Perspectives on decision-making: implications for understanding psychopathology in psychiatric and psychoanalytic practice. Issue 1 (2nd January 2016)

• Record Type: Journal Article
• Authors: Kanwal, Gurmeet S.
• Is Part Of: Neuropsychoanalysis. Volume 18:Issue 1(2016)
• Page Start: 31
• Page End: 43
• Publication Date: 2016-01-02
• Subjects: decision-making -- psychiatry -- psychoanalysis -- unconscious -- neuroscience -- depression; Psychoanalysis -- Periodicals; Neurosciences -- Periodicals; Neuropsychology -- Periodicals; 616.8
• DOI: 10.1080/15294145.2016.1149778
• Languages: English
• ISSNs: 1529-4145

Abstract

Abstract : Research on decision-making from the perspectives of economics, game theory, and neuroscience has been expanding rapidly over the last three decades [Kable, J. W., & Glimcher, P. W. (2009). The neurobiology of decision: Consensus and Controversy. Neuron, 63, 733–745]. However, there is relatively little exploration of impairment of decision-making, as a symptom of psychic dysfunction, in clinical psychiatric or psychoanalytic literature. As a result there is a widening gap between the understanding of psychopathology among clinically oriented psychiatrists and psychoanalysts, and the evolving importance of decision-making as presented by the neuroscience research community. "Decision-making" as a psychic function is not currently considered an important criteria for defining, classifying, understanding or treating psychopathology. This paper is an attempt by a clinician to point to the significance of decision-making as a clinical phenomenon, and to explore the various components of decision-making that are relevant to clinicians and can serve as guideposts for further neurobiological research.