Basing ourselves on the writings of Hans Jonas, we offer to psychosomatic medicine a philosophy of life that surmounts the mind-body dualism which has plagued Western thought since the origins of modern science in seventeenth century Europe. Any present-day account of reality must draw upon everything we know about the living and the non-living. Since we are living beings ourselves, we know what it means to be alive from our own first-hand experience. Therefore, our philosophy of life, in addition (...) to starting with what empirical science tells us about inorganic and organic reality, must also begin from our own direct experience of life in ourselves and in others; it can then show how the two meet in the living being. Since life is ultimately one reality, our theory must reintegrate psyche with soma such that no component of the whole is short-changed, neither the objective nor the subjective. In this essay, we lay out the foundational components of such a theory by clarifying the defining features of living beings as polarities . We describe three such polarities: 1) Being vs. non-being: Always threatened by non-being, the organism must constantly re-assert its being through its own activity. 2) World-relatedness vs. self-enclosure: Living beings are both enclosed with themselves, defined by the boundaries that separate them from their environment, while they are also ceaselessly reaching out to their environment and engaging in transactions with it. 3) Dependence vs. independence: Living beings are both dependent on the material components that constitute them at any given moment and independent of any particular groupings of these components over time. We then discuss important features of the polarities of life: Metabolism; organic structure; enclosure by a semi-permeable membrane; distinction between "self" and "other"; autonomy; neediness; teleology; sensitivity; values. Moral needs and values already arise at the most basic levels of life, even if only human beings can recognize such values as moral requirements and develop responses to them. (shrink)

The human being can be divided into body and mind, two inextricably linked aspects influencing each other. From birth, the body is the site of emotional experiences thanks to cellular memory. The t...

The paper analyzes in Plato the integration/συναμφότερον between the human soul and body in Charmides and Timaeus exploring the ideas of health/ὑγίεια and disease/νόσος and how they originate in man. The thesis is that in Plato’s thought there is a strong presence of an integrated view of man, the relationship between the constitutive instances (soul and body) being psychosomatic, since both suffer (πάσχω) influence from each other. The nuances of the soulbody relationship are also considered with regard to the (...) psychophysical aspects of this compound. As a consequence, it goes beyond the dualistic interpretation erroneously propagated by philosophy manuals, which insist that in Plato the soul must despise the body. In other words, what “seems” in Plato’s texts to be a reference to a strong tension between soul and body is in fact a warning by the philosopher of the need for a balanced integration between both. (shrink)

The article is dedicated to the study of the correlation between psychological resilience and psychosomatic health of a personality. Theoretical analysis of approaches to the problem personality psychological resilience is realized. Psychological factors and the structure of personality psychological resilience are analysed. Based on the obtained research results, the complex method of formation of psychological stability is developed including emotional, motivation, and intellectual components. The complex of psychodiagnostic methods is provided and tested. It is proved that psychological resilience is (...) provided with several physiological, social and personal factors. The results of the investigation reveal the higher adaptability of representatives of the control group and their rational approach to vital capacity than those of the experimental group who possess a pessimistic way of lifestyle. The existence of a correlation between the somatic health of a personality and the psycho-emotional factor is shown. It is established that the most expedient conditions of increasing psychological well-being and forming professional and personal stability through development of self-regulation system are forming an active life position, responsibility, skills of correction and abilities to organize own motivational sphere. The results of this study are directly relevant to the establishment of international cooperation in the study of programs and projects in the context of the transformation of the health care system following international partnership standards and the implementation of cultural exchange programs in education and culture between countries. (shrink)

Conscious existence is the product of a neural brain mechanism, which is largely identical with Immanuel Kant's Oneness Function, a service performed by 200 million neurons in the prefrontal lobe, & makes possible our interior cosmos, the record of our interconnected, or general, experience. Essential for us humans is the well-being of our interior cosmos, or Saint Teresa of Avila's interior castle, in all interactions with each other \& the greater environment. Any disorders of our cosmos are liable to make (...) us fall ill, setting our existence on a path of psychosomatic etiology of a large class of mysterious undiagnosed diseases. (shrink)

THE ARTICLE CONSIDERS HOW THE CONCEPTION OF PSYCHOSOMATIC DISORDER FITS INTO THE DUALISTIC AND MONISTIC VIEWS OF DOCTORS ON THE MIND-BODY RELATIONSHIP, AND POINTS OUT HOW THE DIFFICULTY OF FITTING IT INTO THE CURRENT KIND OF MONISM WOULD BE LESSENED IF PSYCHOSOMATIC DISORDERS WERE DEFINED AS SOMATIC SYMPTOMS WHICH CAN BE SUCCESSFULLY TREATED BY METHODS USED TO TREAT PSYCHIC SYMPTOMS.

