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“Surprise” and the Bayesian Brain: Implications for Psychotherapy Theory and Practice

机译:“惊奇”与贝叶斯大脑:对心理治疗理论与实践的启示

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摘要

The free energy principle (FEP) has gained widespread interest and growing acceptance as a new paradigm of brain function, but has had little impact on the theory and practice of psychotherapy. The aim of this paper is to redress this. Brains rely on Bayesian inference during which “bottom-up” sensations are matched with “top-down” predictions. Discrepancies result in “prediction error.” The brain abhors informational “surprise,” which is minimized by (1) action enhancing the statistical likelihood of sensory samples, (2) revising inferences in the light of experience, updating “priors” to reality-aligned “posteriors,” and (3) optimizing the complexity of our generative models of a capricious world. In all three, free energy is converted to bound energy. In psychopathology energy either remains unbound, as in trauma and inhibition of agency, or manifests restricted, anachronistic “top-down” narratives. Psychotherapy fosters client agency, linguistic and practical. Temporary uncoupling bottom-up from top-down automatism and fostering scrutinized simulations sets a number of salutary processes in train. Mentalising enriches Bayesian inference, enabling experience and feeling states to be “metabolized” and assimilated. “Free association” enhances more inclusive sensory sampling, while dream analysis foregrounds salient emotional themes as “attractors.” FEP parallels with psychoanalytic theory are outlined, including Freud’s unpublished project, Bion’s “contact barrier” concept, the Fonagy/Target model of sexuality, Laplanche’s therapist as “enigmatic signifier,” and the role of projective identification. The therapy stimulates patients to become aware of and revise the priors’ they bring to interpersonal experience. In the therapeutic “duet for one,” the energy binding skills and non-partisan stance of the analyst help sufferers face trauma without being overwhelmed by psychic entropy. Overall, the FEP provides a sound theoretical basis for psychotherapy practice, training, and research.
机译:自由能原理(FEP)作为脑功能的一种新范式已引起广泛的关注和接受,但对心理治疗的理论和实践影响不大。本文旨在解决这个问题。大脑依靠贝叶斯推断,在此期间“自下而上”的感觉与“自上而下”的预测相匹配。差异会导致“预测错误”。大脑讨厌信息“惊奇”,它可以通过(1)增强感官样本的统计可能性的动作,(2)根据经验修改推论,将“先验”更新为与现实对齐的“后验”来最小化,以及(3 )优化我们反复无常的世界的生成模型的复杂性。在这三者中,自由能都转化为束缚能。在心理病理学中,能量要么像创伤和对代理的抑制一样没有约束,要么表现出局限性的,过时的“自上而下”的叙述。心理治疗可以促进客户代理,语言和实践。自上而下与自上而下的自动机制之间的暂时解耦,以及精心研究的模拟过程,在火车上建立了许多有益的过程。心理化丰富了贝叶斯推理,使体验和感觉状态被“代谢”和吸收。 “自由联想”增强了更具包容性的感官采样,而梦想分析则将突出的情感主题视为“吸引者”。概述了FEP与精神分析理论的相似之处,包括弗洛伊德未发表的项目,比昂的“接触障碍”概念,性行为的Fonagy / Target模型,拉普兰奇的“神秘指征”治疗师以及投射识别的作用。这种疗法刺激患者意识到并修改他们带来的人际交往先验。在治疗性的“二合一”中,分析师的能量结合技巧和无偏执的态度可以帮助患者面对创伤,而不会被心理熵所淹没。总体而言,FEP为心理治疗实践,培训和研究提供了良好的理论基础。

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