ...
*
CDR computerized assessment system The CDR system (The CDR system) is a computerized battery of cognitive tests designed in the late 1970s by Professor Keith Wesnes at the University of Reading in Berkshire, England, for repeated testing in clinical trials. Task stimuli are prese ...
*
Cognitive neuropsychology Cognitive neuropsychology is a branch of cognitive psychology that aims to understand how the structure and function of the brain relates to specific psychological processes. Cognitive psychology is the science that looks at how mental processes ...
*
Fregoli delusion The Fregoli delusion (or Fregoli syndrome) is a rare disorder in which a person holds a delusional belief that different people are in fact a single person who changes appearance or is in disguise. The syndrome may be related to a brain lesion an ...
*
Neuropsychiatry Neuropsychiatry is a branch of medicine that deals with psychiatry as it relates to neurology, in an effort to understand and attribute behavior to the interaction of neurobiology and social psychology factors. Within neuropsychiatry, the mind i ...


References


Further reading

*Ellis & Young (1990). Accounting for delusional misidentifications. ''British Journal of Psychiatry'' *Frith C. (1992) ''The Cognitive Neuropsychology of schizophrenia'' *David T (1993). Cognitive Neuropsychiatry ''Psychological Medicine'' *Charlton B. (1995) Cognitive neuropsychiatry and the Future of Diagnosis: a "PC" model of the Mind. ''British Journal of Psychiatry'' *Halligan, P.W. Marshall, J.C. (1996)
''Method in Madness: Case Studies in Cognitive Neuropsychiatry.''
Psychology Press. *Stein, Dan (1999). Philosophy, Psychiatry, & Psychology 6.3 217-22

*Halligan, P.W., and David, A.S. (2001). Cognitive Neuropsychiatry: towards a scientific psychopathology. ''Nature Neuroscience Review,'' *Coltheart (2007). Bartlett Lecture: ''Quarterly J Exp Psych''.


External links


''Cognitive Neuropsychiatry''
journal 996– {{Psychiatry Neuropsychology Psychiatric specialities