Burnout was recently declared by WHO as an “occupational phenomenon” in the International Classification of Diseases 11th revision, recognizing burnout as a serious health issue. Earlier studies have shown that feelings of guilt appear to be involved in the burnout process. However, the exact nature of the relationships among burnout, guilt and psychosomatic disorders remains unclear. The purpose of this study was to investigate the mediator role of feelings of guilt in the relationship between burnout and psychosomatic disorders, (...) and perform a cross-cultural validation of the multi-dimensional model by Gil-Monte in two samples of teachers. The study sample was composed of 1,266 teachers, 1,062 from Spain, and 204 from Portugal. Burnout was measured by the Spanish Burnout Inventory. Hypotheses were tested together in a path model. The results obtained provide empirical evidence for the mediator role of guilt in the relationship between the Burnout syndrome and psychosomatic disorders in the sample of teachers from Spain and Portugal, and they contribute to the empirical validation of the model by Gil-Monte. The results indicate that guilt should be incorporated as a symptom of burnout in order to identify individuals affected by burnout and profiles or types of burnout to differentiate it from other pathologies like depression. (shrink)

Combining theological and medical perspectives is indispensable for the historical study of the interconnections between mind, body, and soul. This article explores these relations through the history of Finnish psychosomatic medicine, and uses published and archival materials to examine the intellectual biography of the Finland-Swedish theologian turned psychiatrist Asser Stenbäck (1913–2006). Stenbäck's career, which evolved from priesthood to psychiatry and politics, reveals a great deal about the tensions between religion and medicine, the spiritual and scientific groups that impinged upon (...) psychosomatic medicine, and ideas on how health and Christian morality were interconnected. The biographical approach is adopted to unearth the values encoded in medical concepts, and through this, to point towards another, underexplored dimension of the health–religion relationship. In addition to their emotional aspect, religious doctrines are intended to organise life and give it meaning. Stenbäck's ideas tied these experiential and normative spheres together by defending an irrationalist substratum of the world in the secular age of medicine. His work illustrates how the inner experience of faith can become both medically and politically purposive. It is worth combining these perspectives in historical research as well in order to better understand how the theological, medical, and political worlds are in dialogue when it comes to human problems. (shrink)

The quantum-like approach of psychosomatic phenomena suggests an explanation of the correlations between mind and body in terms of quantum-like entanglement, that is, without appealing to any concept of psychophysical, efficient causality. This approach is developed within the Hilbert space formalism and its general consequences are drawn. It is first illustrated by a simple, qualitative model of the placebo effect which shows that representing psychosomatic states by entangled states can explain that purely psychological factors can produce a-causal changes (...) of physiological parameters. Then, a dynamical, quantitative and predictive model of bipolar disorder which makes use of the unitarity of the temporal evolution of psychosomatic states due to biological and psychological rhythms is worked out. This model can explain some current observations, like for example the severe fluctuations in mood between depression and mania, and it can forecast the moment of shifting. In addition, it justifies the efficiency of chronotherapy on theoretical basis. (shrink)

This article, the second of a two-part essay, outlines a solution to certain tensions in Thomist philosophical anthropology concerning the interaction of the human person’s immaterial intellectual or noetic operations with the psychosomatic sensory operations that are constituted from the formal organization of the nervous system. Continuing with where the first part left off, I argue that Thomists should not be tempted by strong emergentist accounts of mental operations that act directly on the brain, but should maintain, with Aquinas, (...) that noetic operations directly interact with psychosomatic operations. I develop a Thomist account of noetic–psychosomatic interactions that expands upon the first part’s rapprochement between the new mechanist philosophy of neuroscience and psychology and hylomorphic animalism. I argue that noetic–psychosomatic interactions are best understood as analogous to the way diverse higher and lower order psychosomatic powers interact by actualizing, coordinating, and directing the operations of other psychosomatic powers. I draw on James Ross’s arguments for the immateriality of intellectual operations as realizing definite pure functions in order to elucidate the way noetic operations uniquely actualize, coordinate, and direct the psychosomatic operations they interact with. I conclude with a conjectural sketch of how this presentation of Thomist philosophical anthropology understands the noetic and psychosomatic deficits brought about by damage to the nervous system. (shrink)

BackgroundStress is a major risk factor for the impairment of psychological well-being. The present study aimed to evaluate the empirical evidence of the Transactional Stress Model proposed by Lazarus and Folkman in patients with psychosomatic health conditions.MethodsA structural equation model was applied in two separate subsamples of inpatients from the Department of Psychosomatic Medicine for consecutive model building and confirmatory analyses using self-reported health status information about perceived stress, personal resources, coping mechanisms, stress response, and psychological well-being.ResultsThe initial (...) model was created to reflect the theoretical assumptions by Lazarus and Folkman about their transactional stress concept. This model was modified until a sufficient model fit was reached. The modified model was confirmed in a second sample. Perceived external stressors and personal resources explained 91% of the variance of the stress response, which was closely related to symptoms of depression. The attenuating effect of resources on stress response was higher than the impact of perceived stressors on stress response.ConclusionThe empirical data largely confirmed the theoretical assumption of the Transactional Stress Model, which was first presented by Lazarus and Folkman, in patients with a wide range of psychosomatic conditions. However, data analyses were solely based on self-reported health status. Thus, proposed inner psychological mechanisms such as the appraisal process could not be included in this empirical validation. The operationalization and understanding of coping processes should be further improved. (shrink)

Psychosomatic medicine, with its prevailing biopsychosocial model, aims to integrate human and exact sciences with their divergent conceptual models. Therefore, its own conceptual foundations, which often remain implicit and unknown, may be critically relevant. We defend the thesis that choosing between different metaphysical views on the ‘mind–body problem’ may have important implications for the conceptual foundations of psychosomatic medicine, and therefore potentially also for its methods, scientific status and relationship with the scientific disciplines it aims to integrate: biomedical (...) sciences, psychology and social sciences. To make this point, we introduce three key positions in the philosophical ‘mind–body’ debate and investigate their consequences for the conceptual basis of the biopsychosocial model in general and its ‘psycho-biological’ part in particular. Despite the clinical merits of the biopsychosocial model, we submit that it is conceptually underdeveloped or even flawed, which may hamper its use as a proper scientific model. (shrink)

There are two standing, incompatible accounts of Descartes’ contributions to the study of psychosomatic phenomena that pervade histories of medicine, psychology, and psychiatry. The first views Descartes as the father of “rational psychology” a tradition that defines the soul as a thinking, unextended substance. The second account views Descartes as the father of materialism and the machine metaphor. The consensus is that Descartes’ studies of optics and motor reflexes and his conception of the body-machine metaphor made early and important (...) contributions to physiology and neuroscience but otherwise his impact was minimal. These predominately negative assessments of Descartes’ contributions give a false impression of the role his philosophy played in the development of medicine and psychiatry in seventeenth-century France and beyond. I explore Descartes’ influence in the little-known writings of a doctor from Toulouse, and . A study of Bayle gives us occasion to rethink the nature and role of psychosomatic explanation in Descartes’ philosophy. The portrait I present is of a Cartesian science that had an actual and lasting effect on medical science and practice, and may offer something of value to practitioners today. (shrink)

In recent years, there has been a rapidly increasing interest in self-management strategies in psychiatry and psychosomatic medicine. Among the conditions in which self-management is currently investigated in these contexts are bipolar disorder, depression, post-traumatic stress disorder, schizophrenia, attention deficit hyperactivity disorder, irritable bowel syndrome, chronic fatigue syndrome (Meng, Friedberg, &...

Ancient intellectuals from Gorgias of Leontini forward employed the notion of 'imprinting' the soul in order to describe various sorts of psychic affections. The dominant context for this scientific language remains juridical both in 4th Century philosophy (e.g. Plato's description of the soul being whipped in the Gorgias) and in religion (e.g. the soul's imprint as keyword in "Orphic" Gold Tablets). This tradition continues in the fragments of Plutarch's de Libidine et Aegritudine, although without proper attention to its origins in (...) the Sophists. (shrink)

This article explores the relationship between automatic and involuntary language in the work of Samuel Beckett and late nineteenth-century neurological conceptions of language that emerged from aphasiology. Using the work of John Hughlings Jackson alongside contemporary neuroscientific research, we explore the significance of the lexical and affective symmetries between Beckett’s compulsive and profoundly embodied language and aphasic speech automatisms. The interdisciplinary work in this article explores the paradox of how and why Beckett was able to search out a longed-for language (...) of feeling that might disarticulate the classical bond between the language, intention, rationality and the human, in forms of expression that seem automatic and “readymade”. (shrink)